Cycle 1
Health 2025-09-15 · Fire 2025-09-15
11 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fairfield, CT
Ludlowe Center For Health & Rehabilitation
2-star overall rating with 2-star inspections with abuse icon flag with $8,824 in total fines with 9 recent health deficiencies
118 Jefferson Street, Fairfield, CT
(203) 372-4501
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
144
Certified beds
Average residents
134
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
National Health Care Associates
Operator or chain grouping
Approved since
1989-12-12
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
0.81
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.04
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
4.22
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.85
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
3.73
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.57
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
0.63
CMS adjusted RN staffing hours
Adjusted total hours
3.27
CMS adjusted total nurse staffing hours
Case-mix index
1.77
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,472
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.65
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
0
Baseline 20.07% · Performance 22.34% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 4.97% · Performance 9.18% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 21.31% · Performance 24.44% · Measure score 10 · Achievement 10 · Improvement 0
Adjusted total nurse staffing
0.66
Baseline 3.18 hours · Performance 3.27 hours · Measure score 0.66 · Achievement 0.66 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.67% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 548 · Observed rate 9.67% · Lower 95% interval 7.24% |
| Discharge to community | 59.59% |
50.57%
9 pts better
|
Better than the National Rate · Eligible stays 634 · Observed rate 50% · Lower 95% interval 55.53% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.73% |
95.27%
3.5 pts better
|
Numerator 390 · Denominator 395 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 395 |
| Discharge self-care score | 53.38% |
53.69%
0.3 pts worse
|
Numerator 71 · Denominator 133 |
| Discharge mobility score | 45.86% |
50.94%
5.1 pts worse
|
Numerator 61 · Denominator 133 |
| Pressure ulcers or injuries, new or worsened | 3.04% |
2.29%
0.8 pts worse
|
Numerator 12 · Denominator 395 · Adjusted rate 2.8% |
| Healthcare-associated infections requiring hospitalization | 9.18% |
7.12%
2.1 pts worse
|
Worse than the National Rate · Eligible stays 378 · Observed rate 11.38% · Lower 95% interval 7.46% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 220 |
| Staff flu vaccination coverage | 52.63% |
42%
10.6 pts better
|
Numerator 140 · Denominator 266 |
| Discharge function score | 47.37% |
56.45%
9.1 pts worse
|
Numerator 63 · Denominator 133 |
| Transfer of health information to provider | 86.23% |
95.95%
9.7 pts worse
|
Numerator 288 · Denominator 334 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 7.2% |
25.2%
18 pts worse
|
Numerator 17 · Denominator 236 |
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 2.2 · Expected 2.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.5
0.8 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.8 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 77.5% |
87.5%
10 pts worse
|
93.4%
15.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 76.5% · Q2 69.5% · Q3 76.8% · Q4 86.5% · 4Q avg 77.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.8% |
93.5%
6.7 pts worse
|
95.5%
8.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 86.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.5% |
3.4%
1.9 pts better
|
3.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 0.0% · Q4 3.4% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 80.4% |
17.1%
63.3 pts worse
|
11.4%
69 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 80.8% · Q2 75.3% · Q3 84.8% · Q4 80.2% · 4Q avg 80.4% |
| Percentage of long-stay residents who lose too much weight | 8.1% |
6.4%
1.7 pts worse
|
5.4%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 10.5% · Q3 8.0% · Q4 6.1% · 4Q avg 8.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.1% |
17.3%
5.8 pts worse
|
19.6%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 26.9% · Q3 21.3% · Q4 20.5% · 4Q avg 23.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.9% |
19.4%
0.5 pts better
|
16.7%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 20.7% · Q3 21.8% · Q4 18.5% · 4Q avg 18.9% · 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 | 12.9% |
18.1%
5.2 pts better
|
16.3%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 15.7% · Q3 4.9% · Q4 17.9% · 4Q avg 12.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.7% |
18.4%
8.7 pts better
|
14.9%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 14.7% · Q3 3.1% · Q4 14.1% · 4Q avg 9.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.9%
0.5 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.9% · Q4 0.7% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
1.7%
1.1 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 0.0% · Q4 1.1% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.0% |
24.8%
1.8 pts better
