Home / Connecticut / Milford
245 Orange Avenue, Milford, CT 06460 · South Central Ct County · (203) 876-5123
120 certified beds, about 112 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 075377 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 29, 2025, inspectors cited 12 health deficiencies (the Connecticut average is 13.4, the national average 9.2).
None of its 26 health citations since February 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 3.61 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.
30.6% of nursing staff left within the year CMS measured (Connecticut average 37.4%).
CMS links it to Civita Care Centers, an affiliated group of 6 nursing homes.
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.
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 26 health citations on file.
Inspectors wroteBased on review of the facility documentation, facility policy, and interviews the facility failed to ensure the Infection Preventionist completed specialized training in infection prevention.
Inspectors wroteBased on review of the clinical records, facility documentation, facility policies, and interviews for 6 of 10 residents (Resident #2, 18, 79, 87, 88, and 100) reviewed for immunizations, the facility failed to ensure consented residents received the 2024-2025 Covid vaccination, in a timely manner.
Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy, and interviews for 1 of 3 residents (Resident #60) reviewed for accidents, the facility failed to provide feeding assistance according to the physician's order to ensure a dignified dining experience.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 2 residents (Resident #48) reviewed for advance directives, the facility failed to ensure the physician's orders were consistent with the resident's wishes for code status.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 2 of 5 residents (Resident #56 and 84) reviewed for a specialty medical treatment and/or nutrition, for Resident #56 the facility failed to notify the physician and/or and the specialized treatment center when the resident was over the fluid restriction and for Resident #84 the facility failed to ensure the physician and resident representative were notified when the resident had a weight loss.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 6 residents (Resident #70) reviewed for pre-admission screening and resident review (PASARR), the facility failed to ensure the State-designated authority was notified when the resident was diagnoses with a new mental health diagnosis (10/20/21) and again when the physician discontinued the mental health diagnosis on 10/13/23.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 3 of 5 residents (Resident #24, 81 and 312) reviewed for nutrition and/or choices, for Resident #24 the facility failed to ensure the air mattress was set per the physician's order, for Resident #81 the facility failed to ensure the resident had close supervision during meals and for Resident #312 the facility failed to ensure that weights were obtained per the physician's order
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 3 residents (Resident #37) reviewed for pressure ulcers, the facility failed to complete the Braden Scale (a tool used to assess a resident's risk of developing a pressure ulcer) weekly after admission per the physician's order, failed to ensure that a wound care physician's recommendation was implemented, and failed to ensure that a thorough RN assessment of the residents pressure ulcers was completed following re-admission.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 4 (Resident #84) reviewed for nutrition, the facility failed to address a weight loss according to professional standards and facility policy.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 resident (Resident #56) reviewed for a specialized medical treatment and who had orders for a 1000 ml fluid restriction, the facility failed to consistently monitor fluid intake to ensure the resident was within the fluid restriction and implement measures according to professional standards.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 5 residents (Resident #70) reviewed for unnecessary medications, the facility failed to attempt continued gradual dose reductions (GDR) according to professional standards, after the diagnosis of schizoaffective disorder had been discontinued and failed to ensure a comprehensive care plan had been developed for the use of an antipsychotic medication.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 3 residents (Resident #81) reviewed for nutrition, the facility failed to provide adaptative equipment with meals according to physician's orders and the plan of care.
