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Chestelm Health and Rehabilitation Center

534 Town St., Moodus, CT 06469 · Lower Ct River Vly County · (860) 873-1455

76 certified beds, about 71 residents a day · For profit - Corporation · Medicare and Medicaid since 1986

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 075307 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on November 26, 2024, inspectors cited 7 health deficiencies (the Connecticut average is 13.4, the national average 9.2).

None of its 13 health citations since January 2020 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.24 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.89 of those hours.

42.7% 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 13 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
2E
0F
Potential for minimal harm
0A
1B
1C
August 13, 2025Complaint inspection · 2 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 · found on a complaint visit · Corrected (the home has a date of correction) September 19, 2025
    Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for one (1) of three (3) sampled residents (Resident #1) who had a new medication ordered for a change in condition and there was a noted medication interaction identified by the pharmacy, the facility failed inquiry the pharmacy why the medication had not been available and to notify the provider for six (6) days.
  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) September 19, 2025
    Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for one (1) of three (3) sampled residents (Resident #1) reviewed for constipation, the facility failed to ensure an abdominal assessment was conducted and continued monitoring following an incident of rectal bleeding.
November 26, 2024Standard 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 20, 2025
    Inspectors wroteBased on observation, review of the clinical record, facility policy and interviews for 15 of 70 residents (Resident #4, Resident #6, Resident #22, Resident #28, Resident #30, Resident #32, Resident #33, Resident #39, Resident #41, Resident #45, Resident #48, Resident #58, Resident #65, Resident #69, Resident #326) reviewed for preventative weekly body audits, the facility failed to perform preventative weekly body audits according facility policy and physician orders.
  2. 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 20, 2025
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for the only sampled resident (Resident #45) reviewed for activities of daily living (ADL), the facility failed to notify the physician of a change in condition.
  3. 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) January 20, 2025
    Inspectors wroteBased on clinical record review, facility documentation and staff interviews, the facility failed to provide medication administration education to a temporary agency staff nurse before starting work to meet professional standards of practice to prevent a significant medication error.
  4. 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 20, 2025
    Inspectors wroteBased on clinical record review, review of facility policy, and interviews for 1 of 3 sampled residents (Resident #58) reviewed for accidents, the facility failed to ensure that side rails were used for positioning and bed mobility resulting in a fall.
  5. 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) January 20, 2025
    Inspectors wrote1. Based on observations, review of the clinical record, facility documentation, facility policy and interviews for 2 of 4 residents (Resident #22 and Resident #34) reviewed for nutrition, the facility failed to obtain a reweight as directed by provider order and failed to notify a provider of a weight change and failed to obtain daily weights as directed by a provder order.
  6. C
    Honor 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.
    F585 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) January 20, 2025
    Inspectors wroteBased on observations, interviews, and facility policy, the facility failed to inform residents of how to complete a grievance, failed to ensure forms were available and accessible to residents and visitors and failed to maintain the results of grievances for three years.
  7. B
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) January 20, 2025
    Inspectors wroteBased on review of the clinical record, facility policy, and interview for 3 of 3 sampled residents, (Resident #45, Resident #58, and Resident #61), reviewed for change of condition, the facility failed to submit significant change in status (SCSA) Minimum Data Set (MDS) assessments for a decline in more than two functional ability areas.
February 15, 2023Standard inspection · 3 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 · Corrected (the home has a date of correction) March 5, 2023
    Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy, and interviews for 2 of 2 residents (Resident #44 and 422) reviewed for indwelling urinary catheters, the facility failed to ensure the residents dignity when the urinary drainage bags were left uncovered and visible.
  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) March 5, 2023
    Inspectors wroteBased on observation, review of the clinical record, facility policy and interview for 1 of 2 residents (Resident #36) reviewed for positioning, the facility failed to ensure a physician's order was in place and nurse monitoring was regularly performed and documented, for a resident utilizing a positioning device, and for 1 resident (Resident #52) reviewed for accidents, the facility failed to ensure a RN assessment was completed when the resident had a change in condition.
  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 · Corrected (the home has a date of correction) March 5, 2023
    Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy, and interviews for 1 resident (Resident #44) reviewed for respiratory care, the facility failed to ensure respiratory equipment was dated per facility policy.
January 30, 2020Standard inspection · 1 citation
  1. E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 12, 2020
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 1 residents (Resident #7) reviewed for hemodialysis, the facility failed to monitor a hemodialysis Arterio-Venous (AV) fistula.

Fire safety inspections

6 fire safety citations on file: 3 on February 15, 2023, 3 on January 30, 2020.

