Home / Connecticut / Guilford
Guilford House, the
109 West Lake Avenue, Guilford, CT 06437 · South Central Ct County · (203) 488-9142
75 certified beds, about 72 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1974
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 075235 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on October 23, 2023, inspectors cited 12 health deficiencies (the Connecticut average is 13.4, the national average 9.2).
Of 33 health citations since May 2019, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,824 in the last three years; the largest was $8,824, and the latest is dated October 15, 2024.
Nurses and nurse aides worked 4.44 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.
39.2% 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.
1005/19
709/21
1210/23
101/24
110/24
209/25
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 33 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
23D
5E
1F
Potential for minimal harm
0A
2B
1C
September 22, 2025Complaint inspection · 2 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for one (1) of four (4) sampled residents (Resident #1) who were at risk for falls, the facility failed to ensure Resident #1's family was notified on the same day when the resident sustained a fall.
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for one sampled resident (Resident #2) who was reviewed for misappropriation of personal property, the facility failed to ensure staff did not remove the resident's jewelry from the facility.
October 15, 2024Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on a review of clinical records, facility documentation and interviews for one (1) of three (3) residents (Resident #1) at risk for falls, the facility failed to provide adequate supervision to the resident with a history of not requesting assistance with transfers and ambulation resulting in falls with a significant injury.
January 8, 2024Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #1) reviewed for abuse, the facility failed to ensure the resident was free from mistreatment.
October 23, 2023Standard inspection · 12 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on a tour of the Dietary Department and staff interview, the facility failed to ensure stored food was dated when opened, expired food was discarded, and that food was stored in a clean manner and not stored on the floor.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review, interviews, and review of facility policy for 1 of 3 residents, (Resident #5), reviewed for nutrition, the facility failed to ensure timely identification and evaluation of a significant weight loss to address a 5 percent (%) loss in one month.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, facility policy, and interviews for 4 of 5 sampled residents, (Resident #8, #35, #45, and #50), reviewed for oxygen use/respiratory conditions, the facility failed to properly store, label, and date required respiratory equipment.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observation, clinical record review, review of facility policy, and staff interview for the only sampled resident (Resident #13), reviewed for dialysis, the facility failed to ensure emergency medical equipment was stored at the bedside.
- 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, staff interviews, and facility policy, the facility failed to ensure 1 of 2 medication storage rooms was free from expired medications.
- D Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, review of the clinical record, facility policy, and interviews for 1 of 3 sampled residents (Resident #32) reviewed for food, the facility failed to honor food preferences.
- 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 1 of 2 residents, Resident #17, reviewed for accidents, the facility failed to update the Resident Care Plan following falls.
- D Provide and implement an infection prevention and control program.
Inspectors wroteCombined F880 Based on observation, review of the clinical record, facility policy, and interviews for 2 of 9 sampled residents (Resident #6 and Resident #15) reviewed for infection control practices on the 100 Unit, the facility failed to utilize appropriate Protective Personal Equipment (PPE) while providing care to COVID-19 positive residents, for 1 of 3 sampled residents (Resident #10) on the 200 Unit, failed to ensure handwashing following PPE removal, and for the Infection Control program review, failed to ensure quarterly environmental surveillance rounds had been conducted.
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on a tour of facility grounds, staff interview, and facility policy the facility failed to ensure that cigarette butts were properly disposed of and failed to ensure the smoking policy was enforced.
- C Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on interviews and employee record review, the facility failed to complete annual performance evaluations for 3 of 3 sampled nurse aides (NA #4, 5, and 6).
- B Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased of review of the clinical record, facility policy, and interviews for one sampled resident (Resident #45) reviewed for hospitalization, the facility failed to provide the required notification of transfer/discharge to the state Ombudsman's office, and failed to provide the Notice of Transfer to the resident/responsible party.
- B Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on review of the clinical record, facility policy, and interviews for one sampled resident (Resident#45) reviewed for hospitalization, the facility failed to provide the required notification of a bed hold to the resident and the resident representative.
