Cycle 1
Health 2025-04-08 · Fire 2025-04-08
14 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Ridgefield, CT
Laurel Ridge Center For Health & Rehabilitation
2-star overall rating with 2-star inspections with abuse icon flag with 14 recent health deficiencies
642 Danbury Road, Ridgefield, CT
(203) 438-8226
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
126
Certified beds
Average residents
113
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
National Health Care Associates
Operator or chain grouping
Approved since
1994-01-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
43 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
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
0.47
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.93
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
2.30
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
3.70
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.40
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
3.42
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.27
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.49
CMS adjusted RN staffing hours
Adjusted total hours
3.90
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
7,443
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.74
Composite VBP score used to determine payment impact.
Payment multiplier
0.9856
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 22.12% · Performance 23.18% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
7.27
Baseline 12.01% · Performance 6.56% · Measure score 7.27 · Achievement 4.27 · Improvement 7.27
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
1.65
Baseline 2.94 hours · Performance 3.55 hours · Measure score 1.65 · Achievement 1.65 · Improvement 1.64
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.52% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 147 · Observed rate 10.2% · Lower 95% interval 7.34% |
| Discharge to community | 53% |
50.57%
2.4 pts better
|
No Different than the National Rate · Eligible stays 143 · Observed rate 45.45% · Lower 95% interval 43.7% |
| Medicare spending per beneficiary | 0.96 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.82% |
95.27%
3.5 pts better
|
Numerator 84 · Denominator 85 |
| Falls with major injury | 1.18% |
0.77%
0.4 pts worse
|
Numerator 1 · Denominator 85 |
| Discharge self-care score | 51.02% |
53.69%
2.7 pts worse
|
Numerator 25 · Denominator 49 |
| Discharge mobility score | 71.43% |
50.94%
20.5 pts better
|
Numerator 35 · Denominator 49 |
| Pressure ulcers or injuries, new or worsened | 4.71% |
2.29%
2.4 pts worse
|
Numerator 4 · Denominator 85 · Adjusted rate 4.58% |
| Healthcare-associated infections requiring hospitalization | 6.56% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 73 · Observed rate 5.48% · Lower 95% interval 3.74% |
| Staff COVID-19 vaccination coverage | 1.43% |
8.2%
6.8 pts worse
|
Numerator 2 · Denominator 140 |
| Staff flu vaccination coverage | 37.57% |
42%
4.4 pts worse
|
Numerator 65 · Denominator 173 |
| Discharge function score | 67.35% |
56.45%
10.9 pts better
|
Numerator 33 · Denominator 49 |
| Transfer of health information to provider | 98.15% |
95.95%
2.2 pts better
|
Numerator 53 · Denominator 54 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 2.38% |
25.2%
22.8 pts worse
|
Numerator 1 · Denominator 42 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.1
About the same
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.6 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
1.5
0.5 pts worse
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.7 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.6% |
87.5%
2.9 pts worse
|
93.4%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 85.6% · Q2 84.4% · Q3 85.9% · Q4 82.8% · 4Q avg 84.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.1% |
93.5%
7.4 pts worse
|
95.5%
9.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 86.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.9% |
3.4%
1.5 pts worse
|
3.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 3.1% · Q3 5.1% · Q4 6.1% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.7% |
17.1%
15.4 pts better
|
11.4%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 6.6% · 4Q avg 1.7% |
| Percentage of long-stay residents who lose too much weight | 5.0% |
6.4%
1.4 pts better
|
5.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.6% · Q3 5.7% · Q4 5.7% · 4Q avg 5.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.7% |
17.3%
2.6 pts better
|
19.6%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 14.9% · Q3 13.2% · Q4 15.1% · 4Q avg 14.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 37.1% |
19.4%
17.7 pts worse
|
16.7%
20.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.2% · Q2 43.8% · Q3 37.7% · Q4 25.4% · 4Q avg 37.1% · 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 | 13.9% |
18.1%
4.2 pts better
|
16.3%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 35.4% · Q2 14.1% · Q3 1.8% · Q4 5.0% · 4Q avg 13.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.8% |
18.4%
8.6 pts better
|
14.9%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 10.8% · Q3 1.2% · Q4 4.7% · 4Q avg 9.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.9%
0.4 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
1.7%
0.4 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.1% · Q3 1.0% · Q4 1.1% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.3% |
24.8%
4.5 pts worse
|
19.8%
9.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 32.0% · Q3 35.4% · Q4 25.1% · 4Q avg 29.3% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
4.4%
0.6 pts worse
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 5.2% · Q3 5.6% · Q4 5.0% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 47.1% |
70.5%
23.4 pts worse
|
81.7%
34.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 38.2% · Q2 46.2% · Q3 51.8% · Q4 51.1% · 4Q avg 47.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.1% |
11.1%
1 pts worse
|
12.0%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.1% · Observed 12.7% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.1% |
1.5%
0.6 pts worse
|
1.6%
0.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.1% · Q3 2.0% · Q4 1.9% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 40.7% |
69.7%
29 pts worse
|
79.7%
39 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 40.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.4% |
25.0%
7.6 pts better
|
23.9%
6.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.4% · Observed 19.0% · Expected 25.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-08-11 · Fire 2022-08-11
13 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-10-30 · Fire 2019-10-30
4 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
2025-05-06
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-17
F · Potential for more than minimal harm
2025-04-08
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 2025-06-03
F · Potential for more than minimal harm
2025-04-08
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2025-06-03
E · Potential for more than minimal harm
2025-04-08
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 2025-03-14
E · Potential for more than minimal harm
2025-04-08
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2025-06-03
E · Potential for more than minimal harm
2025-04-08
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-06-03
E · Potential for more than minimal harm
2025-04-08
F809 · Nutrition and Dietary Deficiencies
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2025-06-03
E · Potential for more than minimal harm
2025-04-08
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 2025-06-03
D · Potential for more than minimal harm
2025-04-08
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 2025-03-14
D · Potential for more than minimal harm
2025-04-08
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-06-03
D · Potential for more than minimal harm
2025-04-08
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 2025-06-03
D · Potential for more than minimal harm
2025-04-08
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-03
D · Potential for more than minimal harm
2025-04-08
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-03
B · Minimal harm
2025-04-08
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-06-03
D · Potential for more than minimal harm
2024-10-01
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 2024-11-12
G · Actual harm
2022-08-11
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 2022-09-22
E · Potential for more than minimal harm
2022-08-11
F687 · Quality of Life and Care Deficiencies
Health
Provide appropriate foot care.
