What is Pilgrim Manor's Medicare star rating?

CMS rates Pilgrim Manor 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Pilgrim Manor get at its last inspection?

6 health deficiencies at the standard inspection on April 23, 2024. The Connecticut average is 13.4.

Does Pilgrim Manor 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 Pilgrim Manor?

CMS lists 17 owners and managers, and links the home to Covenant Living. Legal business name: COVENANT HOME, INC. CONNECTICUT.

Pilgrim Manor, Cromwell CT: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on April 23, 2024, inspectors cited 6 health deficiencies (the Connecticut average is 13.4, the national average 9.2).

Of 16 health citations since March 2019, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $12,048 in the last three years; the largest was $12,048, and the latest is dated April 23, 2024.

Nurses and nurse aides worked 3.94 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.86 of those hours.

37.7% of nursing staff left within the year CMS measured (Connecticut average 37.4%).

CMS links it to Covenant Living, an affiliated group of 15 nursing homes.

Health inspections

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

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

103/19

401/20

604/24

105/24

405/25

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

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

13D

Potential for minimal harm

May 1, 2025Complaint inspection · 4 citations

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) May 22, 2025

Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for one (1) of two (2) residents (Resident #2) reviewed for abuse, the facility failed to ensure a resident was treated in a respectful and dignified manner.
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) May 22, 2025

Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for one (1) of two (2) residents (Resident #1) reviewed for abuse, the facility failed to report an allegation of abuse to the state agency.
D

Respond appropriately to all alleged violations.

F610 · 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) May 22, 2025

Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for one (1) of two (2) residents (Resident #1) reviewed for abuse, the facility failed to conduct a complete and thorough investigation for an allegation of abuse.
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 · found on a complaint visit · Corrected (the home has a date of correction) May 22, 2025

Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for one (1) of two (2) residents (Resident #2) reviewed for abuse, the facility failed to ensure appropriate interventions were implemented following an allegation of staff-to-resident verbal abuse.

May 24, 2024Complaint inspection · 1 citation

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 · found on a complaint visit · Corrected (the home has a date of correction) June 14, 2024

Inspectors wroteBased on clinical record reviews, facility documentation, facility policies and interviews for one of three sampled residents (Resident #1) who was a re-admission and had a foot ulcer, the facility failed to develop a care plan that addressed a diabetic ulcer to ensure interventions were implemented for the prevention and treatment of wounds.

April 23, 2024Standard inspection, Complaint inspection · 6 citations

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) May 16, 2024

Inspectors wroteBased on review of the clinical record, review of facility documentation, and interviews for 4 of 5 residents (Resident #304) reviewed for accidents, the facility failed to appropriately supervise a resident resulting in a fall with a major injury.
D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 16, 2024

Inspectors wroteBased on interviews, review of the clinical record and facility policy for 1 of 4 residents (Resident #454) reviewed for accidents, the facility failed to include in the Resident Baseline Care Plan interventions to prevent falls for a resident who sustained a fall with injury prior to admission and for 1 of 3 residents (Resident #554) reviewed for pressure ulcers, failed to initiate a Resident Baseline Care Plan for a resident admitted with an unstageable pressure ulcer.
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 · found on a complaint visit · Corrected (the home has a date of correction) May 16, 2024

Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 5 residents (Resident #304) reviewed for accidents, the facility failed to assess the resident's neurological status and failed to complete a fall assessment following a fall with head injury per the facility policy.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · 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) May 16, 2024

Inspectors wroteBased on review of the clinical record, and interviews for the only sampled resident (Resident #19) reviewed for a change in condition, the facility failed to correctly transcribe physician's orders for a medication, Synthroid.
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 16, 2024

Inspectors wroteBased on review of the clinical record, facility policy, facility documentation, and interviews for 3 of 3 residents (Resident #554) reviewed for pressure ulcers, the facility failed to ensure a low air loss mattress was set at the appropriate setting for Resident #554's weight, and failed to assess and measure a community acquired pressure ulcer on admission.
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 16, 2024

Inspectors wroteBased on observation, interviews, review of the clinical record and facility policy for the only sampled resident (Resident #13) reviewed for respiratory care, the facility failed to provide oxygen therapy consistent with professional standards of practice.