Inspectors wroteBased on review of the facility documentation, facility policy, and interviews the facility failed to ensure 5 of 5 staff nurse aides had annual performance evaluations in accordance with facility policy.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews the facility failed to ensure environmental rounds with corrective action forms were completed per facility policy and failed to ensure the infection control policy and procedure manual was reviewed annually by the required administrative staff.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 5 of 5 residents (#2, 35, 45, 69, and 97) reviewed for vaccines, the facility failed to ensure the resident and resident representative were educated and offered the pneumococcal vaccines per facility policy and CDC guidelines. 1. Resident #2 was admitted to the facility on [DATE] with diagnoses that included pneumonia, heart failure, and cerebral infarction. The Informed Consent Form for Pneumococcal Vaccines identified the following were offered Pneumococcal 15, Pneumococcal 20, and Pneumococcal 23. The form identified Resident #2's representative signed consent on 12/9/22 and 1/12/23 for the resident to receive the pneumococcal vaccines. Review of the MAR for December 2022 and January 2023 and the vaccine record identified Resident #2 did not receive the Pneumococcal Vaccine. 2. [...]
Inspectors wroteBased on observation, review of the clinical record, facility policies, and interviews for 1 of 2 residents (Resident #45) reviewed for abuse, the facility failed to speak to the resident in a dignified manner.
Inspectors wroteBased on observation, review of the clinical record, and interview for 1 resident (Resident #82), the facility failed to ensure that the resident's floor mat was maintained in good condition.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for 2 of 5 residents (Resident #35 and 97) reviewed for unnecessary medications, for Resident #35, who was receiving an antipsychotic medication, the facility failed to monitor the behaviors the antipsychotic medication was being used to treat, and for Resident #97 the facility failed ensure as needed (PRN) psychotropic drugs were limited to 14 days.
Inspectors wroteBased on review facility documentation, facility policy, and interviews the facility failed to ensure the residents, residents representatives, and families were notified by 5:00 PM the next day following the occurrence of a single confirmed Covid-19 infection.
Inspectors wroteBased on review of the clinical record, interviews, and review of facility documentation, for one of thirty-two residents residents reviewed for Advanced Directives, (Resident #32), the facility failed to ensure appropriate orders were maintained for a resident selecting no cardiopulmonary resuscitation/Do Not Resuscitate (DNR).
Inspectors wroteBased on observation, review of the clinical record, review of facility documentation, review of facility policy, and interviews, for 2 of 2 Residents (Resident #66 and #362) reviewed for incontinent care and positioning, the facility failed to provide incontinent care/checks or repositioning at least every 2 hours and/or provide care according to the plan of care and/or failed to consistently document weekly wound monitoring and/or identify and implement measures in a timely manner to prevent the development of or promote the healing of a wound.
Inspectors wroteBased on observation, review of the clinical record, review of facility documentation, review of facility policy, and interviews, for 1 resident (Resident #362) reviewed for pressure ulcers, the facility failed to consistently document weekly wound monitoring and/or identify and implement measures in a timely manner to prevent the development of or promote the healing of a pressure ulcer.
Inspectors wroteBased on observation, review of the clinical record, review of facility documentation, review of facility policy, and interviews, for 1 resident (Resident #362) reviewed for hydration, the facility failed to monitor hydration intake to ensure a resident met his/her fluid intake needs.
Inspectors wroteBased on review of the clinical record, interviews, and review of the Resident Assessment Instrument (RAI) Manual, for two of fifteen residents reviewed for Resident Assessment, (Residents #97 and #362), the facility failed to ensure timely completion of a comprehensive Minimum Data Set (MDS).
Inspectors wroteBased on review of the clinical record, interviews, and review of the RAI Manual, for nine of fourteen residents reviewed for Resident Assessment, (Residents #1, #2, #3, #4, #7, #8, #9, #10, and #12, the facility failed to ensure timely completion of the quarterly Minimum Data Set (MDS).
Inspectors wroteBased on review of facility documentation and interviews, for two of three sampled Nurse Aides (NA) reviewed, NA# 2 and NA #3, the facility failed to ensure NAs had performance evaluations at least every 12 months.
