Southbury, CT

Pomperaug Woods Health Center

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

Compare this facility

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

Facility snapshot

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

Staffing

Hours and turnover

RN hours / resident day

1.26

Registered nurse staffing

LPN hours / resident day

0.81

Licensed practical nurse staffing

Aide hours / resident day

3.10

Nurse aide staffing

Weekend hours

4.71

Weekend nurse staffing

RN turnover

36%

Annual RN turnover

Total nurse turnover

46%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-16 · Fire 2024-10-16

9 health deficiencies

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)

Cycle 2 Health 2023-04-18 · Fire 2023-04-18

10 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2021-06-08 · Fire 2021-06-08

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-16

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-16

E32 · Emergency Preparedness Deficiencies

Fire Safety

Provide primary/alternate means for communication.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-16

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-10-16

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-12-18

E · Potential for more than minimal harm 2023-04-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-07-19

D · Potential for more than minimal harm 2023-04-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-07-19

D · Potential for more than minimal harm 2023-04-18

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2023-07-19

D · Potential for more than minimal harm 2023-04-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-07-19

D · Potential for more than minimal harm 2021-06-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-07-30

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-05-29

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-05-09

D · Potential for more than minimal harm 2025-01-07

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-01-31

G · Actual harm 2024-10-16

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-22

E · Potential for more than minimal harm 2024-10-16

F812 · Nutrition and Dietary Deficiencies

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

E · Potential for more than minimal harm 2024-10-16

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-11-22

E · Potential for more than minimal harm 2024-10-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-22

E · Potential for more than minimal harm 2024-10-16

F921 · Environmental Deficiencies

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

D · Potential for more than minimal harm 2024-10-16

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-12-02

D · Potential for more than minimal harm 2024-10-16

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-11-22

D · Potential for more than minimal harm 2024-10-16

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-22

G · Actual harm 2024-09-18

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-09-18

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-09-18

F842 · Resident Assessment and Care Planning Deficiencies

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

F · Potential for more than minimal harm 2023-04-18

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2023-05-12

F · Potential for more than minimal harm 2023-04-18

F812 · Nutrition and Dietary Deficiencies

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

E · Potential for more than minimal harm 2023-04-18

F761 · Pharmacy Service Deficiencies

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

D · Potential for more than minimal harm 2023-04-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-04-18

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-05-12

B · Minimal harm 2023-04-18

F578 · Resident Rights Deficiencies

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

What sits behind the stars

$8,018 2024-09-18

Fine

Fine · fine $8,018

Fine

$12,854 2024-09-18

Fine

Fine · fine $12,854

Fine

Ownership

Connery, Jane

Corporate Director · Individual

0% 1 facilities 2012-01-01
Connery, Jane

Corporate Officer · Individual

0% 1 facilities 2021-01-25
Edelson, Christine

Corporate Director · Individual

0% 1 facilities 2022-03-01
Gyba, Vicki

Operational/Managerial Control · Individual

0% 1 facilities 2024-06-24
Jedlinsky, Helena

Corporate Director · Individual

0% 1 facilities 2019-12-10
Life Care Services LLC

Operational/Managerial Control · Organization

0% 61 facilities 1988-05-01
Lukos, Greg

Corporate Director · Individual

0% 1 facilities 2024-02-01
Lukos, Greg

Corporate Officer · Individual

0% 1 facilities 2024-02-01
Mihalcik, Matthew

Corporate Director · Individual

0% 1 facilities 2018-12-01
Mihalcik, Matthew

Corporate Officer · Individual

0% 1 facilities 2025-01-01
Monahan, Patrick

Corporate Director · Individual

0% 1 facilities 2023-10-01
Newtown Savings Bank

5% Or Greater Security Interest · Organization

0% 1 facilities 2020-06-05
Newtown Savings Bank

5% Or Greater Mortgage Interest · Organization

0% 1 facilities 2020-06-05
Raad, Marc

Operational/Managerial Control · Individual

0% 5 facilities 2021-07-01
Schwarzchild, Karen

Corporate Director · Individual

0% 1 facilities 2024-02-01
Vas, Antonio

Corporate Director · Individual

0% 1 facilities 2021-05-01
Wnuck, Mary

Corporate Director · Individual

0% 1 facilities 2017-02-07
Wnuck, Mary

Corporate Officer · Individual

0% 1 facilities 2021-01-25

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