Home / Connecticut / Torrington
Havencare at Litchfield Woods
255 Roberts St., Torrington, CT 06790 · Nw Hills County · (860) 489-5801
160 certified beds, about 147 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1988
CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 075319 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 21, 2025, inspectors cited 12 health deficiencies (the Connecticut average is 13.4, the national average 9.2).
Of 66 health citations since December 2021, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $7,901 in the last three years; the largest was $7,901, and the latest is dated March 4, 2024.
Nurses and nurse aides worked 3.54 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.
33.3% 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.
812/21
310/23
1111/23
201/24
203/24
204/24
205/24
1508/24
301/25
102/25
1207/25
309/25
205/26
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 66 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
47D
11E
2F
Potential for minimal harm
0A
3B
0C
May 5, 2026Complaint inspection · 2 citations
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on clinical record review, facility documentation, facility policies, and interviews for one of three residents (Resident #1) reviewed for abuse, the facility failed to ensure the resident was free from misappropriation and controlled substances were properly accounted for and safeguarded from misappropriation.
- D 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, facility policies, and interviews for one of three residents (Resident #1) reviewed for abuse, the facility failed to ensure a complete and accurate record to include accurate documentation of the resident's controlled medication administration record.
September 4, 2025Complaint inspection · 3 citations
- E 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 review, facility documentation review, facility policy review, and interviews for three of three residents (Resident #1, Resident #2, and Resident #3) reviewed for medication errors, the facility failed to ensure the physician was notified timely of a facility internet outage, medication omissions and late medication administration.
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, facility documentation review, facility policy review and interviews for three sampled residents (Residents #1, Resident #2, and Resident #3) reviewed for medication administration, the facility failed to ensure medications were administered in accordance with physician orders.
- 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 of three residents (Resident #1) reviewed for medication administration, the facility failed to ensure the clinical record was accurate to include timely documentation when a medication was administered.
July 21, 2025Standard inspection · 12 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and staff interviews for 1 of 5 residents reviewed for accidents (Resident #72), the facility failed to provide transfer assistance per the physician's order which resulted in a fall with a fracture.
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations, interviews, facility documentation, and facility policy, the facility failed to ensure food served appeared appetizing, at appropriate temperatures and was palatable.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews, facility documentation, and facility policy, the facility failed to ensure that refrigerator/freezers out of range temperatures in 3 of 3 kitchenettes were identified and reported to the Director of Dining Services and failed to identify/recognize when low temperatures were displayed on the dial during the dishwasher cycle.
- E Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for 1 of 2 residents (Resident #78) reviewed for Pre-admission Screening and Resident Review (PASRR), the facility failed ensure a Level 2 PASRR evaluation was completed after a new post-admission diagnosis of major depression.
- E Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on resident and staff interviews, facility tours, and review of facility policy for snacks, the facility failed to ensure adequate snacks were available and also distributed/offered to residents who were unable to request.
- 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 of the clinical record, facility documentation, facility policy and staff interviews for 1 of 5 residents (Resident #72) reviewed for accidents, the facility failed to notify a resident's responsible party of a fall.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy and interviews for the 3 sampled residents (Resident #56, Resident #86 and Resident #109) reviewed for respiratory care, the facility failed to ensure the portable oxygen E-tanks (tall steel tank) were safely stored in resident rooms. 1. Resident #56 had diagnoses that included diabetes, heart failure, and anemia. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #56 was cognitively intact, required oxygen therapy, setup or clean-up assistance with eating, supervision or touching assistance with transfers, and was independent with walking 10 feet. The Resident Care Plan (RCP) dated 6/18/25 identified Resident #56 had anemia. Interventions included signs of anemia may include pallor, shortness of breath, fatigue, weakness, general malaise, palpitations or chest pain. [...]
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, review of the clinical record, facility policy and interviews for 1 of 3 residents (Resident #66) observed for medication administration, the facility failed to ensure the medication error rate was not greater than 5% (error rate was 6.9%).
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on staff/resident interview, observations, review of facility documentation and facility policy for 1 of 1 sampled resident (Resident #65) reviewed for dental, the facility failed to assist Resident #65 to arrange a consultation with the dentist to discuss treatment options.
