West Hartford, CT

Saint Mary Home

3-star overall rating with 2-star inspections with abuse icon flag with 7 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

2021 Albany Ave, West Hartford, CT

(860) 570-8200

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

256

Certified beds

Average residents

194

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Trinity Health

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.66

Registered nurse staffing

LPN hours / resident day

0.81

Licensed practical nurse staffing

Aide hours / resident day

2.30

Nurse aide staffing

Weekend hours

3.42

Weekend nurse staffing

RN turnover

14%

Annual RN turnover

Total nurse turnover

19%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

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
Number of outpatient emergency department visits per 1000 long-stay resident days 1.6
1.5
0.1 pts worse
1.8
0.2 pts better
Long Stay · 20240701-20250630
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
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
93.5%
6.5 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.3%
3.4%
0.1 pts better
3.3%
About the same
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who lose too much weight 3.7%
6.4%
2.7 pts better
5.4%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.0%
17.3%
6.3 pts better
19.6%
8.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 11.3%
19.4%
8.1 pts better
16.7%
5.4 pts better
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 ability to walk independently worsened 15.7%
18.1%
2.4 pts better
16.3%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 18.7%
18.4%
0.3 pts worse
14.9%
3.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.9%
0.9%
About the same
1.0%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.6%
1.7%
0.1 pts better
1.7%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.5%
24.8%
0.7 pts worse
19.8%
5.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.0%
4.4%
1.4 pts better
5.1%
2.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
70.5%
28.7 pts better
81.7%
17.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 9.1%
11.1%
2 pts better
12.0%
2.9 pts better
Short Stay · 20240701-20250630
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
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 99.4%
69.7%
29.7 pts better
79.7%
19.7 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 16.5%
25.0%
8.5 pts better
23.9%
7.4 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-12 · Fire 2024-11-12

8 health deficiencies

Top issue: Infection Control (2 deficiencies)

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 2 Health 2022-02-16 · Fire 2022-02-16

11 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

5 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 3 Health 2019-07-25 · Fire 2019-07-25

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-11-12

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-11-07

D · Potential for more than minimal harm 2024-11-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-11

D · Potential for more than minimal harm 2024-11-12

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-01-03

D · Potential for more than minimal harm 2024-11-12

K902 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.

Corrected 2024-12-11

D · Potential for more than minimal harm 2024-11-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-12-11

D · Potential for more than minimal harm 2024-11-12

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-12-17

D · Potential for more than minimal harm 2024-11-12

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2024-12-11

E · Potential for more than minimal harm 2022-02-16

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2022-02-24

E · Potential for more than minimal harm 2022-02-16

K223 · Egress Deficiencies

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 2022-02-24

E · Potential for more than minimal harm 2022-02-16

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-02-24

E · Potential for more than minimal harm 2022-02-16

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2022-02-24

D · Potential for more than minimal harm 2022-02-16

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-02-24

D · Potential for more than minimal harm 2019-07-25

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2019-09-04

D · Potential for more than minimal harm 2019-07-25

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2019-09-04

D · Potential for more than minimal harm 2019-07-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-09-04

D · Potential for more than minimal harm 2019-07-25

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2019-09-04

D · Potential for more than minimal harm 2019-07-25

K700 · Miscellaneous Deficiencies

Fire Safety

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2019-09-04

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-19

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 2025-11-26

F · Potential for more than minimal harm 2024-11-12

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2024-12-20

E · Potential for more than minimal harm 2024-11-12

F572 · Resident Rights Deficiencies

Health

Give residents a notice of rights, rules, services and charges.

Corrected 2024-12-20

E · Potential for more than minimal harm 2024-11-12

F603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Corrected 2024-12-20

E · Potential for more than minimal harm 2024-11-12

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 2024-12-20

E · Potential for more than minimal harm 2024-11-12

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-11-12

F657 · Resident Assessment and Care Planning Deficiencies

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 2024-12-20

D · Potential for more than minimal harm 2024-11-12

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-09-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-10-16

D · Potential for more than minimal harm 2024-09-10

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 2024-10-16

D · Potential for more than minimal harm 2024-08-08

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-09-09

D · Potential for more than minimal harm 2024-06-11

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 2024-07-12

D · Potential for more than minimal harm 2024-01-26

F657 · Resident Assessment and Care Planning Deficiencies

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 2024-03-15

G · Actual harm 2022-02-16

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2022-03-28

E · Potential for more than minimal harm 2022-02-16

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2022-03-28

E · Potential for more than minimal harm 2022-02-16

F807 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Corrected 2022-03-28

E · Potential for more than minimal harm 2022-02-16

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 2022-03-28

D · Potential for more than minimal harm 2022-02-16

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2022-03-28

D · Potential for more than minimal harm 2022-02-16

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 2022-03-28

D · Potential for more than minimal harm 2022-02-16

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2022-03-28

D · Potential for more than minimal harm 2019-07-25

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2019-08-30

D · Potential for more than minimal harm 2019-07-25

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2019-08-30

D · Potential for more than minimal harm 2019-07-25

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 2019-08-30

D · Potential for more than minimal harm 2019-07-25

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 2019-08-30

Penalties and ownership

What sits behind the stars

Ownership

Mercy Community Health Inc.

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 1997-01-01
Bowens, Marcus

Corporate Officer · Individual

0% 9 facilities 2022-03-01
Demaida, Rachael

W-2 Managing Employee · Individual

0% 2 facilities 2022-01-01
Hamilton-Crawford, Janice

Corporate Director · Individual

0% 4 facilities 2022-01-01
Hamilton-Crawford, Janice

Corporate Officer · Individual

0% 4 facilities 2022-06-05
Johnson, Patrick

Corporate Director · Individual

0% 2 facilities 2011-12-31
Kane, Ann

Corporate Director · Individual

0% 1 facilities 2022-01-01
Latovick, Pamela

Corporate Director · Individual

0% 9 facilities 2016-07-01
Latovick, Pamela

W-2 Managing Employee · Individual

0% 9 facilities 2016-07-01
Mckeon, Patricia

Corporate Director · Individual

0% 1 facilities 2022-01-01
Murphy, Peter

Corporate Director · Individual

0% 1 facilities 2013-05-31
Raman, Shyamala

Corporate Director · Individual

0% 1 facilities 2022-01-01
Singh, Gagandeep

Corporate Director · Individual

0% 1 facilities 2022-01-01
Trinity Continuing Care Services

5% Or Greater Indirect Ownership Interest · Organization

0% 11 facilities 2016-07-01
Trinity Health Corporation

5% Or Greater Indirect Ownership Interest · Organization

0% 16 facilities 2013-05-01
Walker, Mark

Corporate Director · Individual

0% 2 facilities 2011-05-31

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