Cycle 1
Health 2024-07-17 · Fire 2024-07-17
12 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Groton, CT
Fairview
4-star overall rating with 3-star inspections with 12 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
235 Lestertown Rd, Groton, CT
(860) 445-7478
Overall
4 / 5
CMS overall stars
Health inspections
3 / 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
120
Certified beds
Average residents
88
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1979-10-01
CMS approved date
Coverage
Medicare + Medicaid
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
0.80
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.81
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
2.66
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
4.28
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.61
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
3.75
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.51
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
0.84
CMS adjusted RN staffing hours
Adjusted total hours
4.51
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
17%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,302
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.34
Composite VBP score used to determine payment impact.
Payment multiplier
0.9877
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.32
Baseline 18.28% · Performance 20.82% · Measure score 1.32 · Achievement 1.32 · Improvement 0
Healthcare-associated infections
0
Baseline 7.12% · Performance 8.47% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.51
Baseline 29.46% · Performance 33.00% · Measure score 7.51 · Achievement 7.51 · Improvement 0
Adjusted total nurse staffing
4.51
Baseline 4.46 hours · Performance 4.36 hours · Measure score 4.51 · Achievement 4.51 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.1% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 207 · Observed rate 8.7% · Lower 95% interval 7.81% |
| Discharge to community | 62.09% |
50.57%
11.5 pts better
|
Better than the National Rate · Eligible stays 194 · Observed rate 58.25% · Lower 95% interval 55.11% |
| Medicare spending per beneficiary | 0.78 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 91.96% |
95.27%
3.3 pts worse
|
Numerator 103 · Denominator 112 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 112 |
| Discharge self-care score | 53.41% |
53.69%
0.3 pts worse
|
Numerator 47 · Denominator 88 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 44 · Denominator 88 |
| Pressure ulcers or injuries, new or worsened | 2.68% |
2.29%
0.4 pts worse
|
Numerator 3 · Denominator 112 · Adjusted rate 2.66% |
| Healthcare-associated infections requiring hospitalization | 8.47% |
7.12%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 131 · Observed rate 9.16% · Lower 95% interval 4.93% |
| Staff COVID-19 vaccination coverage | 3.61% |
8.2%
4.6 pts worse
|
Numerator 6 · Denominator 166 |
| Staff flu vaccination coverage | 75.87% |
42%
33.9 pts better
|
Numerator 217 · Denominator 286 |
| Discharge function score | 54.55% |
56.45%
1.9 pts worse
|
Numerator 48 · Denominator 88 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 30 · Denominator 30 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 45 · Denominator 45 |
| Resident COVID-19 vaccinations up to date | 37.21% |
25.2%
12 pts better
|
Numerator 16 · Denominator 43 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
2.1
0.3 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.6 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.5
About the same
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.6% |
87.5%
7.1 pts better
|
93.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 93.8% · Q3 91.0% · Q4 94.7% · 4Q avg 94.6% |
| 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 | 4.4% |
3.4%
1 pts worse
|
3.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 3.7% · Q3 2.6% · Q4 3.9% · 4Q avg 4.4% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 3.5% |
6.4%
2.9 pts better
|
5.4%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 2.9% · Q3 5.7% · Q4 1.4% · 4Q avg 3.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.9% |
17.3%
2.4 pts better
|
19.6%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 14.3% · Q3 18.1% · Q4 12.5% · 4Q avg 14.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.8% |
19.4%
13.6 pts better
|
16.7%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 4.9% · Q3 5.1% · Q4 5.1% · 4Q avg 5.8% · 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 | 16.1% |
18.1%
2 pts better
|
16.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 22.2% · Q3 15.3% · Q4 7.8% · 4Q avg 16.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.3% |
18.4%
0.1 pts better
|
14.9%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 25.9% · Q3 21.4% · Q4 10.3% · 4Q avg 18.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
0.9%
0.1 pts worse
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.7% · Q4 1.4% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.9% |
1.7%
0.2 pts worse
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.2% · Q3 2.6% · Q4 1.3% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.2% |
24.8%
0.4 pts worse
|
19.8%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 35.6% · Q3 13.7% · Q4 27.6% · 4Q avg 25.2% |
| Percentage of long-stay residents with pressure ulcers | 2.5% |
4.4%
1.9 pts better
|
