Cycle 1
Health 2024-04-09 · Fire 2024-04-09
8 health deficiencies
Top issue: Infection Control (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
New Haven, CT
Grimes Center
5-star overall rating with 4-star inspections with 8 recent health deficiencies
1354 Chapel St, New Haven, CT
(203) 867-8300
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
114
Certified beds
Average residents
89
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1978-01-01
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
1.01
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.88
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
1.78
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
3.66
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
2.90
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.34
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.12
CMS adjusted RN staffing hours
Adjusted total hours
4.08
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
17%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,321
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
57.57
Composite VBP score used to determine payment impact.
Payment multiplier
1.0128
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
9.20
Baseline 19.14% · Performance 17.17% · Measure score 9.20 · Achievement 9.20 · Improvement 8.85
Healthcare-associated infections
2.33
Baseline 5.21% · Performance 7.14% · Measure score 2.33 · Achievement 2.33 · Improvement 0
Total nurse turnover
10
Baseline 20.93% · Performance 22.54% · Measure score 10 · Achievement 10 · Improvement 0
Adjusted total nurse staffing
1.50
Baseline 6.54 hours · Performance 3.50 hours · Measure score 1.50 · Achievement 1.50 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.13% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 223 · Observed rate 9.87% · Lower 95% interval 7.51% |
| Discharge to community | 68.45% |
50.57%
17.9 pts better
|
Better than the National Rate · Eligible stays 213 · Observed rate 59.15% · Lower 95% interval 62.05% |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 148 · Denominator 148 |
| Falls with major injury | 1.35% |
0.77%
0.6 pts worse
|
Numerator 2 · Denominator 148 |
| Discharge self-care score | 61.25% |
53.69%
7.6 pts better
|
Numerator 49 · Denominator 80 |
| Discharge mobility score | 67.5% |
50.94%
16.6 pts better
|
Numerator 54 · Denominator 80 |
| Pressure ulcers or injuries, new or worsened | 2.7% |
2.29%
0.4 pts worse
|
Numerator 4 · Denominator 148 · Adjusted rate 2.76% |
| Healthcare-associated infections requiring hospitalization | 7.14% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 130 · Observed rate 8.46% · Lower 95% interval 4.81% |
| Staff COVID-19 vaccination coverage | 0.39% |
8.2%
7.8 pts worse
|
Numerator 1 · Denominator 254 |
| Staff flu vaccination coverage | 98.16% |
42%
56.2 pts better
|
Numerator 267 · Denominator 272 |
| Discharge function score | 67.5% |
56.45%
11 pts better
|
Numerator 54 · Denominator 80 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 128 · Denominator 128 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 23.26% |
25.2%
1.9 pts worse
|
Numerator 20 · Denominator 86 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.0% |
87.5%
7.5 pts better
|
93.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.2% · Q2 92.7% · Q3 96.4% · Q4 96.4% · 4Q avg 95.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 80.3% |
93.5%
13.2 pts worse
|
95.5%
15.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 80.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
3.4%
2 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 1.8% · Q4 1.8% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.7% |
17.1%
14.4 pts better
|
11.4%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 4.1% · Q4 4.1% · 4Q avg 2.7% |
| Percentage of long-stay residents who lose too much weight | 6.8% |
6.4%
0.4 pts worse
|
5.4%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 5.8% · Q3 11.8% · Q4 5.8% · 4Q avg 6.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.0% |
17.3%
8.3 pts better
|
19.6%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 7.4% · Q3 11.3% · Q4 11.3% · 4Q avg 9.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.3% |
19.4%
4.1 pts better
|
16.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 12.9% · Q3 17.2% · Q4 13.8% · 4Q avg 15.3% · 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 | 13.0% |
18.1%
5.1 pts better
|
16.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 18.0% · Q3 22.3% · Q4 3.8% · 4Q avg 13.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.4% |
18.4%
1 pts worse
|
14.9%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 16.0% · Q3 23.9% · Q4 22.4% · 4Q avg 19.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.9%
0.6 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.3% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
1.7%
0.3 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 1.9% · Q4 1.8% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.0% |
24.8%
11.8 pts better
|
19.8%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 17.4% · Q3 11.3% · Q4 14.4% · 4Q avg 13.0% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
4.4%
0.8 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 2.1% · Q3 5.6% · Q4 1.8% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.5% |
70.5%
21 pts better
|
81.7%
9.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.4% · Q2 91.1% · Q3 89.8% · Q4 92.9% · 4Q avg 91.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.1% |
11.1%
6 pts better
|
12.0%
6.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.1% · Observed 5.1% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.2% |
1.5%
0.7 pts worse
|
1.6%
0.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.7% · Q3 4.0% · Q4 2.5% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.3% |
69.7%
20.6 pts better
|
79.7%
10.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.9% |
25.0%
5.9 pts worse
|
23.9%
7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.9% · Observed 32.1% · Expected 24.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-12-13 · Fire 2021-12-13
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-07-18 · Fire 2019-07-18
10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-12-05
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 2025-01-13
D · Potential for more than minimal harm
2024-12-05
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-13
E · Potential for more than minimal harm
2024-04-09
F882 · Infection Control Deficiencies
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-05-20
D · Potential for more than minimal harm
2024-04-09
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-05-20
D · Potential for more than minimal harm
2024-04-09
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-05-20
D · Potential for more than minimal harm
2024-04-09
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 2024-05-20
D · Potential for more than minimal harm
2024-04-09
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-05-20
D · Potential for more than minimal harm
2024-04-09
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-05-20
D · Potential for more than minimal harm
2024-04-09
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 2024-05-20
D · Potential for more than minimal harm
2024-04-09
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-05-20
D · Potential for more than minimal harm
2024-04-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-20
F · Potential for more than minimal harm
2021-12-13
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 2021-12-30
D · Potential for more than minimal harm
2021-12-13
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-01-21
F · Potential for more than minimal harm
2019-07-18
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 2019-08-27
E · Potential for more than minimal harm
2019-07-18
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 2019-08-27
E · Potential for more than minimal harm
2019-07-18
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2019-08-27
E · Potential for more than minimal harm
2019-07-18
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2019-08-27
D · Potential for more than minimal harm
2019-07-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-08-27
D · Potential for more than minimal harm
2019-07-18
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 2019-08-27
D · Potential for more than minimal harm
2019-07-18
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-08-27
D · Potential for more than minimal harm
2019-07-18
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 2019-08-27
D · Potential for more than minimal harm
2019-07-18
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2019-08-27
D · Potential for more than minimal harm
2019-07-18
F808 · Nutrition and Dietary Deficiencies
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2019-08-27
Penalties and ownership
What sits behind the stars
Ownership
Balcezak, Thomas
Corporate Officer · Individual
Payne, Douglas
Corporate Director · Individual
Tammaro, Vincent
Operational/Managerial Control · Individual
Tammaro, Vincent
Corporate Officer · Individual
Work, Carol
W-2 Managing Employee · Individual
Yale New Haven Hospital
5% Or Greater Direct Ownership Interest · Organization
Yale-New Haven Health Services Corporation
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Advanced Center For Nursing & Rehabilitation
New Haven, CT
1-star overall rating with 1-star inspections with Special Focus status with $250,575 in total fines with 39 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#2
West Haven Center For Nursing & Rehabilitation
West Haven, CT
2-star overall rating with 2-star inspections with 15 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Leeway, Inc
New Haven, CT
5-star overall rating with 4-star inspections with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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