9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
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
4200 Park Avenue, Bridgeport, CT
(203) 365-6400
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
294
Certified beds
Average residents
286
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1991-10-01
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
RN hours / resident day
0.62
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.14
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
2.82
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
4.58
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.76
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
4.11
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.39
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.65
CMS adjusted RN staffing hours
Adjusted total hours
4.78
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
21%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
1,094
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
59.93
Composite VBP score used to determine payment impact.
Payment multiplier
1.0151
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.09
Baseline 18.75% · Performance 19.53% · Measure score 4.09 · Achievement 4.09 · Improvement 0
Healthcare-associated infections
5.45
Baseline 4.92% · Performance 6.21% · Measure score 5.45 · Achievement 5.45 · Improvement 0
Total nurse turnover
10
Baseline 24.23% · Performance 18.93% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
4.43
Baseline 4.39 hours · Performance 4.34 hours · Measure score 4.43 · Achievement 4.43 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.44% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 426 · Observed rate 8.69% · Lower 95% interval 7.92% |
| Discharge to community | 66.23% |
50.57%
15.7 pts better
|
Better than the National Rate · Eligible stays 411 · Observed rate 64.48% · Lower 95% interval 61.57% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 92.47% |
95.27%
2.8 pts worse
|
Numerator 221 · Denominator 239 |
| Falls with major injury | 1.26% |
0.77%
0.5 pts worse
|
Numerator 3 · Denominator 239 |
| Discharge self-care score | 34.57% |
53.69%
19.1 pts worse
|
Numerator 65 · Denominator 188 |
| Discharge mobility score | 62.23% |
50.94%
11.3 pts better
|
Numerator 117 · Denominator 188 |
| Pressure ulcers or injuries, new or worsened | 1.67% |
2.29%
0.6 pts better
|
Numerator 4 · Denominator 239 · Adjusted rate 1.55% |
| Healthcare-associated infections requiring hospitalization | 6.21% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 241 · Observed rate 4.56% · Lower 95% interval 4.24% |
| Staff COVID-19 vaccination coverage | 0.19% |
8.2%
8 pts worse
|
Numerator 2 · Denominator 1031 |
| Staff flu vaccination coverage | 87.8% |
42%
45.8 pts better
|
Numerator 892 · Denominator 1016 |
| Discharge function score | 52.13% |
56.45%
4.3 pts worse
|
Numerator 98 · Denominator 188 |
| Transfer of health information to provider | 98.06% |
95.95%
2.1 pts better
|
Numerator 152 · Denominator 155 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 32 · Denominator 32 |
| Resident COVID-19 vaccinations up to date | 53.28% |
25.2%
28.1 pts better
|
Numerator 73 · Denominator 137 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.1
0.2 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.6 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.5
0.6 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.4 · 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 96.9% · Q2 97.6% · Q3 98.4% · Q4 98.8% · 4Q avg 97.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.5% |
93.5%
5 pts better
|
95.5%
3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% |
3.4%
0.3 pts worse
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.0% · Q3 2.9% · Q4 3.5% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.3% |
17.1%
13.8 pts better
|
11.4%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.4% · Q3 2.8% · Q4 3.9% · 4Q avg 3.3% |
| Percentage of long-stay residents who lose too much weight | 5.3% |
6.4%
1.1 pts better
|
5.4%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 7.5% · Q3 6.3% · Q4 3.5% · 4Q avg 5.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.3% |
17.3%
5 pts better
|
19.6%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 12.2% · Q3 11.5% · Q4 11.6% · 4Q avg 12.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.5% |
19.4%
4.9 pts better
|
16.7%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 17.2% · Q3 12.4% · Q4 9.9% · 4Q avg 14.5% · 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 | 17.9% |
18.1%
0.2 pts better
|
16.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 27.0% · Q3 14.7% · Q4 11.1% · 4Q avg 17.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.7% |
18.4%
2.7 pts better
|
14.9%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 16.9% · Q3 18.0% · Q4 10.1% · 4Q avg 15.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.9%
0.2 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
1.7%
0.8 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 0.0% · Q4 1.2% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.7% |
24.8%
2.1 pts better
|
19.8%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 20.2% · Q3 19.0% · Q4 22.6% · 4Q avg 22.7% |
| Percentage of long-stay residents with pressure ulcers | 2.9% |
4.4%
1.5 pts better
|
5.1%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.3% · Q3 3.4% · Q4 2.3% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.8% |
70.5%
9.3 pts better
|
81.7%
1.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 68.1% · Q2 72.9% · Q3 84.9% · Q4 90.7% · 4Q avg 79.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.6% |
11.1%
2.5 pts worse
|
12.0%
1.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 11.9% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.5%
0.2 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.1% · Q3 1.2% · Q4 0.6% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.7% |
69.7%
8 pts better
|
79.7%
2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.4% |
25.0%
0.6 pts better
|
23.9%
0.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.4% · Observed 20.1% · Expected 19.7% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-11-28
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-11-28
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-11-28
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-28
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-11-28
Fire Safety
Meet other general requirements.
Corrected 2023-11-28
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-11-28
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-11-28
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-11-28
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-11-28
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2023-11-28
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2023-11-28
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-11-28
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2022-01-12
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-01-12
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-01-12
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2022-01-12
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-01-12
Fire Safety
Have an externally vented heating system.
Corrected 2022-01-12
Inspection history
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-22
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-05-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-06
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-03-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-19
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 2023-12-19
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-12-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-19
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 2023-12-19
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 2023-12-19
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-19
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-12-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-29
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-11
Health
Respond appropriately to all alleged violations.
Corrected 2023-11-11
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2023-11-11
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-11-11
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-11-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-11
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2023-11-11
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2023-11-11
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-11-11
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-12-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-12-21
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 2021-12-21
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 2021-12-21
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-07-05
Penalties and ownership
Fine · fine $12,438
Fine
Fine · fine $15,642
Fine
Fine · fine $10,059
Fine
Fine · fine $10,059
Fine
Fine · fine $10,062
Fine
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Fairfield, CT
2-star overall rating with 2-star inspections with abuse icon flag with $8,824 in total fines with 9 recent health deficiencies
Bridgeport, CT
5-star overall rating with 4-star inspections with $8,018 in total fines with 8 recent health deficiencies
Fairfield, CT
4-star overall rating with 4-star inspections with 11 recent health deficiencies
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