- B Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Inspectors wroteBased on interviews, record and policy review for 1 of 2 sampled residents (Resident #70) reviewed for personal funds, the facility failed to provide Resident #70 and multiple other residents with quarterly statements for the period of 1/1/25 to 3/31/25. Resident #70's diagnoses included heart failure, diabetes mellitus and anxiety disorder. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #70 was cognitively intact. On 7/15/25 at 11:29 AM an interview with Resident #70 identified he/she had not received a quarterly statement even though funds were kept in a trust account with the facility. [...]
- 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.
Inspectors wroteBased on observations, review of Resident Council minutes, resident/staff interviews and policy review for 2 of 3 resident lounge areas observed, the facility failed ensure wheelchairs were not stored in a resident area (lounges) and for 6 sampled residents (Resident #54, Resident #55, Resident #111, Resident #118, Resident #135, and Resident #153) , the facility failed to ensure personal laundry was returned and laundered appropriately. Additionally, the facility failed to ensure facility provided linens were not left in the washing machine, causing them to be odorous and stained.
- B 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 review of the Grievance Log, staff and resident interviews, observations and facility policy regarding missing laundry items (Resident #118), the facility failed to resolve grievances regarding missing items.
February 27, 2025Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for one of two residents (Resident #1), reviewed for medication administration, the facility failed to ensure medications were administered in accordance with physician orders which resulted in a medication error.
January 30, 2025Complaint inspection · 3 citations
- E Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for six of six residents (Resident #1, 2, 3, 4, 5, and 6) reviewed for abuse, the facility failed to ensure the residents were free from misappropriation.
- E 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 four of six residents (Resident #2, 3, 4, and 6) reviewed for abuse, the facility failed to report an allegation of misappropriation to the State Agency in a timely manner.
- E 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 review, facility documentation review, facility policy review, and interviews for two of six residents (Resident #2, and #5) reviewed for quality of care, the facility failed to ensure the record was complete and accurate to include accurate medication administration documentation.
August 2, 2024Complaint inspection · 15 citations
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on review of facility documentation, observations, and interviews with facility staff, the facility failed to ensure sufficient staffing was provided to meet the needs of the residents.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, review of facility policy, and interviews with facility staff, the facility failed to ensure the resident meals were provided with safe internal temperatures and were appealing and appetitzing in appearance.
- E Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on observation, review of facility policy, and interviews with facility staff, the facility failed to ensure the resident meals were delivered timely.
- 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.
Inspectors wroteBased on clinical record review and interview for two of two residents (Resident's #5 & 6) that had room changes, the facility failed to notify and obtain permission from the responsible person and conservator prior to the room changes.
- D 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 one of three residents, (Resident #7), reviewed for an allegation of abuse, the facility failed to ensure a resident was free from verbal and physical abuse.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for one of three sampled residents reviewed for allegation of abuse (Resident #7), the facility failed to immediately report an allegation of abuse to the administrator or his/her designee and to the state agency not later than two (2) hours after an observation of abuse by staff member.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for one sampled resident (Resident #7) reviewed for an allegation of abuse, the facility failed to ensure that residents were protected from further potential abuse during the investigation.
- D Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Inspectors wroteBased on clinical record review, review of facility documentation and interview for of Residents (Resident #13) that were admitted to the facility, the facility failed to follow the admission policy.
- D Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for one sampled resident (Resident #1) reviewed for discharge, the facility failed to follow the resident's plan of care and preferences when the facility initiated a resident discharge.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for one sampled resident (Resident #1) reviewed for discharge, the facility failed to ensure the Office of the State Ombudsman received notice for the facility initiated, involuntary discharge.
- D 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 clinical records, review of facility documentation, and interviews with facility staff for two of seventeen residents (Resident #3 and #9) reviewed for individualized, comprehensive care planning, the facility failed to update the care plan after a resident-to-resident incident or when a resident demonstrated changes in behaviors.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, review of facility documentation, observations, and interview with facility staff for one sampled resident (Resident #17) who was reviewed for medication administration, the facility failed to ensure the resident consumed her medication in the presence of a staff member.
