Starfile

Starfile / Connecticut

COMPLETE CARE AT KIMBERLY HALL-SOUTH

1 EMERSON DRIVE, WINDSOR, CT 06095 · CCN 075237

Ratings

Overall
★★★★☆ 4
Health inspection
★★★☆☆ 3
Quality measures
★★★★★ 5
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Limited Liability company
Certified beds
180
Avg residents/day
105.0
Phone
8606886443

Inspection history vs Connecticut & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityConnecticut avgNational avgvs state
12024-11-191013.39.5-3.3 better
22022-05-231813.29.8+4.8 worse
32019-10-2498.69.3+0.4 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care4
Resident assessment and care planning2
Resident rights4

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.6921.6%
RN staffing (reported)0.8345.5%
Total nurse staffing (adjusted)3.12

Fines & penalties

Total fines
$14,728
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
COMPLETE CARE
Facilities in chain
85
Chain avg overall
3.20 / 5

Inspection citations (37)1 immediate jeopardy

  1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-01 · Health · corrected 2025-06-12

    Potential for more than minimal harm

  2. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-05-01 · Health · corrected 2025-06-12

    Potential for more than minimal harm

  3. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-03 · Health · corrected 2025-02-20

    Potential for more than minimal harm

  4. JF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-02-03 · Health · corrected 2025-02-03

    Immediate jeopardy

  5. 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.2025-02-03 · Health · corrected 2025-02-07

    Potential for more than minimal harm

  6. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-14 · Health · corrected 2025-02-14

    Potential for more than minimal harm

  7. DF0880Provide and implement an infection prevention and control program.2025-01-14 · Health · corrected 2025-02-14

    Potential for more than minimal harm

  8. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-11-19 · Health · corrected 2024-12-26

    Potential for more than minimal harm

  9. 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.2024-11-19 · Health · corrected 2024-12-26

    Potential for more than minimal harm

  10. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-11-19 · Health · corrected 2024-12-26

    Potential for more than minimal harm

  11. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-11-19 · Health · corrected 2024-12-26

    Potential for minimal harm

  12. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-11-19 · Health · corrected 2024-12-26

    Potential for more than minimal harm

  13. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-19 · Health · corrected 2024-12-26

    Potential for more than minimal harm

  14. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-11-19 · Health · corrected 2024-12-26

    Potential for more than minimal harm

  15. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-09-13 · Health · corrected 2024-10-17

    Potential for more than minimal harm

  16. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-09-13 · Health · corrected 2024-10-17

    Potential for more than minimal harm

  17. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-13 · Health · corrected 2024-10-17

    Potential for more than minimal harm

  18. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-07-15 · Health · corrected 2024-08-21

    Potential for more than minimal harm

  19. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-15 · Health · corrected 2024-08-21

    Potential for more than minimal harm

  20. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-03 · Health · corrected 2024-08-07

    Potential for more than minimal harm

  21. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-19 · Health · corrected 2023-11-30

    Potential for more than minimal harm

  22. 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.2022-05-23 · Health · corrected 2022-06-30

    Potential for minimal harm

  23. DF0625Notify 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.2022-05-23 · Health · corrected 2022-06-30

    Potential for more than minimal harm

  24. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-05-23 · Health · corrected 2022-06-30

    Potential for more than minimal harm

  25. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-05-23 · Health · corrected 2022-06-30

    Potential for more than minimal harm

  26. EF0761Ensure 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.2022-05-23 · Health · corrected 2022-06-30

    Potential for more than minimal harm

  27. EF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2022-05-23 · Health · corrected 2022-06-30

    Potential for more than minimal harm

  28. EF0880Provide and implement an infection prevention and control program.2022-05-23 · Health · corrected 2022-06-30

    Potential for more than minimal harm

  29. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-05-23 · Health · corrected 2022-06-30

    Potential for more than minimal harm

  30. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2019-10-24 · Health · corrected 2019-12-05

    Potential for more than minimal harm

  31. BF0584Honor 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.2019-10-24 · Health · corrected 2019-12-05

    Potential for minimal harm

  32. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-10-24 · Health · corrected 2019-12-05

    Potential for more than minimal harm

  33. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-10-24 · Health · corrected 2019-12-05

    Potential for more than minimal harm

  34. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-10-24 · Health · corrected 2019-12-05

    Potential for more than minimal harm

  35. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-10-24 · Health · corrected 2019-12-05

    Potential for more than minimal harm

  36. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2019-10-24 · Health · corrected 2019-12-05

    Potential for more than minimal harm

  37. DF0791Provide or obtain dental services for each resident.2019-10-24 · Health · corrected 2019-12-05

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
PC GEN CT OPCO HOLDCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2022-11-15
PC GEN CT OPCO TOPCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2022-11-15
PC GEN CT TOPCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2022-11-15
PEACE CAPITAL HOLDINGS LLC (DE)Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2022-11-15
SMS 2021 TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2022-11-15
GALLAGHER, JAMESIndividualOPERATIONAL/MANAGERIAL CONTROL2022-11-15
HOCH, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL2022-11-15
LAGANA, KRISTINIndividualOPERATIONAL/MANAGERIAL CONTROL2022-11-15
RUSSO, THOMASIndividualOPERATIONAL/MANAGERIAL CONTROL2022-11-15
TETREAULT, MARNIEIndividualOPERATIONAL/MANAGERIAL CONTROL2022-11-15
STEIN, SHALOMIndividualCORPORATE OFFICER2022-11-15

Other facilities in WINDSOR

NameOverallBeds
COMPLETE CARE AT KIMBERLY HALL NORTH★★★☆☆150
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.