5 health deficiencies
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Orange, CT
5-star overall rating with 5-star inspections with 5 recent health deficiencies
225 Boston Post Rd, Orange, CT
(203) 795-0835
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
51
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2003-03-01
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
0.79
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.63
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
2.35
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
3.76
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.41
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
3.40
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.59
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.23
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.80
CMS adjusted RN staffing hours
Adjusted total hours
3.85
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
26%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
10,393
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.53
Composite VBP score used to determine payment impact.
Payment multiplier
0.9824
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 17.94% · Performance 22.56% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.03% · Performance 8.29% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.97
Performance 35.19% · Measure score 6.97 · Achievement 6.97 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.24
Baseline 3.38 hours · Performance 3.43 hours · Measure score 1.24 · Achievement 1.24 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.72% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 85 · Observed rate 10.59% · Lower 95% interval 7% |
| Discharge to community | 54.88% |
50.57%
4.3 pts better
|
No Different than the National Rate · Eligible stays 73 · Observed rate 46.58% · Lower 95% interval 43.64% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 92.98% |
95.27%
2.3 pts worse
|
Numerator 53 · Denominator 57 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 57 |
| Discharge self-care score | 47.37% |
53.69%
6.3 pts worse
|
Numerator 18 · Denominator 38 |
| Discharge mobility score | 55.26% |
50.94%
4.3 pts better
|
Numerator 21 · Denominator 38 |
| Pressure ulcers or injuries, new or worsened | 1.75% |
2.29%
0.5 pts better
|
Numerator 1 · Denominator 57 · Adjusted rate 1.18% |
| Healthcare-associated infections requiring hospitalization | 8.29% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 49 · Observed rate 12.24% · Lower 95% interval 4.94% |
| Staff COVID-19 vaccination coverage | 13.41% |
8.2%
5.2 pts better
|
Numerator 11 · Denominator 82 |
| Staff flu vaccination coverage | 36.14% |
42%
5.9 pts worse
|
Numerator 30 · Denominator 83 |
| Discharge function score | 57.89% |
56.45%
1.4 pts better
|
Numerator 22 · Denominator 38 |
| 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 | 100% |
96.28%
3.7 pts better
|
Numerator 23 · Denominator 23 |
| Resident COVID-19 vaccinations up to date | 100% |
25.2%
74.8 pts better
|
Numerator 27 · Denominator 27 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
2.1
0.6 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 0.9 · Expected 1.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.5
1 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.3 · Expected 1.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
87.5%
12.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.9% |
93.5%
4.4 pts better
|
95.5%
2.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.1% |
3.4%
2.3 pts better
|
3.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.2% · Q4 2.3% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.2% |
17.1%
8.9 pts better
|
11.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 4.8% · Q3 7.0% · Q4 11.9% · 4Q avg 8.2% |
| Percentage of long-stay residents who lose too much weight | 2.0% |
6.4%
4.4 pts better
|
5.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 0.0% · Q3 0.0% · Q4 2.7% · 4Q avg 2.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.1% |
17.3%
9.2 pts better
|
19.6%
11.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 8.8% · Q3 8.3% · Q4 7.9% · 4Q avg 8.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.6% |
19.4%
9.8 pts better
|
16.7%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 4.2% · Q3 8.0% · Q4 11.5% · 4Q avg 9.6% · 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 | 21.5% |
18.1%
3.4 pts worse
|
16.3%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 21.5% · 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 23.5% · Q2 23.1% · Q3 21.4% · Q4 10.3% · 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 | 1.7% |
1.7%
About the same
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.3% |
24.8%
0.5 pts better
|
19.8%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 34.6% · Q3 30.5% · Q4 15.4% · 4Q avg 24.3% |
| Percentage of long-stay residents with pressure ulcers | 4.2% |
4.4%
0.2 pts better
|
5.1%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.6% · Q3 6.9% · Q4 3.5% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
70.5%
28.8 pts better
|
81.7%
17.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 98.6% · Q3 100.0% · Q4 100.0% · 4Q avg 99.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.5% |
11.1%
0.6 pts better
|
12.0%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.5% · Observed 9.1% · Expected 9.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.5%
0.4 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.5% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 57.1% |
69.7%
12.6 pts worse
|
79.7%
22.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 57.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.4% |
25.0%
4.4 pts worse
|
23.9%
5.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.4% · Observed 23.6% · Expected 19.1% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Nutrition and Dietary (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
6 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Fire safety
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-07-21
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-21
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-07-21
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-06-15
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-06-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-06-15
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2021-06-15
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2021-06-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-06-15
Inspection history
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2025-09-01
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-09-01
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-09-01
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 2025-09-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-01
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 2023-07-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-10
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 2023-07-10
Health
Provide activities to meet all resident's needs.
Corrected 2023-06-21
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-10
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 2023-07-10
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2023-07-10
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-07-10
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 2021-05-31
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2021-05-31
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-05-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-05-31
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 2021-05-31
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-05-31
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Nearby options
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1-star overall rating with 1-star inspections with Special Focus status with $250,575 in total fines with 39 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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