Home / Connecticut / East Windsor
Fresh River Healthcare
96 Prospect Hill Rd, East Windsor, CT 06088 · Capitol County · (860) 623-9846
140 certified beds, about 127 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991
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 075359 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 11, 2025, inspectors cited 3 health deficiencies (the Connecticut average is 13.4, the national average 9.2).
None of its 24 health citations since June 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 3.00 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.36 of those hours.
23.2% of nursing staff left within the year CMS measured (Connecticut average 37.4%).
CMS links it to Icare Health Network, an affiliated group of 12 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.
406/21
608/23
201/24
308/24
412/24
103/25
306/25
108/25
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 24 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
14D
7E
0F
Potential for minimal harm
0A
3B
0C
August 13, 2025Complaint inspection · 1 citation
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on clinical records, interviews, and review of facility documentation and policy for one (1) of three (3) residents (Resident #4) reviewed for discharge, the facility failed to ensure the resident had home nursing services established upon discharge from the facility.
June 11, 2025Standard inspection · 3 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of the clinical record, review of facility documentation, review of facility policy/procedures and interviews for two of five sampled residents (Residents #55 and #71) reviewed for unnecessary medication, the facility failed to ensure physician's orders for a Valproate level and for Sinemet were followed as ordered.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on clinical record review, review of facility documentation, review of facility policy and staff interviews for one of five sampled residents (Resident #39) reviewed for unnecessary medications and receiving Depakote, the facility failed to ensure a documented response to a pharmacist's recommendation for a valproic acid level (Depakote level) was completed and failed to provide documentation that the physician ordered a Depakote level as recommended.
- B Ensure each resident receives an accurate assessment.
Inspectors wroteBased on review of clinical records, review of facility documentation, and interviews for two of three sampled residents (Residents #47 & #105) reviewed for Preadmission Screening and Resident Reviews (PASRR), the facility failed to ensure the comprehensive assessments were accurately coded to reflect the residents had positive Level II PASRR assessments.
March 5, 2025Complaint inspection · 1 citation
- D Ensure services provided by the nursing facility meet professional standards of quality.
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 change in condition, the facility failed to ensure a resident was transferred to a higher level of care in a timely manner.
December 19, 2024Complaint inspection · 4 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for three (3) of five (5) residents (Resident#6, #7 and #8) reviewed for abuse, the facility failed to ensure the State Agency was notified timely of a resident-to-resident physical interaction.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for one (1) of three (3) residents (Resident #6) reviewed for allegations of mistreatment, the facility failed to investigate an allegation of verbal abuse.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for one (1) of three (3) residents (Resident #2) reviewed for skin injuries, failed to ensure that interventions for skin protection were followed in accordance with the plan of care.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for one (1) of three (3) residents (Resident #2) reviewed for skin alterations, the facility failed to document alterations in skin integrity in the clinical record upon identification and failed to monitor and measure the alterations in skin integrity upon identification and weekly until resolved.
August 13, 2024Complaint inspection · 3 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on review of clinical records facility documentation, facility policy, and interviews for one (1) of three (3) residents, (Residents #1), reviewed for abuse, the facility failed to ensure that the resident was treated with dignity and respect. Resident #1 had diagnoses of schizoaffective disorder, dementia, traumatic brain injury, spastic hemiplegia affecting the right dominant side, and contractures of the right ankle and knee. Review of the Quarterly Minimum Data Set assessment dated [DATE] identified Resident #1 as severely cognitively impaired and was dependent with Activities of Daily Living. [...]
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of clinical records facility documentation, facility policy, and interviews for one (1) of three (3) residents, (Residents #1), reviewed for abuse, the facility failed to ensure that the resident transferred in an appropriate manner and in accordance with the plan of care.
- B Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on clinical record reviews, facility documentation review, facility policy review, and interviews for one (1) of three (3) residents, (Residents #1), reviewed for advance directives, the facility failed to ensure that the code status accurate throughout the clinical record.
