B87

COMPLETE CARE AT MIDDLEBURY

Grade B 87/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
5/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

58

Ownership

For profit - Corporation

Total Fines

None

Last Survey

N/A

778 MIDDLEBURY RD, MIDDLEBURY, CT 06762
2037582471

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.69h
LPN
0.75h
CNA
2.11h
Total
3.55h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

PC MIDDLEBURY OPCO LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Oct 2023

100%

PC MIDDLEBURY TOPCO LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2023

PEACE CAPITAL HOLDINGS II LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2023

SMS 2021 TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2023

STEIN, SHALOM

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2023

STEIN, SHALOM

IndividualCORPORATE OFFICERSince Oct 2023

HOCH, ROBERT

IndividualW-2 MANAGING EMPLOYEESince Oct 2023

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (16)

September 25, 2023Health10 deficiencies
0730BNo harm, Pattern

Observe each nurse aide's job performance and give regular training.

Nursing and Physician Services Deficiencies

Corrected Nov 27, 2023
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Nov 27, 2023
0757EMinimal harm, Pattern

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Nov 27, 2023
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Nov 27, 2023
0578DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Nov 27, 2023
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Nov 27, 2023
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Nov 27, 2023
0838BNo harm, Pattern

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Administration Deficiencies

Corrected Nov 27, 2023
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 27, 2023
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Nov 27, 2023
September 15, 2021Health3 deficiencies
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Nov 23, 2021
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 23, 2021
0584DMinimal harm, Isolated

Honor 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.

Resident Rights Deficiencies

Corrected Nov 23, 2021
May 9, 2019Health3 deficiencies1 severe
0688DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Jun 20, 2019
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jun 20, 2019
0825DMinimal harm, Isolated

Provide or get specialized rehabilitative services as required for a resident.

Quality of Life and Care Deficiencies

Corrected Jun 20, 2019

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Frequently Asked Questions

What is the CareGrader rating for COMPLETE CARE AT MIDDLEBURY?

COMPLETE CARE AT MIDDLEBURY in MIDDLEBURY, Connecticut has a CareGrader grade of B (Good), with a composite score of 87.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for COMPLETE CARE AT MIDDLEBURY?

COMPLETE CARE AT MIDDLEBURY has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does COMPLETE CARE AT MIDDLEBURY have?

COMPLETE CARE AT MIDDLEBURY has 16 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does COMPLETE CARE AT MIDDLEBURY have?

COMPLETE CARE AT MIDDLEBURY has 58 certified beds with approximately 54 current residents (93% occupancy). The facility is located at 778 MIDDLEBURY RD, MIDDLEBURY, Connecticut 06762. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.