Federal inspection record · CMS data as of October 1, 2026

Montowese Center For Health & Rehabilitation

163 Quinnipiac Avenue, North Haven, CT · (203) 624-3303

  • Cited for abuse (CMS abuse icon)

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
120
Residents per day
108
Ownership
For-Profit
Chain
National Health Care Associates
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 1, 1967

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Connecticut.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Connecticut homes

Montowese Center For Health & Rehabilitation carries 105 inspection points. That is fewer than 25% of Connecticut's 190 rated homes.

5★4★3★2★1★+6 homes above 192.505102550100inspection points → fewer is better on the leftThis home · 105 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Connecticut: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–29 pts
  • 4★ 29–53 pts
  • 3★ 53–79 pts
  • 2★ 79–116.75 pts
  • 1★ over 116.75 pts

Bars show every rated home in Connecticut by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

76 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 54 4 pts
E 16 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 3 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (3)

  1. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    January 15, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected January 14, 2025

  2. J

    Ensure that residents are free from significant medication errors.

    August 16, 2022 · Standard inspection · Pharmacy Service · F760 · Corrected August 16, 2022

  3. G

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 16, 2022 · Standard inspection · Quality of Life and Care · F684 · Corrected September 16, 2022

Everything else, by area of care

Resident Assessment and Care Planning17E
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    May 12, 2026 · Standard · F656 · Corrected June 19, 2026

  2. D

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

    May 12, 2026 · Standard · F658 · Corrected June 19, 2026

  3. B

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    May 12, 2026 · Standard · F644 · Corrected June 19, 2026

  4. D

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

    January 27, 2026 · Complaint · F658 · Corrected January 26, 2026

  5. E

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

    May 22, 2025 · Complaint · F658 · Corrected May 9, 2025

  6. D

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

    May 5, 2025 · Complaint · F658 · Corrected June 12, 2025

  7. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    December 23, 2024 · Complaint · F655 · Corrected January 21, 2025

  8. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    October 24, 2024 · Standard · F657 · Corrected December 5, 2024

  9. D

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

    June 26, 2024 · Complaint · F842 · Corrected August 6, 2024

  10. D

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    May 23, 2024 · Complaint · F635 · Corrected July 3, 2024

  11. D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    May 23, 2024 · Complaint · F636 · Corrected July 3, 2024

  12. D

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

    May 23, 2024 · Complaint · F842 · Corrected July 3, 2024

  13. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 14, 2024 · Complaint · F656 · Corrected May 4, 2024

  14. D

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

    December 7, 2023 · Complaint · F658 · Corrected December 30, 2023

  15. D

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

    October 24, 2023 · Complaint · F658 · Corrected November 10, 2023

  16. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    August 16, 2022 · Standard · F656 · Corrected September 16, 2022

  17. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    August 16, 2022 · Standard · F657 · Corrected September 16, 2022

Quality of Life and Care16E
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 12, 2026 · Standard · F684 · Corrected June 19, 2026

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    May 12, 2026 · Standard · F689 · Corrected June 19, 2026

  3. D

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

    May 12, 2026 · Standard · F695 · Corrected June 19, 2026

  4. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    October 24, 2024 · Standard · F684 · Corrected December 5, 2024

  5. E

    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.

    October 24, 2024 · Standard · F688 · Corrected December 5, 2024

  6. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    October 24, 2024 · Standard · F689 · Corrected December 5, 2024

  7. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    September 30, 2024 · Complaint · F684 · Corrected November 11, 2024

  8. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 23, 2024 · Complaint · F684 · Corrected July 3, 2024

  9. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    May 23, 2024 · Complaint · F686 · Corrected July 3, 2024

  10. D

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

    May 23, 2024 · Complaint · F692 · Corrected July 3, 2024

  11. D

    Provide safe, appropriate pain management for a resident who requires such services.

    May 23, 2024 · Complaint · F697 · Corrected August 9, 2024

  12. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    March 14, 2024 · Complaint · F684 · Corrected May 4, 2024

  13. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    November 13, 2023 · Complaint · F684 · Corrected December 9, 2023

  14. D

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

    November 13, 2023 · Complaint · F694 · Corrected December 9, 2023

  15. E

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    August 16, 2022 · Standard · F690 · Corrected September 16, 2022

  16. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 16, 2022 · Standard · F689 · Corrected September 16, 2022

Resident Rights10E
  1. D

    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.

