Cycle 1
Health 2024-08-07 · Fire 2024-08-07
9 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Danbury, CT
Havencare At Filosa
5-star overall rating with 4-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
13 Hakim St, Danbury, CT
(203) 744-3366
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
64
Certified beds
Average residents
59
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1968-07-10
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
0.91
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
2.35
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
4.09
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.75
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
3.68
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.77
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.77
CMS adjusted RN staffing hours
Adjusted total hours
3.44
CMS adjusted total nurse staffing hours
Case-mix index
1.63
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,506
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.52
Composite VBP score used to determine payment impact.
Payment multiplier
0.9842
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.80
Baseline 17.50% · Performance 20.13% · Measure score 2.80 · Achievement 2.80 · Improvement 0
Healthcare-associated infections
0
Baseline 5.56% · Performance 8.64% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.15
Baseline 42.65% · Performance 42.65% · Measure score 5.15 · Achievement 5.15 · Improvement 0
Adjusted total nurse staffing
2.66
Baseline 4.42 hours · Performance 3.83 hours · Measure score 2.66 · Achievement 2.66 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.04% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 191 · Observed rate 7.85% · Lower 95% interval 7.46% |
| Discharge to community | 61.01% |
50.57%
10.4 pts better
|
Better than the National Rate · Eligible stays 181 · Observed rate 60.77% · Lower 95% interval 53.35% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.84% |
95.27%
3.6 pts better
|
Numerator 85 · Denominator 86 |
| Falls with major injury | 2.33% |
0.77%
1.6 pts worse
|
Numerator 2 · Denominator 86 |
| Discharge self-care score | 61.97% |
53.69%
8.3 pts better
|
Numerator 44 · Denominator 71 |
| Discharge mobility score | 67.61% |
50.94%
16.7 pts better
|
Numerator 48 · Denominator 71 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 86 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.64% |
7.12%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 104 · Observed rate 9.62% · Lower 95% interval 5.83% |
| Staff COVID-19 vaccination coverage | 0.6% |
8.2%
7.6 pts worse
|
Numerator 1 · Denominator 166 |
| Staff flu vaccination coverage | 33.33% |
42%
8.7 pts worse
|
Numerator 56 · Denominator 168 |
| Discharge function score | 64.79% |
56.45%
8.3 pts better
|
Numerator 46 · Denominator 71 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 98.31% |
96.28%
2 pts better
|
Numerator 58 · Denominator 59 |
| Resident COVID-19 vaccinations up to date | 31.58% |
25.2%
6.4 pts better
|
Numerator 12 · Denominator 38 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
2.1
0.4 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.2 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.5
0.1 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.0 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
87.5%
12.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 9.5% |
3.4%
6.1 pts worse
|
3.3%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 9.6% · Q3 12.8% · Q4 10.9% · 4Q avg 9.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 34.5% |
17.1%
17.4 pts worse
|
11.4%
23.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.8% · Q2 40.0% · Q3 31.1% · Q4 30.4% · 4Q avg 34.5% |
| Percentage of long-stay residents who lose too much weight | 8.2% |
6.4%
1.8 pts worse
|
5.4%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 8.5% · Q3 9.1% · Q4 6.8% · 4Q avg 8.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.6% |
17.3%
7.7 pts better
|
19.6%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 8.3% · Q3 8.9% · Q4 9.1% · 4Q avg 9.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.8% |
19.4%
8.6 pts better
|
16.7%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 8.6% · Q3 10.3% · Q4 8.3% · 4Q avg 10.8% · 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 | 4.9% |
18.1%
13.2 pts better
|
16.3%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.6% |
18.4%
10.8 pts better
|
14.9%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 5.9% · Q3 3.3% · Q4 10.3% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.9%
0.1 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.0% |
24.8%
6.2 pts worse
|
19.8%
11.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.4% · Q2 34.7% · Q3 30.8% · Q4 31.3% · 4Q avg 31.0% |
| Percentage of long-stay residents with pressure ulcers | 3.7% |
4.4%
0.7 pts better
|
5.1%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.6% · Q3 3.8% · Q4 4.0% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.8% |
70.5%
25.3 pts better
|
81.7%
14.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 92.2% · Q3 95.3% · Q4 98.0% · 4Q avg 95.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.4% |
11.1%
2.7 pts better
|
12.0%
3.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.4% · Observed 7.0% · Expected 9.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.4% |
69.7%
14.7 pts better
|
79.7%
4.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 9.1% |
25.0%
15.9 pts better
|
23.9%
14.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.1% · Observed 8.1% · Expected 21.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-04-26 · Fire 2022-04-26
6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-09-26 · Fire 2019-09-26
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-08-07
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-08-23
D · Potential for more than minimal harm
2024-08-07
E29 · Emergency Preparedness Deficiencies
Fire Safety
Develop a communication plan.
Corrected 2024-08-23
D · Potential for more than minimal harm
2024-08-07
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-23
D · Potential for more than minimal harm
2024-08-07
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-23
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-14
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 2026-02-06
E · Potential for more than minimal harm
2024-08-07
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-08-07
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 2024-08-31
D · Potential for more than minimal harm
2024-08-07
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-08-07
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-08-07
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-08-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-31
B · Minimal harm
2024-08-07
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 2024-08-31
B · Minimal harm
2024-08-07
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 2024-08-31
D · Potential for more than minimal harm
2022-04-26
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 2022-06-06
D · Potential for more than minimal harm
2022-04-26
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-06-06
D · Potential for more than minimal harm
2022-04-26
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-06-06
D · Potential for more than minimal harm
2022-04-26
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 2022-06-06
D · Potential for more than minimal harm
2022-04-26
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2022-06-06
B · Minimal harm
2022-04-26
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 2022-06-06
E · Potential for more than minimal harm
2019-09-26
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 2019-11-06
D · Potential for more than minimal harm
2019-09-26
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 2019-11-06
Penalties and ownership
What sits behind the stars
Ownership
Danbury Opco LLC
5% Or Greater Direct Ownership Interest · Organization
Jakobovits, Nathan
W-2 Managing Employee · Individual
Jek Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Jek Irrv Tr Ii
5% Or Greater Indirect Ownership Interest · Organization
Kagan, Jeffrey
W-2 Managing Employee · Individual
Nmj Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Nmj Irrv Tr Ii
5% Or Greater Indirect Ownership Interest · Organization
Shapiro, Yitzchok
5% Or Greater Indirect Ownership Interest · Individual
Shapiro, Yitzchok
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Havencare At Hancock Hall
Danbury, CT
5-star overall rating with 5-star inspections with 6 recent health deficiencies
#2
Saint John Paul Ii Center
Danbury, CT
2-star overall rating with 2-star inspections with abuse icon flag with $61,220 in total fines with 17 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Civita Care Center At Danbury
Danbury, CT
1-star overall rating with 1-star inspections with abuse icon flag with $9,110 in total fines with 16 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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