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Cook Willow Health & Rehabilitation Center, Inc.

81 Hillside Avenue, Plymouth, CT 06782 · Naugatuck Vly County · (860) 283-8208

60 certified beds, about 50 residents a day · For profit - Corporation · Medicare and Medicaid since 1991

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 075349 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 12, 2025, inspectors cited 7 health deficiencies (the Connecticut average is 13.4, the national average 9.2).

None of its 23 health citations since November 2021 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 3.97 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.94 of those hours.

40.8% 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 23 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
16D
1E
1F
Potential for minimal harm
0A
4B
1C
April 29, 2026Complaint inspection · 1 citation
  1. D
    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
    F559 · 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) May 26, 2026
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for one (1) of two (2) sampled residents (Resident #1) reviewed for abuse, the facility failed to ensure the victim of a resident-to-resident altercation was afforded the choice to remain in his/her original room before staff initiated a room change following an incident in which Resident #2 threatened Resident #1 with a plastic knife. The facility further failed to ensure the room relocation promoted Resident #1's sense of safety and access within the facility when Resident #1 was moved four (4) rooms away from Resident #2 to a room located at the end of a corridor with no alternate route of exit/access, requiring Resident #1 to routinely pass Resident #2's room to access common areas of the facility.
September 12, 2025Standard inspection, Complaint inspection · 9 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) October 22, 2025
    Inspectors wroteBased on tour of the Dietary Department, review of facility policy and staff interview, the facility failed to ensure perishable food items were dated upon opening and dishwasher temperatures were consistently monitored.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 22, 2025
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #56) reviewed for abuse, the facility failed to ensure staff reported an allegation of mistreatment timely, and failed to ensure the State Agency was notified timely of an allegation of mistreatment.
  3. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 22, 2025
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #56) reviewed for abuse, the facility failed to ensure timely investigation of an allegation of mistreatment.
  4. 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) October 22, 2025
    Inspectors wroteBased on review of the clinical record, facility policy and interviews for 1 of 2 sampled residents (Resident #1) reviewed for accidents, the facility failed to ensure the care plan was revised when Resident #1 was removing the wanderguard bracelet (sensor used to assist in preventing exiting through doorways outside).
  5. 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 22, 2025
    Inspectors wroteBased on staff interviews, review of the clinical record and facility policy for 1 of 1 sampled resident (Resident #54) reviewed for death, the facility failed to ensure a comprehensive assessment was completed at the time of death.
  6. 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) October 22, 2025
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and staff interviews for 1 of 4 residents reviewed for accidents (Resident #28), the facility failed to provide transfer assistance per the physician's order which resulted in a fall with an injury.
  7. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 22, 2025
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for the only sampled resident (Resident #7) reviewed for hospice services, the facility failed to ensure hospice provided nursing and social work documentation/communication regarding hospice visits.
  8. 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) October 22, 2025
    Inspectors wroteBased on observations, review of clinical records, facility policy and interviews for 1 of 2 sampled residents (Resident #4) reviewed for an indwelling urinary catheter, the facility failed to ensure the drainage bag was not touching the floor.
  9. C
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) October 22, 2025
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for 3 of 3 (Resident #2, Resident #53 and Resident #55) sampled closed records reviewed, the facility failed to ensure the ombudsman was notified of the resident discharges.
February 6, 2024Standard inspection · 10 citations
  1. 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) March 19, 2024
    Inspectors wroteBased on the tour of the Dietary Department, staff interview, facility documentation and policy, the facility failed to ensure the Dietary department consistently labeled canned food to reflect their age or shelf life, failed to discard dented cans and failed to ensure proper hair covering for a beard.
  2. 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) March 19, 2024
    Inspectors wroteBased on review of the clinical record, facility policy, and interviews for 1 of 3 sampled residents (Resident #50) reviewed for falls, the facility failed to ensure the Resident Care Plan was comprehensive to include interventions that the facility had implemented for fall prevention.
  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 · Corrected (the home has a date of correction) March 19, 2024
    Inspectors wroteBased on observations, review of the clinical record, staff interviews and facility policy for 1 of 5 residents(Resident #18) reviewed for psychotropic medications, for 1 of 2 residents (Resident #39) reviewed for pressure ulcers and for 1 of 1 sampled resident (Resident #50) reviewed for elopement, the facility failed to revise the resident care plan.
  4. 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) March 19, 2024
    Inspectors wroteBased on observation and staff interview for 1 of 1 sampled resident (Resident #36) reviewed for Activities of Daily Living (ADLs), the facility failed to provide personal hygiene for nails and removal of facial hair.
  5. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 19, 2024
    Inspectors wroteBased on review of the clinical record, facility policy, and interview for the only sampled resident, (Resident #50), reviewed for bladder and bowel incontinence, the facility failed to correctly code bladder continence and failed to complete a bowel assessment on readmission following a hospitalization.
  6. 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 19, 2024
    Inspectors wroteBased on observations, review of the clinical record, review of facility documentation, facility policy, and interviews for 3 of 3 residents, (Resident #7, Resident #27, and Resident #253) reviewed for oxygen therapy, the facility failed to appropriately label nasal cannula oxygen tubing (Resident #7), and failed to follow a physician's order related to oxygen administration (Resident #27 and Resident #253).
  7. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 19, 2024
    Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy and interviews for the only sampled resident reviewed for environment, the facility failed to ensure Resident #20's call bell was within reach.
  8. B
    Assure the security of all personal funds of residents deposited with the facility.
    F570 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) March 19, 2024
    Inspectors wroteBased on observation, facility documentation, facility policy and interviews regarding personal funds, the facility failed to ensure adequate coverage through a Surety bond for the Resident Trust Accounts.
  9. B
    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 minimal harm, pattern · Corrected (the home has a date of correction) March 19, 2024
    Inspectors wroteBased on observation and staff interviews for 1 observed resident (Resident #13) using the resident television lounge, the facility failed to maintain a homelike environment in 1 of 2 resident areas.
  10. 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) March 19, 2024
    Inspectors wroteBased on review of personnel files and staff interviews for 1 of 3 Nurse Aides (NA) reviewed for annual evaluations (NA #4), the facility failed to complete annual performance evaluations.
November 22, 2021Standard inspection · 3 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 29, 2021
    Inspectors wroteBased on review of the clinical record, interviews review of facility documentation and review of policy for one of two residents reviewed for Mood or Behavior for (Resident #54), the facility failed to ensure notification to the physician/practitioner following a threat of serious physical harm to Resident # 21.
  2. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 29, 2021
    Inspectors wroteBased on clinical record reviews, review of facility documentation, policies, and interviews for one resident (Resident # 15) reviewed for abuse, the facility failed to protect the residents from abuse from (Resident # 21).
  3. 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) December 29, 2021
    Inspectors wroteBased on review of the clinical record and interviews for three of six residents reviewed for Preadmission Screening and Resident Review (PASARR) for (Residents # 18, #19, # 38), the facility failed to ensure the accuracy of the resident's MDS assessment.