    May 12, 2026 · Standard · F578 · Corrected June 19, 2026

  2. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    May 12, 2026 · Standard · F580 · Corrected June 19, 2026

  3. E

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    October 24, 2024 · Standard · F580 · Corrected December 5, 2024

  4. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    September 30, 2024 · Complaint · F550 · Corrected November 11, 2024

  5. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    May 23, 2024 · Complaint · F554 · Corrected July 3, 2024

  6. D

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

    May 23, 2024 · Complaint · F577 · Corrected July 3, 2024

  7. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    May 23, 2024 · Complaint · F580 · Corrected July 3, 2024

  8. D

    Prepare residents for a safe transfer or discharge from the nursing home.

    May 23, 2024 · Complaint · F624 · Corrected July 3, 2024

  9. D

    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.

    August 16, 2022 · Standard · F578 · Corrected September 16, 2022

  10. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    August 16, 2022 · Standard · F580 · Corrected September 16, 2022

Pharmacy Service6E
  1. D

    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.

    May 12, 2026 · Standard · F761 · Corrected June 19, 2026

  2. E

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    October 24, 2024 · Standard · F756 · Corrected December 5, 2024

  3. E

    Ensure that residents are free from significant medication errors.

    May 23, 2024 · Complaint · F760 · Corrected July 3, 2024

  4. D

    Ensure that residents are free from significant medication errors.

    December 7, 2023 · Complaint · F760 · Corrected December 30, 2023

  5. D

    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.

    August 16, 2022 · Standard · F758 · Corrected September 16, 2022

  6. D

    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.

    August 16, 2022 · Standard · F761 · Corrected September 16, 2022

Freedom from Abuse, Neglect, and Exploitation5E
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    May 12, 2026 · Standard · F600 · Corrected April 17, 2026

  2. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    July 17, 2024 · Complaint · F600 · Corrected August 8, 2024

  3. E

    Respond appropriately to all alleged violations.

    May 23, 2024 · Complaint · F610 · Corrected July 3, 2024

  4. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    March 14, 2024 · Complaint · F609 · Corrected May 4, 2024

  5. D

    Respond appropriately to all alleged violations.

    March 14, 2024 · Complaint · F610 · Corrected May 4, 2024

Nursing and Physician Services5E
  1. B

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

    May 12, 2026 · Standard · F730 · Corrected June 19, 2026

  2. E

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    October 24, 2024 · Standard · F711 · Corrected December 5, 2024

  3. D

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    May 23, 2024 · Complaint · F725 · Corrected July 3, 2024

  4. D

    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.

    May 23, 2024 · Complaint · F726 · Corrected July 3, 2024

  5. D

    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.

    March 14, 2024 · Complaint · F726 · Corrected May 4, 2024

Administration5E
  1. D

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    May 23, 2024 · Complaint · F770 · Corrected July 3, 2024

  2. D

    Keep complete, dated laboratory records in the resident's record.

    May 23, 2024 · Complaint · F775 · Corrected July 3, 2024

  3. D

    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

    May 23, 2024 · Complaint · F776 · Corrected July 3, 2024

  4. E

    Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.

    August 16, 2022 · Standard · F772 · Corrected September 16, 2022

  5. D

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    August 16, 2022 · Standard · F836 · Corrected September 16, 2022

Infection Control4E
  1. E

    Provide and implement an infection prevention and control program.

    May 12, 2026 · Standard · F880 · Corrected June 19, 2026

  2. E

    Provide and implement an infection prevention and control program.

    October 24, 2024 · Complaint · F880 · Corrected December 5, 2024

  3. E

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    October 24, 2024 · Complaint · F882 · Corrected December 5, 2024

  4. E

    Provide and implement an infection prevention and control program.

