Essex, CT

Essex Meadows Health Center

5-star overall rating with 4-star inspections with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

30 Bokum Rd, Essex, CT

(860) 767-7201

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

45

Certified beds

Average residents

37

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Life Care Services

Operator or chain grouping

Approved since

1989-02-01

CMS approved date

Coverage

Medicare

Participation flags

Chain footprint

20 facilities

Chain averages 4 overall / 4 health / 4 staffing / 4 quality stars

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

1.51

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.37

Licensed practical nurse staffing · state 0.84 · national 0.87

Aide hours / resident day

3.19

Nurse aide staffing · state 2.28 · national 2.35

Total nurse hours

5.06

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.88

RN + LPN hours · state 1.54 · national 1.54

Weekend hours

4.40

Weekend nurse staffing · state 3.41 · national 3.43

Weekend RN hours

0.69

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

1.79

CMS adjusted RN staffing hours

Adjusted total hours

5.99

CMS adjusted total nurse staffing hours

Case-mix index

1.16

Higher values indicate more complex resident acuity

RN turnover

37%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

34%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,684

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

48.29

Composite VBP score used to determine payment impact.

Payment multiplier

1.0020

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 19.86% · Performance 21.47% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.12

Baseline 5.56% · Performance 7.20% · Measure score 2.12 · Achievement 2.12 · Improvement 0

Total nurse turnover

7.85

Baseline 35.85% · Performance 31.58% · Measure score 7.85 · Achievement 7.85 · Improvement 3.38

Adjusted total nurse staffing

9.35

Baseline 5.02 hours · Performance 5.74 hours · Measure score 9.35 · Achievement 9.35 · Improvement 8.93

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.58%
10.72%
0.9 pts worse
No Different than the National Rate · Eligible stays 80 · Observed rate 11.25% · Lower 95% interval 7.56%
Discharge to community 58.54%
50.57%
8 pts better
No Different than the National Rate · Eligible stays 85 · Observed rate 52.94% · Lower 95% interval 48.33%
Medicare spending per beneficiary 0.85
1.02
0.2 pts better
Drug regimen review with follow-up 97.53%
95.27%
2.3 pts better
Numerator 79 · Denominator 81
Falls with major injury 1.23%
0.77%
0.5 pts worse
Numerator 1 · Denominator 81
Discharge self-care score 72.31%
53.69%
18.6 pts better
Numerator 47 · Denominator 65
Discharge mobility score 69.23%
50.94%
18.3 pts better
Numerator 45 · Denominator 65
Pressure ulcers or injuries, new or worsened 2.47%
2.29%
0.2 pts worse
Numerator 2 · Denominator 81 · Adjusted rate 2.55%
Healthcare-associated infections requiring hospitalization 7.2%
7.12%
0.1 pts worse
No Different than the National Rate · Eligible stays 52 · Observed rate 5.77% · Lower 95% interval 4.11%
Staff COVID-19 vaccination coverage 15.91%
8.2%
7.7 pts better
Numerator 21 · Denominator 132
Staff flu vaccination coverage 55.88%
42%
13.9 pts better
Numerator 76 · Denominator 136
Discharge function score 81.54%
56.45%
25.1 pts better
Numerator 53 · Denominator 65
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 50 · Denominator 50
Resident COVID-19 vaccinations up to date 56.1%
25.2%
30.9 pts better
Numerator 23 · Denominator 41

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.9
2.1
0.2 pts better
1.9
About the same
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.4 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.8
1.5
0.3 pts worse
1.8
About the same
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.4 · Expected 1.3 · 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 93.8%
93.5%
0.3 pts better
95.5%
1.7 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.8%
Percentage of long-stay residents experiencing one or more falls with major injury 5.3%
3.4%
1.9 pts worse
3.3%
2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 6.7% · Q3 3.6% · Q4 6.9% · 4Q avg 5.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.0%
17.1%
16.1 pts better
11.4%
10.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.8% · Q4 0.0% · 4Q avg 1.0%
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 · Q1 0.0% · 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 9.8%
17.3%
7.5 pts better
19.6%
9.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 7.4% · Q3 8.0% · Q4 15.4% · 4Q avg 9.8%
Percentage of long-stay residents who received an antipsychotic medication 10.0%
19.4%
9.4 pts better
16.7%
6.7 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.0% · 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 20.4%
18.1%
2.3 pts worse
16.3%
4.1 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 28.7%
18.4%
10.3 pts worse
14.9%
13.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.8% · Q2 16.0% · Q3 30.4% · Q4 37.5% · 4Q avg 28.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.7%
0.9%
1.8 pts worse
1.0%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 0.0% · Q3 2.3% · Q4 3.6% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.8%
1.7%
0.1 pts worse
1.7%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 33.2%
24.8%
8.4 pts worse
19.8%
13.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 41.9% · Q2 48.5% · Q3 21.4% · Q4 21.3% · 4Q avg 33.2%
Percentage of long-stay residents with pressure ulcers 2.2%
4.4%
2.2 pts better
5.1%
2.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.6% · Q3 0.0% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.0%
70.5%
26.5 pts better
81.7%
15.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 96.9% · Q2 96.4% · Q3 96.4% · Q4 98.2% · 4Q avg 97.0%
Percentage of short-stay residents who had an outpatient emergency department visit 13.5%
11.1%
2.4 pts worse
12.0%
1.5 pts worse
Short Stay · 20240701-20250630 · Adjusted 13.5% · Observed 11.9% · Expected 9.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.5%
1.5 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 89.7%
69.7%
20 pts better
79.7%
10 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 17.1%
25.0%
7.9 pts better
23.9%
6.8 pts better
Short Stay · 20240701-20250630 · Adjusted 17.1% · Observed 16.4% · Expected 22.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-10 · Fire 2025-01-10

