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Ark Healthcare & Rehabilitation at Governors House

36 Firetown Rd, Simsbury, CT 06070 · Capitol County · (860) 658-1018

70 certified beds, about 66 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1990

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 075338 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 30, 2025, inspectors cited 4 health deficiencies (the Connecticut average is 13.4, the national average 9.2).

Of 36 health citations since December 2021, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $16,039 in the last three years; the largest was $16,039, and the latest is dated March 13, 2024.

Nurses and nurse aides worked 3.51 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.

40.7% of nursing staff left within the year CMS measured (Connecticut average 37.4%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 36 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
26D
3E
1F
Potential for minimal harm
0A
1B
4C
December 30, 2025Standard inspection, Complaint inspection · 4 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on clinical record review, facility policy review, and interviews for one sample resident (Resident #70) who experienced a significant change in condition, the facility failed to notify the physician and/or family of the significant change of condition.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on review of clinical records, review of facility documentation, review of facility policy/procedures and interviews one sampled record (Resident #70) review for significant change, the facility failed to ensure a registered nurse assessed the resident after a significant change of condition and for one sampled resident (Resident #58) reviewed for pain, the facility failed to ensure a medication was administered according to the physician's order, and for one of two residents (Resident #64) reviewed for pain management, the facility failed to ensure physician orders were obtained timely when a medication was unavailable.
  3. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on observations, review of the clinical record, review of facility documentation, review of facility policy/procedures and interviews for the one sampled resident (Resident #42) reviewed for respiratory care, the facility failed to provide respiratory care and services as ordered by the physician (failed to deliver humidified oxygen as ordered), failed to notify the physician when there was a change in oxygen equipment, failed to ensure oxygen equipment was used according to the manufacturer specifications (application of the non-rebreather without the appropriate oxygen flow rate, or reservoir inflated), and failed to have trained, competent, qualified staff to provide oxygen therapy services.
  4. B
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on observation, review of the clinical record, and interviews for one sampled resident (Resident #74) reviewed for resident assessment, the facility failed to ensure the MDS was coded accurately to reflect the current wheelchair mobility status of the resident.
May 5, 2025Complaint inspection · 1 citation
  1. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 16, 2025
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 2 of 3 residents (Resident #2 and 3) reviewed for pressure injuries (ulcers), the facility failed to ensure Braden scale assessments and weekly skin checks were documented and completed per facility policy.
March 27, 2025Complaint inspection · 2 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 30, 2025
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for two of three residents (Resident #1 and 2) reviewed for abuse, the facility failed to ensure the resident was treated with respect and dignity.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 30, 2025
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #1) reviewed for abuse, the facility failed to ensure staff reported an allegation of abuse timely.
April 23, 2024Complaint inspection · 1 citation
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on clinical record reviews, facility documentation, facility policy review, and interviews for two of three sampled residents (Resident #1 and Resident #2) who were reviewed for an allegation of resident-to-resident physical abuse, Resident #1 had the right to be free from physical abuse by Resident #2.
March 13, 2024Standard inspection, Complaint inspection · 19 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on observations, review of the clinical record, staff interview, and review of facility documentation for 1 of 3 residents (Resident #39) reviewed for pressure ulcers, the facility failed to ensure off-loading of the heels was implemented to prevent a pressure ulcer.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on the staff interviews, facility documentation, and review of the facility policies, the facility failed to ensure that Infection Prevention Control Program standards (IPCP) policies and procedures are reviewed annually by the Administrator, Medical Director, and the Director of Nursing and that the facility maintained an updated list of residents with Multidrug Resistant Organism. (MDRO)
  3. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for 2 of 5 residents (Resident #7 and Resident #43) reviewed for unnecessary medication, the facility failed respond to pharmacy recommendations related to an as needed (PRN) psychotropic medication.
  4. E
    Implement 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for 2 of 5 residents (Resident # 7 and #43) reviewed for unnecessary medication, the facility failed to order as needed (PRN) psychotropic medications for only 14 days.
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on review of the clinical record, facility policy, and interviews for 2 of 5 sampled residents (Resident #2 and Resident #58) reviewed for unnecessary medications, the facility failed to initiate a Resident Care Plan related to a diagnosis with corresponding medication use.
  6. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on observation, review of the clinical record, facility policy, facility documentation, and interviews for 1 of 4 sampled residents reviewed for accidents (Resident #15), the facility failed to revise the Resident Care Plan regarding discontinuation of anti-embolism stocking and initiation of interventions following a fall.
  7. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 2 sampled residents reviewed for abuse (Resident #15) the facility failed to complete a nurse's note for the refusal of treatment, and for 1 of 4 sampled residents (Resident #33) reviewed for medication administration, the facility failed to check placement of the gastrostomy tube prior administering medication and feeding.
  8. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on review of clinical records, facility documentation, facility policy, and interviews for 1 of 2 sampled residents reviewed for abuse (Resident #15), the facility failed to complete an assessment by a Registered Nurse after an allegation of mistreatment and for 1 sampled resident (Resident #39) reviewed for splints, the facility failed to ensure a hip abduction splint was applied daily as directed by the physician and for 1 of 3 sampled resident reviewed for hospitalization (Resident #55), the facility failed to obtain physician orders for multiple hospital transfers and for the 1 sampled resident (Resident #64) reviewed for death, the facility failed to transcribe Registered Nurse (RN) pronouncement orders before an RN pronouncement was completed.
  9. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on observations, review of the clinical record, facility policy, and interviews for the only sampled resident (Resident #55) reviewed for oxygen therapy, the facility failed to obtain a physician's order for oxygen administration.
