Guilford, CT

Guilford House, The

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

109 West Lake Avenue, Guilford, CT

(203) 488-9142

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

75

Certified beds

Average residents

71

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1974-12-18

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

0.75

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.89

Licensed practical nurse staffing · state 0.84 · national 0.87

Aide hours / resident day

2.71

Nurse aide staffing · state 2.28 · national 2.35

Total nurse hours

4.35

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.64

RN + LPN hours · state 1.54 · national 1.54

Weekend hours

4.01

Weekend nurse staffing · state 3.41 · national 3.43

Weekend RN hours

0.58

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.14

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.77

CMS adjusted RN staffing hours

Adjusted total hours

4.50

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

9%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,395

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

Performance score

16.90

Composite VBP score used to determine payment impact.

Payment multiplier

0.9817

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 21.71% · Performance 24.07% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 7.12% · Performance 8.12% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

3.21

Baseline 51.22% · Performance 50.56% · Measure score 3.21 · Achievement 3.21 · Improvement 0

Adjusted total nurse staffing

3.55

Baseline 4.26 hours · Performance 4.09 hours · Measure score 3.55 · Achievement 3.55 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.88%
10.72%
0.8 pts better
No Different than the National Rate · Eligible stays 279 · Observed rate 8.6% · Lower 95% interval 7.26%
Discharge to community 68.99%
50.57%
18.4 pts better
Better than the National Rate · Eligible stays 275 · Observed rate 64.36% · Lower 95% interval 63.06%
Medicare spending per beneficiary 0.86
1.02
0.2 pts better
Drug regimen review with follow-up 96.32%
95.27%
1 pts better
Numerator 157 · Denominator 163
Falls with major injury 1.23%
0.77%
0.5 pts worse
Numerator 2 · Denominator 163
Discharge self-care score 42.16%
53.69%
11.5 pts worse
Numerator 43 · Denominator 102
Discharge mobility score 50%
50.94%
0.9 pts worse
Numerator 51 · Denominator 102
Pressure ulcers or injuries, new or worsened 3.07%
2.29%
0.8 pts worse
Numerator 5 · Denominator 163 · Adjusted rate 2.85%
Healthcare-associated infections requiring hospitalization 8.12%
7.12%
1 pts worse
No Different than the National Rate · Eligible stays 168 · Observed rate 8.93% · Lower 95% interval 5.37%
Staff COVID-19 vaccination coverage 1.45%
8.2%
6.7 pts worse
Numerator 2 · Denominator 138
Staff flu vaccination coverage 5.07%
42%
36.9 pts worse
Numerator 7 · Denominator 138
Discharge function score 49.02%
56.45%
7.4 pts worse
Numerator 50 · Denominator 102
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 78 · Denominator 78
Transfer of health information to patient 98.18%
96.28%
1.9 pts better
Numerator 54 · Denominator 55
Resident COVID-19 vaccinations up to date 34.94%
25.2%
9.7 pts better
Numerator 29 · Denominator 83

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.7
2.1
0.6 pts worse
1.9
0.8 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 3.1 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.6
1.5
0.9 pts better
1.8
1.2 pts better
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.6 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 78.1%
87.5%
9.4 pts worse
93.4%
15.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 79.2% · Q2 73.6% · Q3 80.7% · Q4 78.7% · 4Q avg 78.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.3%
93.5%
4.8 pts better
95.5%
2.8 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3%
Percentage of long-stay residents experiencing one or more falls with major injury 3.2%
3.4%
0.2 pts better
3.3%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 3.8% · Q3 3.5% · Q4 1.6% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 13.5%
17.1%
3.6 pts better
11.4%
2.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.0% · Q3 14.0% · Q4 30.9% · 4Q avg 13.5%
Percentage of long-stay residents who lose too much weight 5.6%
6.4%
0.8 pts better
5.4%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 6.4% · Q3 5.7% · Q4 3.8% · 4Q avg 5.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.8%
17.3%
5.5 pts better
19.6%
7.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 12.2% · Q3 9.3% · Q4 12.3% · 4Q avg 11.8%
Percentage of long-stay residents who received an antipsychotic medication 13.2%
19.4%
6.2 pts better
16.7%
3.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 10.5% · Q3 13.3% · Q4 18.8% · 4Q avg 13.2% · 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 24.2%
18.1%
6.1 pts worse
16.3%
7.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q3 34.7% · Q4 28.1% · 4Q avg 24.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 25.4%
18.4%
7 pts worse
14.9%
10.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 10.9% · Q3 42.3% · Q4 27.3% · 4Q avg 25.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.9%
0.9%
4 pts worse
1.0%
3.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 3.0% · Q3 6.4% · Q4 5.5% · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.9%
1.7%
0.8 pts better
1.7%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 1.8% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 35.5%
24.8%
10.7 pts worse
19.8%
15.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 47.6% · Q2 43.6% · Q3 24.0% · Q4 29.1% · 4Q avg 35.5%
Percentage of long-stay residents with pressure ulcers 4.4%
4.4%
About the same
5.1%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.1% · Q3 5.1% · Q4 7.9% · 4Q avg 4.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 83.3%
70.5%
12.8 pts better
81.7%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 73.1% · Q2 88.1% · Q3 83.3% · Q4 92.1% · 4Q avg 83.3%
Percentage of short-stay residents who had an outpatient emergency department visit 11.9%
11.1%
0.8 pts worse
12.0%
0.1 pts better
Short Stay · 20240701-20250630 · Adjusted 11.9% · Observed 11.8% · Expected 11.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.9%
1.5%
0.4 pts worse
1.6%
0.3 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 3.8% · Q3 1.5% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 70.2%
69.7%
0.5 pts better
79.7%
9.5 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 70.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 24.9%
25.0%
0.1 pts better
23.9%
1 pts worse
Short Stay · 20240701-20250630 · Adjusted 24.9% · Observed 26.1% · Expected 24.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-10-23 · Fire 2023-10-23