January 24, 2024Complaint inspection · 2 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 hydration, the facility failed to document the resident's intakes and outputs while receiving Intravenous (IV) hydration therapy.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for one (1) of three (3) resident, (Resident #1), reviewed for falls, the facility failed to document administration of medications and document neurological checks per facility policy.
August 18, 2023Standard inspection · 6 citations
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on clinical record reviews, observations, facility documentation review, facility policy review, and interviews for nine sampled residents ( #19, #21, #26, #29, #41, #49, #74, #77, and #110) who resided on a secured unit, the facility failed to ensure Resident Rights were maintained by not permitting residents to leave the secured unit for the first seventy-two hours following admission and after the initial seventy-two hours the residents are not permitted to leave the unit without being escorted by a staff member for up to two weeks, and when residents' were permitted to leave independently, they were required to wear a lanyard that identified that they resided on the secured unit. The facility also failed to ensure the facility guidelines were in congruence with the facility practice.
- E Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on review of the clinical record, facility documentation review, facility policy review, and interviews for two of three sampled residents (Resident #29 and #49) reviewed for Resident Rights, the facility failed to allow the resident the right to participate in the development and implementation of his or her person-centered plan of care.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record review, observations, review of facility documentation, review of facility policy and interviews for five of five sampled residents (Resident #13, #29, #41. #49 & #74) reviewed for care planning, the facility failed to ensure that the care plan conferences involved the complete interdisciplinary team and failed to ensure that residents were included in the care plan development.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of facility policy and documentation, the facility failed to follow the policy and procedural measures developed by the facility to prevent the growth of Legionella and other water borne pathogens in the building water system.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on clinical record review, review of facility policy and interviews for one sampled resident (Resident #49) reviewed for psychiatric medication use, the facility failed to ensure that an Abnormal Involuntary Movement Scale (AIMS) (used to measure involuntary movements known as tardive dyskinesia) was appropriately completed.
- 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.
Inspectors wroteBased on observation, clinical record review, facility policy review and interview for two sampled residents (Residents #12 and #83) the facility failed to ensure that expired medications were removed from the medication cart ensuring that the medication would not be administered to the residents.
June 28, 2021Standard inspection · 4 citations
- E Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for 2 of 2 residents (Resident #105 and Resident #80) who were convicted of a sexual offense, listed on the sex offender registry and who sexually assaulted a staff member while a resident at the facility (Resident #105), the facility failed to develop and initiate interventions to protect residents from abuse from Resident #105 and Resident #80, therefore putting residents at risk for sexual abuse .
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for 2 of 2 residents (Resident #105 and Resident #80) who were convicted of a sexual offense, listed on the sex offender registry, and who sexually assaulted a staff member while a resident at the facility (Resident #105), the facility failed to develop and implement interventions in the Resident Care Plan to protect other residents from abuse from Resident #105 and Resident #80 .
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, facility policy and procedures review, facility documentation review, and interviews, the facility failed to ensure food items were stored appropriately to reflect its age or shelf-life.
- B Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on facility documentation review, facility policy review, and interviews for Intravenous Therapy (IV) review, for five of six staff reviewed for annual Intravenous (IV) therapy staff competency, the facility failed to complete annual IV in-service/competency training before staff performed IV therapy.
Fire safety inspections
23 fire safety citations on file: 4 on June 11, 2025, 13 on August 18, 2023, 6 on June 28, 2021.
Every fire safety citation23 citations
- D Have exits that are accessible at all times.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Install corridor and hallway doors that block smoke.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Provide properly protected cooking facilities.
- E Install an approved automatic sprinkler system.
- E Install properly constructed and protected linen or trash chutes.
- D Establish staff and initial training requirements.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Meet other general requirements that are deficient.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Provide a written emergency evacuation plan.
- D Have generator or other power source capable of supplying service within 10 seconds.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Meet requirements for the installation and maintenance of electrical systems.
