Home / Connecticut / Bristol
Ingraham Manor Rehab and Nursing
400 N Main St., Bristol, CT 06010 · Naugatuck Vly County · (860) 584-3400
128 certified beds, about 111 residents a day · Non profit - Corporation · Medicare and Medicaid since 1989
Last standard inspection more than 2 years ago Ownership changed in the last 12 months Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 075329 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on October 27, 2023, inspectors cited 4 health deficiencies (the Connecticut average is 13.4, the national average 9.2).
Of 17 health citations since April 2019, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 3 fines totaling $34,369 in the last three years; the largest was $14,901, and the latest is dated February 20, 2026.
Nurses and nurse aides worked 3.88 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.
38.1% 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.
204/19
408/21
109/23
410/23
209/25
111/25
302/26
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 17 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
9D
5E
0F
Potential for minimal harm
0A
0B
0C
February 20, 2026Complaint inspection · 3 citations
- J Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Inspectors wroteBased on clinical record review, interviews, and facility documentation/policies, for one (1) of three (3) residents (Resident #1) reviewed for cardiopulmonary resuscitation (CPR), the facility failed to initiate CPR and activate Emergency Medical Services (EMS) for a resident identified as a Full Code after the resident was found pulseless and without respirations. The facility's failure to initiate life-saving measures resulted in Immediate Jeopardy.
- 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 clinical record review, interviews and facility documentation/policies, for one (1) of three (3) residents (Resident #1) reviewed for advance directives, the facility failed to ensure advance directives/code status were readily accessible to staff during an emergency. Resident #1 was documented as a Full Code; however, when Resident #1 was found unresponsive and without a pulse, licensed staff were unable to determine the resident's code status and did not initiate the facility's emergency response.
- D 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 clinical record review, facility documentation/policies, and interviews for one (1) of three (3) residents (Resident #1) reviewed for cardiopulmonary resuscitation (CPR), the facility failed to ensure licensed nursing staff provided necessary emergency services when three (3) licensed nurses (LPN #1, LPN #2, and RN #1) did not initiate cardiopulmonary resuscitation (CPR) or activate emergency medical services (EMS) for a resident who was documented as a Full Code and the Registered Nurse pronounced the resident deceased without a physician order authorizing Registered Nurse Pronouncement (RNP).
November 18, 2025Complaint 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 record review, facility documentation review, and staff interviews for one of three residents (Resident #1) reviewed for accidents, the facility failed to ensure assistance was provided safely and in accordance with physician orders to prevent a fall with injury.
September 8, 2025Complaint inspection · 2 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy, and interviews for one sampled resident (Resident #1) reviewed for wandering, the facility failed to ensure a resident with known wandering behaviors was not able to leave the unit without staff knowledge, resulting in a fall with injury in the stairwell.
- 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 sampled resident (Resident #1) reviewed for wandering, the facility failed to ensure a wander assessment was completed accurately, and failed to ensure a resident with known wandering behaviors had a wander guard order in place for use, had the wander guard applied in accordance with the plan of care, and failed to ensure orders were initiated to check placement and function of a wander guard.
October 27, 2023Standard inspection · 4 citations
- E 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 facility policy, and interviews for one of two shower rooms, the facility failed to ensure the shower/bathroom was free of odors and failed to ensure that dirty linen carts were not stored in the shower/bathroom where clean linen is stored.
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record reviews, review of facility documentation, review of facility policy and interviews for four sampled residents (Resident #12, #21, #27 and #28) who had physician's orders for controlled medications, the facility failed to ensure resident specific controlled medications were not borrowed and administered to other residents.
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, clinical record reviews, facility policy review and interviews for eight sampled residents (Residents #1, #10, #11, #13, #46, #52, #58, and #86) reviewed for oxygen administration and respiratory treatments, the facility failed to label and date oxygen tubing and failed to store nebulizer mask, oxygen and nebulizer tubing appropriately to prevent contamination and failed to follow the physician's orders for the correct oxygen setting
- 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 documentation, facility policy and interviews for 1 of 2 sampled nourishment room refrigerators the facility failed to accurately check temperature and identify that the temperature that was tracked was too high per safe food storage parameters.
September 6, 2023Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for one of three Residents (Resident #1) reviewed for accidents, the facility failed to ensure adequate supervision for a resident identified at risk for wandering.
August 23, 2021Standard inspection · 4 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, interviews, and review of facility documentation, the facility failed to maintain the kitchen in a clean and sanitary manner.
- 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 observation, review of the clinical record, facility documentation, facility policy, and interviews for one sampled resident, (Resident #42) reviewed for positioning, the facility failed to develop and implement a comprehensive person-centered plan of care for positioning.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, review of the clinical record, facility policy, and interviews for one of two residents (Resident #101) reviewed for respiratory care, the facility failed to ensure an order was obtained for oxygen and that the resident's oxygen tubing was dated.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, review of the clinical record, facility policy and interviews for one of two residents observed during a blood sugar collection via a glucometer for (Resident #15), the facility failed to implement infection control practices related to use of gloves.
