14 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Bristol, CT
2-star overall rating with 2-star inspections with $27,846 in total fines with 14 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
321 Stonecrest Drive, Bristol, CT
(860) 583-1827
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
146
Certified beds
Average residents
90
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Athena Healthcare Systems
Operator or chain grouping
Approved since
1991-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
24 facilities
Chain averages 2 overall / 2 health / 3 staffing / 3 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
0.52
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.09
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
2.03
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
3.65
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.62
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
3.30
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.58
CMS adjusted RN staffing hours
Adjusted total hours
4.03
CMS adjusted total nurse staffing hours
Case-mix index
1.24
Higher values indicate more complex resident acuity
RN turnover
59%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
5,854
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.81
Composite VBP score used to determine payment impact.
Payment multiplier
0.9886
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.16% · Performance 21.50% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
4.78
Baseline 6.17% · Performance 6.41% · Measure score 4.78 · Achievement 4.78 · Improvement 0
Total nurse turnover
7.11
Baseline 52.11% · Performance 34.62% · Measure score 7.11 · Achievement 7.11 · Improvement 5.92
Adjusted total nurse staffing
2.03
Baseline 3.42 hours · Performance 3.66 hours · Measure score 2.03 · Achievement 2.03 · Improvement 0.50
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.78% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 100 · Observed rate 11% · Lower 95% interval 7.09% |
| Discharge to community | 51.03% |
50.57%
0.5 pts better
|
No Different than the National Rate · Eligible stays 79 · Observed rate 48.1% · Lower 95% interval 42.33% |
| Medicare spending per beneficiary | 0.95 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 41 · Denominator 41 |
| Falls with major injury | 2.44% |
0.77%
1.7 pts worse
|
Numerator 1 · Denominator 41 |
| Discharge self-care score | 56% |
53.69%
2.3 pts better
|
Numerator 14 · Denominator 25 |
| Discharge mobility score | 68% |
50.94%
17.1 pts better
|
Numerator 17 · Denominator 25 |
| Pressure ulcers or injuries, new or worsened | 4.88% |
2.29%
2.6 pts worse
|
Numerator 2 · Denominator 41 · Adjusted rate 4.3% |
| Healthcare-associated infections requiring hospitalization | 6.41% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 53 · Observed rate 3.77% · Lower 95% interval 3.34% |
| Staff COVID-19 vaccination coverage | 0.75% |
8.2%
7.4 pts worse
|
Numerator 2 · Denominator 268 |
| Staff flu vaccination coverage | 39.18% |
42%
2.8 pts worse
|
Numerator 76 · Denominator 194 |
| Discharge function score | 64% |
56.45%
7.5 pts better
|
Numerator 16 · Denominator 25 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 24 · Denominator 24 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.1
0.2 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.0 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
1.5
0.5 pts worse
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.1 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.7% |
87.5%
8.2 pts better
|
93.4%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.3% · Q2 96.2% · Q3 92.4% · Q4 97.6% · 4Q avg 95.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.5% |
93.5%
4 pts better
|
95.5%
2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.1% |
3.4%
1.7 pts worse
|
3.3%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 4.7% · Q3 4.3% · Q4 3.5% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.9% |
17.1%
12.2 pts better
|
11.4%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 0.0% · Q3 3.8% · Q4 10.1% · 4Q avg 4.9% |
| Percentage of long-stay residents who lose too much weight | 7.1% |
6.4%
0.7 pts worse
|
5.4%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 9.6% · Q3 8.4% · Q4 2.6% · 4Q avg 7.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.3% |
17.3%
13 pts worse
|
19.6%
10.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q2 26.3% · Q3 33.3% · Q4 28.6% · 4Q avg 30.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.6% |
19.4%
1.2 pts worse
|
16.7%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 22.4% · Q3 25.5% · Q4 17.6% · 4Q avg 20.6% · 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 | 26.6% |
18.1%
8.5 pts worse
|
16.3%
10.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.9% · Q2 20.1% · Q3 23.7% · Q4 30.0% · 4Q avg 26.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.7% |
18.4%
3.7 pts better
|
14.9%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 11.0% · Q3 15.0% · Q4 12.3% · 4Q avg 14.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% |
0.9%
0.9 pts worse
|
1.0%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.9% · Q3 1.9% · Q4 0.9% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
1.7%
0.4 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.9% · Q3 0.0% · Q4 1.2% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.4% |
24.8%
0.4 pts better
|
19.8%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 24.9% · Q3 21.4% · Q4 26.3% · 4Q avg 24.4% |
| Percentage of long-stay residents with pressure ulcers | 5.1% |
4.4%
0.7 pts worse
|
5.1%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 5.3% · Q3 9.7% · Q4 4.1% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 57.5% |
70.5%
13 pts worse
|
81.7%
24.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 54.8% · Q2 54.7% · Q4 64.3% · 4Q avg 57.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.3% |
11.1%
1.2 pts worse
|
12.0%
0.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.3% · Observed 13.0% · Expected 11.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.9% |
1.5%
5.4 pts worse
|
1.6%
5.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 6.1% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 53.8% |
69.7%
15.9 pts worse
|
79.7%
25.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 53.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 40.9% |
25.0%
15.9 pts worse
|
23.9%
17 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 40.9% · Observed 39.1% · Expected 22.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Freedom from Abuse and Neglect and Exploitation (8 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-06-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-06-06
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-06-06
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-01-06
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Not marked corrected
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Not marked corrected
Health
Provide safe, appropriate pain management for a resident who requires such services.
Not marked corrected
Health
Observe each nurse aide's job performance and give regular training.
Not marked corrected
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-07
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-07
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 2025-03-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-17
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-02-08
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-12-20
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-10-09
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-09
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-04
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-08-04
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-04
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-08-04
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-07-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-22
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 2024-05-24
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-06-03
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-24
Health
Respond appropriately to all alleged violations.
Corrected 2024-05-24
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-24
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-24
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-05-24
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-24
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-05-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-29
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-04-29
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-04-21
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-04-21
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-01-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-01-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-01-16
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-01-16
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2022-01-16
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-01-16
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-01-16
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-01-16
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2019-08-22
Health
Provide or obtain dental services for each resident.
Corrected 2019-08-22
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-08-22
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2019-08-22
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2019-08-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-08-22
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-08-22
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2019-08-22
Penalties and ownership
Payment Denial · denial start 2024-10-03 · 6 days
6 day denial
Fine · fine $27,846
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Nearby options
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Bristol, CT
3-star overall rating with 3-star inspections with $29,950 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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