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Avery Nursing Home/Noble Building

705 New Britain Ave, Hartford, CT 06106 · Capitol County · (860) 527-9126

194 certified beds, about 169 residents a day · Non profit - Church related · Medicare and Medicaid since 1967

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 075063 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 19, 2025, inspectors cited 13 health deficiencies (the Connecticut average is 13.4, the national average 9.2).

Of 43 health citations since May 2021, 5 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 3 fines totaling $69,928 in the last three years; the largest was $45,065, and the latest is dated October 6, 2025.

Nurses and nurse aides worked 3.40 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.

24.6% 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 43 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
28D
3E
1F
Potential for minimal harm
0A
4B
2C
October 6, 2025Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 17, 2025
    Inspectors wroteBased on review of the clinical record review, facility documentation, and facility policy, and interviews for one of three residents (Resident #1) reviewed for wandering, the facility failed to ensure adequate supervision for a resident with known wandering behaviors to ensure Resident #1 could not leave the unit without staff knowledge resulting in a fall outside the building (last seen 2 hours prior to observed outside).
May 19, 2025Standard inspection, Complaint inspection · 13 citations
  1. E
    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
    F603 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 11, 2025
    Inspectors wroteBased on observations, review of clinical records, review of facility policy/procedure, review of facility documentation and interviews for thee sampled residents (Residents #34, #38 and #158) residing on a secured unit, the facility failed to assess, care plan, demonstrate that the secured unit was the least restrictive setting, and obtain consents for residents who were selected to reside on the secured unit.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 30, 2025
    Inspectors wroteBased on review of facility documentation, review of facility policy, and interview, the facility failed to provide documentation that environmental rounds were conducted on a quarterly basis.
  3. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 30, 2025
    Inspectors wroteBased on review of clinical records, review of facility policy, review of facility documentation, and interviews for five of five sampled residents (Residents #29, #36, #46, #91, and #161) reviewed for immunizations, the facility failed to ensure that the pneumococcal vaccine was assessed/and administered and failed to offer the influenza vaccine.
  4. 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) June 30, 2025
    Inspectors wroteBased on review of the clinical record, review of facility documentation, review of facility policy, and interviews for one sampled resident (Resident #127) reviewed for advance directives, the facility failed to ensure there was a physician's order indicating the resident's wishes related to cardiopulmonary code status, hospitalization, and intravenous fluids.
  5. 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 · Corrected (the home has a date of correction) June 30, 2025
    Inspectors wroteBased on review of the clinical record, review of facility documentation, review of facility policy, and interviews for one sampled resident (Resident #427) who was a new admission, the facility failed to ensure an interdisciplinary care plan meeting was held and failed to develop the comprehensive care plan.
  6. 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 · Corrected (the home has a date of correction) June 30, 2025
    Inspectors wroteBased on observation, review of the clinical records, review of facility policy/procedures and interviews for one of four sampled residents (Resident #149) reviewed for accidents, the facility failed to ensure medications were administered according to professional standards.
  7. 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) June 30, 2025
    Inspectors wroteBased on review of the clinical record, review of facility policy/procedures and interviews for one sampled resident (Resident #26) reviewed for skin conditions, the facility failed to administer a treatment/medication as ordered.
  8. 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) June 30, 2025
    Inspectors wroteBased on observation, review of the clinical record, review of facility policy/procedures, and interviews for two of three sampled residents (Residents #114 & #128) reviewed for pressure ulcers, the facility failed to ensure the necessary proper documentation of a pressure injury consistent with professional standards and failed to provide the necessary treatment and services to promote the healing of a pressure ulcer.
  9. 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 · found on a complaint visit · Corrected (the home has a date of correction) July 11, 2025
    Inspectors wroteBased on review of the clinical record, review of facility documentation, review of facility policy/procedures and interviews for one of four sampled residents (Resident #10) reviewed for accidents, the facility failed to ensure Resident #10 was free from accidents when transported in a shower chair.
  10. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2025
    Inspectors wroteBased on observations, review of facility policy and procedures, and interviews, the facility failed to ensure medication carts were secured when not in use.
  11. D
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2025
