15 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Southbury, CT
4-star overall rating with 4-star inspections with 15 recent health deficiencies
162 South Britain Rd, Southbury, CT
(203) 264-9600
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
108
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Careone
Operator or chain grouping
Approved since
1974-03-31
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
37 facilities
Chain averages 3 overall / 3 health / 3 staffing / 5 quality stars
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
0.77
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.83
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
2.20
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
3.80
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.60
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
0.54
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
0.79
CMS adjusted RN staffing hours
Adjusted total hours
3.90
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
22%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
1,809
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
53.87
Composite VBP score used to determine payment impact.
Payment multiplier
1.0086
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.71
Baseline 18.46% · Performance 18.78% · Measure score 5.71 · Achievement 5.71 · Improvement 0
Healthcare-associated infections
4.50
Baseline 4.55% · Performance 6.49% · Measure score 4.50 · Achievement 4.50 · Improvement 0
Total nurse turnover
8.80
Baseline 41.51% · Performance 27.72% · Measure score 8.80 · Achievement 8.80 · Improvement 7.78
Adjusted total nurse staffing
2.53
Baseline 3.53 hours · Performance 3.80 hours · Measure score 2.53 · Achievement 2.53 · Improvement 0.67
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.67% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 499 · Observed rate 10.42% · Lower 95% interval 8.34% |
| Discharge to community | 63.52% |
50.57%
13 pts better
|
Better than the National Rate · Eligible stays 517 · Observed rate 57.64% · Lower 95% interval 59.03% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 96.37% |
95.27%
1.1 pts better
|
Numerator 319 · Denominator 331 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 331 |
| Discharge self-care score | 41.41% |
53.69%
12.3 pts worse
|
Numerator 106 · Denominator 256 |
| Discharge mobility score | 51.56% |
50.94%
0.6 pts better
|
Numerator 132 · Denominator 256 |
| Pressure ulcers or injuries, new or worsened | 1.81% |
2.29%
0.5 pts better
|
Numerator 6 · Denominator 331 · Adjusted rate 2.19% |
| Healthcare-associated infections requiring hospitalization | 6.49% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 301 · Observed rate 5.98% · Lower 95% interval 4.42% |
| Staff COVID-19 vaccination coverage | 4.33% |
8.2%
3.9 pts worse
|
Numerator 9 · Denominator 208 |
| Staff flu vaccination coverage | 38.77% |
42%
3.2 pts worse
|
Numerator 176 · Denominator 454 |
| Discharge function score | 51.95% |
56.45%
4.5 pts worse
|
Numerator 133 · Denominator 256 |
| Transfer of health information to provider | 96.39% |
95.95%
0.4 pts better
|
Numerator 80 · Denominator 83 |
| Transfer of health information to patient | 99.07% |
96.28%
2.8 pts better
|
Numerator 212 · Denominator 214 |
| Resident COVID-19 vaccinations up to date | 10.18% |
25.2%
15 pts worse
|
Numerator 17 · Denominator 167 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
2.1
0.8 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.2 |
1.5
1.3 pts better
|
1.8
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.6% |
87.5%
3.1 pts better
|
93.4%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 91.5% · Q2 91.8% · Q3 90.3% · Q4 88.7% · 4Q avg 90.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.4% |
93.5%
3.9 pts better
|
95.5%
1.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.1% |
3.4%
1.3 pts better
|
3.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 2.8% · Q4 4.2% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.7% |
17.1%
16.4 pts better
|
11.4%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.9% · 4Q avg 0.7% |
| Percentage of long-stay residents who lose too much weight | 5.2% |
6.4%
1.2 pts better
|
5.4%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 7.0% · Q3 7.6% · Q4 3.2% · 4Q avg 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.4% |
17.3%
6.9 pts better
|
19.6%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 11.3% · Q3 10.6% · Q4 12.7% · 4Q avg 10.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.7% |
19.4%
0.3 pts worse
|
16.7%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 17.7% · Q3 24.1% · Q4 17.5% · 4Q avg 19.7% · 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 | 25.1% |
18.1%
7 pts worse
|
16.3%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.8% · Q2 25.4% · Q3 28.9% · Q4 21.0% · 4Q avg 25.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.4% |
18.4%
1 pts better
|
14.9%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 17.4% · Q3 21.5% · Q4 12.9% · 4Q avg 17.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.2% |
0.9%
1.3 pts worse
|
1.0%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.2% · Q3 2.3% · Q4 4.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.2% |
1.7%
3.5 pts worse
|
1.7%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 8.2% · Q3 5.6% · Q4 1.4% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.3% |
24.8%
5.5 pts worse
|
19.8%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.4% · Q2 32.1% · Q3 29.8% · Q4 28.8% · 4Q avg 30.3% |
| Percentage of long-stay residents with pressure ulcers | 4.4% |
4.4%
About the same
|
5.1%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.2% · Q3 3.9% · Q4 4.9% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 56.5% |
70.5%
14 pts worse
|
81.7%
25.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 62.4% · Q2 59.7% · Q3 56.8% · Q4 45.6% · 4Q avg 56.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.1% |
11.1%
About the same
|
12.0%
0.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.1% · Observed 9.7% · Expected 9.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.5%
0.9 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.5% · Q3 0.0% · Q4 0.5% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 57.5% |
69.7%
12.2 pts worse
|
79.7%
22.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 57.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.0% |
25.0%
About the same
|
23.9%
1.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.0% · Observed 23.1% · Expected 22.0% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Pharmacy Service (1 deficiency)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-12-27
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 2021-11-09
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2021-11-09
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-11-09
Inspection history
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-10-01
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 2025-10-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-10-01
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 2025-10-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-10-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-10-01
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-01
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-10-01
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-10-01
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-08-14
Health
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected 2025-06-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-08-14
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-08-14
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-01
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-01-31
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-01-31
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-01-31
Health
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2024-01-31
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-10-05
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2021-10-05
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-10-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-10-05
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-10-05
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2021-10-05
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-10-05
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2021-10-05
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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
Southbury, CT
3-star overall rating with 3-star inspections with 13 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Newtown, CT
2-star overall rating with 2-star inspections with $94,954 in total fines with 6 recent health deficiencies
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