Federal inspection record · CMS data as of October 1, 2026
Water's Edge Center For Health & Rehabilitation
111 Church Street, Middletown, CT · (860) 347-7286
- Cited for abuse (CMS abuse icon)
- Certified beds
- 150
- Residents per day
- 133
- Ownership
- For-Profit
- Chain
- National Health Care Associates
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 29, 1993
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Connecticut.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Connecticut homes
Water's Edge Center For Health & Rehabilitation carries 109.75 inspection points. That is fewer than 22% of Connecticut's 190 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Connecticut: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–29 pts
- 4★ 29–53 pts
- 3★ 53–79 pts
- 2★ 79–116.75 pts
- 1★ over 116.75 pts
Bars show every rated home in Connecticut by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
36 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care9E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide or get specialized rehabilitative services as required for a resident.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide or obtain dental services for each resident.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights8E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- B
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning5D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition and Dietary3E
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service1D
- D
Ensure that residents are free from significant medication errors.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1E
- E
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Inspection history
2026-03-25
14 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2024-07-03
14 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2022-03-03
8 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 40 min of nursing staff time a day, 28 min of it from a registered nurse.
This home
3 h 40 min
Connecticut average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 42% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$91,899 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-05 | Fine | $13,257 |
| 2026-03-05 | Fine | $63,000 |
| 2024-07-03 | Fine | $15,642 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.4 pts better | 0.5 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 1.5 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.1 pts better | 91.2% | 89.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.1 pts better | 93.8% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts worse | 4.7% | 3.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms37.1 pts worse | 62.1% | 25.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.1 pts worse | 8.5% | 6.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.1 pts better | 17.9% | 18.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7 pts better | 10.7% | 17.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.3 pts better | 11.5% | 14.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.8 pts better | 7.9% | 17.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.2 pts better | 14.8% | 24.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 2.4% | 3.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.2 pts worse | 59.3% | 72.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.3 pts better | 9.1% | 10.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better | 0.6% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3 pts worse | 70.0% | 73.0% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.9 pts better | 20.6% | 23.5% | 23.4% |
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Who owns and runs it
11 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| The Harry And Helen Ostreicher Family Trust | 5% Or Greater Direct Ownership Interest · Organization | 17% | 2 facilities |
| Marvin Ostreicher Family Trust 2012 | 5% Or Greater Direct Ownership Interest · Organization | 10% | 20 facilities |
| Susan Ostreicher Family Trust 2012 | 5% Or Greater Direct Ownership Interest · Organization | 10% | 20 facilities |
| Izask Keller S Corp Life Estate Trust Fbo Hymie Keller | 5% Or Greater Direct Ownership Interest · Organization | 8% | 2 facilities |
| Izask Keller S Corp. Life Estate Trust Fbo Perl Brown | 5% Or Greater Direct Ownership Interest · Organization | 8% | 2 facilities |
| Zitter, Agnes | 5% Or Greater Indirect Ownership Interest · Individual | 6% | 8 facilities |
| David Smilovitz Trust | 5% Or Greater Direct Ownership Interest · Organization | 5% | 2 facilities |
| Laufer, Doris | 5% Or Greater Direct Ownership Interest · Individual | 5% | 4 facilities |
| Weberman, Peggy | 5% Or Greater Direct Ownership Interest · Individual | 5% | 2 facilities |
| Ostreicher, Marvin | Corporate Director · Individual | 0% | 34 facilities |
| Rayel, Michael | W-2 Managing Employee · Individual | 0% | 1 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress1D
- D
Have exits that are accessible at all times.
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Other homes nearby
-
Apple Rehab Middletown
Middletown, CT · Apple Rehab · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- —
- Fines
- $0
-
Wadsworth Glen Health Care And Rehabilitation Cent
Middletown, CT · Athena Healthcare Systems · Abuse icon
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 29 min
- Fines
- $0
-
Portland Care & Rehab Centre, INC
Portland, CT
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 54 min
- Fines
- $10,033