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Home / Connecticut / Salisbury

Noble Horizons

17 Cobble Rd, Salisbury, CT 06068 · Nw Hills County · (860) 435-9851

91 certified beds, about 61 residents a day · Non profit - Corporation · Medicare and Medicaid since 1975

Special Focus Facility candidate Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
1 of 5
Staffing
5 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 075236 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 27, 2026, inspectors cited 19 health deficiencies (the Connecticut average is 13.4, the national average 9.2).

Of 51 health citations since October 2021, 5 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 3 fines totaling $151,542 in the last three years; the largest was $126,965, and the latest is dated February 27, 2026.

Nurses and nurse aides worked 3.74 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.99 of those hours.

35.5% of nursing staff left within the year CMS measured (Connecticut average 37.4%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 51 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
4G
0H
0I
Potential for more than minimal harm
34D
10E
1F
Potential for minimal harm
0A
0B
1C
April 23, 2026Complaint inspection · 4 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 4, 2026
    Inspectors wroteBased on observation, 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 the resident was treated with respect and dignity after a fall.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 4, 2026
    Inspectors wroteBased on observation, 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 staff reported an allegation of mistreatment timely.
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 4, 2026
    Inspectors wroteBased on observation, 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 repositioning was provided safely and adequate supervision was provided to prevent a fall.
  4. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 4, 2026
    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 the clinical record was complete and accurate to include documentation of an RN assessment after a fall.
February 27, 2026Standard inspection · 19 citations
  1. K
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · Immediate jeopardy to resident health or safety, pattern · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on facility documentation review, staff interviews, and observations, the facility failed to develop and implement a water management plan to prevent, identify, and mitigate Legionella contamination in the facility water system, resulting in Immediate Jeopardy to resident health and safety. Water testing performed in June 2024 and June 2025 identified multiple locations positive for Legionella, including Legionella pneumophila serogroups 1-14, at levels requiring immediate action in a high risk healthcare setting; however, facility leadership did not recognize the significance of the results, did not implement corrective measures, and did not communicate findings to the Infection Preventionist or Medical Director. During this period, 26 residents were diagnosed with pneumonia without evaluation for possible Legionella exposure. [...]
  2. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on record review, staff interviews, and facility documentation, the facility failed to ensure Resident #27 received the level of assistance identified in the care plan to prevent accidents, when staff provided only one person's assistance during a transfer despite the resident's assessed need for two person assistance. The MDS, therapy caregiver training, and the resident's care plan all directed that two staff assist with transfers using a walker; however, on 8/17/25 NA #1 attempted to transfer the resident alone, resulting in the resident losing balance, falling, and sustaining a right clavicle fracture that required pain management, orthopedic follow up, sling immobilization, and a change to mechanical lift transfers.
  3. E
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 1 resident (Resident #97) reviewed for hospitalizations and had multiple hospitalizations, the facility failed to ensure the resident and/or resident representative were provided with the written information regarding the bed hold policy at the time the resident was sent to the hospital and failed to ensure the ombudsman was notified of discharges at least monthly.
  4. E
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for five (5) of fifteen (15) residents ( Resident #4, Resident #47, Resident #58, Resident #68, and Resident #79) reviewed for resident assessment, the facility failed to complete comprehensive assessments within 14 days after admission and at least annually for each resident.
  5. E
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for six (6) of fifteen (15) residents (Resident #3, Resident #4, Resident #27, Resident #32, Resident #68, and Resident #75) reviewed for resident assessment, the facility failed to complete quarterly Minimum Data Set (MDS) assessments timely.
  6. E
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on a review of the clinical record, facility documentation, facility policy, and interviews for six (6) of fifteen (15) residents (Resident#21, Resident #24, Resident #36, #73, Resident #79, and Resident #87) reviewed for resident assessment, the facility failed to complete and transmit Minimum Data Set (MDS) assessments timely.
  7. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on observation, review of facility documentation, and interview the facility failed to implement a system to consistently and accurately reconcile controlled substances for 2 of 2 medication carts.
  8. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on a tour of the Dietary Department and Nourishment rooms, review of facility policy, and staff interview, the facility failed to ensure stored food was labeled and dated when opened, expired food was discarded and failed to ensure nourishment refrigerators were maintained in a clean sanitary manner.
  9. E
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on facility documentation review, facility policy review, and interviews for 1 of 3 nurse aides (NA#1), reviewed for In-service training the facility failed to ensure the nurse aide received the required In-service training.