    Inspectors wroteBased on observation, review of the clinical record, review of facility documentation, review of facility policy/procedures and interviews for one of three sampled residents (Resident #106) reviewed for food, the facility failed to ensure menu choice items were available.
  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 · Corrected (the home has a date of correction) June 30, 2025
    Inspectors wroteBased on review of the clinical records, review of facility policy, facility documentation, and interview for two of five sampled residents (Resident #36 and Resident #46) reviewed for immunizations, the facility failedd to ensure that the COVID-19 booster vaccine was administered as requested by the resident/responsible party and offered on admission.
  13. B
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) June 30, 2025
    Inspectors wroteBased on review of the clinical record, review of facility documentation, review of facility policy/procedures and interviews for five of five sampled residents (Resident #30; #62 #128 #151 and #159) reviewed for resident assessment, the facility failed to ensure the residents Minimum Date Set (MDS) Assessments were transmitted to CMS (Centers for Medicare & Medicaid Services) within 14 days of the MDS completion date and/or the care plan completion date.
April 8, 2025Complaint inspection · 2 citations
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 20, 2025
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for one (1) of three (3) residents (Resident #1) reviewed for falls with major injuries, the facility failed to ensure a timely assessment pertaining to bed mobility during provisions of care. As a result, Resident #1 sustained a fall out of bed resulting in multiple subsequent fractures.
  2. 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) May 20, 2025
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews, the facility failed to ensure that care and services provided were in accordance with accepted professional standards for one (1) of three (3) residents (Resident #1) reviewed for falls with major injuries, who sustained multiple fractures from a fall out of bed and was repositioned by staff prior to a post fall assessment by a Registered Nurse.
January 6, 2025Complaint inspection · 1 citation
  1. 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) February 6, 2025
    Inspectors wroteBased on clinical record review, interviews, and review of facility documentation for three (3) of six (6) patients (Patient #5, #6, and #7) reviewed for abuse, the facility failed to update the residents care plans following their physical altercations.
July 17, 2024Complaint inspection · 1 citation
  1. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · 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) August 4, 2024
    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 the clinical record was complete and accurate to include and assessment after an allegation of abuse.
December 12, 2023Complaint inspection · 3 citations
  1. J
    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 · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 23, 2024
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review and interviews for one of three residents (Resident #1) reviewed for mechanical lift transfers, the facility neglected to utilize two staff members while operating the mechanical lift in accordance with physician orders and facility policy resulting in Resident #1 falling from the lift on [DATE] and [DATE]. The failures resulted in a finding of Immediate Jeopardy.
  2. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 23, 2024
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review and interviews for one of three residents (Resident #1) reviewed for accidents, the facility failed to ensure adequate assistance was provided when operating a mechanical lift in accordance with the plan of care and facility policy, resulting in the resident falling to the floor on [DATE] and [DATE]. The failures resulted in a finding of Immediate Jeopardy.
  3. 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) January 23, 2024
    Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for one of three residents (Resident #1) who were reviewed for accidents, the facility failed to ensure the plan of care was updated timely.
August 8, 2023Standard inspection · 18 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on clinical record review, observation, facility policy review, and interviews for one of two sampled residents (Resident #105) reviewed for facility acquired pressure ulcers, the facility failed to ensure interventions were implemented to prevent the development and worsening of a pressure ulcers/injury.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on tour of the Dietary Department, staff interview, and review of facility policy, the facility failed to ensure the Dietary Department was maintained in a clean, sanitary manner and that food items were consistently labeled and stored to reflect its age or shelf-life.
  3. 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 · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on observation, review of the clinical record, review of facility policy, and interviews for one sampled resident (Resident #162) who utilized an indwelling urinary catheter (Foley), the facility failed to ensure the urinary collection bag was covered.
  4. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on clinical record review, facility policy review, and interviews for one of two sampled residents (Resident #105) reviewed for facility acquired pressure ulcers, the facility failed to develop a baseline care plan to prevent pressure ulcer/injury on admission.