  10. D
    Provide routine and 24-hour emergency dental care for each resident.
    F790 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on review of the clinical record, facility policy and interviews for 1 of 1 sampled residents (Resident #19) reviewed for dental, the facility failed to report missing dentures to afford the opportunity for Resident #19 to submit a grievance. Resident 19's diagnosis included unspecified sequelae of cerebral infarction, paroxysmal atrial fibrillation and Type 2 diabetes mellitus. The Annual Minimum Data Set (MDS) assessment dated [DATE] identified Resident #19 was independent with eating, required supervision or touching assistance for oral hygiene, substantial/ maximal assistance for toileting hygiene, substantial/ maximal assistance for showering, partial/ moderate assistance for lower body dressing, supervision or touching assistance for upper body dressing. [...]
  11. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on staff interviews, facility documentation, and review of the clinical record for 2 of 5 residents (Resident #26 and Resident #39) reviewed for immunizations, the facility failed to ensure that Resident #26 was provided with the Influenza vaccine after receiving consent. Also, the facility failed to ensure that Resident #39 or the resident representative was educated and given the opportunity to consent or decline the Pneumonia vaccination upon admission and subsequent to admission to the facility.
  12. D
    Educate 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.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on staff interviews, facility documentation, and review of the clinical record for 2 of 5 sampled residents (Resident #11 and Resident #59) reviewed for immunizations, the facility failed to ensure upon admission, the residents or resident representative was educated and given the opportunity to consent or decline the Covid-19 vaccine.
  13. D
    Develop, implement, and/or maintain an effective training program for all new and existing staff members.
    F940 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on review of facility documentation, review of facility policy and interviews 3 of 5 employee files reviewed (Licensed Practical Nurse (LPN) #4, LPN #5 and Registered Nurse (RN) #4), the facility failed to ensure that the required employee training's/inservices were completed.
  14. D
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on review of facility documentation, employee files, review of facility policy and interviews 1 of 2 Nurse Aide (NA) employee files reviewed (NA #4), the facility failed to ensure that the required employee training/inservices were completed.
  15. C
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on review of the clinical record and interviews for 4 of 4 sampled residents (Resident #18, Resident #19, Resident #43 and Resident #59) reviewed for hospitalization, the facility failed to provide the required notification of transfer/discharge to the state Ombudsman's office.
  16. C
    Notify 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.
    F625 · Resident Rights · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for 4 of 5 residents (Resident #18, Resident #19, Resident #55, and Resident #59) reviewed for hospitalization, the facility failed to provide documentation that the facility bed hold notice was provided to the resident or resident representative upon hospitalization.
  17. C
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on staff interview and review of Payroll Based Journal (PBJ) submissions for Quarter 3 in 2023 (April 1, 2023 through June 30, 2023), the facility failed to ensure the data was accurate and did not reflect excessively low weekend staffing.
  18. C
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on staff interviews, facility documentation and review of antibiotic stewardship program, the facility failed to ensure that the policies were reviewed on an annual basis and that data was kept and analyzed according to federal regulations.
  19. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #650) reviewed for a change in condition, the facility failed to ensure the health care representative was notified of new orders for intravenous fluids timely.
January 23, 2024Complaint inspection · 2 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 9, 2024
    Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for one (1) of three (3) residents,(Resident #1), reviewed for abuse, the facility failed to ensure the reporting of a suspected crime to local law enforcement following and allegation of staff to resident physical mistreatment.
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 9, 2024
    Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for one (1) of three (3) residents, (Resident #1), reviewed for abuse, the facility failed to ensure a complete and thorough investigation was completed following an allegation of staff to resident physical mistreatment.
December 7, 2021Standard inspection · 7 citations
  1. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 18, 2022
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for three of six residents (Resident #6, #11 and #304) reviewed for a change in condition, the facility failed to ensure physician recommendations were acted upon timely, and the facility failed to ensure treatments provided were indicated, and the facility failed to ensure weights were obtained in accordance with physician's orders.
  2. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 18, 2022
    Inspectors wroteBased on clinical record reviews and interviews for two of two residents (Resident# 2, and #31) reviewed for advanced directives, the facility failed to ensure the advance directives were completed timely and were in accordance with resident's wishes.
  3. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 18, 2022
    Inspectors wroteBased on observation, review of the clinical record, facility's documentation, review of facility's policy, and interviews for one of three residents (Resident #304) reviewed for a change in condition, the facility failed ensure the physician was notified timely when weekly weights were not obtained in accordance with physician's orders.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 18, 2022
    Inspectors wroteBased on clinical record review, facility documentation review and interviews and for one of two residents reviewed for pressure ulcer, Resident #46, the facility failed to ensure a comprehensive care plan was develped timely related to risk for pressure ulcers and the presence of a pressure ulcer.
  5. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 18, 2022
    Inspectors wroteBased on clinical record review, observations, facility documentation review, and interviews for one of two residents (Resident #46) reviewed for pressure ulcers, the facility failed to ensure consistent use of a skin protection device in accordance with physician orders, and the facility failed to ensure the wound physician's recommendations were acted upon in a timely manner.
  6. D
    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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 18, 2022
    Inspectors wroteBased on clinical record review, observation, interviews, and facility documentation review for one of one resident (Resident #4) reviewed for range of motion, the facility failed to ensure a splint was applied consistently in accordance with physician's orders.
  7. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 18, 2022
    Inspectors wroteBased on observations, clinical record review, facility documentation review, and interviews, for one of twelve bathrooms observed on the secured dementia unit, the facility failed to ensure cleaning products were stored in accordance with accepted practice.