5.1%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.2% · Q3 3.5% · Q4 1.2% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.1% |
70.5%
8.6 pts better
|
81.7%
2.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 78.6% · Q2 73.6% · Q3 78.9% · Q4 84.5% · 4Q avg 79.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.1% |
11.1%
3 pts worse
|
12.0%
2.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.1% · Observed 12.0% · Expected 9.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.5%
1.1 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 74.2% |
69.7%
4.5 pts better
|
79.7%
5.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 74.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.3% |
25.0%
5.7 pts better
|
23.9%
4.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.3% · Observed 16.3% · Expected 20.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-03-31 · Fire 2022-03-31
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-09-19 · Fire 2019-09-19
3 health deficiencies
Top issue: Infection Control (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
2024-07-17
K200 · Egress Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2024-08-12
D · Potential for more than minimal harm
2024-07-17
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-08-12
D · Potential for more than minimal harm
2024-07-17
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-08-12
D · Potential for more than minimal harm
2024-07-17
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-08-12
D · Potential for more than minimal harm
2024-07-17
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-08-12
D · Potential for more than minimal harm
2024-07-17
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-12
D · Potential for more than minimal harm
2024-07-17
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-08-12
D · Potential for more than minimal harm
2024-07-17
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2024-08-12
D · Potential for more than minimal harm
2024-07-17
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-08-12
D · Potential for more than minimal harm
2024-07-17
K927 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2024-08-12
Inspection history
Recent health citations
G · Actual harm
2025-05-05
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 2025-04-18
D · Potential for more than minimal harm
2025-05-05
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-16
F · Potential for more than minimal harm
2024-07-17
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 2024-08-28
E · Potential for more than minimal harm
2024-07-17
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-08-28
D · Potential for more than minimal harm
2024-07-17
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 2024-08-28
D · Potential for more than minimal harm
2024-07-17
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-28
D · Potential for more than minimal harm
2024-07-17
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-28
D · Potential for more than minimal harm
2024-07-17
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-08-28
D · Potential for more than minimal harm
2024-07-17
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 2024-08-28
D · Potential for more than minimal harm
2024-07-17
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2024-08-09
B · Minimal harm
2024-07-17
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 2024-08-01
B · Minimal harm
2024-07-17
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-08-28
D · Potential for more than minimal harm
2022-03-31
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 2022-04-29
E · Potential for more than minimal harm
2019-09-19
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2019-10-31
D · Potential for more than minimal harm
2019-09-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-10-31
C · Minimal harm
2019-09-19
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2019-10-09
Penalties and ownership
What sits behind the stars
Ownership
Barucci, Vincent
Corporate Director · Individual
Buckley, Millis
Corporate Director · Individual
Doyle, Nelson
Corporate Director · Individual
Giuffre, Steven
Corporate Director · Individual
Kalin, Edith
Corporate Director · Individual
King, Bryan
Corporate Director · Individual
Kutz, Lucille
Corporate Director · Individual
Mclaren, Barbara
Corporate Director · Individual
Nelson, William
Operational/Managerial Control · Individual
Nelson, William
Corporate Director · Individual
Odd Fellows Healthcare
Operational/Managerial Control · Organization
Piel, Robert
Corporate Director · Individual
Pierpolli, Joseph
Corporate Director · Individual
Sepowitz, Mary
Corporate Director · Individual
Smolitsky, Lana
Corporate Director · Individual
Stein, Linda
Corporate Director · Individual
Yeo, Frederick
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Beechwood Health & Rehabilitation Center
New London, CT
3-star overall rating with 3-star inspections with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Harbor Village North Health And Rehabilitation Cen
New London, CT
2-star overall rating with 2-star inspections with abuse icon flag with 13 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Complete Care At Groton Regency
Groton, CT
3-star overall rating with 2-star inspections with abuse icon flag with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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