8 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2022-11-14 · Fire 2022-11-14

6 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2020-01-13 · Fire 2020-01-13

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

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 2025-01-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-10

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-02-17

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-21

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-11-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-01-02

E · Potential for more than minimal harm 2025-01-10

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-02-21

E · Potential for more than minimal harm 2025-01-10

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-02-21

D · Potential for more than minimal harm 2025-01-10

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-02-21

D · Potential for more than minimal harm 2025-01-10

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-02-21

D · Potential for more than minimal harm 2025-01-10

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-02-21

D · Potential for more than minimal harm 2025-01-10

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2025-02-21

D · Potential for more than minimal harm 2024-11-26

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-01-07

E · Potential for more than minimal harm 2022-11-14

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2022-12-26

D · Potential for more than minimal harm 2022-11-14

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2022-12-26

D · Potential for more than minimal harm 2022-11-14

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-12-26

D · Potential for more than minimal harm 2022-11-14

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2022-12-26

D · Potential for more than minimal harm 2022-11-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-12-26

D · Potential for more than minimal harm 2020-01-13

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2020-02-24

D · Potential for more than minimal harm 2020-01-13

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2020-02-24

D · Potential for more than minimal harm 2020-01-13

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2020-02-24

Penalties and ownership

What sits behind the stars

Ownership

Lcs Essex Meadows Jv LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2024-03-15
Bank Of America Corp

5% Or Greater Security Interest · Organization

0% 6 facilities 2025-01-01
Bank Of America Corp

5% Or Greater Mortgage Interest · Organization

0% 6 facilities 2025-01-01
Bird, John

Corporate Officer · Individual

0% 8 facilities 2024-03-15
Davis, James

5% Or Greater Indirect Ownership Interest · Individual

0% 6 facilities 2025-01-01
Dess, Kathleen

Operational/Managerial Control · Individual

0% 1 facilities 2011-09-29
Duffy, Patrick

5% Or Greater Indirect Ownership Interest · Individual

0% 1 facilities 2025-01-01
Lahey, Daniel

Corporate Officer · Individual

0% 7 facilities 2024-03-15
Lcs Essex Meadows Holdco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2024-03-15
Lcs Holding Company LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 12 facilities 2024-03-15
Lcs Management Holding Company, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2025-01-01
Life Care Companies LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 12 facilities 2024-03-15
Life Care Services Communities, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 11 facilities 2025-01-01
Life Care Services LLC

Operational/Managerial Control · Organization

0% 61 facilities 2025-01-01
Lindner, Meredith

Operational/Managerial Control · Individual

0% 1 facilities 2024-03-15
Lynch, Marikate

Operational/Managerial Control · Individual

0% 1 facilities 2024-03-15
Mccarthy Group LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 9 facilities 2025-01-01
Mccarthy Partners, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2025-01-01
Mpm Senior Living Investors LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2025-01-01
Oak Investment Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2025-01-01
Oak Investment Trust Ii

5% Or Greater Indirect Ownership Interest · Organization

0% 21 facilities 2025-01-01
Rci Legacy Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 12 facilities 2025-01-01
Redwood Holdings, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 12 facilities 2025-01-01
Shaw, Gelynna

Corporate Officer · Individual

0% 7 facilities 2024-03-15
Uhlemann, Bridgette

Corporate Officer · Individual

0% 8 facilities 2024-03-15
Victor, Jason

Corporate Officer · Individual

0% 13 facilities 2024-03-15

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Staffing
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Staffing
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Fines
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