  10. 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on review of the clinical record, review of facility documentation, review of facility policy/procedures and interviews for 2 of 2 sampled residents (Residents #27 and Resident #104) reviewed for Advance Directives, the facility failed to ensure the resident/resident representative were educated and the residents wishes were identified.
  11. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy, and interviews for 1 of 4 residents (Resident # 71) reviewed for medication administration, the facility failed to ensure the physician and resident representatives were notified of medication omissions.
  12. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on observation, clinical record review, facility documentation review, facility policy review, and interviews for one (1) of three (3) residents (Resident #10) reviewed for accidents, the facility failed to report an injury of unknown origin.
  13. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on observation, clinical record review, facility documentation review, facility policy review, and interviews for one (1) of three (3) residents (Resident #10) reviewed for accidents, the facility failed to complete a thorough investigation for an injury of unknown origin.
  14. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policies, and interviews for one (1) of five (5) residents (Resident #4) reviewed for unnecessary medications, the facility failed to develop and implement a comprehensive care plan to address the resident's diagnosis of dementia.
  15. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review and interviews for 1 of 4 residents (Residents #71) reviewed for medication administration, the facility failed to ensure medications were administered in accordance with physician orders.
  16. D
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on review of facility documentation, facility policy and interviews for three (3) of three (3) nurse aides (NA #1, NA #2 and NA #3), the facility failed to complete performance reviews at least once every 12 months as required.
  17. D
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for facility Administration review, the facility failed to ensure the facility administered its resources effectively and to ensure effective administrative oversight of staff and resident care timely to maintain the highest practicable physical, mental, and psychosocial well-being of residents.
  18. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on review of the clinical records, facility documentation, facility policy, and interviews, the facility failed to ensure the antibiotic stewardship program included a process for tracking antibiotic use, protocols, trends, and outcomes, and failed to develop, promote, and implement a facility-wide system to monitor the use of antibiotics.
  19. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on review of clinical record, facility policy, facility documentation, and interviews for 3 of 5 residents (Resident #9, #26, and #100) reviewed for pneumococcal immunizations, the facility failed to ensure the resident and/or resident representatives were educated and given an opportunity to consent or decline the pneumococcal vaccine and for 1 of 5 residents (Resident #26) reviewed for influenza immunizations, the facility failed to offer the influenza immunization to the resident upon admission.
July 9, 2024Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 16, 2024
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for one (1) of three (3) residents, (Resident #1), reviewed for accidents, the facility failed to ensure the resident used an assistive device while ambulating in accordance with the plan of care resulting in a fall with injury.
April 24, 2024Complaint inspection · 2 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 5, 2024
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for one (1) of three (3) residents, (Resident #1), reviewed for accidents, the facility failed to ensure that staff provided the resident with the required assistance while ambulating and failed to use a safety device resulting in a fall with injury.
  2. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 5, 2024
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for one (1) of three (3) residents, (Resident #1), reviewed for accidents, the facility failed to review and revise the care plan timely after the resident sustained a fall.
March 21, 2024Standard inspection · 22 citations
  1. F
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on facility documentation review, facility policy and interviews, the facility failed to ensure nurses were assessed to be competent in intravenous (IV) therapy.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on a tour of the kitchen, facility policy, and staff interview, the facility failed to ensure that expired food was discarded.
  3. 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.
    F838 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteA review of the Facility Assessment sheet failed to ensure the facility assessment included therapeutic facility pets and individualized resident pets to meet the needs of the residents and failed to ensure the therapy pets were up to date with vaccinations and veterinary visits per facility policy.
  4. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on observations, facility policy and interviews for 8 out of 11 sampled residents, (Residents #5, # 8, #13, # 25, # 29, #31, #35, and # 38) observed eating lunch in the [NAME] dinning/activity room, the facility failed to ensure the residents experienced a dignity dining by not serving food on a dietary tray.
  5. 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on clinical record review, facility policy, and staff interviews for 1of 1 resident (Resident # 57) reviewed for Advanced Directive, the facility failed to ensure that an updated code status form was signed by the resident and physician to reflect Resident #57 wishes and physician's orders.
  6. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for 1 of 5 residents, (Resident #52) reviewed for medication administration, the facility failed to ensure the physician was notified of a medication refusal.
