COMPLETE CARE AT KIMBERLY HALL NORTH
1 EMERSON DR, WINDSOR, CT 06095 · CCN 075279
Abuse icon
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 150
- Avg residents/day
- 145.9
- Phone
- 8606886443
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 | 2024-09-19 | 14 | 13.3 | 9.5 | +0.7 worse |
| 2 | 2022-05-26 | 12 | 13.2 | 9.8 | -1.2 better |
| 3 | 2019-09-26 | 8 | 8.6 | 9.3 | -0.6 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 2 |
| Resident rights | 2 |
| Nutrition and dietary | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.97 | 37.4% |
| RN staffing (reported) | 0.50 | 41.7% |
| Total nurse staffing (adjusted) | 3.03 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- COMPLETE CARE
- Facilities in chain
- 85
- Chain avg overall
- 3.20 / 5
Inspection citations (34)2 immediate jeopardy1 actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-07-29 · Health · corrected 2025-09-05
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-07-29 · Health · corrected 2025-09-05
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.2025-06-27 · Health · corrected 2025-08-07
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-27 · Health · corrected 2025-08-07
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-04 · Health · corrected 2025-01-30
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-23 · Health · corrected 2025-02-03
Potential for more than minimal harm
- BF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-09-19 · Health · corrected 2024-10-28
Potential for minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-19 · Health · corrected 2024-10-28
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.2024-09-19 · Health · corrected 2024-10-28
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-09-19 · Health · corrected 2024-10-28
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-19 · Health · corrected 2024-10-28
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-19 · Health · corrected 2024-10-28
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-09-19 · Health · corrected 2024-10-28
Potential for more than minimal harm
- DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-09-19 · Health · corrected 2024-10-28
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-09-19 · Health · corrected 2024-10-28
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-09-19 · Health · corrected 2024-10-28
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.2024-05-08 · Health · corrected 2024-04-19
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.2024-05-08 · Health · corrected 2024-06-19
Potential for more than minimal harm
- EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-05-26 · Health · corrected 2022-07-06
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-05-26 · Health · corrected 2022-07-06
Potential for more than minimal harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-05-26 · Health · corrected 2022-06-12
Immediate jeopardy
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2022-05-26 · Health · corrected 2022-07-06
Actual harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-05-26 · Health · corrected 2022-07-06
Potential for more than minimal harm
- JF0760Ensure that residents are free from significant medication errors.2022-05-26 · Health · corrected 2022-06-12
Immediate jeopardy
- EF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2022-05-26 · Health · corrected 2022-07-06
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.2022-05-26 · Health · corrected 2022-07-06
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2019-09-26 · Health · corrected 2019-11-05
Potential for more than minimal harm
- BF0641Ensure each resident receives an accurate assessment.2019-09-26 · Health · corrected 2019-11-05
Potential for 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.2019-09-26 · Health · corrected 2019-11-05
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-09-26 · Health · corrected 2019-11-05
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-09-26 · Health · corrected 2019-11-05
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-09-26 · Health · corrected 2019-11-05
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.2019-09-26 · Health · corrected 2019-11-05
Potential for more than minimal harm
- DF0814Dispose of garbage and refuse properly.2019-09-26 · Health · corrected 2019-11-05
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PC GEN CT OPCO HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-11-15 |
| PC GEN CT OPCO TOPCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-15 |
| PC GEN CT TOPCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-15 |
| PEACE CAPITAL HOLDINGS LLC (DE) | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-15 |
| SMS 2021 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-15 |
| BROWN, NATALIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-27 |
| GALLAGHER, JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-15 |
| HOCH, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-15 |
| LAGANA, KRISTIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-15 |
| TETREAULT, MARNIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-15 |
| STEIN, SHALOM | Individual | CORPORATE OFFICER | — | 2022-11-15 |
Other facilities in WINDSOR
| Name | Overall | Beds |
|---|---|---|
| COMPLETE CARE AT KIMBERLY HALL-SOUTH | ★★★★☆ | 180 |
| AUTUMN LAKE HEALTHCARE AT WINDSOR | ★☆☆☆☆ | 108 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.