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Shady Knoll Center for Health & Rehabilitation

41 Skokorat Street, Seymour, CT 06483 · Naugatuck Vly County · (203) 881-2555

128 certified beds, about 120 residents a day · For profit - Corporation · Medicare and Medicaid since 1993

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 075386 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 30, 2025, inspectors cited 13 health deficiencies (the Connecticut average is 13.4, the national average 9.2).

None of its 48 health citations since July 2021 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.38 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.41 of those hours.

23.4% of nursing staff left within the year CMS measured (Connecticut average 37.4%).

CMS links it to National Health Care Associates, an affiliated group of 42 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.

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 48 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
32D
10E
1F
Potential for minimal harm
0A
5B
0C
July 21, 2025Complaint inspection · 2 citations
  1. 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) August 3, 2025
    Inspectors wroteBased on record review, facility documentation review, and staff interviews for one of three residents (Resident #1) reviewed for medication errors, the facility failed to ensure medication was administered in accordance with physician orders, and failed to ensure staff read the manufacturer label prior to administering a medication, resulting in a medication error.
  2. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 3, 2025
    Inspectors wroteBased on record review, facility documentation review, and staff interviews for one of three residents (Resident #1) reviewed for medication errors, the facility failed to ensure a medication was labeled correctly when received from the pharmacy, resulting in a medication error.
June 30, 2025Standard inspection · 13 citations
  1. F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 16, 2025
    Inspectors wroteBased on review of facility documentation and staff interview, the facility failed to ensure the 1st quarter Payroll Based Journal (PBJ) report was submitted.
  2. E
    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, pattern · Corrected (the home has a date of correction) August 16, 2025
    Inspectors wroteBased on review of the clinical record, staff interviews, facility documentation, and facility policy for 1 of 3 residents (Resident #31) reviewed for pressure ulcers, the facility failed to follow physician orders timely and initiate treatment orders for a newly identified wound.
  3. E
    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, pattern · Corrected (the home has a date of correction) August 16, 2025
    Inspectors wroteBased on clinical record review, facility documentation, facility policy and staff interviews for 1 of 5 residents (Resident #93) reviewed for unnecessary medications, the facility failed to review and respond to pharmacy recommendations in a timely manner.
  4. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 16, 2025
    Inspectors wroteBased on a temperature meal tray sample taken with the Dietary Director and staff/resident interviews, the facility failed to ensure meals was served at appropriate temperatures. During the Resident Council meeting on 6/24/25 at 1:34 PM, residents complained of ongoing issues with food being served cold. On 6/25/25 at 12:35 PM, a test tray was conducted. The following was identified:The lunch meal was plated and left the Dietary Department on a variety of serving carts which were two tiered and open to air starting at 11:45 AM which were filled with 7 to 8 meals on each serving cart, plated and covered with a clear plastic lid with a hole in the center. Dietary Aides transferred meal trays to the third floor first, returning after the serving carts were emptied to refill with meals plated in the kitchen, then returned to the units to finish serving. [...]
  5. 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) August 16, 2025
    Inspectors wroteBased on the tour of the Dietary Department, staff interviews, and review of facility policies, the facility failed to ensure opened items were labeled and dated when opened, and expired food was discarded.
  6. 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) August 16, 2025
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for 1 of 3 residents (Resident #33) reviewed for mistreatment, the facility failed to ensure an allegation of rushed and rough care which potentially caused a left hand bruise was thoroughly investigated.
  7. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 16, 2025
    Inspectors wroteBased on clinical record review, observations, facility documentation, facility policy and interviews for 1 of 5 sampled residents (Resident #44) reviewed for Preadmission Screening and Resident Review (PASRR), the facility failed to ensure a PASRR Level II assessment was completed following an exempted short term approval for a resident with a suspected serious mental illness.
  8. 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) August 16, 2025
    Inspectors wroteBased on clinical record review, facility documentation, facility policy, and interviews for 1 of 5 residents (Resident # 44) reviewed for unnecessary medications, the facility failed to ensure that a comprehensive care plan was developed for a resident with a recent history of smoking/vaping and issues with smoking contraband.
  9. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 16, 2025
    Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy and interviews for 1 of 2 residents (Resident #103) reviewed for choices, the facility failed to support a resident's choice related to assistance with oral care.
  10. 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 · Corrected (the home has a date of correction) August 16, 2025
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for 1 of 5 residents (Resident #35) reviewed for unnecessary medications, the facility failed to ensure that weekly weight monitoring was completed timely. Additionally, for 1 of 5, (Resident #44) reviewed for activities of daily living (ADL), the facility failed to re-evaluate the continued use of mobility equipment and plan of care for its continued use following the removal of a motorized chair.