  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 · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on clinical record review, review of facility policy and interviews for 1 of 3 sampled residents (Resident #144) reviewed for care planning, the facility failed to ensure a comprehensive care plan was implemented.
  6. 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 · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on clinical record review and interviews for one of two sampled residents (Resident #105) who had a facility acquired pressure ulcer, the facility failed to ensure the registered nurse assessed a newly admitted resident in accordance with professional standards of practice.
  7. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on clinical record review, observations, and interviews for 1 sampled resident (Resident #144) who required extensive assistance with hygiene, the facility failed to ensure the resident was provided the necessary level of assistance.
  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 · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on staff interview and record review for 1 of 5 sampled residents (Resident #18) reviewed for unnecessary medication, the facility failed to complete bloodwork ordered by the physician.
  9. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on clinical record reviews, review of facility policy and interviews for one of six sampled residents (Resident #177) reviewed for nutrition, the facility failed to perform weekly weights per physician's order and failed to ensure that the dietician assessed the resident's weight loss timely.
  10. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on clinical record review, review of facility documentation, review of facility policy and interviews for 1 of 1 sampled resident (Resident #152) reviewed for Intravenous (IV) Fluids, the facility failed to obtain a physician's order for placement and care of a midline catheter.
  11. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on clinical record reviews, observations, and facility documentation for 1 of 1 sampled resident (Resident #83) reviewed for pain, the facility failed to ensure a pain assessment was completed when Resident #83 complained of pain.
  12. D
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on staff interview, review of facility documentation, facility policy, staff annual competencies, and Intravenous (IV) push medication competency for 5 of 6 Registered Nurses (RNs), the facility failed to provide documentation of staff competency for IV push medications and annual staff IV training.
  13. D
    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, isolated · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on clinical record review, facility policy review, and interviews for 1 of 6 sampled residents (Resident #87) reviewed for unnecessary medications, the facility failed to ensure target behaviors were monitored and orthostatic blood pressures were monitored, and Abnormal Involuntary Movement Scale (AIMS) was completed.
  14. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on observation and staff interview, the facility failed to ensure the daily nurse staffing information was posted in an area visible to residents.
  15. C
    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 minimal harm, widespread · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on review of the clinical record, facility documentation, and staff interview, the facility failed to provide the required Dementia training for Nurse Aides.
  16. B
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on review of the clinical record, and staff interviews for 2 of 6 sampled residents (Resident #38 & #160) reviewed for Preadmission Screening and Resident Review (PASRR), the facility failed to ensure the MDS was accurately coded to reflect the status of PASRR level II.
  17. B
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on review of facility documentation and staff interviews for 2 of 3 Nurse Aides (NA #2 and NA #3) reviewed for personnel files, the facility failed to complete annual performance evaluations.
  18. B
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on staff interview, facility tour, and facility observation of the emergency 3-day water supply storage located in the basement, the facility failed to ensure the area was maintained, clean and free from disrepair.
May 27, 2021Standard inspection · 4 citations
  1. 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 · Corrected (the home has a date of correction) July 8, 2021
    Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy and interview, the facility failed to ensure the narcotic count was done according to professional standards to identify a narcotic discrepancy.
  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) July 8, 2021
    Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy and interviews for 1 resident (Resident #67) who required Insulin, the facility failed to ensure Insulin was administered according to professional standards within its expiration, and for 1 resident (Resident #141) who had a diagnosis of anxiety, the facility failed to administer the controled according to the physician's order.
  3. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 8, 2021
    Inspectors wroteBased on observation and staff interviews the facility failed to ensure an air conditioner located in the food preparation and storage area was clean, and failed to develop a policy to address a cleaning schedule for the air conditioner.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 8, 2021
    Inspectors wroteBased on observation, review of the clinical record, facility policy and interviews for 2 residents (Resident #62 and 68), reviewed for infection control, the facility failed to follow infection control guidelines related to COVID-19.