- D Plan the resident's discharge to meet the resident's goals and needs.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for1 of 2 residents reviewed for discharge planning (Resident # 8), the facility failed to notify the resident and resident representatives of the recommendation for 24-hour care at discharge.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, review of facility policy and procedures, review of facility documentation and interviews with facility staff, for one resident (Resident #2) who was placed on one-to-one monitoring (1:1) for intrusive behaviors and who had continued demonstrated behaviors, the facility failed to ensure the 1:1 monitoring was conducted and that behaviors had been monitored.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, review of facility documentation, and interviews with facility staff, the facility failed to ensure staff were wearing hair restraints while engaged in food service activities.
May 28, 2024Complaint inspection · 2 citations
- 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 reviews, review of facility documentation, review of facility policy, and interviews for one of three sampled residents (Resident #4) reviewed for staff-to-resident abuse, Resident #4 was not provided the right to be free from physical abuse when Resident #4's right arm was twisted by a nurse aide during the provision of evening care.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record reviews, review of facility documentation, review of facility policy, and interviews for one of three sampled residents (Resident #4) reviewed for staff-to-resident abuse, the facility failed to ensure an allegation of abuse was reported to the Director of Nursing at the time the event was reported to the Nursing Supervisor.
April 18, 2024Complaint inspection · 2 citations
- 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 clinical record reviews, facility documentation review, facility policy review, and interviews for one of three sampled residents (Resident #1) who was dependent on staff with eating and wore dentures, the facility failed to ensure the corrective action as identified in a facility grievance was implemented and failed to maintain a complete grievance file.
- D 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 clinical record reviews, facility documentation review, facility policy review, and interviews for one of three sampled residents (Resident #1) who was dependent on staff with eating and wore dentures, the facility failed to implement the physician's orders and care plan.
March 4, 2024Complaint inspection · 2 citations
- 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 wound care and pain management was provided timely for a resident with a wound.
- 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 one of three residents (Resident #1) reviewed for abuse, the facility failed to ensure an abuse investigation was initiated timely and failed to ensure the State Agency was notified timely of an allegation of neglect.
January 2, 2024Complaint inspection · 2 citations
- G 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 review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #1) reviewed for falls, the facility failed to ensure the physician was notified timely of changes in condition timely.
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #1) reviewed for falls, the facility failed to identify a change in neurological status timely and failed to transfer the resident to the emergency room in a timely manner following a change in condition.
November 29, 2023Standard inspection · 11 citations
- 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 of the kitchen, facility documentation, policy review and interviews, the facility failed to properly label food and discard expired food.
- D 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, review of facility policy and staff interviews for 1 of 3 residents (Resident #76) reviewed for dignity, the facility failed to ensure that staff interaction with the resident was respectful and professional and for 2 of 2 residents ( Resident # 86 and Resident# 113 ) observed during mealtimes, the facility failed to ensure staff was not standing during feeding to promote a dignified dining experience.
- 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.
Inspectors wroteBased on clinical record review, observations, facility documentation review, facility policy review, and interviews for 3 of 6 residents reviewed for activities of daily living (Resident #45, Resident #49 and Resident #55), the facility failed to maintain the resident's environment and living areas in a safe, sanitary, and homelike manner.
- 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 clinical record review, observation, and interview for 1 of 1 resident reviewed for urinary catheter, the facility failed to ensure specific interventions were in place to prevent back flow of the catheter during positioning.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, facility documentation, facility policy, and interviews for 1 sampled resident reviewed for medication error (Resident #45), the facility failed to ensure the physician orders were in place prior to administrating medications.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on clinical record review, review of facility documentation, review of facility policy and interviews for 1 of 3 sampled residents (Resident #34) at risk for the development of pressure ulcers, the facility failed to conduct an initial wound assessment on admission as a baseline to determine if the wound was healing or deteriorating.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for 1 of 3 residents reviewed for weight loss (Resident #122), the facility failed to follow physician orders.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on clinical record review, review of facility policy and interviews for 1 of 1 resident reviewed for pain, the facility failed to ensure staff provided a resident with pain medication timely.
- 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 observations of dining, facility documentation, reviewed of facility policy and interviews, the facility failed to follow the menu, post menu substitutions and or failed to provide appropriate substitutions.
- D Dispose of garbage and refuse properly.