27 fire safety citations on file: 10 on January 29, 2025, 16 on January 26, 2023, 1 on February 14, 2020.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Connecticut | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.61 | 3.73 | 3.86 |
| Registered nurses | 0.71 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.13 | 3.37 | 3.42 |
| Nurse aides | 1.91 | ||
| Licensed practical nurses | 0.99 | ||
| Nursing staff turnover (share who left in a year) | 30.6% | 37.4% | 45.8% |
| Registered nurse turnover | 42.9% | 38.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.02 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.81 on weekdays and 3.13 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.61 in April to June 2025 to 3.61 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.61 | 0.71 | 3.81 | 3.13 | 2.0% | 0 of 90 | 112 |
| Oct to Dec 2025 | 3.80 | 0.74 | 4.03 | 3.24 | 0.7% | 0 of 92 | 113 |
| Jul to Sep 2025 | 3.73 | 0.66 | 3.95 | 3.18 | 0.0% | 0 of 92 | 110 |
| Apr to Jun 2025 | 3.61 | 0.71 | 3.85 | 3.03 | 0.0% | 0 of 91 | 110 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Connecticut, Jan to Mar 2026 | 3.66 | 0.61 | 3.80 | 3.31 | 6.0% | 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
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Connecticut, all employers | |||
| CNAs (nursing assistants) | $21.53 | $20.14 to $22.68 | 21,380 |
| LPNs and LVNs | $35.43 | $32.05 to $36.94 | 8,540 |
| Registered nurses | $49.39 | $41.40 to $58.58 | 40,110 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Connecticut | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.7 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.1 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.2 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.8 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.3 | 16.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.9 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.3 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.7 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.9 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Civita Care Center at West River's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (62.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
62.3% 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. 134 eligible stays.
11.2% 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. 142 eligible stays.
7.2% 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. 86 eligible stays.
53.7% 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. 82 residents counted.
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. 101 residents counted.
1.0% 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. 101 residents counted.
94.9% this home
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. 39 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.
Legal business name: BH WEST RIVER LLC. CMS links this home to Civita Care Centers, a group of 6 nursing homes averaging 2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ct6 Opco Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 10/01/2024 |
| Esnh LLC | 5% or greater indirect ownership interest | Organization | 10/01/2024 | |
| Jpnh LLC | 5% or greater indirect ownership interest | Organization | 10/01/2024 | |
| Pepper, Yehuda | 5% or greater indirect ownership interest | Individual | 10/01/2024 | |
| Schwarcz, Eli | 5% or greater indirect ownership interest | Individual | 10/01/2024 | |
| 245 Orange LLC | 5% or greater mortgage interest | Organization | 10/01/2024 | |
| Schwarcz, Eli | 5% or greater mortgage interest | Individual | 10/01/2024 | |
| Pepper, Yehuda | Managing control - governing body | Individual | 10/01/2024 | |
| Cleary, Kevin | Operational/managerial control | Individual | 10/01/2024 | |
| Pepper, Yehuda | Operational/managerial control | Individual | 01/09/2025 | |
| 245 Orange LLC | Adp of the SNF | Organization | 01/09/2025 | |
| Ct6 Propco Holdco LLC | Adp of the SNF | Organization | 01/09/2025 | |
| Esnh LLC | Adp of the SNF | Organization | 01/23/2025 | |
| Everflow Healthcare LLC | Adp of the SNF | Organization | 01/23/2025 | |
| Jpnh LLC | Adp of the SNF | Organization | 01/23/2025 | |
| Sfnh LLC | Adp of the SNF | Organization | 01/23/2025 | |
| Balsamo, Joseph | Adp of the SNF | Individual | 01/23/2025 | |
| Cleary, Kevin | Adp of the SNF | Individual | 01/23/2025 | |
| Friedman, Samuel | Adp of the SNF | Individual | 01/23/2025 | |
| Pepper, Yehuda | Adp of the SNF | Individual | 01/23/2025 | |
| Schwarcz, Eli | Adp of the SNF | Individual | 10/01/2024 | |
| Templer, David | Adp of the SNF | Individual | 01/23/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in Connecticut. NursingHomeClear cannot take or act on complaints.