Fire safety inspections

11 fire safety citations on file: 6 on May 19, 2025, 4 on August 8, 2023, 1 on May 27, 2021.

Every fire safety citation11 citations
  1. E
    Install an approved automatic sprinkler system.
    K 351 · May 19, 2025 · Corrected (the home has a date of correction)
  2. D
    Have exits that are accessible at all times.
    K 271 · May 19, 2025 · Corrected (the home has a date of correction)
  3. D
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · May 19, 2025 · Corrected (the home has a date of correction)
  4. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 19, 2025 · Corrected (the home has a date of correction)
  5. D
    Install corridor and hallway doors that block smoke.
    K 363 · May 19, 2025 · Corrected (the home has a date of correction)
  6. D
    Meet requirements for the use of electrical equipment.
    K 919 · May 19, 2025 · Corrected (the home has a date of correction)
  7. D
    Provide properly protected cooking facilities.
    K 324 · August 8, 2023 · Corrected (the home has a date of correction)
  8. D
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · August 8, 2023 · Corrected (the home has a date of correction)
  9. D
    Install an approved automatic sprinkler system.
    K 351 · August 8, 2023 · Corrected (the home has a date of correction)
  10. D
    Install corridor and hallway doors that block smoke.
    K 363 · August 8, 2023 · Corrected (the home has a date of correction)
  11. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · May 27, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
October 6, 2025Fine $10,358
April 8, 2025Fine $14,505
December 12, 2023Fine $45,065

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)3.403.733.86
Registered nurses0.640.690.69
All nursing staff on weekends3.243.373.42
Nurse aides2.11
Licensed practical nurses0.65
Nursing staff turnover (share who left in a year)24.6%37.4%45.8%
Registered nurse turnover17.4%38.6%42.9%
Administrators who left0

CMS expects 3.61 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 3.46 on weekdays and 3.24 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.39 in April to June 2025 to 3.40 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.400.643.463.24 7.2%0 of 90169
Oct to Dec 20253.350.603.413.20 5.9%0 of 92168
Jul to Sep 20253.350.663.433.15 7.2%0 of 92172
Apr to Jun 20253.390.623.463.22 4.6%0 of 91171
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.

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
27.117.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.30.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.91.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.83.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.81.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
20.516.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.74.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
24.217.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.424.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.610.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.52.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.51.8

Owners and operators

Legal business name: CHURCH HOMES, INC. CONGREGATIONAL.

NameRoleTypeShareSince
Fidanza, JamesCorporate directorIndividual01/30/2024
Large, MercedeseCorporate directorIndividual03/23/2009
Latina, MichaelCorporate directorIndividual01/16/2024
Martinez, CynthiaCorporate directorIndividual07/28/2020
Moore, P WayneCorporate directorIndividual07/28/2020
Shahen, CynthiaCorporate directorIndividual11/27/2018
Thompson, WilliamCorporate directorIndividual07/11/2016
Baldoni, DoreenCorporate officerIndividual03/20/2018
Canuel, DavidCorporate officerIndividual09/24/2007
Gilland, PatrickCorporate officerIndividual02/19/2001
Golas, MargaretCorporate officerIndividual11/27/2018
Latina, MichaelCorporate officerIndividual01/16/2024
McGovern, KennethCorporate officerIndividual07/28/2020
Thompson, WilliamCorporate officerIndividual07/11/2016
Anquillare, JosephOperational/managerial controlIndividual03/01/2002
Latina, MichaelOperational/managerial controlIndividual01/16/2024
Anquillare, JosephAdp of the SNFIndividual03/01/2002
Latina, MichaelAdp of the SNFIndividual01/16/2024
Thompson, WilliamAdp of the SNFIndividual02/05/2024

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 13 problems in this area, most recently on October 6, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 12 problems in this area, most recently on May 19, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on May 19, 2025: "Provide and implement an infection prevention and control program."
  4. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 4 problems in this area, most recently on August 8, 2023: "Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.24 hours per resident per day, below the Connecticut average of 3.37.

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Common questions

What is Avery Nursing Home/Noble Building's Medicare star rating?
CMS rates Avery Nursing Home/Noble Building 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Avery Nursing Home/Noble Building get at its last inspection?
13 health deficiencies at the standard inspection on May 19, 2025. The Connecticut average is 13.4.
Has Avery Nursing Home/Noble Building been fined?
Yes. CMS lists 3 fines totaling $69,928 in the last three years.
Does Avery Nursing Home/Noble Building 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 Avery Nursing Home/Noble Building?
CMS lists 19 owners and managers. Legal business name: CHURCH HOMES, INC. CONGREGATIONAL.

Sources

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