Inspectors wroteBased on observations of kitchen and interviews, the facility failed to properly dispose of garbage and refuse properly.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, facility policy review and interviews, the facility failed to properly wear Personal Protective Equipment (PPE) while assisting residents in the 1st floor dining room during meal per facility policy.
October 16, 2023Complaint inspection · 3 citations
- 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 six residents (Resident #1) reviewed for abuse, the facility failed to ensure a resident was free from verbal mistreatment.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for one of four residents (Resident #3) reviewed for nutrition, the facility failed to ensure adequate supervision was provided timely for a resident with dysphagia and a history of ingesting non-edible items, to prevent resident access to foods not in accordance with diet orders and to prevent access to non-edible items.
- D Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Inspectors wroteBased on clinical record review, and interviews for facility laboratory review, the facility failed to ensure laboratory services were provided to meet the needs of the residents timely.
December 7, 2021Standard inspection · 8 citations
- 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.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for of two residents (Resident #30, Resident 103) reviewed for advanced directives, the facility failed to ensure that the resident's wish for his/her code status was implemented in a timely manner.
- D 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 one of two residents (Resident # 71) reviewed for physical abuse, the facility failed to ensure a resident was protected from physical mistreatment.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for one of two residents (Resident # 71) reviewed for physical abuse, the facility failed to ensure that a resident to staff physical altercation was reported to administration timely with in accordance with facility policy and practice.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy, and interviews for one of four residents (Resident # 26) reviewed for accidents, the facility failed to ensure plan of care was followed by completing every 15-minute checks and for one of two resident's (Resident # 30) reviewed for urinary catheter, the facility failed to ensure recommendations were followed according to the resident's hospital discharge summary.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record reviews, facility documentation, interviews, and facility policy, for one of four Residents (Resident #342,) reviewed for accidents, the facility failed to ensure adequate assistance was provided during a transfer in accordance with the plan of care and for one sampled resident observed for smoking (Resident #192), the facility failed to apply a smoking apron while the resident was observed smoking.
- 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.
Inspectors wroteBased on observation, clinical record review, review of facility documentation, review of facility policy and interview, for 2 of 2 residents (Residents #30, Resident #45) reviewed for urinary catheter, the facility failed to ensure that a resident who entered the facility with an indwelling receive an assessment for removal of the catheter and failed to ensure a urinary collection device was remove in accordance with hospital recommendations.
- 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 policy, observation and interviews for one of four residents (Resident # 26) reviewed for Accidents, the facility failed to ensure the medical record was accurate and complete.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review, observation, staff interview, and review of facility policy for one sampled resident (Resident #69) requiring a Continuous Positive Airway Pressure (CPAP) machine, the facility failed to ensure that the device was consistently cleaned within accordance with manufacturer's guidelines.
Fire safety inspections
1 fire safety citation on file: 1 on November 29, 2023.
Every fire safety citation1 citation
- D Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 4, 2024 | Payment Denial | 22 days from June 4, 2024 |
| November 29, 2023 | Fine | $7,901 |
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) | 3.54 | 3.73 | 3.86 |
| Registered nurses | 0.58 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.26 | 3.37 | 3.42 |
| Nurse aides | 2.18 | ||
| Licensed practical nurses | 0.78 | ||
| Nursing staff turnover (share who left in a year) | 33.3% | 37.4% | 45.8% |
| Registered nurse turnover | 31.8% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.64 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 3.66 on weekdays and 3.26 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.37 in April to June 2025 to 3.54 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 | 3.54 | 0.58 | 3.66 | 3.26 | 2.7% | 0 of 90 | 147 |