  7. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on clinical record review, review of facility documents, review of policy and staff interviews for 1 of 5 residents reviewed for accidents (Resident # 40), the facility failed to assess the use of full siderails at night to ensure the resident was free from a physical restraint and failed to obtain a consent for the utilization of the siderails.
  8. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on clinical record review and staff interview for 1 of 3 resident (Resident # 47) with a change in condition, the facility failed to ensure a comprehensive resident assessment was completed timely after a significant change in condition was identified and for 1 of 2 residents at risk for weight loss for ( Resident 38), the facility failed to complete a significant change of condition for the resident's weight loss.
  9. D
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on clinical record reviews, facility policy review, and interview for 4 of 4 residents (Residents #12, #32, #53, #56) reviewed for Resident Assessment, the facility failed to ensure the residents quarterly assessments were completed timely.
  10. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on clinical record review and interviews for 4 of 4 residents (Residents #12, #32, #53, #56) reviewed for Resident's Assessment, the facility failed to ensure the residents assessment were submitted timely.
  11. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on observation, clinical record, facility policy and staff interview for 1 of 3 sampled residents (Resident #52) reviewed for accidents, the facility failed to ensure the care plan was comprehensive and individualized for a resident who did not require a safety device.
  12. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on observations, clinical record reviews, facility documentation, facility policy and interviews for 2 of 3 residents reviewed for accidents for (Residents # 11 and # 38), the facility failed to revise the care plan after after the resident experienced falls and for 1 of 5 sampled resident, (Resident# 57) reviewed for care planning, the facility failed to ensure the care plan was revised to reflect a resident who frequently refused a daily treatment and for 1 of 3 residents reviewed for accidents, the facility failed to revise the care plan after several falls.
  13. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on clinical record review, review of facility documentation, review of facility policy, and staff interviews for 1 of 5 sampled residents (Resident #11) reviewed for accidents, the facility failed to ensure that neurological checks were completed to professional standards after a resident's unwitnessed falls per facility policy.
  14. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on clinical record review and staff interview for 1 of 2 residents (Resident # 47) reviewed for at risk for pressure ulcer, the facility failed to consistently document turning and repositioning of the resident in accordance with facility practice.
  15. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on clinical record reviews , facility documentation, facility policy and interviews for the 2 of 5 sampled resident reviewed for accidents for (Resident # 10), the facility failed to ensure that staff conducted safety checks as directed by the manufacture to ensure the alarm was functional and for (Resident # 11), the facility failed to ensure fall assessment was completed after every fall per facility policy.
  16. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for 1 of 5 residents, (Resident #38) reviewed for unnecessary medications, the facility failed to respond to pharmacy recommendations for a resident receiving psychotropic medications.
  17. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on observation, review of the clinical record, facility policy and interviews for 1 of 4 residents reviewed for medication administration opportunities (Resident #57), the facility failed to ensure medications were administered timely and medication errors did not exceed 5%.
  18. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for of 1 of 5 residents, (Resident #52) reviewed for medication administration, the facility failed to ensure a resident was free from a significant medication error following the administration of an unprescribed reduced dose of insulin.
  19. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on clinical record review, facility policy and staff interview for 1 of 5 residents reviewed for Unnecessary Medications, the facility failed to ensure clinical records were complete and accurate containing pharmacy recommendations.
  20. D
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on review of facility documentation, interview, and facility policy, the facility failed to ensure the Medical Director attended Quality Assurance Performance Improvement (QAPI) meetings quarterly.
  21. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on review of the facility Infection Control Program, facility policy and interview, the facility failed to ensure infection control policies and procedures were reviewed annually.
  22. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on observations of facility posted staffing ratios and interviews, the facility failed to ensure the daily census was written on the 24-hour nurse staffing sheet posted in the lobby for the view of the residents and the public.
October 20, 2021Standard inspection · 3 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) November 30, 2021
    Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy, and interviews for 1 of 3 residents (Resident #45) reviewed for accidents, the facility failed to provide appropriate safety measures to prevent a fall with injury.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 30, 2021
    Inspectors wroteBased on observation and interview during a tour of the Dietary Department, the facility failed to document monitoring of sanitizing concentrations and ensure that dishwasher temperatures met the minimum requirements.
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2021
    Inspectors wroteOn 10/14/21 at 9:30 AM, during document review, the surveyor was not provided with documentation by the Maintenance Representative or the Administrator that identified that the facility had a comprehensive water management plan in place as required by S&C 17-30 ALL. The facility had results of tests that were conducted but had no record of a committee, meeting minutes, or areas of the facility that are a concern.