    August 16, 2022 · Standard · F880 · Corrected September 16, 2022

Nutrition and Dietary3E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    May 12, 2026 · Standard · F812 · Corrected June 19, 2026

  2. B

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

    May 12, 2026 · Standard · F804 · Corrected June 19, 2026

  3. D

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    May 23, 2024 · Complaint · F806 · Corrected July 3, 2024

Environmental2E
  1. E

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    October 24, 2024 · Standard · F919 · Corrected December 5, 2024

  2. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    May 23, 2024 · Complaint · F921 · Corrected July 3, 2024

Inspection history

  1. 2026-05-12

    15 health deficiencies · 0 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (4 deficiencies)

  2. 2024-10-24

    14 health deficiencies · 1 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (4 deficiencies)

  3. 2022-08-16

    47 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (11 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 57 min of nursing staff time a day, 31 min of it from a registered nurse.

This home

3 h 57 min

Connecticut average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 38% of nursing staff and 45% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$10,033 in federal fines on record over the past three years.

DatePenaltyAmount
2024-12-23Fine$10,033

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.8 pts worse2.71.91.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better0.71.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.5 pts worse78.6%89.1%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.5 pts worse89.2%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts better1.8%3.6%3.2%
Percentage of long-stay residents who have depressive symptoms3.8 pts worse28.8%25.0%13.5%
Percentage of long-stay residents who lose too much weight0.2 pts worse6.6%6.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.6 pts worse18.6%18.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.7 pts better13.0%17.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4.4 pts worse19.2%14.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.1 pts better14.6%17.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better0.6%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts better1.3%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.6 pts worse26.6%24.0%18.3%
Percentage of long-stay residents with pressure ulcers2.8 pts worse6.7%3.9%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18 pts worse54.5%72.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.5 pts better7.9%10.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1 pts better0.4%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20.3 pts worse52.7%73.0%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts better19.8%23.5%23.4%

·

Who owns and runs it

24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Mydert Holdings LLC5% Or Greater Direct Ownership Interest · Organization51%5 facilities
Zadun Holdings LLC5% Or Greater Direct Ownership Interest · Organization49%5 facilities
Baker Tilly Advisory Group LPAdp Of The SNF · Organization0%83 facilities
Cedar Hill Capital Associates LLC5% Or Greater Indirect Ownership Interest · Organization0%11 facilities
David Ostreicher Family TrustAdp Of The SNF · Organization0%9 facilities
Ehrenfeld, Mindy5% Or Greater Indirect Ownership Interest · Individual0%10 facilities
Gabriel, JoanneAdp Of The SNF · Individual0%1 facilities
Gilmartin, Thomas5% Or Greater Indirect Ownership Interest · Individual0%27 facilities
Gilmartin, ThomasOperational/Managerial Control · Individual0%27 facilities
Ilana Ostreicher Family Trust5% Or Greater Indirect Ownership Interest · Organization0%11 facilities
Ilana Ostreicher Family TrustAdp Of The SNF · Organization0%11 facilities
Juniper Capital Associates LLC5% Or Greater Indirect Ownership Interest · Organization0%11 facilities
Marc Ephram Ostreicher Family Trust5% Or Greater Indirect Ownership Interest · Organization0%11 facilities
Marc Ephram Ostreicher Family TrustAdp Of The SNF · Organization0%11 facilities
Michelle Ostreicher Family TrustAdp Of The SNF · Organization0%8 facilities
National Health Care Associates IncOperational/Managerial Control · Organization0%29 facilities
National Health Care Associates IncAdp Of The SNF · Organization0%29 facilities
Oak Management Capital LLC5% Or Greater Indirect Ownership Interest · Organization0%11 facilities
Ostreicher, MarcCorporate Officer · Individual0%31 facilities
Preferred Therapy Solutions LLCAdp Of The SNF · Organization0%30 facilities
Procare Ltc Holding LLCAdp Of The SNF · Organization0%12 facilities
Shayna Steg Family TrustAdp Of The SNF · Organization0%8 facilities
Walaliyadda, AnuruddhaAdp Of The SNF · Individual0%3 facilities
Ysro Trust5% Or Greater Indirect Ownership Interest · Organization0%12 facilities

·

Fire safety

1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Miscellaneous1D
  1. D

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    October 24, 2024 · K761 · Corrected November 22, 2024

·

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