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.
| Measure | This home | Connecticut | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.00 | 3.73 | 3.86 |
| Registered nurses | 0.36 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.77 | 3.37 | 3.42 |
| Nurse aides | 1.96 | ||
| Licensed practical nurses | 0.68 | ||
| Nursing staff turnover (share who left in a year) | 23.2% | 37.4% | 45.8% |
| Registered nurse turnover | 10.0% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.23 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 3.10 on weekdays and 2.77 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.00 in April to June 2025 to 3.00 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 | 3.00 | 0.36 | 3.10 | 2.77 | 1.7% | 0 of 90 | 127 |
| Oct to Dec 2025 | 2.96 | 0.35 | 3.05 | 2.72 | 1.0% | 0 of 92 | 128 |
| Jul to Sep 2025 | 2.98 | 0.36 | 3.09 | 2.70 | 1.7% | 0 of 92 | 127 |
| Apr to Jun 2025 | 3.00 | 0.37 | 3.11 | 2.71 | 2.9% | 0 of 91 | 125 |
| 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.
Quality measures
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 | 12.7 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.2 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.7 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.7 | 16.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.2 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 32.7 | 17.8 | 15.4 |
Owners and operators
Legal business name: KETTLE BROOK CARE CENTER LLC. CMS links this home to Icare Health Network, a group of 12 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Global World Investors | 5% or greater direct ownership interest | Organization | 10% | 04/01/1999 |
| Premier First Investors, Lllp | 5% or greater direct ownership interest | Organization | 10% | 04/01/1999 |
| Krausz, Hersch | 5% or greater direct ownership interest | Individual | 21% | 04/01/1999 |
| Salazar, V. Robert | 5% or greater direct ownership interest | Individual | 31% | 04/01/1999 |
| Sebbag, David | 5% or greater direct ownership interest | Individual | 21% | 04/01/1999 |
| Wright, Christopher | 5% or greater direct ownership interest | Individual | 5% | 04/01/1999 |
| Wright, Christopher | Operational/managerial control | Individual | 04/01/1999 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on June 11, 2025: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on June 11, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- 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: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on June 11, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.77 hours per resident per day, below the Connecticut average of 3.37.
Other nursing homes nearby
- Touchpoints at Chestnut East Windsor, 0.6 mi · 3 of 5 stars · 30 citations
- Bickford Health Care Center Windsor Locks, 1.1 mi · 1 of 5 stars · 100 citations
- St. Joseph's Residence Enfield, 3.4 mi · 5 of 5 stars · 3 citations
- Suffield House Rehabilitation and Healthcare Cente Suffield, 4.2 mi · 4 of 5 stars · 18 citations
- Parkway Pavilion Health and Rehabilitation Center Enfield, 4.3 mi · 1 of 5 stars · 52 citations
- Autumn Lake Healthcare at Windsor Windsor, 4.6 mi · 1 of 5 stars · 51 citations
- Complete Care at Kimberly Hall-South Windsor, 6.7 mi · 4 of 5 stars · 37 citations
- Complete Care at Kimberly Hall North Windsor, 6.7 mi · 1 of 5 stars · 42 citations
Connecticut contacts for a concern about a nursing home
These are the official offices in Connecticut. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Connecticut Department of Public Health, Facility Licensing and Investigations Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Connecticut Long Term Care Ombudsman Program, 860-424-5200. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Connecticut DPH Nursing Home Site, survey findings by facility, where Connecticut publishes its own records on licensed homes.
Common questions
- What is Fresh River Healthcare's Medicare star rating?
- CMS rates Fresh River Healthcare 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 Fresh River Healthcare get at its last inspection?
- 3 health deficiencies at the standard inspection on June 11, 2025. The Connecticut average is 13.4.
- Has Fresh River Healthcare been fined?
- CMS lists no fines in the last three years.
- Does Fresh River Healthcare 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 Fresh River Healthcare?
- CMS lists 7 owners and managers, and links the home to Icare Health Network. Legal business name: KETTLE BROOK CARE CENTER LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.