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Complete Care at Middlebury

778 Middlebury Rd, Middlebury, CT 06762 · Naugatuck Vly County · (203) 758-2471

58 certified beds, about 54 residents a day · For profit - Corporation · Medicare and Medicaid since 1967

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 075146 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 20, 2025, inspectors cited 0 health deficiencies (the Connecticut average is 13.4, the national average 9.2).

Of 14 health citations since September 2021, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $12,735 in the last three years; the largest was $12,735, and the latest is dated September 19, 2025.

Nurses and nurse aides worked 3.84 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.73 of those hours.

50.7% of nursing staff left within the year CMS measured (Connecticut average 37.4%).

CMS links it to Complete Care, an affiliated group of 85 nursing homes.

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 14 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
9D
1E
1F
Potential for minimal harm
0A
2B
0C
September 19, 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 · Past noncompliance: already fixed when inspectors found it
    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 the resident who required staff assistance for mobility, had leg rests applied on the wheelchair prior to pushing the wheelchair. The failure resulted in a fall with injury.
June 20, 2025Standard inspection · 0 citations
September 25, 2023Standard inspection · 10 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteBased on review of facility documentation, review of facility policy, and interview, the facility failed to review the infection prevention control program policies and procedures at least annually, and failed to have a current list of communicable diseases that are reportable to the local and state health authorities and failed to maintain appropriate tracking for Multi-Drug Resistant Organisms (MDRO).
  2. E
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteBased on clinical record review, and interviews for one of five sampled resident (Resident #33) reviewed for unnecessary meds, the facility failed to ensure that physician ordered monitoring for orthostatic blood pressures and for bleeding were implemented.
  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) November 27, 2023
    Inspectors wroteBased on clinical record review, observations, facility policy review, and interviews for two sampled residents (Resident #12 and Resident #51) observed for dining, the facility failed to ensure that staff maintained a dignified dining experience by not standing while assisting residents to eat.
  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) November 27, 2023
    Inspectors wroteBased on clinical record review, facility policy review, and staff interviews for one sampled resident (Resident # 48) reviewed for advanced directives, the facility failed to ensure the monthly physician's orders reflected the resident's correct code status.
  5. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteBased on review of facility documentation, facility policy, and interview, the facility failed to provide a system of records as well as receipt and disposition reconciliation for controlled medications.
  6. D
    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, isolated · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteBased on clinical record review, review of facility policy, and staff interviews for one of five sampled residents (Resident #33) reviewed for unnecessary medications, the facility failed to ensure a monthly pharmacy review of medications and failed to develop and maintain policies and procedures for the monthly drug regimen review.
  7. 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) November 27, 2023
    Inspectors wroteBased on observation, review of facility policy, and interview, the facility failed to store refrigerated medications appropriately.
  8. 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 · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteBased on review of the clinical records, facility policy, facility documentation, and interview during a review of resident immunizations for two of five sampled residents (Resident #6 and Resident #47), the facility failed to offer and provide pneumococcal immunizations as required.
  9. 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) November 27, 2023
    Inspectors wroteBased on facility documentation review and staff interviews for one of three nurse aides (NA #3), the facility failed to complete an annual performance evaluation.
  10. B
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    F838 · Administration · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteBased on facility documentation review and staff interviews, the facility failed to ensure the facility assessment was reviewed and updated annually.
September 15, 2021Standard inspection · 3 citations
  1. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2021
    Inspectors wroteBased on observations, review of facility documentation and interview, the facility failed to ensure that resident room walls were free of damage and well maintained.
  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) November 23, 2021
    Inspectors wroteBased on review of the clinical record, review of facility documentation, review of facility policy and interviews for 1 sampled resident (Resident #6) reviewed for unnecessary meds, the facility failed to transcribe a physician order to the following month's [NAME].
  3. 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) November 23, 2021
    Inspectors wroteBased on observations, review of facility documentation and interviews, the facility failed to follow infection control standards for donning and doffing face masks.

Fire safety inspections

4 fire safety citations on file: 3 on June 20, 2025, 1 on September 25, 2023.