Every fire safety citation6 citations
  1. D
    Install an approved automatic sprinkler system.
    K 351 · February 15, 2023 · Corrected (the home has a date of correction)
  2. D
    Install corridor and hallway doors that block smoke.
    K 363 · February 15, 2023 · Corrected (the home has a date of correction)
  3. D
    Provide a written emergency evacuation plan.
    K 711 · February 15, 2023 · Corrected (the home has a date of correction)
  4. D
    Establish an Emergency Preparedness Program (EP).
    E 1 · January 30, 2020 · Corrected (the home has a date of correction)
  5. D
    List the names and contact information of those in the facility.
    E 30 · January 30, 2020 · Corrected (the home has a date of correction)
  6. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 30, 2020 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

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)4.243.733.86
Registered nurses0.890.690.69
All nursing staff on weekends3.843.373.42
Nurse aides2.72
Licensed practical nurses0.63
Nursing staff turnover (share who left in a year)42.7%37.4%45.8%
Registered nurse turnover26.7%38.6%42.9%
Administrators who left1

CMS expects 3.53 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 4.40 on weekdays and 3.84 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.35 in April to June 2025 to 4.24 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.240.894.403.84 10.0%0 of 9071
Oct to Dec 20254.300.914.394.06 8.8%0 of 9269
Jul to Sep 20254.240.754.383.91 8.5%0 of 9271
Apr to Jun 20254.350.844.494.00 3.7%0 of 9170
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. If you work here, your report helps start one.

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.

Work here? Share your pay anonymously

For Chestelm Health and Rehabilitation Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

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
19.217.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.80.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.51.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.73.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.41.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
21.516.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.44.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.317.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
9.924.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
17.010.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.42.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Chestelm Health and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (63.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

63.7% this home

Better than the national rate

US median of homes 51.5% · Connecticut: 75 better, 2 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 75 eligible stays.

Potentially preventable readmissions

9.8% this home

No different from the national rate

US median of homes 10.7% · Connecticut: 0 better, 3 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 92 eligible stays.

Infections that led to a hospital stay

6.2% this home

No different from the national rate

US median of homes 7.1% · Connecticut: 0 better, 2 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 67 eligible stays.

Self-care and mobility at discharge

52.3% this home

Median of homes: Connecticut58.9% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 65 residents counted.

Falls with major injury

0.0% this home

Median of homes: Connecticut0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 73 residents counted.

New or worsened pressure ulcers

2.8% this home

Median of homes: Connecticut1.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 73 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Connecticut100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 5 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: CHESTELM SKILLED OPERATIONS LLC.

NameRoleTypeShareSince
Chestelm Skilled Operations Holdco LLC5% or greater direct ownership interestOrganization100%02/27/2025
Mfk Holdings LLC5% or greater indirect ownership interestOrganization50%02/27/2025
Promos First LLC5% or greater indirect ownership interestOrganization50%02/27/2025
Horowitz, PinchosManaging control - governing bodyIndividual02/27/2025
Kalmanowitz, MarkManaging control - governing bodyIndividual02/27/2025
Cavicke, DanaOperational/managerial controlIndividual02/27/2025
Horowitz, PinchosOperational/managerial controlIndividual02/27/2025
Kalmanowitz, MarkOperational/managerial controlIndividual02/27/2025
Marinar, BrendaOperational/managerial controlIndividual02/27/2025
Mfk Holdings LLCAdp of the SNFOrganization02/27/2025
Promos First LLCAdp of the SNFOrganization02/27/2025
Cavicke, DanaAdp of the SNFIndividual07/27/2025
Horowitz, PinchosAdp of the SNFIndividual02/27/2025
Kalmanowitz, MarkAdp of the SNFIndividual02/27/2025
Marinar, BrendaAdp of the SNFIndividual02/27/2025

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 6 problems in this area, most recently on November 26, 2024: "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 4 problems in this area, most recently on August 13, 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 3 problems in this area, most recently on August 13, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
  4. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Connecticut contacts for a concern about a nursing home

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Common questions

What is Chestelm Health and Rehabilitation Center's Medicare star rating?
CMS rates Chestelm Health and Rehabilitation Center 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Chestelm Health and Rehabilitation Center get at its last inspection?
7 health deficiencies at the standard inspection on November 26, 2024. The Connecticut average is 13.4.
Has Chestelm Health and Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Chestelm Health and Rehabilitation Center 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 Chestelm Health and Rehabilitation Center?
CMS lists 15 owners and managers. Legal business name: CHESTELM SKILLED OPERATIONS LLC.

Sources

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