Fire safety inspections

15 fire safety citations on file: 7 on February 27, 2026, 5 on March 21, 2024, 3 on October 20, 2021.

Every fire safety citation15 citations
  1. F
    Provide a written emergency evacuation plan.
    K 711 · February 27, 2026 · Corrected (the home has a date of correction)
  2. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · February 27, 2026 · Corrected (the home has a date of correction)
  3. D
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · February 27, 2026 · Corrected (the home has a date of correction)
  4. D
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · February 27, 2026 · Corrected (the home has a date of correction)
  5. D
    Install corridor and hallway doors that block smoke.
    K 363 · February 27, 2026 · Corrected (the home has a date of correction)
  6. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · February 27, 2026 · Corrected (the home has a date of correction)
  7. D
    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
    K 927 · February 27, 2026 · Corrected (the home has a date of correction)
  8. D
    Meet other general requirements.
    K 200 · March 21, 2024 · Corrected (the home has a date of correction)
  9. D
    Install corridor and hallway doors that block smoke.
    K 363 · March 21, 2024 · Corrected (the home has a date of correction)
  10. D
    Provide a written emergency evacuation plan.
    K 711 · March 21, 2024 · Corrected (the home has a date of correction)
  11. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 21, 2024 · Corrected (the home has a date of correction)
  12. D
    Ensure proper usage of power strips and extension cords.
    K 920 · March 21, 2024 · Corrected (the home has a date of correction)
  13. E
    Have simulated fire drills held at unexpected times.
    K 712 · October 20, 2021 · Corrected (the home has a date of correction)
  14. D
    Establish policies and procedures including evacuation.
    E 20 · October 20, 2021 · Corrected (the home has a date of correction)
  15. D
    Provide a written emergency evacuation plan.
    K 711 · October 20, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 27, 2026Fine $126,965
February 27, 2026Payment Denial 8 days from May 27, 2026
July 9, 2024Fine $14,050
March 21, 2024Fine $10,527

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.

MeasureThis homeConnecticutUnited States
All nursing staff (RN, LPN and aides)3.743.733.86
Registered nurses0.990.690.69
All nursing staff on weekends3.413.373.42
Nurse aides2.21
Licensed practical nurses0.54
Nursing staff turnover (share who left in a year)35.5%37.4%45.8%
Registered nurse turnover20.0%38.6%42.9%
Administrators who left0

CMS expects 3.46 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 3.87 on weekdays and 3.41 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 39.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.43 in April to June 2025 to 3.74 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.740.993.873.41 39.6%0 of 9061
Oct to Dec 20253.180.843.292.90 40.7%0 of 9272
Jul to Sep 20253.730.903.873.38 47.5%0 of 9260
Apr to Jun 20253.430.823.523.20 47.7%0 of 9166
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Connecticut, Jan to Mar 20263.660.613.803.316.0%1.3% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeConnecticutUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
28.017.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
2.10.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.71.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
9.43.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
14.916.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.34.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.517.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.824.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.210.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.92.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.71.51.8

Owners and operators

Legal business name: CHURCH HOMES, INC. CONGREGATIONAL.

NameRoleTypeShareSince
Large, MercedeseCorporate directorIndividual10/01/2022
Latina, MichaelCorporate directorIndividual01/16/2024
Martinez, CynthiaCorporate directorIndividual10/01/2022
Shahen, CynthiaCorporate directorIndividual10/01/2022
Thompson, WilliamCorporate directorIndividual10/01/2022
Anquillare, JosephCorporate officerIndividual12/01/2024
Baldoni, DoreenCorporate officerIndividual10/01/2022
Canuel, DavidCorporate officerIndividual10/01/2022
Fidanza, JamesCorporate officerIndividual01/30/2024
Gilland, PatrickCorporate officerIndividual02/19/2001
Golas, MargaretCorporate officerIndividual10/01/2022
Latina, MichaelCorporate officerIndividual01/16/2024
McGovern, KennethCorporate officerIndividual10/01/2022
Moore, P WayneCorporate officerIndividual10/01/2022
Pond, WilliamCorporate officerIndividual01/06/2018
Thompson, WilliamCorporate officerIndividual10/01/2022
Oh, Jong GilOperational/managerial controlIndividual01/01/2025
Pond, WilliamOperational/managerial controlIndividual01/06/2018
Oh, Jong GilAdp of the SNFIndividual01/01/2025
Pond, WilliamAdp of the SNFIndividual01/06/2018
Thompson, WilliamAdp of the SNFIndividual01/08/2025

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.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 14 problems in this area, most recently on April 23, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on April 23, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on April 23, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 5 problems in this area, most recently on February 27, 2026: "Provide and implement an infection prevention and control program."

Other nursing homes nearby

Connecticut contacts for a concern about a nursing home

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Common questions

What is Noble Horizons's Medicare star rating?
CMS rates Noble Horizons 2 out of 5 stars overall, with 1 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Noble Horizons get at its last inspection?
19 health deficiencies at the standard inspection on February 27, 2026. The Connecticut average is 13.4.
Has Noble Horizons been fined?
Yes. CMS lists 3 fines totaling $151,542 in the last three years.
Does Noble Horizons 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 Noble Horizons?
CMS lists 21 owners and managers. Legal business name: CHURCH HOMES, INC. CONGREGATIONAL.

Sources

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