Every fire safety citation4 citations
  1. D
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · June 20, 2025 · Corrected (the home has a date of correction)
  2. D
    Install corridor and hallway doors that block smoke.
    K 363 · June 20, 2025 · Corrected (the home has a date of correction)
  3. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 20, 2025 · Corrected (the home has a date of correction)
  4. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · September 25, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
September 19, 2025Fine $12,735

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)3.843.733.86
Registered nurses0.730.690.69
All nursing staff on weekends3.493.373.42
Nurse aides2.29
Licensed practical nurses0.81
Nursing staff turnover (share who left in a year)50.7%37.4%45.8%
Registered nurse turnover70.6%38.6%42.9%
Administrators who left0

CMS expects 4.08 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 3.98 on weekdays and 3.49 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.80 in April to June 2025 to 3.84 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.840.733.983.49 0.0%0 of 9054
Oct to Dec 20253.780.733.923.44 0.0%0 of 9254
Jul to Sep 20253.920.764.083.51 0.0%0 of 9254
Apr to Jun 20253.800.843.993.34 0.0%0 of 9155
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
27.517.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.50.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.41.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.13.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.91.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
26.816.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.64.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
15.617.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
15.824.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.910.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.32.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.31.51.8

Owners and operators

Legal business name: COMPLETE CARE AT MIDDLEBURY LLC. CMS links this home to Complete Care, a group of 85 nursing homes averaging 3.2 stars overall.

NameRoleTypeShareSince
PC Middlebury Opco LLC5% or greater direct ownership interestOrganization100%10/10/2023
PC Middlebury Topco LLC5% or greater indirect ownership interestOrganization10/10/2023
Peace Capital Holdings II LLC5% or greater indirect ownership interestOrganization10/10/2023
Sms 2021 Trust5% or greater indirect ownership interestOrganization10/10/2023
Des Capital LLCIndirect ownership interestOrganization10/10/2023
Jrk Investments LLCIndirect ownership interestOrganization10/10/2023
Klugman, JacobIndirect ownership interestIndividual10/10/2023
Stein, ShalomIndirect ownership interestIndividual10/10/2023
Sternbuch, DanielIndirect ownership interestIndividual10/10/2023
Lagana, KristinManaging control - governing bodyIndividual10/10/2023
Stein, ShalomManaging control - governing bodyIndividual10/10/2023
Stein, ShalomCorporate officerIndividual10/10/2023
Adetola, AdedayoOperational/managerial controlIndividual02/14/2025
Hoch, RobertOperational/managerial controlIndividual10/10/2023
Knights, PeterOperational/managerial controlIndividual10/10/2023
Lagana, KristinOperational/managerial controlIndividual10/10/2023
Tetreault, MarnieOperational/managerial controlIndividual10/10/2023
Stein, ShalomTrustee of the SNFIndividual10/10/2023
Des Capital LLCAdp of the SNFOrganization10/10/2023
Jrk Investments LLCAdp of the SNFOrganization10/10/2023
Middlebury Propco LLCAdp of the SNFOrganization10/10/2023
PC Middlebury Propco LLCAdp of the SNFOrganization10/10/2023
PC Middlebury Topco LLCAdp of the SNFOrganization10/10/2023
Peace Capital Holdings II LLCAdp of the SNFOrganization10/10/2023
Sms 2021 TrustAdp of the SNFOrganization10/10/2023
Adetola, AdedayoAdp of the SNFIndividual02/14/2025
Cisowski, JenniferAdp of the SNFIndividual10/10/2023
Hoch, RobertAdp of the SNFIndividual10/10/2023
Klugman, JacobAdp of the SNFIndividual10/10/2023
Knights, PeterAdp of the SNFIndividual10/10/2023
Lagana, KristinAdp of the SNFIndividual10/10/2023
Sternbuch, DanielAdp of the SNFIndividual10/10/2023
Tetreault, MarnieAdp of the SNFIndividual10/10/2023

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 are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on September 25, 2023: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on September 25, 2023: "Provide and implement an infection prevention and control program."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on September 25, 2023: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on September 19, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."

Other nursing homes nearby

Connecticut contacts for a concern about a nursing home

These are the official offices in Connecticut. NursingHomeClear cannot take or act on complaints.

Common questions

What is Complete Care at Middlebury's Medicare star rating?
CMS rates Complete Care at Middlebury 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Complete Care at Middlebury get at its last inspection?
0 health deficiencies at the standard inspection on June 20, 2025. The Connecticut average is 13.4.
Has Complete Care at Middlebury been fined?
Yes. CMS lists 1 fine totaling $12,735 in the last three years.
Does Complete Care at Middlebury 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 Complete Care at Middlebury?
CMS lists 33 owners and managers, and links the home to Complete Care. Legal business name: COMPLETE CARE AT MIDDLEBURY LLC.

Sources

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