14 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2021-09-27 · Fire 2021-09-27

8 health deficiencies

Top issue: Resident Rights (5 deficiencies)

9 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 3 Health 2019-05-17 · Fire 2019-05-17

13 health deficiencies

Top issue: Administration (2 deficiencies)

4 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2023-10-23

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-10-23

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-10-23

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-10-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-10-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-10-23

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-10-23

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-10-23

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-10-23

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2023-11-30

F · Potential for more than minimal harm 2021-09-27

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2021-11-19

F · Potential for more than minimal harm 2021-09-27

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2021-11-19

E · Potential for more than minimal harm 2021-09-27

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-11-19

D · Potential for more than minimal harm 2021-09-27

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2021-11-19

D · Potential for more than minimal harm 2021-09-27

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2021-11-19

D · Potential for more than minimal harm 2021-09-27

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2021-11-19

D · Potential for more than minimal harm 2021-09-27

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2021-11-19

D · Potential for more than minimal harm 2021-09-27

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-11-19

D · Potential for more than minimal harm 2021-09-27

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-11-19

E · Potential for more than minimal harm 2019-05-17

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2019-06-28

E · Potential for more than minimal harm 2019-05-17

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-06-18

D · Potential for more than minimal harm 2019-05-17

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-06-20

D · Potential for more than minimal harm 2019-05-17

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-06-10

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-22

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 2025-11-21

D · Potential for more than minimal harm 2025-09-22

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-11-21

G · Actual harm 2024-10-15

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 2024-12-06

D · Potential for more than minimal harm 2024-01-08

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 2024-02-28

F · Potential for more than minimal harm 2023-10-23

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 2023-12-11

D · Potential for more than minimal harm 2023-10-23

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-10-23

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-10-23

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-10-23

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 2023-12-11

D · Potential for more than minimal harm 2023-10-23

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-10-23

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-10-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-10-23

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 2023-12-11

C · Minimal harm 2023-10-23

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2023-12-11

B · Minimal harm 2023-10-23

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 2023-12-11

B · Minimal harm 2023-10-23

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-06-20

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2023-07-31

D · Potential for more than minimal harm 2023-06-20

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-07-31

E · Potential for more than minimal harm 2021-09-27

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2021-11-17

E · Potential for more than minimal harm 2021-09-27

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 2021-11-17

D · Potential for more than minimal harm 2021-09-27

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2021-11-17

D · Potential for more than minimal harm 2021-09-27

F572 · Resident Rights Deficiencies

Health

Give residents a notice of rights, rules, services and charges.

Corrected 2021-11-17

D · Potential for more than minimal harm 2021-09-27

F574 · Resident Rights Deficiencies

Health

The resident has the right to receive notices in a format and a language he or she understands.

Corrected 2021-11-17

D · Potential for more than minimal harm 2021-09-27

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2021-11-17

D · Potential for more than minimal harm 2021-09-27

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2021-11-17

E · Potential for more than minimal harm 2019-05-17

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2019-06-07

E · Potential for more than minimal harm 2019-05-17

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2019-06-26

E · Potential for more than minimal harm 2019-05-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-06-07

D · Potential for more than minimal harm 2019-05-17

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 2019-06-07

D · Potential for more than minimal harm 2019-05-17

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 2019-06-26

D · Potential for more than minimal harm 2019-05-17

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2019-06-12

D · Potential for more than minimal harm 2019-05-17

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2019-06-12

D · Potential for more than minimal harm 2019-05-17

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2019-06-07

D · Potential for more than minimal harm 2019-05-17

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 2019-06-07

D · Potential for more than minimal harm 2019-05-17

F883 · Infection Control Deficiencies

Health

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

Corrected 2019-06-12

Penalties and ownership

What sits behind the stars

$8,824 2024-10-15

Fine

Fine · fine $8,824

Fine

Ownership

Moffie, Calvin

5% Or Greater Direct Ownership Interest · Individual

100% 1 facilities 2002-10-01
Dolce, Tim

W-2 Managing Employee · Individual

0% 1 facilities 2014-12-19
Moffie, Calvin

Corporate Director · Individual

0% 1 facilities 2002-10-01
Moffie, Calvin

W-2 Managing Employee · Individual

0% 1 facilities 2015-01-07

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