Cycle 1
Health 2025-04-30 · Fire 2025-04-30
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Simsbury, CT
Mclean Health Center
5-star overall rating with 4-star inspections with 5 recent health deficiencies
75 Great Pond Rd, Simsbury, CT
(860) 658-3700
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
72
Certified beds
Average residents
56
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1972-03-28
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
1.84
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.28
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
3.31
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
5.43
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
2.12
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
5.09
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
1.58
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.22
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.99
CMS adjusted RN staffing hours
Adjusted total hours
5.84
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
22%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
396
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
70.70
Composite VBP score used to determine payment impact.
Payment multiplier
1.0227
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.55
Baseline 18.21% · Performance 17.47% · Measure score 8.55 · Achievement 8.55 · Improvement 5.76
Healthcare-associated infections
8.27
Baseline 4.61% · Performance 5.36% · Measure score 8.27 · Achievement 8.27 · Improvement 0
Total nurse turnover
3.85
Baseline 21.35% · Performance 47.96% · Measure score 3.85 · Achievement 3.85 · Improvement 0
Adjusted total nurse staffing
7.61
Baseline 5.26 hours · Performance 5.24 hours · Measure score 7.61 · Achievement 7.61 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.5% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 194 · Observed rate 6.19% · Lower 95% interval 6.63% |
| Discharge to community | 61.92% |
50.57%
11.4 pts better
|
Better than the National Rate · Eligible stays 175 · Observed rate 64.57% · Lower 95% interval 55.11% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.72% |
95.27%
3.5 pts better
|
Numerator 77 · Denominator 78 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 78 |
| Discharge self-care score | 47.95% |
53.69%
5.7 pts worse
|
Numerator 35 · Denominator 73 |
| Discharge mobility score | 52.05% |
50.94%
1.1 pts better
|
Numerator 38 · Denominator 73 |
| Pressure ulcers or injuries, new or worsened | 1.28% |
2.29%
1 pts better
|
Numerator 1 · Denominator 78 · Adjusted rate 1.29% |
| Healthcare-associated infections requiring hospitalization | 5.36% |
7.12%
1.8 pts better
|
No Different than the National Rate · Eligible stays 99 · Observed rate 1.01% · Lower 95% interval 3.17% |
| Staff COVID-19 vaccination coverage | 7.92% |
8.2%
0.3 pts worse
|
Numerator 27 · Denominator 341 |
| Staff flu vaccination coverage | 52.72% |
42%
10.7 pts better
|
Numerator 291 · Denominator 552 |
| Discharge function score | 50.68% |
56.45%
5.8 pts worse
|
Numerator 37 · Denominator 73 |
| Transfer of health information to provider | 90% |
95.95%
6 pts worse
|
Numerator 36 · Denominator 40 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 47.73% |
25.2%
22.5 pts better
|
Numerator 21 · Denominator 44 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
2.1
0.3 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.2 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.3 |
1.5
1.2 pts better
|
1.8
1.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.3 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.9% |
87.5%
10.4 pts better
|
93.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 98.0% · Q3 97.9% · Q4 100.0% · 4Q avg 97.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.1% |
93.5%
4.6 pts better
|
95.5%
2.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.5% |
3.4%
2.9 pts better
|
3.3%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.3% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.1% |
17.1%
16 pts better
|
11.4%
10.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.2% · Q4 2.5% · 4Q avg 1.1% |
| Percentage of long-stay residents who lose too much weight | 1.2% |
6.4%
5.2 pts better
|
5.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.7% |
17.3%
4.4 pts worse
|
19.6%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 26.1% · Q3 19.0% · Q4 17.9% · 4Q avg 21.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.8% |
19.4%
5.6 pts better
|
16.7%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 12.2% · Q3 8.8% · Q4 15.2% · 4Q avg 13.8% · 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 | 19.3% |
18.1%
1.2 pts worse
|
16.3%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.7% |
18.4%
1.3 pts worse
|
14.9%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 17.9% · Q3 35.9% · Q4 10.8% · 4Q avg 19.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.7% |
1.7%
1 pts worse
|
1.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 0.0% · Q3 2.2% · Q4 2.4% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.2% |
24.8%
6.4 pts worse
|
19.8%
11.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 35.4% · Q3 15.1% · Q4 48.6% · 4Q avg 31.2% |
| Percentage of long-stay residents with pressure ulcers | 5.2% |
4.4%
0.8 pts worse
|
5.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 8.0% · Q3 8.3% · Q4 2.5% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.1% |
70.5%
15.6 pts better
|
81.7%
4.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 84.4% · Q2 82.0% · Q3 85.6% · Q4 92.2% · 4Q avg 86.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.8% |
11.1%
6.3 pts better
|
12.0%
7.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.8% · Observed 3.8% · Expected 9.0% · 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 | 82.5% |
69.7%
12.8 pts better
|
79.7%
2.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.6% |
25.0%
11.4 pts better
|
23.9%
10.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 10.3% · Expected 18.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-15 · Fire 2023-09-15
7 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 2021-12-22 · Fire 2021-12-22
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
G · Actual harm
2025-08-20
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 2025-07-30
D · Potential for more than minimal harm
2025-08-20
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-07-30
D · Potential for more than minimal harm
2025-04-30
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-04-30
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-04-30
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 2025-06-09
F · Potential for more than minimal harm
2023-09-15
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 2023-11-12
D · Potential for more than minimal harm
2023-09-15
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-12
D · Potential for more than minimal harm
2023-09-15
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 2023-11-12
D · Potential for more than minimal harm
2023-09-15
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-11-12
D · Potential for more than minimal harm
2023-09-15
F810 · Nutrition and Dietary Deficiencies
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2023-11-12
D · Potential for more than minimal harm
2023-09-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-12
B · Minimal harm
2023-09-15
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2023-11-12
D · Potential for more than minimal harm
2021-12-22
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-01-11
Penalties and ownership
What sits behind the stars
Ownership
Clark, Lisa
Operational/Managerial Control · Individual
Clark, Lisa
Corporate Officer · Individual
Coburn, Margaret
Operational/Managerial Control · Individual
Depinto, Paula
Corporate Officer · Individual
Paine-Chairman, Michael
Corporate Officer · Individual
Rhea, Carlene
Operational/Managerial Control · Individual
Rolfe, Anne
Operational/Managerial Control · Individual
Rolfe, Anne
Corporate Officer · Individual
Singh, Kawarjeet
Operational/Managerial Control · Individual
Wetzel, Mark
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
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Ark Healthcare & Rehabilitation At Governor's Ho
Simsbury, CT
4-star overall rating with 4-star inspections with $16,039 in total fines with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Caleb Hitchcock Health Center
Bloomfield, CT
4-star overall rating with 2-star inspections with abuse icon flag with $103,530 in total fines with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Civita Care Meadowbrook
Granby, CT
3-star overall rating with 3-star inspections with 14 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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