22 health deficiencies
Top issue: Resident Assessment and Care Planning (7 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Salisbury, CT
2-star overall rating with 2-star inspections with $35,757 in total fines with 22 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
17 Cobble Rd, Salisbury, CT
(860) 435-9851
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
91
Certified beds
Average residents
60
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1975-01-03
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
0.90
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.58
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
2.25
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
3.73
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.48
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
3.38
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.64
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.00
CMS adjusted RN staffing hours
Adjusted total hours
4.14
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
41%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
5,532
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.88
Composite VBP score used to determine payment impact.
Payment multiplier
0.9894
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.15
Baseline 17.93% · Performance 19.51% · Measure score 4.15 · Achievement 4.15 · Improvement 0
Healthcare-associated infections
0
Baseline 5.00% · Performance 11.30% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.42
Baseline 26.56% · Performance 33.33% · Measure score 7.42 · Achievement 7.42 · Improvement 0
Adjusted total nurse staffing
2.78
Baseline 4.40 hours · Performance 3.87 hours · Measure score 2.78 · Achievement 2.78 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.26% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 129 · Observed rate 5.43% · Lower 95% interval 6.11% |
| Discharge to community | 56.83% |
50.57%
6.3 pts better
|
No Different than the National Rate · Eligible stays 114 · Observed rate 56.14% · Lower 95% interval 48.21% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 65 · Denominator 65 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 65 |
| Discharge self-care score | 58.33% |
53.69%
4.6 pts better
|
Numerator 28 · Denominator 48 |
| Discharge mobility score | 62.5% |
50.94%
11.6 pts better
|
Numerator 30 · Denominator 48 |
| Pressure ulcers or injuries, new or worsened | 1.54% |
2.29%
0.8 pts better
|
Numerator 1 · Denominator 65 · Adjusted rate 1.23% |
| Healthcare-associated infections requiring hospitalization | 11.3% |
7.12%
4.2 pts worse
|
Worse than the National Rate · Eligible stays 82 · Observed rate 15.85% · Lower 95% interval 7.47% |
| Staff COVID-19 vaccination coverage | 4.96% |
8.2%
3.2 pts worse
|
Numerator 6 · Denominator 121 |
| Staff flu vaccination coverage | 38.79% |
42%
3.2 pts worse
|
Numerator 45 · Denominator 116 |
| Discharge function score | 68.75% |
56.45%
12.3 pts better
|
Numerator 33 · Denominator 48 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 88.46% |
96.28%
7.8 pts worse
|
Numerator 23 · Denominator 26 |
| Resident COVID-19 vaccinations up to date | 27.59% |
25.2%
2.4 pts better
|
Numerator 8 · Denominator 29 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.7 |
2.1
1.6 pts worse
|
1.9
1.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 3.1 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
1.5
0.9 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.1 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.6% |
87.5%
9.1 pts better
|
93.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.2% · Q4 87.2% · 4Q avg 96.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.6% |
93.5%
0.9 pts worse
|
95.5%
2.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.3% |
3.4%
3.9 pts worse
|
3.3%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 5.9% · Q3 7.3% · Q4 10.6% · 4Q avg 7.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
17.1%
17.1 pts better
|
11.4%
11.4 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 who lose too much weight | 10.3% |
6.4%
3.9 pts worse
|
5.4%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 2.1% · Q3 12.5% · Q4 14.0% · 4Q avg 10.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.4% |
17.3%
2.1 pts worse
|
19.6%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.4% · Q2 18.0% · Q3 22.0% · Q4 17.0% · 4Q avg 19.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.0% |
19.4%
8.4 pts better
|
16.7%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 12.2% · Q3 7.3% · Q4 15.0% · 4Q avg 11.0% · 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 | 20.1% |
18.1%
2 pts worse
|
16.3%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 25.8% · Q3 9.5% · Q4 16.6% · 4Q avg 20.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.1% |
18.4%
6.7 pts worse
|
14.9%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 19.1% · Q3 29.8% · Q4 26.1% · 4Q avg 25.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
0.9%
0.1 pts worse
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.7% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.1% |
1.7%
1.4 pts worse
|
1.7%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.0% · Q3 5.7% · Q4 2.3% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.5% |
24.8%
0.3 pts better
|
19.8%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 23.2% · Q3 18.8% · Q4 32.6% · 4Q avg 24.5% |
| Percentage of long-stay residents with pressure ulcers | 7.4% |
4.4%
3 pts worse
|
5.1%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 8.7% · Q3 6.9% · Q4 5.3% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.4% |
70.5%
13.9 pts better
|
81.7%
2.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 100.0% · Q3 74.1% · Q4 71.9% · 4Q avg 84.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.6% |
11.1%
1.5 pts worse
|
12.0%
0.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.6% · Observed 11.8% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.1% |
1.5%
2.6 pts worse
|
1.6%
2.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 6.7% · Q3 0.0% · Q4 3.0% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 62.5% |
69.7%
7.2 pts worse
|
79.7%
17.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 62.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.7% |
25.0%
3.3 pts better
|
23.9%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 20.0% · Expected 22.0% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (7 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Fire safety
Fire Safety
Meet other general requirements.
Corrected 2024-03-26
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-03-26
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-03-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-26
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-26
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-01-12
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2022-01-12
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-01-12
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2019-06-28
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2019-06-28
Fire Safety
List the names and contact information of those in the facility.
Corrected 2019-06-28
Fire Safety
Establish methods for sharing information.
Corrected 2019-06-28
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2019-06-28
Fire Safety
Conduct testing and exercise requirements.
Corrected 2019-06-28
Fire Safety
Meet other general requirements that are deficient.
Corrected 2019-06-28
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-05
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-06-05
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 2024-05-02
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-02
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2024-05-02
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-02
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 2024-05-02
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-05-02
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-05-02
Health
Assess the resident when there is a significant change in condition
Corrected 2024-05-02
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-05-02
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-05-02
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-02
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-05-02
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-05-02
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-02
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 2024-05-02
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-05-02
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-05-02
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-02
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-05-02
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-02
Health
Post nurse staffing information every day.
Corrected 2024-05-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-11-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-11-30
Health
Provide and implement an infection prevention and control program.
Corrected 2021-11-30
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2019-06-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-08-22
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2019-06-17
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2019-06-17
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-06-17
Penalties and ownership
Fine · fine $14,050
Fine
Fine · fine $10,527
Fine
Fine · fine $11,180
Fine
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Nearby options
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Great Barrington, MA
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