CIVITA CARE CENTER AT CHESHIRE
745 HIGHLAND AVENUE, CHESHIRE, CT 06410 · CCN 075222
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 76.3
- Phone
- 2032727285
Inspection history vs Connecticut & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Connecticut avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-15 | 17 | 13.3 | 9.5 | +3.7 worse |
| 2 | 2022-09-26 | 14 | 13.2 | 9.8 | +0.8 worse |
| 3 | 2019-12-05 | 18 | 8.6 | 9.3 | +9.4 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 5 |
| Resident assessment and care planning | 1 |
| Resident rights | 5 |
| Nutrition and dietary | 2 |
| Administration | 1 |
| Infection control | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.65 | — |
| RN staffing (reported) | 0.63 | — |
| Total nurse staffing (adjusted) | 4.14 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- CIVITA CARE CENTERS
- Facilities in chain
- 6
- Chain avg overall
- 1.80 / 5
Inspection citations (49)1 actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-06 · Health · corrected 2025-01-20
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-01-30 · Health · corrected 2025-03-01
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-30 · Health · corrected 2025-03-01
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-15 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2025-01-15 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0572Give residents a notice of rights, rules, services and charges.2025-01-15 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0578Honor 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.2025-01-15 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-01-15 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-01-15 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-15 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-15 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-01-15 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-15 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-01-15 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-01-15 · Health · corrected 2025-02-19
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-15 · Health · corrected 2025-02-19
Potential for more than minimal harm
- BF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2025-01-15 · Health · corrected 2025-02-19
Potential for minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-01-15 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-01-15 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0887Educate 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.2025-01-15 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-11-15 · Health · corrected 2023-11-15
Potential for more than minimal harm
- DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2022-09-26 · Health · corrected 2022-11-04
Potential for more than minimal harm
- EF0584Honor 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.2022-09-26 · Health · corrected 2022-11-04
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-09-26 · Health · corrected 2022-11-04
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-09-26 · Health · corrected 2022-11-04
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2022-09-26 · Health · corrected 2022-11-04
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-09-26 · Health · corrected 2022-11-04
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-09-26 · Health · corrected 2022-11-04
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-09-26 · Health · corrected 2022-10-04
Actual harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-09-26 · Health · corrected 2022-11-04
Potential for more than minimal harm
- DF0761Ensure 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.2022-09-26 · Health · corrected 2022-09-27
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2022-09-26 · Health · corrected 2022-11-07
Potential for more than minimal harm
- CF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-12-05 · Health · corrected 2019-12-28
Potential for minimal harm
- BF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2019-12-05 · Health · corrected 2019-12-28
Potential for minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2019-12-05 · Health · corrected 2019-12-28
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2019-12-05 · Health · corrected 2019-12-28
Potential for more than minimal harm
- DF0624Prepare residents for a safe transfer or discharge from the nursing home.2019-12-05 · Health · corrected 2019-12-28
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-12-05 · Health · corrected 2019-12-28
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-12-05 · Health · corrected 2019-12-28
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2019-12-05 · Health · corrected 2019-12-28
Potential for more than minimal harm
- DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2019-12-05 · Health · corrected 2019-12-28
Potential for more than minimal harm
- DF0758Implement 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.2019-12-05 · Health · corrected 2019-12-28
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2019-12-05 · Health · corrected 2019-12-28
Potential for more than minimal harm
- DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2019-12-05 · Health · corrected 2019-12-28
Potential for more than minimal harm
- DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2019-12-05 · Health · corrected 2019-12-28
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-12-05 · Health · corrected 2019-12-28
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-12-05 · Health · corrected 2019-12-28
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2019-12-05 · Health · corrected 2019-12-28
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2019-12-05 · Health · corrected 2019-12-28
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CT6 OPCO HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-10-01 |
| ESNH LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-10-01 |
| JPNH LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-10-01 |
| PEPPER, YEHUDA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-10-01 |
| SCHWARCZ, ELLIOT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-10-01 |
| HORSTMAN, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-01 |
| PEPPER, YEHUDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-01 |
| 745 HIGHLAND LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2024-10-01 |
| SCHWARCZ, ELLIOT | Individual | 5% OR GREATER MORTGAGE INTEREST | — | 2024-10-01 |
Other facilities in CHESHIRE
| Name | Overall | Beds |
|---|---|---|
| ELIM PARK BAPTIST HOME, INC | ★★★★★ | 90 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.