Fire safety inspections

7 fire safety citations on file: 2 on September 12, 2025, 2 on February 6, 2024, 3 on November 22, 2021.

Every fire safety citation7 citations
  1. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 12, 2025 · Corrected (the home has a date of correction)
  2. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 12, 2025 · Corrected (the home has a date of correction)
  3. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 6, 2024 · Corrected (the home has a date of correction)
  4. D
    Ensure proper usage of power strips and extension cords.
    K 920 · February 6, 2024 · Corrected (the home has a date of correction)
  5. E
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · November 22, 2021 · Corrected (the home has a date of correction)
  6. 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 · November 22, 2021 · Corrected (the home has a date of correction)
  7. D
    Provide properly protected cooking facilities.
    K 324 · November 22, 2021 · 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)3.973.733.86
Registered nurses0.940.690.69
All nursing staff on weekends3.243.373.42
Nurse aides2.30
Licensed practical nurses0.73
Nursing staff turnover (share who left in a year)40.8%37.4%45.8%
Registered nurse turnover37.5%38.6%42.9%
Administrators who left0

CMS expects 3.66 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 4.27 on weekdays and 3.24 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.96 in April to June 2025 to 3.97 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.970.944.273.24 3.5%0 of 9050
Oct to Dec 20254.190.974.463.51 0.5%0 of 9248
Jul to Sep 20254.150.954.423.47 0.2%0 of 9250
Apr to Jun 20253.960.884.183.43 1.3%0 of 9154
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
14.217.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.71.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.23.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.616.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.34.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.317.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
19.424.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
3.310.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.92.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.31.51.8

Owners and operators

Legal business name: COOK WILLOW CONVALESCENT HOSPITAL INC.

NameRoleTypeShareSince
Macdonald, Susan5% or greater direct ownership interestIndividual100%07/01/1975
Macdonald, SusanCorporate directorIndividual07/01/1975
Le Clair, JennesaCorporate officerIndividual03/18/1989
Macdonald, SusanCorporate officerIndividual07/01/1975
Macdonald, WalterCorporate officerIndividual01/15/1990
Le Clair, JennesaOperational/managerial controlIndividual03/18/1989
Macdonald, SusanOperational/managerial controlIndividual07/01/1975
Oh, Jong GilOperational/managerial controlIndividual05/01/2007
Le Clair, JennesaAdp of the SNFIndividual01/30/2004
Macdonald, SusanAdp of the SNFIndividual07/01/1975
Oh, Jong GilAdp of the SNFIndividual05/01/2007

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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on April 29, 2026: "Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on September 12, 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. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on September 12, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on September 12, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.24 hours per resident per day, below the Connecticut average of 3.37.

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Common questions

What is Cook Willow Health & Rehabilitation Center, Inc.'s Medicare star rating?
CMS rates Cook Willow Health & Rehabilitation Center, Inc. 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Cook Willow Health & Rehabilitation Center, Inc. get at its last inspection?
7 health deficiencies at the standard inspection on September 12, 2025. The Connecticut average is 13.4.
Has Cook Willow Health & Rehabilitation Center, Inc. been fined?
CMS lists no fines in the last three years.
Does Cook Willow Health & Rehabilitation Center, Inc. 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 Cook Willow Health & Rehabilitation Center, Inc.?
CMS lists 11 owners and managers. Legal business name: COOK WILLOW CONVALESCENT HOSPITAL INC.

Sources

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