Cycle 1
Health 2025-11-18 · Fire 2025-11-18
7 health deficiencies
Top issue: Resident Rights (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
New Canaan, CT
Waveny Care Center
5-star overall rating with 5-star inspections with 5 recent health deficiencies
3 Farm Road, New Canaan, CT
(203) 594-5200
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
106
Certified beds
Average residents
71
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1991-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
Hours and turnover
RN hours / resident day
1.35
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
2.77
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
4.83
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
2.07
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
3.99
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.78
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
1.29
CMS adjusted RN staffing hours
Adjusted total hours
4.64
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
5%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
829
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
63.19
Composite VBP score used to determine payment impact.
Payment multiplier
1.0180
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.21
Baseline 24.24% · Performance 20.12% · Measure score 5.21 · Achievement 2.83 · Improvement 5.21
Healthcare-associated infections
4.29
Baseline 6.17% · Performance 6.55% · Measure score 4.29 · Achievement 4.29 · Improvement 0
Total nurse turnover
10
Baseline 15.52% · Performance 22.62% · Measure score 10 · Achievement 10 · Improvement 0
Adjusted total nurse staffing
5.78
Baseline 4.97 hours · Performance 4.72 hours · Measure score 5.78 · Achievement 5.78 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.5% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 493 · Observed rate 7.1% · Lower 95% interval 7.32% |
| Discharge to community | 68.05% |
50.57%
17.5 pts better
|
Better than the National Rate · Eligible stays 540 · Observed rate 64.81% · Lower 95% interval 63.91% |
| Medicare spending per beneficiary | 1.15 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.3% |
95.27%
3 pts better
|
Numerator 347 · Denominator 353 |
| Falls with major injury | 1.13% |
0.77%
0.4 pts worse
|
Numerator 4 · Denominator 353 |
| Discharge self-care score | 60.78% |
53.69%
7.1 pts better
|
Numerator 155 · Denominator 255 |
| Discharge mobility score | 75.69% |
50.94%
24.8 pts better
|
Numerator 193 · Denominator 255 |
| Pressure ulcers or injuries, new or worsened | 1.13% |
2.29%
1.2 pts better
|
Numerator 4 · Denominator 353 · Adjusted rate 1.31% |
| Healthcare-associated infections requiring hospitalization | 6.55% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 332 · Observed rate 5.12% · Lower 95% interval 4.71% |
| Staff COVID-19 vaccination coverage | 10.38% |
8.2%
2.2 pts better
|
Numerator 22 · Denominator 212 |
| Staff flu vaccination coverage | 62.41% |
42%
20.4 pts better
|
Numerator 176 · Denominator 282 |
| Discharge function score | 70.2% |
56.45%
13.8 pts better
|
Numerator 179 · Denominator 255 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 86 · Denominator 86 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 240 · Denominator 240 |
| Resident COVID-19 vaccinations up to date | 33.87% |
25.2%
8.7 pts better
|
Numerator 63 · Denominator 186 |
Quality measures
Resident outcomes and process scores
| 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 1.4 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.5
0.2 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
87.5%
11.8 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.3% |
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
3.4%
0.7 pts better
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.4% · Q3 0.0% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star |
| 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 · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 1.9% |
6.4%
4.5 pts better
|
5.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.0% |
17.3%
5.3 pts better
|
19.6%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 11.1% · Q3 10.3% · Q4 11.1% · 4Q avg 12.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 29.7% |
19.4%
10.3 pts worse
|
16.7%
13 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.8% · Q3 24.0% · Q4 32.0% · 4Q avg 29.7% · 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 | 10.9% |
18.1%
7.2 pts better
|
16.3%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.3% |
18.4%
4.1 pts better
|
14.9%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 19.0% · Q3 8.7% · Q4 9.1% · 4Q avg 14.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.9%
0.2 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.8% |
1.7%
1.1 pts worse
|
1.7%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.1% · Q3 2.9% · Q4 0.0% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.8% |
24.8%
9 pts better
|
19.8%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 14.6% · Q3 24.1% · Q4 7.9% · 4Q avg 15.8% |
| Percentage of long-stay residents with pressure ulcers | 2.7% |
4.4%
1.7 pts better
|
5.1%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 3.2% · Q3 2.1% · Q4 3.6% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
70.5%
27.6 pts better
|
81.7%
16.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 97.7% · Q3 97.7% · Q4 98.6% · 4Q avg 98.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.4% |
11.1%
4.7 pts better
|
12.0%
5.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.4% · Observed 5.7% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.5%
0.7 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 0.7% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.7% |
69.7%
29 pts better
|
79.7%
19 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.0% |
25.0%
4 pts better
|
23.9%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.0% · Observed 16.9% · Expected 19.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-12 · Fire 2024-01-12
7 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
5 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Cycle 3
Health 2021-09-21 · Fire 2021-09-21
1 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-01-12
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 2024-02-16
D · Potential for more than minimal harm
2024-01-12
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-02-16
D · Potential for more than minimal harm
2024-01-12
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-02-16
D · Potential for more than minimal harm
2024-01-12
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-02-16
D · Potential for more than minimal harm
2024-01-12
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-02-16
D · Potential for more than minimal harm
2021-09-21
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-12-03
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-11-18
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-12-30
D · Potential for more than minimal harm
2025-11-18
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 2025-12-30
D · Potential for more than minimal harm
2025-11-18
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 2025-12-30
D · Potential for more than minimal harm
2025-11-18
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-12-30
D · Potential for more than minimal harm
2025-11-18
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-12-30
D · Potential for more than minimal harm
2025-11-18
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 2025-12-30
D · Potential for more than minimal harm
2025-11-18
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-12-30
D · Potential for more than minimal harm
2024-01-12
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-01-31
D · Potential for more than minimal harm
2024-01-12
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-01-31
D · Potential for more than minimal harm
2024-01-12
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 2024-01-31
D · Potential for more than minimal harm
2024-01-12
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-31
D · Potential for more than minimal harm
2024-01-12
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-01-31
D · Potential for more than minimal harm
2024-01-12
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 2024-01-31
D · Potential for more than minimal harm
2024-01-12
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-01-31
D · Potential for more than minimal harm
2021-09-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-10-08
Penalties and ownership
What sits behind the stars
Ownership
Baldwin, Kenneth
Corporate Officer · Individual
Barksdale, Russell
Corporate Officer · Individual
Blair, Marian
Corporate Officer · Individual
Hunt, David
Corporate Officer · Individual
Karl, Leo
Corporate Officer · Individual
Marsico, Peter
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
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Villa At Stamford, The
Stamford, CT
5-star overall rating with 4-star inspections with 9 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Norwalk Care Center
Norwalk, CT
1-star overall rating with 1-star inspections with abuse icon flag with $198,225 in total fines with 13 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Notre Dame Health And Rehabilitation Center
Norwalk, CT
4-star overall rating with 4-star inspections with 8 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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