April 26, 2019Standard inspection · 2 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observations, review of the clinical record and policy and/or procedures and interviews for one sampled resident reviewed for self-administration of a medication (Resident #1), the facility failed to ensure a medication was administered in accordance with professional standards.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, review of the clinical record and interviews for one sampled resident who required a nebulizer treatment (Resident #1), the facility failed to ensure the medication was administered in accordance to physician's orders .
Fire safety inspections
6 fire safety citations on file: 2 on October 27, 2023, 2 on August 23, 2021, 2 on April 26, 2019.
Every fire safety citation6 citations
- D Install corridor and hallway doors that block smoke.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Provide properly protected cooking facilities.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Install an approved automatic sprinkler system.
- D Install corridor and hallway doors that block smoke.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 20, 2026 | Fine | $14,901 |
| September 8, 2025 | Fine | $8,278 |
| September 8, 2025 | Fine | $11,190 |
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) | 3.88 | 3.73 | 3.86 |
| Registered nurses | 0.53 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.45 | 3.37 | 3.42 |
| Nurse aides | 2.38 | ||
| Licensed practical nurses | 0.97 | ||
| Nursing staff turnover (share who left in a year) | 38.1% | 37.4% | 45.8% |
| Registered nurse turnover | 22.2% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.23 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 4.05 on weekdays and 3.45 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.67 in April to June 2025 to 3.88 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 | 3.88 | 0.53 | 4.05 | 3.45 | 0.0% | 0 of 90 | 111 |
| Oct to Dec 2025 | 3.57 | 0.48 | 3.74 | 3.14 | 0.0% | 0 of 92 | 113 |
| Jul to Sep 2025 | 3.47 | 0.44 | 3.66 | 2.98 | 0.0% | 0 of 92 | 116 |
| Apr to Jun 2025 | 3.67 | 0.42 | 3.91 | 3.06 | 0.0% | 0 of 91 | 116 |
| 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 | 20.4 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.8 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.9 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.1 | 16.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.3 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 25.6 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.8 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.2 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.5 | 1.8 |
Owners and operators
Legal business name: IM OPCO LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Shakow, Rachel | 5% or greater direct ownership interest | Individual | 99% | 10/21/2025 |
| Shakow, Rachel | Managing control - governing body | Individual | 10/21/2025 | |
| Altows, Kamal | Operational/managerial control | Individual | 10/21/2025 | |
| Elaba, Wilfred | Operational/managerial control | Individual | 10/21/2025 | |
| Shakow, Rachel | Operational/managerial control | Individual | 10/21/2025 | |
| Tkacz, Christine | Operational/managerial control | Individual | 10/21/2025 | |
| Im Management LLC | Adp of the SNF | Organization | 10/21/2025 | |
| LTC Consulting Services LLC | Adp of the SNF | Organization | 10/21/2025 | |
| Elaba, Wilfred | Adp of the SNF | Individual | 11/12/2025 | |
| Tkacz, Christine | Adp of the SNF | Individual | 11/12/2025 |
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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on February 20, 2026: "Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on October 27, 2023: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on February 20, 2026: "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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on October 27, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Pines at Bristol for Nursing & Rehabilitation, the Bristol, 0.4 mi · 4 of 5 stars · 27 citations
- Civita Care Sheriden Woods Bristol, 1.4 mi · 1 of 5 stars · 58 citations
- Village Green Rehabilitation and Healthcare Center Bristol, 2.3 mi · 2 of 5 stars · 38 citations
- Apple Rehab Farmington Valley Plainville, 4.9 mi · 3 of 5 stars · 39 citations
- Cook Willow Health & Rehabilitation Center, Inc. Plymouth, 5.8 mi · 5 of 5 stars · 23 citations
- Summit at Plantsville Center for Health & Rehabili Plantsville, 6.6 mi · 2 of 5 stars · 40 citations
- Southington Care Center Southington, 6.8 mi · 5 of 5 stars · 15 citations
- Autumn Lake Healthcare at Bucks Hill Waterbury, 7.2 mi · 4 of 5 stars · 24 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 Ingraham Manor Rehab and Nursing's Medicare star rating?
- CMS rates Ingraham Manor Rehab and Nursing 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Ingraham Manor Rehab and Nursing get at its last inspection?
- 4 health deficiencies at the standard inspection on October 27, 2023. The Connecticut average is 13.4.
- Has Ingraham Manor Rehab and Nursing been fined?
- Yes. CMS lists 3 fines totaling $34,369 in the last three years.
- Does Ingraham Manor Rehab and Nursing 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 Ingraham Manor Rehab and Nursing?
- CMS lists 10 owners and managers. Legal business name: IM 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.