Fire safety inspections

19 fire safety citations on file: 5 on December 30, 2025, 1 on March 13, 2024, 13 on December 7, 2021.

Every fire safety citation19 citations
  1. F
    Have simulated fire drills held at unexpected times.
    K 712 · December 30, 2025 · Corrected (the home has a date of correction)
  2. D
    Provide properly protected cooking facilities.
    K 324 · December 30, 2025 · Corrected (the home has a date of correction)
  3. D
    Install an approved automatic sprinkler system.
    K 351 · December 30, 2025 · Corrected (the home has a date of correction)
  4. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · December 30, 2025 · Corrected (the home has a date of correction)
  5. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 30, 2025 · Corrected (the home has a date of correction)
  6. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 13, 2024 · Corrected (the home has a date of correction)
  7. F
    Meet other general requirements.
    K 200 · December 7, 2021 · Corrected (the home has a date of correction)
  8. F
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · December 7, 2021 · Corrected (the home has a date of correction)
  9. F
    Have exits that are accessible at all times.
    K 271 · December 7, 2021 · Corrected (the home has a date of correction)
  10. F
    Meet other general requirements that are deficient.
    K 500 · December 7, 2021 · Corrected (the home has a date of correction)
  11. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · December 7, 2021 · Corrected (the home has a date of correction)
  12. E
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · December 7, 2021 · Corrected (the home has a date of correction)
  13. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · December 7, 2021 · Corrected (the home has a date of correction)
  14. E
    Ensure proper usage of power strips and extension cords.
    K 920 · December 7, 2021 · Corrected (the home has a date of correction)
  15. D
    Have an alternate power supply for its alarm system.
    K 344 · December 7, 2021 · Corrected (the home has a date of correction)
  16. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · December 7, 2021 · Corrected (the home has a date of correction)
  17. D
    Install corridor and hallway doors that block smoke.
    K 363 · December 7, 2021 · Corrected (the home has a date of correction)
  18. D
    Have restrictions on the use of portable space heaters.
    K 781 · December 7, 2021 · Corrected (the home has a date of correction)
  19. D
    Have proper medical gas storage and administration areas.
    K 923 · December 7, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
March 13, 2024Fine $16,039