January 31, 2020Standard inspection · 4 citations

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) February 28, 2020

Inspectors wroteBased on a review of the clinical record, a review of facility documentation, staff interviews and a review of the facility policy for two of two sampled residents, (Resident #8 and #364), reviewed for abuse, the facility failed to report an alleged violation of abuse and misappropriation of resident property and failed to report the results of the investigation to the proper authorities within prescribed timeframe's.
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) February 28, 2020

Inspectors wroteBased on a review of facility documentation, a review of the clinical record and staff interviews, for one of two residents reviewed for abuse, Resident # 8, the facility failed to ensure a complete and thorough investigation of an allegation of abuse, and failed to protect residents by removing staff pending the outcome of an investigation.
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) February 28, 2020

Inspectors wroteBased on a clinical record review, staff interviews, and a review of the facility policy for one of five residents reviewed for unnecessary medications (Resident # 59), the facility failed to develop a comprehensive care plan with interventions that were individualized.
B

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 minimal harm, pattern · Corrected (the home has a date of correction) February 28, 2020

Inspectors wroteBased on a clinical record review, a review of facility documentation and staff interviews for 22 of 27 residents reviewed for Minimum Data Set assessment (MDS) transmissions (Resident #2, #4, #28, #29, #30, #31, #44, #45, #46, #49, #50, #51, #52, #53, #54, #55, #56, #57, #58, #164, #216 and #217), the facility failed to transmit the MDS assessments to the state agency database within the required timeframe's.

March 7, 2019Standard inspection · 1 citation

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) March 27, 2019

Inspectors wroteBased on observation of Dietary staff, review of facility policy, and staff interviews, the facility failed to follow safe sanitation practices regarding the use of beard restraints.

Fines and payment denials

Date	Penalty	Amount or length
April 23, 2024	Fine	$12,048

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)	3.94	3.73	3.86
Registered nurses	0.86	0.69	0.69
All nursing staff on weekends	3.66	3.37	3.42
Nurse aides	2.42
Licensed practical nurses	0.66
Nursing staff turnover (share who left in a year)	37.7%	37.4%	45.8%
Registered nurse turnover	23.1%	38.6%	42.9%
Administrators who left	0

CMS expects 3.30 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 4.06 on weekdays and 3.66 on weekends, 10% 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 3.97 in April to June 2025 to 3.94 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	3.94	0.86	4.06	3.66	0.0%	0 of 90	54
Oct to Dec 2025	4.01	0.82	4.16	3.63	0.6%	0 of 92	54
Jul to Sep 2025	3.96	0.82	4.11	3.59	0.0%	0 of 92	54
Apr to Jun 2025	3.97	0.80	4.10	3.62	0.0%	0 of 91	55
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	19.4	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	1.1	1.5	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	1.6	3.5	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.5	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	25.1	16.4	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	2.0	4.0	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	5.5	17.8	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	22.1	24.3	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	4.7	10.8	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.0	2.1	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.3	1.5	1.8

Owners and operators

Legal business name: COVENANT HOME, INC. CONNECTICUT. CMS links this home to Covenant Living, a group of 15 nursing homes averaging 4.4 stars overall.

Name	Role	Type	Share	Since
Covenant Living Communities & Services	5% or greater direct ownership interest	Organization	100%	01/03/2014
Cunliffe, Terri	W-2 managing employee	Individual		03/19/2009
Holt, Jody	W-2 managing employee	Individual		06/02/2017
Aagaard, Jon	Corporate director	Individual		07/01/2013
Christensen, Pamela	Corporate director	Individual		07/01/2013
Eastburg, Mark	Corporate director	Individual		07/01/2013
Espinosa, Marc	Corporate director	Individual		07/01/2013
Hodgkinson, Donald	Corporate director	Individual		07/01/2013
Manlove, Matt	Corporate director	Individual		07/01/2017
Oxendale, Roger	Corporate director	Individual		07/01/2017
Stante, Marlene	Corporate director	Individual		07/01/2013
Vining, Anne	Corporate director	Individual		07/01/2013
Cunliffe, Terri	Corporate officer	Individual		03/19/2009
Erickson, David	Corporate officer	Individual		01/31/2008
Holt, Jody	Corporate officer	Individual		06/02/2017
Covenant Living Communities & Services	Operational/managerial control	Organization		01/03/2014
Holt, Jody	Operational/managerial control	Individual		07/01/2013

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on May 1, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on May 1, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on April 23, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on May 1, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."

Other nursing homes nearby

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Portland Care & Rehab Centre, Inc
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Apple Rehab Cromwell
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Water's Edge Center for Health & Rehabilitation
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Wadsworth Glen Health Care and Rehabilitation Cent
Middletown, 3.4 mi · 1 of 5 stars · 46 citations
John L. Levitow Health Care Center
Rocky Hill, 3.6 mi · 5 of 5 stars · 15 citations
60 West
Rocky Hill, 3.8 mi · 5 of 5 stars · 16 citations
Apple Rehab Middletown
Middletown, 4.4 mi · 3 of 5 stars · 55 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 Pilgrim Manor's Medicare star rating?: CMS rates Pilgrim Manor 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Pilgrim Manor get at its last inspection?: 6 health deficiencies at the standard inspection on April 23, 2024. The Connecticut average is 13.4.
Has Pilgrim Manor been fined?: Yes. CMS lists 1 fine totaling $12,048 in the last three years.
Does Pilgrim Manor 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 Pilgrim Manor?: CMS lists 17 owners and managers, and links the home to Covenant Living. Legal business name: COVENANT HOME, INC. CONNECTICUT.

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.