|
19.8%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 26.8% · Q3 19.0% · Q4 21.8% · 4Q avg 23.0% |
| Percentage of long-stay residents with pressure ulcers | 6.9% |
4.4%
2.5 pts worse
|
5.1%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 8.1% · Q3 5.8% · Q4 7.6% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 59.6% |
70.5%
10.9 pts worse
|
81.7%
22.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 48.6% · Q2 50.8% · Q3 59.6% · Q4 80.6% · 4Q avg 59.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.0% |
11.1%
3.1 pts better
|
12.0%
4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.0% · Observed 7.6% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.5%
1 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.4% · Q3 0.9% · Q4 0.5% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 50.1% |
69.7%
19.6 pts worse
|
79.7%
29.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 50.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.7% |
25.0%
2.7 pts worse
|
23.9%
3.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.7% · Observed 29.1% · Expected 25.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-18 · Fire 2023-12-18
10 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-08-18 · Fire 2021-08-18
3 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
G · Actual harm
2025-10-06
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 2025-11-13
D · Potential for more than minimal harm
2025-10-06
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 2025-11-13
G · Actual harm
2025-09-15
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 2025-10-27
D · Potential for more than minimal harm
2025-09-15
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-10-27
D · Potential for more than minimal harm
2025-09-15
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 2025-10-27
D · Potential for more than minimal harm
2025-09-15
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 2025-10-27
D · Potential for more than minimal harm
2025-09-15
F627 · Resident Rights Deficiencies
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-10-27
D · Potential for more than minimal harm
2025-09-15
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 2025-10-27
D · Potential for more than minimal harm
2025-09-15
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-27
D · Potential for more than minimal harm
2025-09-15
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-10-27
D · Potential for more than minimal harm
2025-09-15
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 2025-10-27
D · Potential for more than minimal harm
2025-02-25
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 2025-04-08
D · Potential for more than minimal harm
2025-01-17
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-28
G · Actual harm
2024-10-02
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 2024-11-13
E · Potential for more than minimal harm
2024-10-02
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-11-13
D · Potential for more than minimal harm
2024-05-30
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-11
D · Potential for more than minimal harm
2024-05-30
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 2024-07-11
D · Potential for more than minimal harm
2023-12-18
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 2024-01-29
D · Potential for more than minimal harm
2023-12-18
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 2024-01-29
D · Potential for more than minimal harm
2023-12-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-29
D · Potential for more than minimal harm
2023-12-18
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 2024-01-29
B · Minimal harm
2023-11-29
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 2023-12-26
D · Potential for more than minimal harm
2021-08-18
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2021-09-29
D · Potential for more than minimal harm
2021-08-18
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2021-09-29
Penalties and ownership
What sits behind the stars
$8,824
2024-10-02
Fine
Fine · fine $8,824
Fine
Ownership
Mso Associates LLC
5% Or Greater Direct Ownership Interest · Organization
Marvin Ostreicher 2012 Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Susan Ostreicher 2012 Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Ostreicher, Marvin
5% Or Greater Indirect Ownership Interest · Individual
Ostreicher, Susan
5% Or Greater Indirect Ownership Interest · Individual
Bokow, Barry
5% Or Greater Direct Ownership Interest · Individual
Geffner, Ira
5% Or Greater Direct Ownership Interest · Individual
Ostreicher, Marvin
Operational/Managerial Control · Individual
Page, Patricia
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Mozaic Senior Life
Bridgeport, CT
2-star overall rating with 1-star inspections with $58,260 in total fines with 9 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
#2
Cambridge Health And Rehabilitation Center
Fairfield, CT
4-star overall rating with 4-star inspections with 11 recent health deficiencies
#3
Springs At 3030 Park, The
Bridgeport, CT
5-star overall rating with 4-star inspections with $8,018 in total fines with 8 recent health deficiencies
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