B87

LUTHERAN HOME OF SOUTHBURY INC

Grade B 87/100 composite score

Non profit - Corporation

CMS Star Ratings

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

Certified Beds

120

Ownership

Non profit - Corporation

Total Fines

None

Last Survey

N/A

990 NORTH MAIN STREET, SOUTHBURY, CT 06488
2032649135

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.75h
LPN
1.05h
CNA
2.66h
Total
4.46h
Facility
State Average

Turnover Rates

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

Ownership

ASCENTRIA CARE ALLIANCE INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Mar 2015

BAROODY, ZIAD

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2024

BOVILL, ANGELA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2014

KHAN, GHULAM

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2024

BARTHOLOMEW, ALEXANDER

IndividualCORPORATE DIRECTORSince Jan 2024

COWLAGI, ASHISH

IndividualCORPORATE DIRECTORSince Jan 2024

GOODMAN, ROSS

IndividualCORPORATE DIRECTORSince Jul 2013

MAYO, WILLIAM

IndividualCORPORATE DIRECTORSince Jul 2014

ROBERTSON, KEITH

IndividualCORPORATE DIRECTORSince Jan 2024

BOVILL, ANGELA

IndividualCORPORATE OFFICERSince Apr 2018

HANSCOM, KRISTIN

IndividualCORPORATE OFFICERSince Jan 2024

ONEAL, GARY

IndividualCORPORATE OFFICERSince Jan 2024

RUSSO, NICK

IndividualCORPORATE OFFICERSince Jul 2014

TAPPAN, CHRISTINE

IndividualCORPORATE OFFICERSince Jan 2024

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (23)

December 1, 2025Health3 deficiencies
0602DMinimal harm, Isolated

Protect each resident from the wrongful use of the resident's belongings or money.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

0628DMinimal harm, Isolated

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Resident Rights Deficiencies

0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

September 23, 2024Health3 deficiencies
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 4, 2024
0607DMinimal harm, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 20, 2024
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 6, 2024
August 29, 2023Health8 deficiencies
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Oct 10, 2023
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 10, 2023
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 10, 2023
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 10, 2023
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 10, 2023
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 10, 2023
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Oct 10, 2023
0730BNo harm, Pattern

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

Nursing and Physician Services Deficiencies

Corrected Oct 10, 2023
July 20, 2021Health7 deficiencies
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Aug 31, 2021
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 31, 2021
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Aug 31, 2021
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 31, 2021
0689DMinimal 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 Aug 31, 2021
0761EMinimal harm, Pattern

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 Aug 31, 2021
0883DMinimal harm, Isolated

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

Infection Control Deficiencies

Corrected Aug 31, 2021
March 12, 2020Health2 deficiencies
0761BNo harm, Pattern

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 10, 2020
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Nov 10, 2020

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Frequently Asked Questions

What is the CareGrader rating for LUTHERAN HOME OF SOUTHBURY INC?

LUTHERAN HOME OF SOUTHBURY INC in SOUTHBURY, 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 LUTHERAN HOME OF SOUTHBURY INC?

LUTHERAN HOME OF SOUTHBURY INC has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does LUTHERAN HOME OF SOUTHBURY INC have?

LUTHERAN HOME OF SOUTHBURY INC has 23 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 LUTHERAN HOME OF SOUTHBURY INC have?

LUTHERAN HOME OF SOUTHBURY INC has 120 certified beds with approximately 114 current residents (95% occupancy). The facility is located at 990 NORTH MAIN STREET, SOUTHBURY, Connecticut 06488. It is a non 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.