Cycle 1
Health 2024-12-04 · Fire 2024-12-04
10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Hamden, CT
Whitney Center
4-star overall rating with 3-star inspections with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
200 Leeder Hill Dr, Hamden, CT
(203) 281-6745
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
59
Certified beds
Average residents
29
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1979-01-04
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
1.34
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.67
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
2.10
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
4.11
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
2.01
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
3.42
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
1.02
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.24
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.38
CMS adjusted RN staffing hours
Adjusted total hours
4.21
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
8%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
59
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
90.75
Composite VBP score used to determine payment impact.
Payment multiplier
1.0273
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 20.34% · Performance 16.62% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
8.12
Baseline 6.25% · Performance 5.41% · Measure score 8.12 · Achievement 8.12 · Improvement 6.22
Total nurse turnover
9.10
Baseline 33.33% · Performance 26.47% · Measure score 9.10 · Achievement 9.10 · Improvement 7.59
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.2% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 115 · Observed rate 4.35% · Lower 95% interval 6.04% |
| Discharge to community | 72.97% |
50.57%
22.4 pts better
|
Better than the National Rate · Eligible stays 109 · Observed rate 75.23% · Lower 95% interval 65.2% |
| Medicare spending per beneficiary | 0.57 |
1.02
0.5 pts better
|
|
| Drug regimen review with follow-up | 98.48% |
95.27%
3.2 pts better
|
Numerator 65 · Denominator 66 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 66 |
| Discharge self-care score | 55.36% |
53.69%
1.7 pts better
|
Numerator 31 · Denominator 56 |
| Discharge mobility score | 46.43% |
50.94%
4.5 pts worse
|
Numerator 26 · Denominator 56 |
| Pressure ulcers or injuries, new or worsened | 3.03% |
2.29%
0.7 pts worse
|
Numerator 2 · Denominator 66 · Adjusted rate 3.39% |
| Healthcare-associated infections requiring hospitalization | 5.41% |
7.12%
1.7 pts better
|
No Different than the National Rate · Eligible stays 65 · Observed rate 0% · Lower 95% interval 2.94% |
| Staff COVID-19 vaccination coverage | 7.02% |
8.2%
1.2 pts worse
|
Numerator 4 · Denominator 57 |
| Staff flu vaccination coverage | 12.86% |
42%
29.1 pts worse
|
Numerator 9 · Denominator 70 |
| Discharge function score | 60.71% |
56.45%
4.3 pts better
|
Numerator 34 · Denominator 56 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 54 · Denominator 54 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 57.58% |
25.2%
32.4 pts better
|
Numerator 19 · Denominator 33 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.5% |
87.5%
1 pts worse
|
93.4%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 86.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.9% |
3.4%
1.5 pts better
|
3.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.9% · 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 | 2.4% |
6.4%
4 pts better
|
5.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.9% |
17.3%
5.4 pts better
|
19.6%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 44.8% |
19.4%
25.4 pts worse
|
16.7%
28.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 44.8% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 38.2% |
18.4%
19.8 pts worse
|
14.9%
23.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 38.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
1.7%
0.3 pts worse
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.2% |
24.8%
3.4 pts worse
|
19.8%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 28.2% |
| Percentage of long-stay residents with pressure ulcers | 15.7% |
4.4%
11.3 pts worse
|
5.1%
10.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.1% |
70.5%
15.6 pts better
|
81.7%
4.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.5% · Q2 91.8% · Q3 86.3% · Q4 74.0% · 4Q avg 86.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.1% |
11.1%
5 pts better
|
12.0%
5.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.1% · Observed 5.4% · Expected 9.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.0% |
69.7%
17.3 pts better
|
79.7%
7.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.7% |
25.0%
3.7 pts worse
|
23.9%
4.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.7% · Observed 25.0% · Expected 20.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-09-07 · Fire 2022-09-07
7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2019-09-19 · Fire 2019-09-19
13 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-12-04
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-10
D · Potential for more than minimal harm
2022-09-07
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-10-18
D · Potential for more than minimal harm
2022-09-07
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-10-18
D · Potential for more than minimal harm
2022-09-07
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-18
D · Potential for more than minimal harm
2022-09-07
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-10-18
D · Potential for more than minimal harm
2022-09-07
K927 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2022-10-18
E · Potential for more than minimal harm
2019-09-19
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-10-28
D · Potential for more than minimal harm
2019-09-19
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-10-28
D · Potential for more than minimal harm
2019-09-19
K364 · Smoke Deficiencies
Fire Safety
Install properly constructed windows in hallway walls or doors.
Corrected 2019-10-28
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-12-04
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-01-15
E · Potential for more than minimal harm
2024-12-04
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 2025-01-15
E · Potential for more than minimal harm
2024-12-04
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 2025-01-15
D · Potential for more than minimal harm
2024-12-04
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 2025-01-15
D · Potential for more than minimal harm
2024-12-04
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-01-15
D · Potential for more than minimal harm
2024-12-04
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-01-15
D · Potential for more than minimal harm
2024-12-04
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-01-15
D · Potential for more than minimal harm
2024-12-04
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-15
D · Potential for more than minimal harm
2024-12-04
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 2025-01-15
D · Potential for more than minimal harm
2024-12-04
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-01-15
E · Potential for more than minimal harm
2022-09-07
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2022-10-24
D · Potential for more than minimal harm
2022-09-07
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 2022-09-30
D · Potential for more than minimal harm
2022-09-07
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-09-30
D · Potential for more than minimal harm
2022-09-07
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-09-30
D · Potential for more than minimal harm
2022-09-07
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 2022-09-30
D · Potential for more than minimal harm
2022-09-07
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 2022-09-30
D · Potential for more than minimal harm
2022-09-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-09-30
E · Potential for more than minimal harm
2019-09-19
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2019-10-31
E · Potential for more than minimal harm
2019-09-19
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 2019-10-31
D · Potential for more than minimal harm
2019-09-19
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2019-10-31
D · Potential for more than minimal harm
2019-09-19
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2019-10-31
D · Potential for more than minimal harm
2019-09-19
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2019-10-31
D · Potential for more than minimal harm
2019-09-19
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2019-10-31
D · Potential for more than minimal harm
2019-09-19
F659 · Resident Assessment and Care Planning Deficiencies
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2019-10-31
D · Potential for more than minimal harm
2019-09-19
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 2019-10-31
D · Potential for more than minimal harm
2019-09-19
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2019-10-31
D · Potential for more than minimal harm
2019-09-19
F756 · Pharmacy Service Deficiencies
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 2019-10-31
D · Potential for more than minimal harm
2019-09-19
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 2019-10-31
D · Potential for more than minimal harm
2019-09-19
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2019-10-31
B · Minimal harm
2019-09-19
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2019-10-31
Penalties and ownership
What sits behind the stars
Ownership
Devaney, Jeff
Corporate Officer · Individual
Jervis, Jane
Corporate Director · Individual
Joyce, Margaret
Corporate Officer · Individual
Matist, Anne
W-2 Managing Employee · Individual
Rambarose, Micahel
Corporate Officer · Individual
Rambarose, Micahel
W-2 Managing Employee · Individual
Sandberg, Kenneth
Operational/Managerial Control · Individual
Sandberg, Kenneth
Corporate Officer · Individual
Santore, Anthony
Corporate Director · Individual
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1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $110,546 in total fines with 32 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
#3
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5-star overall rating with 4-star inspections with 8 recent health deficiencies
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