Corrected 2022-09-22
E · Potential for more than minimal harm
2022-08-11
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 2022-09-22
E · Potential for more than minimal harm
2022-08-11
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 2022-09-22
E · Potential for more than minimal harm
2022-08-11
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 2022-09-22
E · Potential for more than minimal harm
2022-08-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-09-22
D · Potential for more than minimal harm
2022-08-11
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 2022-09-22
D · Potential for more than minimal harm
2022-08-11
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 2022-09-22
D · Potential for more than minimal harm
2022-08-11
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 2022-09-22
D · Potential for more than minimal harm
2022-08-11
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-09-22
D · Potential for more than minimal harm
2022-08-11
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-09-22
D · Potential for more than minimal harm
2022-08-11
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-09-22
D · Potential for more than minimal harm
2019-10-30
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2019-12-05
D · Potential for more than minimal harm
2019-10-30
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-12-05
D · Potential for more than minimal harm
2019-10-30
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 2019-12-05
D · Potential for more than minimal harm
2019-10-30
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2019-12-05
Penalties and ownership
What sits behind the stars
Ownership
Bg Ii Opco Ml LLC
5% Or Greater Direct Ownership Interest · Organization
Cannavaro, Caitlin
Operational/Managerial Control · Individual
Cedar Hill Capital Associates LLC
5% Or Greater Indirect Ownership Interest · Organization
Cedar Hill Capital Associates LLC
5% Or Greater Security Interest · Organization
David Ostreicher Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Dymer Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Ehrenfeld, Mindy
5% Or Greater Indirect Ownership Interest · Individual
Gilmartin, Thomas
Operational/Managerial Control · Individual
Ilana Ostreicher Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Ilana Ostreicher Family Trust
5% Or Greater Security Interest · Organization
Juniper Capital Associates LLC
5% Or Greater Indirect Ownership Interest · Organization
Juniper Capital Associates LLC
5% Or Greater Security Interest · Organization
Lopiansky, Rebecca
5% Or Greater Indirect Ownership Interest · Individual
Marc Ephram Ostreicher Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Marc Ephram Ostreicher Family Trust
5% Or Greater Security Interest · Organization
Master Tenant Holdco Ct5 Ii LLC
5% Or Greater Security Interest · Organization
Michelle Ostreicher Family Trust
5% Or Greater Indirect Ownership Interest · Organization
National Health Care Associates Inc
Operational/Managerial Control · Organization
Oak Management Capital LLC
5% Or Greater Indirect Ownership Interest · Organization
Oak Management Capital LLC
5% Or Greater Security Interest · Organization
Ostreicher, David
5% Or Greater Indirect Ownership Interest · Individual
Ostreicher, Ilana
5% Or Greater Indirect Ownership Interest · Individual
Ostreicher, Marc
5% Or Greater Indirect Ownership Interest · Individual
Ostreicher, Marc
Operational/Managerial Control · Individual
Ostreicher, Marc
5% Or Greater Security Interest · Individual
Ostreicher, Marvin
5% Or Greater Indirect Ownership Interest · Individual
Ostreicher, Michelle
5% Or Greater Indirect Ownership Interest · Individual
Shayna Steg Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Steg, Shayna
5% Or Greater Indirect Ownership Interest · Individual
Steg, Yitzchok
5% Or Greater Indirect Ownership Interest · Individual
Weisz, David
5% Or Greater Indirect Ownership Interest · Individual
White Deer Investments, LLC
5% Or Greater Indirect Ownership Interest · Organization
Yitzchok Steg Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Ysro Trust
5% Or Greater Indirect Ownership Interest · Organization
Ysro Trust
5% Or Greater Security Interest · Organization
Zadun Ii Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
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