Cycle 1
Health 2024-05-29 · Fire 2024-05-29
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Stamford, CT
Edgehill Health Center
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
122 Palmers Hill Rd, Stamford, CT
(203) 580-6348
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
46
Certified beds
Average residents
41
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2000-04-13
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.39
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.79
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
2.79
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
4.97
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
2.18
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
4.26
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.82
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.23
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.37
CMS adjusted RN staffing hours
Adjusted total hours
4.90
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
805
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
63.50
Composite VBP score used to determine payment impact.
Payment multiplier
1.0182
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.15
Baseline 17.43% · Performance 19.05% · Measure score 5.15 · Achievement 5.15 · Improvement 0
Healthcare-associated infections
3.80
Baseline 3.86% · Performance 6.70% · Measure score 3.80 · Achievement 3.80 · Improvement 0
Total nurse turnover
8.95
Baseline 96.30% · Performance 28.81% · Measure score 8.95 · Achievement 8.53 · Improvement 8.95
Adjusted total nurse staffing
7.51
Baseline 3.93 hours · Performance 5.22 hours · Measure score 7.51 · Achievement 7.51 · Improvement 6.45
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 468 · Observed rate 7.05% · Lower 95% interval 7.56% |
| Discharge to community | 71.48% |
50.57%
20.9 pts better
|
Better than the National Rate · Eligible stays 476 · Observed rate 72.06% · Lower 95% interval 67.9% |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.73% |
95.27%
1.5 pts better
|
Numerator 237 · Denominator 245 |
| Falls with major injury | 0.41% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 245 |
| Discharge self-care score | 54.94% |
53.69%
1.2 pts better
|
Numerator 89 · Denominator 162 |
| Discharge mobility score | 54.32% |
50.94%
3.4 pts better
|
Numerator 88 · Denominator 162 |
| Pressure ulcers or injuries, new or worsened | 1.63% |
2.29%
0.7 pts better
|
Numerator 4 · Denominator 245 · Adjusted rate 1.94% |
| Healthcare-associated infections requiring hospitalization | 6.7% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 248 · Observed rate 4.44% · Lower 95% interval 4.21% |
| Staff COVID-19 vaccination coverage | 9.3% |
8.2%
1.1 pts better
|
Numerator 8 · Denominator 86 |
| Staff flu vaccination coverage | 8.91% |
42%
33.1 pts worse
|
Numerator 9 · Denominator 101 |
| Discharge function score | 61.73% |
56.45%
5.3 pts better
|
Numerator 100 · Denominator 162 |
| Transfer of health information to provider | 95.61% |
95.95%
0.3 pts worse
|
Numerator 196 · Denominator 205 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 44.07% |
25.2%
18.9 pts better
|
Numerator 52 · Denominator 118 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
2.1
0.9 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.2 |
1.5
1.3 pts better
|
1.8
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
87.5%
12.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.5%
6.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% |
3.4%
0.1 pts better
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.5% · Q4 6.9% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
17.1%
17.1 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
6.4%
6.4 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.9% |
17.3%
1.6 pts worse
|
19.6%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 14.3% · Q3 18.2% · Q4 17.9% · 4Q avg 18.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.5% |
19.4%
1.9 pts better
|
16.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 20.0% · Q4 20.8% · 4Q avg 17.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 40.4% |
18.1%
22.3 pts worse
|
16.3%
24.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 40.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 45.1% |
18.4%
26.7 pts worse
|
14.9%
30.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 59.1% · 4Q avg 45.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
0.9%
0.8 pts worse
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 7.9% |
1.7%
6.2 pts worse
|
1.7%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 9.5% · Q3 9.5% · Q4 7.1% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.7% |
24.8%
0.1 pts better
|
19.8%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 24.8% · Q3 36.9% · Q4 11.4% · 4Q avg 24.7% |
| Percentage of long-stay residents with pressure ulcers | 8.6% |
4.4%
4.2 pts worse
|
5.1%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 7.4% · Q3 9.9% · Q4 9.7% · 4Q avg 8.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.2% |
70.5%
25.7 pts better
|
81.7%
14.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 97.1% · Q3 93.3% · Q4 95.1% · 4Q avg 96.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.1% |
11.1%
About the same
|
12.0%
0.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.1% · Observed 8.9% · Expected 9.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.5%
1 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 1.2% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.5% |
69.7%
21.8 pts better
|
79.7%
11.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.4% |
25.0%
1.4 pts worse
|
23.9%
2.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.4% · Observed 19.6% · Expected 17.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-01-06 · Fire 2022-01-06
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2019-07-11 · Fire 2019-07-11
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-05-29
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-07-05
D · Potential for more than minimal harm
2022-01-06
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-02-11
D · Potential for more than minimal harm
2022-01-06
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-02-11
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-11
F678 · Quality of Life and Care Deficiencies
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-04-12
E · Potential for more than minimal harm
2024-05-29
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-27
D · Potential for more than minimal harm
2022-01-06
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-02-11
Penalties and ownership
What sits behind the stars
Ownership
B-Ix Edgehill LLC
5% Or Greater Direct Ownership Interest · Organization
B-Ix Capital LLC
5% Or Greater Indirect Ownership Interest · Organization
Benchmark Investments Ix LLC
5% Or Greater Indirect Ownership Interest · Organization
Benchmark Senior Living LLC
Operational/Managerial Control · Organization
Bsl Friends And Family Fund LLC
5% Or Greater Indirect Ownership Interest · Organization
Catizone, Heather
Operational/Managerial Control · Individual
Cilano, Christopher
Operational/Managerial Control · Individual
Kfh Healthcare Fund Investor LLC
5% Or Greater Indirect Ownership Interest · Organization
Kfh Healthcare Usco One Inc.
5% Or Greater Indirect Ownership Interest · Organization
Kfh Healthcare Usco Three Inc.
5% Or Greater Indirect Ownership Interest · Organization
Massaro, Christopher
Operational/Managerial Control · Individual
Quigley, Jake
Operational/Managerial Control · Individual
Us Healthcare Venture, LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
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3-star overall rating with 4-star inspections with $8,018 in total fines with 8 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle
#2
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2-star overall rating with 2-star inspections with abuse icon flag with 7 recent health deficiencies
#3
Stamford Care Center
Stamford, CT
2-star overall rating with 2-star inspections with $8,419 in total fines with 17 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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