September 27, 2021Standard inspection · 7 citations
- E Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on review of the clinical record and interview, the facility failed to maintain the IV log.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, facility documentation, facility policy, and interviews were reviewed for Dietary, the facility failed to ensure a clean and sanitary condition and staff followed covid 19 mask use.
- D Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on review of the facility documentation, facility policy, and interviews for 7 residents (Resident #19, 20, 35, 43, 47, 51, and 61), the facility failed to ensure Resident Council meetings were provided on a regular basis, failed to ensure staff helped with arrangements for council meetings, and failed to consider the views of the residents and family group were acted upon promptly.
- D Give residents a notice of rights, rules, services and charges.
Inspectors wroteBased on review of facility documentation, facility policy, and interviews for 7 residents, (Resident #19, 20, #5, 43, 47, 51, and 61) the facility failed to provide ongoing education to residents on their rights.
- D The resident has the right to receive notices in a format and a language he or she understands.
Inspectors wroteBased on observation, facility documentation, facility policy, and interviews for 7 residents (Resident #19, 20, 35, 43, 47, 51, and 61) the facility failed to ensure the residents were informed where the ombudsman information was located and easily accessible and informed residents how to formally make a complaint to the State Agencies about care and services.
- D Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on observation, review of facility documentation, facility policy, and interviews for 7 residents (Resident #19, 20, 35, 43, 47, 51, and 61) the facility failed to ensure the survey reports were readily accessible to residents and that the residents were aware of where the reports were located.
- D 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.
Inspectors wroteBased on interviews, review of facility documentation, and facility policy, for 7 residents (Resident #19, 20, 35, 43, 47, 51, and 61) the facility failed to ensure residents were educated on how to file a grievance, the grievance process, and the response process.
May 17, 2019Standard inspection · 10 citations
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations and interviews reviewed for food preparation, the facility failed to consistently monitor food item temperatures to ensure food was palatable and at safe and appetizing temperatures.
- E 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.
Inspectors wroteBased on review of the Facility Assessment tool , review of facility documentation, facility policy, and interviews, the facility failed to ensure the Facility Assessment information included the level and competency of staff needed to meet the needs of each resident and/or ensure competencies were completed according to the Facility Assessment.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of the facility infection prevention program, review of facility documentation, review of policy and interviews, the facility failed to consistently provide evidence and /or documentation that the facility maintained an infection prevention and control program designated to provide a safe and comfortable environment to help prevent the development and transmission of infections.
- 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 the clinical record, facility policy and/or procedures, facility documentation and interviews for one of two resident's reviewed for dignity (Resident #106), the facility failed to provide care and/or services in a dignified manner.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on review clinical records, facility policy and/or procedures and interviews for one of four residents (Residents #8) reviewed for notification of change, the facility failed to ensure the resident's responsible party was notified of a need to alter treatment and/or for one of three sampled residents (Resident #256) who was a new admission, the facility failed to inform the resident and/or the resident's responsible party that a specific bloodwork test could not be drawn as ordered by the attending physician.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on observations, review of the clinical record, facility documentation, and interviews for one sampled resident (Resident # 26) reviewed for restorative services , the facility failed to follow the resident's ambulation and exercise program as outlined and/or recommended by the rehabilitation department.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on clinical record reviews, review of facility documentation and interviews for one of three sampled residents (Resident #256) review for unnecessary medications, the facility failed to ensure that a medication was being monitored and/or identified as necessary for administration.
- D Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Inspectors wroteBased on review of the clinical record review, facility documentation, facility policy, and interviews for one sampled resident (Resident #306) reviewed for infections, the facility failed to ensure staff followed with the physician when the resident refused blood work ordered by the physician.
- D Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Inspectors wroteBased on observations, review of the clinical record review, facility documentation, facility policy, and interviews for one of six sampled residents (Resident #33) reviewed for dining, the facility failed to ensure the resident food preferences were honored and/or failed to provide a therapeutic diet.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on clinical record reviews, review of facility documentation, review of facility policy, and interviews for three of five sampled resident (Residents #17, # 30 and # 51) reviewed for immunizations, the facility failed to ensure the residents were offered and/or immunized for Pneumococcal Conjugate Vaccine (PCV13) in accordance to facility practice.
