Canaan, CT

Geer Nursing And Rehabilitation

4-star overall rating with 4-star inspections with $24,690 in total fines with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

99 South Canaan Rd, Canaan, CT

(860) 824-5137

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

79

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1971-02-09

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

0.68

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.83

Licensed practical nurse staffing · state 0.84 · national 0.87

Aide hours / resident day

2.37

Nurse aide staffing · state 2.28 · national 2.35

Total nurse hours

3.89

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.51

RN + LPN hours · state 1.54 · national 1.54

Weekend hours

3.45

Weekend nurse staffing · state 3.41 · national 3.43

Weekend RN hours

0.50

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.75

CMS adjusted RN staffing hours

Adjusted total hours

4.26

CMS adjusted total nurse staffing hours

Case-mix index

1.25

Higher values indicate more complex resident acuity

RN turnover

31%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

35%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

870

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

Performance score

62.72

Composite VBP score used to determine payment impact.

Payment multiplier

1.0176

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.71

Baseline 21.10% · Performance 19.71% · Measure score 3.71 · Achievement 3.71 · Improvement 2.90

Healthcare-associated infections

6.84

Baseline 5.91% · Performance 5.79% · Measure score 6.84 · Achievement 6.84 · Improvement 0.79

Total nurse turnover

10

Baseline 44.58% · Performance 23.75% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

4.54

Baseline 3.63 hours · Performance 4.37 hours · Measure score 4.54 · Achievement 4.54 · Improvement 2.93

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.19%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 112 · Observed rate 10.71% · Lower 95% interval 7.45%
Discharge to community	57.78%	50.57% 7.2 pts better	No Different than the National Rate · Eligible stays 103 · Observed rate 52.43% · Lower 95% interval 47.08%
Medicare spending per beneficiary	0.87	1.02 0.2 pts better
Drug regimen review with follow-up	98.84%	95.27% 3.6 pts better	Numerator 85 · Denominator 86
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 86
Discharge self-care score	62.96%	53.69% 9.3 pts better	Numerator 34 · Denominator 54
Discharge mobility score	57.41%	50.94% 6.5 pts better	Numerator 31 · Denominator 54
Pressure ulcers or injuries, new or worsened	2.33%	2.29% About the same	Numerator 2 · Denominator 86 · Adjusted rate 2.39%
Healthcare-associated infections requiring hospitalization	5.79%	7.12% 1.3 pts better	No Different than the National Rate · Eligible stays 74 · Observed rate 2.7% · Lower 95% interval 3.05%
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	72.22%	56.45% 15.8 pts better	Numerator 39 · Denominator 54
Transfer of health information to provider	97.73%	95.95% 1.8 pts better	Numerator 43 · Denominator 44
Transfer of health information to patient	86.36%	96.28% 9.9 pts worse	Numerator 19 · Denominator 22
Resident COVID-19 vaccinations up to date	42.22%	25.2% 17 pts better	Numerator 19 · Denominator 45

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.0	2.1 1.1 pts better	1.9 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.9	1.5 0.4 pts worse	1.8 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.2%	87.5% 10.7 pts better	93.4% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 98.5% · Q3 98.6% · Q4 98.6% · 4Q avg 98.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.6%	93.5% 5.1 pts better	95.5% 3.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6%
Percentage of long-stay residents experiencing one or more falls with major injury	4.6%	3.4% 1.2 pts worse	3.3% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 6.0% · Q3 2.7% · Q4 5.6% · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.8%	17.1% 9.3 pts better	11.4% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 7.8% · Q3 6.9% · Q4 8.8% · 4Q avg 7.8%
Percentage of long-stay residents who lose too much weight	5.2%	6.4% 1.2 pts better	5.4% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.2% · Q3 4.5% · Q4 9.7% · 4Q avg 5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.1%	17.3% 0.8 pts worse	19.6% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 20.3% · Q3 14.3% · Q4 17.2% · 4Q avg 18.1%
Percentage of long-stay residents who received an antipsychotic medication	18.6%	19.4% 0.8 pts better	16.7% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 16.1% · Q3 16.7% · Q4 25.0% · 4Q avg 18.6% · 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	22.5%	18.1% 4.4 pts worse	16.3% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 35.4% · Q3 6.0% · Q4 28.6% · 4Q avg 22.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	32.7%	18.4% 14.3 pts worse	14.9% 17.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.4% · Q2 34.0% · Q3 24.1% · Q4 33.3% · 4Q avg 32.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.2%	0.9% 2.3 pts worse	1.0% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.9% · Q3 3.8% · Q4 3.1% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.6%	1.7% 0.9 pts worse	1.7% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 2.8% · Q4 5.7% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.7%	24.8% 2.1 pts better	19.8% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 20.7% · Q3 21.6% · Q4 27.9% · 4Q avg 22.7%
Percentage of long-stay residents with pressure ulcers	8.2%	4.4% 3.8 pts worse	5.1% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 11.1% · Q3 8.6% · Q4 4.1% · 4Q avg 8.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	78.6%	70.5% 8.1 pts better	81.7% 3.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 76.9% · Q2 80.0% · Q3 81.7% · Q4 75.0% · 4Q avg 78.6%
Percentage of short-stay residents who had an outpatient emergency department visit	16.5%	11.1% 5.4 pts worse	12.0% 4.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 16.5% · Observed 16.9% · Expected 11.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.4%	1.5% 0.1 pts better	1.6% 0.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.9% · Q4 3.6% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	85.5%	69.7% 15.8 pts better	79.7% 5.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 85.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.5%	25.0% 0.5 pts worse	23.9% 1.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.5% · Observed 24.6% · Expected 23.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-28 · Fire 2024-08-28

8 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2021-12-17 · Fire 2021-12-17

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 2019-07-19 · Fire 2019-07-19

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-08-28

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-09-06

E · Potential for more than minimal harm 2024-08-28

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2024-10-02

D · Potential for more than minimal harm 2024-08-28

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-10-10

D · Potential for more than minimal harm 2024-08-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-02

D · Potential for more than minimal harm 2024-08-28

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2024-10-02

D · Potential for more than minimal harm 2024-08-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-10-02

D · Potential for more than minimal harm 2019-07-19

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2019-07-30

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-11-07

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 2024-12-18

D · Potential for more than minimal harm 2024-11-07

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 2024-12-18

D · Potential for more than minimal harm 2024-11-07

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-18

E · Potential for more than minimal harm 2024-08-28

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-10-03

E · Potential for more than minimal harm 2024-08-28

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 2024-10-01

E · Potential for more than minimal harm 2024-08-28

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-10-03

D · Potential for more than minimal harm 2024-08-28

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 2024-10-03

D · Potential for more than minimal harm 2024-08-28

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 2024-10-03

D · Potential for more than minimal harm 2024-08-28

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-10-03

D · Potential for more than minimal harm 2024-08-28

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-08-28

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 2024-10-01

D · Potential for more than minimal harm 2024-07-25

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-30

E · Potential for more than minimal harm 2021-12-17

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2022-01-27

D · Potential for more than minimal harm 2021-12-17

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 2022-01-27

D · Potential for more than minimal harm 2019-07-19

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 2019-09-02

D · Potential for more than minimal harm 2019-07-19

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 2019-09-02

D · Potential for more than minimal harm 2019-07-19

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-09-02

D · Potential for more than minimal harm 2019-07-19

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2019-09-02

Penalties and ownership

What sits behind the stars

$4,938 2024-02-20

Fine

Fine · fine $4,938

Fine

$4,938 2024-02-12

Fine

Fine · fine $4,938

Fine

$14,814 2024-01-22

Fine

Fine · fine $14,814

Fine