Cycle 1
Health 2025-09-04 · Fire 2025-09-04
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
North Branford, CT
Evergreen Woods
5-star overall rating with 4-star inspections with 5 recent health deficiencies
88 Notch Hill Road, North Branford, CT
(203) 488-8000
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
50
Certified beds
Average residents
41
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Senior Living Communities
Operator or chain grouping
Approved since
1991-10-16
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
9 facilities
Chain averages 4 overall / 4 health / 5 staffing / 3 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
1.67
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.86
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
2.74
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
5.27
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
2.53
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
4.73
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
1.21
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.70
CMS adjusted RN staffing hours
Adjusted total hours
5.36
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
24%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
56%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,822
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.62
Composite VBP score used to determine payment impact.
Payment multiplier
0.9866
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 17.25% · Performance 22.14% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.77
Baseline 6.15% · Performance 7.31% · Measure score 1.77 · Achievement 1.77 · Improvement 0
Total nurse turnover
1.80
Baseline 30.30% · Performance 56.34% · Measure score 1.80 · Achievement 1.80 · Improvement 0
Adjusted total nurse staffing
9.08
Performance 5.66 hours · Measure score 9.08 · Achievement 9.08 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.54% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 209 · Observed rate 9.57% · Lower 95% interval 7.82% |
| Discharge to community | 64.96% |
50.57%
14.4 pts better
|
Better than the National Rate · Eligible stays 223 · Observed rate 58.74% · Lower 95% interval 58.51% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.43% |
95.27%
4.2 pts better
|
Numerator 173 · Denominator 174 |
| Falls with major injury | 1.15% |
0.77%
0.4 pts worse
|
Numerator 2 · Denominator 174 |
| Discharge self-care score | 71.21% |
53.69%
17.5 pts better
|
Numerator 94 · Denominator 132 |
| Discharge mobility score | 53.03% |
50.94%
2.1 pts better
|
Numerator 70 · Denominator 132 |
| Pressure ulcers or injuries, new or worsened | 4.02% |
2.29%
1.7 pts worse
|
Numerator 7 · Denominator 174 · Adjusted rate 4.49% |
| Healthcare-associated infections requiring hospitalization | 7.31% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 158 · Observed rate 6.96% · Lower 95% interval 4.89% |
| Staff COVID-19 vaccination coverage | 2.82% |
8.2%
5.4 pts worse
|
Numerator 2 · Denominator 71 |
| Staff flu vaccination coverage | 5.48% |
42%
36.5 pts worse
|
Numerator 4 · Denominator 73 |
| Discharge function score | 69.7% |
56.45%
13.2 pts better
|
Numerator 92 · Denominator 132 |
| Transfer of health information to provider | 93.33% |
95.95%
2.6 pts worse
|
Numerator 42 · Denominator 45 |
| Transfer of health information to patient | 92.98% |
96.28%
3.3 pts worse
|
Numerator 106 · Denominator 114 |
| Resident COVID-19 vaccinations up to date | 38.89% |
25.2%
13.7 pts better
|
Numerator 35 · Denominator 90 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 75.0% |
87.5%
12.5 pts worse
|
93.4%
18.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 75.0% · 4Q avg 75.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 60.0% |
93.5%
33.5 pts worse
|
95.5%
35.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 60.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% |
3.4%
1.8 pts better
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 35.7% |
17.1%
18.6 pts worse
|
11.4%
24.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 35.7% |
| Percentage of long-stay residents who lose too much weight | 10.4% |
6.4%
4 pts worse
|
5.4%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.6% |
17.3%
2.7 pts better
|
19.6%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.1% |
19.4%
13.3 pts better
|
16.7%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.1% · 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% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.5% |
18.4%
0.9 pts better
|
14.9%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.5% |
0.9%
3.6 pts worse
|
1.0%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
1.7%
0.1 pts better
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.5% |
24.8%
5.3 pts better
|
19.8%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.5% |
| Percentage of long-stay residents with pressure ulcers | 5.4% |
4.4%
1 pts worse
|
5.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.9% |
70.5%
11.4 pts better
|
81.7%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 77.1% · Q2 79.4% · Q3 85.2% · Q4 84.5% · 4Q avg 81.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.1% |
11.1%
2 pts better
|
12.0%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.1% · Observed 8.2% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.5%
0.3 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.7% · Q3 0.7% · Q4 0.7% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.9% |
69.7%
12.2 pts better
|
79.7%
2.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.3% |
25.0%
1.3 pts worse
|
23.9%
2.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.3% · Observed 24.0% · Expected 21.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-22 · Fire 2023-12-22
9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2021-10-28 · Fire 2021-10-28
1 health deficiencies
Top issue: Pharmacy Service (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
2023-12-22
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-01-25
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-09-04
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.
Not marked corrected
D · Potential for more than minimal harm
2025-09-04
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.
Not marked corrected
D · Potential for more than minimal harm
2025-09-04
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.
Not marked corrected
D · Potential for more than minimal harm
2025-09-04
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Not marked corrected
D · Potential for more than minimal harm
2025-09-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Not marked corrected
E · Potential for more than minimal harm
2023-12-22
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 2024-03-04
D · Potential for more than minimal harm
2023-12-22
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-03-04
D · Potential for more than minimal harm
2023-12-22
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 2024-03-04
D · Potential for more than minimal harm
2023-12-22
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-04
D · Potential for more than minimal harm
2023-12-22
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-04
D · Potential for more than minimal harm
2023-12-22
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-04
D · Potential for more than minimal harm
2023-12-22
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 2024-03-04
D · Potential for more than minimal harm
2023-12-22
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-04
D · Potential for more than minimal harm
2023-12-22
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-03-04
F · Potential for more than minimal harm
2021-10-28
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 2022-03-28
Penalties and ownership
What sits behind the stars
Ownership
Thompson, Donald
5% Or Greater Indirect Ownership Interest · Individual
Glerum, Kimberly
Operational/Managerial Control · Individual
Maxwell Group, Inc.
Operational/Managerial Control · Organization
Senior Living Commuities LLC
Operational/Managerial Control · Organization
Thompson, Benjamin
Operational/Managerial Control · Individual
Welch, Amanda
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Guilford House, The
Guilford, CT
4-star overall rating with 3-star inspections with $8,824 in total fines with 14 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#2
Apple Rehab Guilford
Guilford, CT
1-star overall rating with 2-star inspections with abuse icon flag with 12 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#3
Ark Healthcare & Rehabilitation At Branford Hills
Branford, CT
3-star overall rating with 3-star inspections with $8,021 in total fines with 17 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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