| Oct to Dec 2025 | 3.47 | 0.58 | 3.61 | 3.11 | 3.3% | 0 of 92 | 145 |
| Jul to Sep 2025 | 3.52 | 0.61 | 3.65 | 3.18 | 7.5% | 0 of 92 | 147 |
| Apr to Jun 2025 | 3.37 | 0.61 | 3.52 | 3.00 | 0.5% | 0 of 91 | 147 |
| 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 | 13.5 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.7 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.8 | 16.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.9 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.2 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.1 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.8 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.5 | 1.8 |
Owners and operators
Legal business name: LITCHFIELD OPCO LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Litchfield Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 05/15/2025 |
| Jek Irrv Tr II | 5% or greater indirect ownership interest | Organization | 05/15/2025 | |
| Nmj Irrv Tr II | 5% or greater indirect ownership interest | Organization | 05/15/2025 | |
| Yds Holdco LLC | 5% or greater indirect ownership interest | Organization | 05/15/2025 | |
| Yds Tr | 5% or greater indirect ownership interest | Organization | 05/15/2025 | |
| Jakobovits, Nathan | Indirect ownership interest | Individual | 05/15/2025 | |
| Kagan, Jeffrey | Indirect ownership interest | Individual | 05/15/2025 | |
| Shapiro, Yitzchok | Indirect ownership interest | Individual | 05/15/2025 | |
| Jakobovits, Nathan | Managing control - governing body | Individual | 05/15/2025 | |
| Shapiro, Yitzchok | Managing control - governing body | Individual | 05/15/2025 | |
| Shapiro, Yitzchok | Corporate director | Individual | 05/15/2025 | |
| Shapiro, Yitzchok | Corporate officer | Individual | 05/15/2025 | |
| Havencare Management LLC | Operational/managerial control | Organization | 05/15/2025 | |
| Cohen, Jesse | Operational/managerial control | Individual | 05/15/2025 | |
| Jakobovits, Nathan | Operational/managerial control | Individual | 05/15/2025 | |
| Kagan, Jeffrey | Operational/managerial control | Individual | 05/15/2025 | |
| Wilkens, Raymond | Operational/managerial control | Individual | 05/15/2025 | |
| Jek Holdings LLC | Adp of the SNF | Organization | 05/15/2025 | |
| Nmj Holdings LLC | Adp of the SNF | Organization | 05/15/2025 | |
| White Deer Investments, LLC | Adp of the SNF | Organization | 05/15/2025 | |
| Zadun III Holdings LLC | Adp of the SNF | Organization | 05/15/2025 | |
| Zadun III Investment LLC | Adp of the SNF | Organization | 05/15/2025 | |
| Ziii Roberts Street Real Property, LLC | Adp of the SNF | Organization | 06/11/2025 | |
| Cohen, Jesse | Adp of the SNF | Individual | 06/11/2025 | |
| Ehrenfeld, Eugene | Adp of the SNF | Individual | 05/15/2025 | |
| Wilkens, Raymond | Adp of the SNF | Individual | 07/22/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
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 14 problems in this area, most recently on September 4, 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 14 problems in this area, most recently on July 21, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 13 problems in this area, most recently on May 5, 2026: "Protect each resident from the wrongful use of the resident's belongings or money."
- When is the care plan meeting, and can family attend it?Inspectors cited 11 problems in this area, most recently on May 5, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.26 hours per resident per day, below the Connecticut average of 3.37.
Other nursing homes nearby
- Wolcott Hall Nursing Center, Inc Torrington, 0.7 mi · 2 of 5 stars · 33 citations
- Torrington Center for Nursing & Rehabilitation LLC Torrington, 1.7 mi · 4 of 5 stars · 40 citations
- Havencare at Valerie Manor Torrington, 3.5 mi · 2 of 5 stars · 45 citations
- Cook Willow Health & Rehabilitation Center, Inc. Plymouth, 10.6 mi · 5 of 5 stars · 23 citations
- Cherry Brook Health Care Center Canton, 11.5 mi · 2 of 5 stars · 30 citations
- Ingraham Manor Rehab and Nursing Bristol, 13.4 mi · 2 of 5 stars · 17 citations
- Pines at Bristol for Nursing & Rehabilitation, the Bristol, 13.8 mi · 4 of 5 stars · 27 citations
- Civita Care Sheriden Woods Bristol, 14.3 mi · 1 of 5 stars · 58 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 Havencare at Litchfield Woods's Medicare star rating?
- CMS rates Havencare at Litchfield Woods 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Havencare at Litchfield Woods get at its last inspection?
- 12 health deficiencies at the standard inspection on July 21, 2025. The Connecticut average is 13.4.
- Has Havencare at Litchfield Woods been fined?
- Yes. CMS lists 1 fine totaling $7,901 in the last three years.
- Does Havencare at Litchfield Woods 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 Havencare at Litchfield Woods?
- CMS lists 26 owners and managers. Legal business name: LITCHFIELD OPCO 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.