Federal inspection record · CMS data as of October 1, 2026
Complete Care At Kimberly Hall-South
1 Emerson Drive, Windsor, CT · (860) 688-6443
- Certified beds
- 180
- Residents per day
- 103
- Ownership
- For-Profit
- Chain
- Complete Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 1, 1975
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Connecticut.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Connecticut homes
Complete Care At Kimberly Hall-South carries 73.75 inspection points. That is fewer than 48% of Connecticut's 190 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Connecticut: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–29 pts
- 4★ 29–53 pts
- 3★ 53–79 pts
- 2★ 79–116.75 pts
- 1★ over 116.75 pts
Bars show every rated home in Connecticut by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
37 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Everything else, by area of care
Resident Rights10E
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- B
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Quality of Life and Care10D
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary5E
- E
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Resident Assessment and Care Planning5D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nursing and Physician Services1D
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Pharmacy Service1E
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspection history
2026-07-07
8 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2024-11-19
14 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2022-05-23
15 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 52 min of nursing staff time a day, 50 min of it from a registered nurse.
This home
3 h 52 min
Connecticut average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 27% of nursing staff and 41% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$14,728 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-14 | Fine | $14,728 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts better | 1.3 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better | 0.2 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.9 pts better | 90.0% | 89.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.7 pts worse | 93.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better | 1.9% | 3.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms52.9 pts worse | 77.9% | 25.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts better | 5.3% | 6.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.5 pts better | 8.5% | 18.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.5 pts better | 9.2% | 17.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened18.5 pts worse | 33.3% | 14.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased13.3 pts worse | 31.0% | 17.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.4% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.7 pts worse | 31.7% | 24.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts worse | 4.6% | 3.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.7 pts worse | 57.8% | 72.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.4 pts better | 3.0% | 10.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse | 1.9% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20.8 pts worse | 52.2% | 73.0% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.2 pts better | 19.3% | 23.5% | 23.4% |
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Who owns and runs it
31 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Pc Gen Ct Opco Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 3 facilities |
| Des Capital LLC | Indirect Ownership Interest · Organization | 0% | 28 facilities |
| Des Capital LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Gallagher, James | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Gallagher, James | Adp Of The SNF · Individual | 0% | 3 facilities |
| Hoch, Robert | Operational/Managerial Control · Individual | 0% | 21 facilities |
| Hoch, Robert | Adp Of The SNF · Individual | 0% | 21 facilities |
| Jrk Investments LLC | Indirect Ownership Interest · Organization | 0% | 28 facilities |
| Jrk Investments LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Kimberly Hall South Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Klugman, Jacob | Indirect Ownership Interest · Individual | 0% | 30 facilities |
| Klugman, Jacob | Adp Of The SNF · Individual | 0% | 30 facilities |
| Lagana, Kristin | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Lagana, Kristin | Adp Of The SNF · Individual | 0% | 5 facilities |
| Messenger, Monica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pc Gen Ct Opco Topco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Pc Gen Ct Topco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Pc Gen Ct Topco LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Peace Capital Holdings LLC | Adp Of The SNF · Organization | 0% | 46 facilities |
| Russo, Thomas | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Russo, Thomas | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sms 2021 Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 77 facilities |
| Sms 2021 Trust | Adp Of The SNF · Organization | 0% | 77 facilities |
| Stein, Shalom | Indirect Ownership Interest · Individual | 0% | 87 facilities |
| Stein, Shalom | Managing Control - Governing Body · Individual | 0% | 87 facilities |
| Stein, Shalom | Corporate Officer · Individual | 0% | 87 facilities |
| Stein, Shalom | Trustee Of The SNF · Individual | 0% | 87 facilities |
| Sternbuch, Daniel | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Sternbuch, Daniel | Adp Of The SNF · Individual | 0% | 31 facilities |
| Tetreault, Marnie | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Tetreault, Marnie | Adp Of The SNF · Individual | 0% | 5 facilities |
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Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5E
- D
Provide properly protected cooking facilities.
- D
Install corridor and hallway doors that block smoke.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install a fire alarm system that can be heard throughout the facility.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous2D
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have simulated fire drills held at unexpected times.
Construction1D
- D
Meet other general requirements.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper medical gas storage and administration areas.
Services1D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
-
Complete Care At Kimberly Hall North
Windsor, CT · Complete Care · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 10 min
- Fines
- $13,065
-
Seabury
Bloomfield, CT
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 5 h 9 min
- Fines
- $18,268
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Touchpoints At Bloomfield
Bloomfield, CT · Icare Health Network
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 3 min
- Fines
- $0