Southbury, CT
3-star overall rating with 2-star inspections with abuse icon flag with $20,872 in total fines with 9 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
80 Heritage Rd, Southbury, CT
(203) 262-6555
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
37
Certified beds
Average residents
29
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1988-05-18
CMS approved date
Coverage
Medicare
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
1.26
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.81
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
3.10
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
5.17
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
2.07
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
4.71
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
1.13
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.47
CMS adjusted RN staffing hours
Adjusted total hours
6.02
CMS adjusted total nurse staffing hours
Case-mix index
1.18
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
3,802
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
42.63
Composite VBP score used to determine payment impact.
Payment multiplier
0.9956
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 19.52% · Performance 23.28% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
7.19
Baseline 4.79% · Performance 5.69% · Measure score 7.19 · Achievement 7.19 · Improvement 0
Total nurse turnover
3.61
Performance 48.94% · Measure score 3.61 · Achievement 3.61 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
6.26
Baseline 5.64 hours · Performance 4.86 hours · Measure score 6.26 · Achievement 6.26 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.95% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 176 · Observed rate 9.66% · Lower 95% interval 8.24% |
| Discharge to community | 58.36% |
50.57%
7.8 pts better
|
Better than the National Rate · Eligible stays 182 · Observed rate 55.49% · Lower 95% interval 52.6% |
| Medicare spending per beneficiary | 0.78 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 90.72% |
95.27%
4.5 pts worse
|
Numerator 88 · Denominator 97 |
| Falls with major injury | 1.03% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 97 |
| Discharge self-care score | 59.46% |
53.69%
5.8 pts better
|
Numerator 44 · Denominator 74 |
| Discharge mobility score | 41.89% |
50.94%
9 pts worse
|
Numerator 31 · Denominator 74 |
| Pressure ulcers or injuries, new or worsened | 2.06% |
2.29%
0.2 pts better
|
Numerator 2 · Denominator 97 · Adjusted rate 2.57% |
| Healthcare-associated infections requiring hospitalization | 5.69% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 114 · Observed rate 2.63% · Lower 95% interval 3.04% |
| Staff COVID-19 vaccination coverage | 3.19% |
8.2%
5 pts worse
|
Numerator 3 · Denominator 94 |
| Staff flu vaccination coverage | 21.78% |
42%
20.2 pts worse
|
Numerator 22 · Denominator 101 |
| Discharge function score | 54.05% |
56.45%
2.4 pts worse
|
Numerator 40 · Denominator 74 |
| Transfer of health information to provider | 96.97% |
95.95%
1 pts better
|
Numerator 32 · Denominator 33 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 47 · Denominator 47 |
| Resident COVID-19 vaccinations up to date | 33.33% |
25.2%
8.1 pts better
|
Numerator 12 · Denominator 36 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.1 |
2.1
1 pts worse
|
1.9
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 1.7 · Expected 1.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.8 |
1.5
1.3 pts worse
|
1.8
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 1.9 · Expected 1.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.4% |
87.5%
1.9 pts better
|
93.4%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 91.3% · Q2 79.2% · Q3 90.5% · 4Q avg 89.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.8% |
93.5%
2.3 pts better
|
95.5%
0.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.1% |
3.4%
3.7 pts worse
|
3.3%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 8.3% · Q3 9.5% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 14.6% |
17.1%
2.5 pts better
|
11.4%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 27.3% · Q3 20.0% · 4Q avg 14.6% |
| Percentage of long-stay residents who lose too much weight | 12.2% |
6.4%
5.8 pts worse
|
5.4%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 15.0% · 4Q avg 12.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.7% |
17.3%
7.4 pts worse
|
19.6%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 23.8% · Q3 20.0% · 4Q avg 24.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.9% |
19.4%
4.5 pts worse
|
16.7%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.9% · 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% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.9% |
18.4%
4.5 pts worse
|
14.9%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 22.9% · 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% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.5% |
1.7%
0.8 pts worse
|
1.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.5% · Q3 0.0% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.2% |
24.8%
5.4 pts worse
|
19.8%
10.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.7% · Q2 33.7% · 4Q avg 30.2% |
| Percentage of long-stay residents with pressure ulcers | 4.7% |
4.4%
0.3 pts worse
|
5.1%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 6.4% · Q3 6.4% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.0% |
70.5%
18.5 pts better
|
81.7%
7.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 77.5% · Q2 77.8% · Q3 97.2% · Q4 100.0% · 4Q avg 89.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.0% |
11.1%
4.9 pts worse
|
12.0%
4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.0% · Observed 13.2% · Expected 9.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.5%
0.5 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.7% |
69.7%
16 pts better
|
79.7%
6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.8% |
25.0%
5.8 pts worse
|
23.9%
6.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.8% · Observed 23.7% · Expected 18.3% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-11-01
Fire Safety
Provide primary/alternate means for communication.
Corrected 2024-11-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-01
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-06
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-12-18
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-07-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-19
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2023-07-19
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-07-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-07-30
Inspection history
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-05-09
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-01-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-22
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-11-22
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-22
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-11-22
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-12-02
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-11-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-24
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-24
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2023-05-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-12
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 2023-05-12
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-12
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-05-12
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 2023-05-12
Penalties and ownership
Fine · fine $8,018
Fine
Fine · fine $12,854
Fine
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
5% Or Greater Security Interest · Organization
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Nearby options
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