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeConnecticutUnited States
All nursing staff (RN, LPN and aides)3.513.733.86
Registered nurses0.590.690.69
All nursing staff on weekends3.253.373.42
Nurse aides2.06
Licensed practical nurses0.87
Nursing staff turnover (share who left in a year)40.7%37.4%45.8%
Registered nurse turnover60.0%38.6%42.9%
Administrators who left2

CMS expects 3.52 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.62 on weekdays and 3.25 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 17.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.87 in April to June 2025 to 3.51 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.510.593.623.25 17.5%0 of 9066
Oct to Dec 20253.500.663.603.26 18.2%0 of 9266
Jul to Sep 20253.560.563.693.24 21.2%0 of 9267
Apr to Jun 20253.870.653.953.66 18.5%0 of 9164
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Connecticut, Jan to Mar 20263.660.613.803.316.0%1.3% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Connecticut

JobMedianMiddle halfEmployed
Connecticut, all employers
CNAs (nursing assistants)$21.53$20.14 to $22.6821,380
LPNs and LVNs$35.43$32.05 to $36.948,540
Registered nurses$49.39$41.40 to $58.5840,110
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeConnecticutUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
22.417.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.91.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.23.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.31.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
20.816.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.24.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.017.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.524.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.210.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.02.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.21.51.8

Owners and operators

Legal business name: GOVERNOR'S HOUSE SIMSBURY OPCO LLC.

NameRoleTypeShareSince
Fried, Akiva5% or greater direct ownership interestIndividual17%10/15/2020
Sodden, Aaron5% or greater direct ownership interestIndividual17%10/15/2020
Wiesel, Allan5% or greater direct ownership interestIndividual17%10/15/2020
Fried, AkivaW-2 managing employeeIndividual10/15/2020
Sodden, AaronW-2 managing employeeIndividual10/15/2020
Stein, AllenW-2 managing employeeIndividual10/15/2020
Wiesel, AllanW-2 managing employeeIndividual10/15/2020
Fried, AkivaCorporate officerIndividual10/15/2020
Sodden, AaronCorporate officerIndividual10/15/2020
Stein, AllenCorporate officerIndividual10/15/2020
Wiesel, AllanCorporate officerIndividual10/15/2020

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on December 30, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on December 30, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on December 30, 2025: "Ensure each resident receives an accurate assessment."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on March 27, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.25 hours per resident per day, below the Connecticut average of 3.37.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

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Common questions

What is Ark Healthcare & Rehabilitation at Governors House's Medicare star rating?
CMS rates Ark Healthcare & Rehabilitation at Governors House 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Ark Healthcare & Rehabilitation at Governors House get at its last inspection?
4 health deficiencies at the standard inspection on December 30, 2025. The Connecticut average is 13.4.
Has Ark Healthcare & Rehabilitation at Governors House been fined?
Yes. CMS lists 1 fine totaling $16,039 in the last three years.
Does Ark Healthcare & Rehabilitation at Governors House accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Ark Healthcare & Rehabilitation at Governors House?
CMS lists 11 owners and managers. Legal business name: GOVERNOR'S HOUSE SIMSBURY OPCO LLC.

Sources

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