Fire safety inspections
22 fire safety citations on file: 9 on October 23, 2023, 9 on September 27, 2021, 4 on May 17, 2019.
Every fire safety citation22 citations
- D Include a process for Emergency Preparedness collaboration.
- D Establish emergency prep training and testing.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Provide properly protected cooking facilities.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- D Provide a written emergency evacuation plan.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- F Establish emergency prep training and testing.
- F Provide a written emergency evacuation plan.
- E Install corridor and hallway doors that block smoke.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Provide properly protected cooking facilities.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Have simulated fire drills held at unexpected times.
- E Provide a written emergency evacuation plan.
- E Have simulated fire drills held at unexpected times.
- D Provide properly protected cooking facilities.
- D Have approved installation, maintenance and testing program for fire alarm systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 15, 2024 | Fine | $8,824 |
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.
| Measure | This home | Connecticut | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.44 | 3.73 | 3.86 |
| Registered nurses | 0.69 | 0.69 | 0.69 |
| All nursing staff on weekends | 4.29 | 3.37 | 3.42 |
| Nurse aides | 2.70 | ||
| Licensed practical nurses | 1.05 | ||
| Nursing staff turnover (share who left in a year) | 39.2% | 37.4% | 45.8% |
| Registered nurse turnover | 18.2% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.78 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 4.50 on weekdays and 4.29 on weekends, 5% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.50 in April to June 2025 to 4.44 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 | 4.44 | 0.69 | 4.50 | 4.29 | 7.1% | 0 of 90 | 72 |
| Oct to Dec 2025 | 4.58 | 0.73 | 4.70 | 4.27 | 4.1% | 0 of 92 | 70 |
| Jul to Sep 2025 | 4.35 | 0.75 | 4.48 | 4.01 | 2.1% | 0 of 92 | 71 |
| Apr to Jun 2025 | 4.50 | 0.79 | 4.62 | 4.18 | 6.2% | 0 of 91 | 72 |
| 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 | 28.9 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.2 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.9 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.7 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 25.3 | 16.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.4 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.1 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.0 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.9 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.5 | 1.8 |
Owners and operators
Legal business name: WEST LAKE PROPERTIES LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Moffie, Calvin | 5% or greater direct ownership interest | Individual | 100% | 10/01/2002 |
| Dolce, Tim | W-2 managing employee | Individual | 12/19/2014 | |
| Moffie, Calvin | W-2 managing employee | Individual | 01/07/2015 | |
| Moffie, Calvin | Corporate director | Individual | 10/01/2002 |
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.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 10 problems in this area, most recently on September 22, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- 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 October 15, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on October 23, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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 October 23, 2023: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Evergreen Woods North Branford, 1.4 mi · 5 of 5 stars · 15 citations
- Apple Rehab Guilford Guilford, 4.4 mi · 2 of 5 stars · 39 citations
- Autumn Lake Healthcare at Madison Madison, 4.8 mi · 2 of 5 stars · 48 citations
- Ark Healthcare & Rehabilitation at Branford Hills Branford, 7.1 mi · 2 of 5 stars · 42 citations
- Apple Rehab Laurel Woods East Haven, 7.5 mi · 2 of 5 stars · 45 citations
- Montowese Center for Health & Rehabilitation North Haven, 7.6 mi · 2 of 5 stars · 77 citations
- Whispering Pines Rehabilitation and Nursing Center East Haven, 8 mi · 4 of 5 stars · 34 citations
- New Haven Center for Nursing & Rehabilitation LLC New Haven, 8 mi · 1 of 5 stars · 77 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 Guilford House, the's Medicare star rating?
- CMS rates Guilford House, the 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Guilford House, the get at its last inspection?
- 12 health deficiencies at the standard inspection on October 23, 2023. The Connecticut average is 13.4.
- Has Guilford House, the been fined?
- Yes. CMS lists 1 fine totaling $8,824 in the last three years.
- Does Guilford House, the 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 Guilford House, the?
- CMS lists 4 owners and managers. Legal business name: WEST LAKE PROPERTIES 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.