  11. 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) August 16, 2025
    Inspectors wroteBased on clinical record review, facility documentation, facility policy, and interviews for 1 of 5 residents (Resident # 44) reviewed for unnecessary medications, the facility failed to ensure that a resident with recent history of tobacco use was assessed for smoking upon admission and re-admission to the facility; and failed to ensure that the resident was free of smoking materials within the facility; and failed to ensure interventions were in place following the identification of smoking/vaping materials within the facility.
  12. 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.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 16, 2025
    Inspectors wroteBased on clinical record review, observations, facility documentation, facility policy and interviews for 1 of 3 sampled residents (Resident #67) reviewed for choices, the facility failed to ensure a meal was provided according to preference and served in a timely manner.
  13. D
    Provide or get specialized rehabilitative services as required for a resident.
    F825 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 16, 2025
    Inspectors wroteBased on review of the clinical record, staff interviews, and facility policy for 1 of 4 residents (Resident #102) reviewed for activities of daily living (ADL), the facility failed to refer resident to physical therapy (PT) and occupational therapy (OT) after identifying a decline in ADLs.
June 17, 2024Complaint inspection · 3 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #2) reviewed for dialysis, the facility failed to ensure the physician was notified of a missed dialysis treatment timely.
  2. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · 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) July 18, 2024
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review and interviews for one of three residents (Resident #2) reviewed for dialysis, the facility failed to ensure transportation was scheduled timely for a resident who required dialysis treatments, and failed to maintain a dialysis communication book for a resident who required dialysis treatments.
  3. 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) July 18, 2024
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for two of three residents (Resident #1) reviewed for ADLs, the facility failed to ensure the clinical record was complete and accurate to include oral care provided and/or refused.
April 16, 2024Complaint inspection · 3 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) May 3, 2024
    Inspectors wroteBased on review of clinical records, facility documentation, and interviews for one (1) of three (3) residents reviewed for a change in condition, (Resident #1), the facility failed to notify the physician of a decline in a resident's oral intake.
  2. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 3, 2024
    Inspectors wroteBased on observations and interviews of the third floor call bell system, the facility failed to ensure that the call bell system was audible at the call bell panel at the nurse's station and could be heard throughout the nursing unit.
  3. B
    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 minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 3, 2024
    Inspectors wroteBased on clinical record review, facility documentation, and interviews for one (1) of three (3) residents reviewed for meal intake documentation, (Resident #1), the facility failed to ensure that meal intake was documented.
October 18, 2023Standard inspection, Complaint inspection · 17 citations
  1. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 10, 2023
    Inspectors wroteBased on observation, review of job descriptions, and interviews, for 5 of 5 units, the facility failed to ensure the environment was maintained in good repair and in a homelike manner.
  2. E
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    F678 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 12, 2023
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews, the facility failed to ensure that licensed staff maintained their Cardio-Pulmonary Resuscitation (CPR) certification.
  3. E
    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, pattern · Corrected (the home has a date of correction) November 16, 2023
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 2 of 2 residents (Resident #59 and 119) reviewed for diabetes management, the facility failed to follow the physician's order for elevated blood sugars, and for 5 residents (Resident #37, 55, 66, 85, 87) reviewed for accidents and behaviors, the facility failed to monitor vital signs according to facility policy, and for 1 of 5 residents (Resident #106) reviewed for hospitalization, the facility failed to ensure vital signs were monitored in accordance with the facility's policy.
  4. 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 12, 2023
    Inspectors wroteBased on observations, review of facility documentation, facility policy, and interviews, the facility failed to ensure that kitchen equipment was clean and sanitary, failed to ensure the chemical sanitizing solution was maintained at the manufacturer recommended sanitization concentrations, and failed to ensure that food items stored for the emergency 3-day supply were within use by date perimeters.
  5. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 12, 2023
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 2 resident (Resident #117) reviewed for choices, the facility failed to ensure resident choices were accommodated when the resident requested to go to bed, and staff did not assist the resident for 2 hours and 30 minutes.
  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) November 16, 2023
    Inspectors wroteBased on review of the clinical record, facility policy, and interviews for 2 of 2 residents (Resident #59) reviewed for diabetes management, the facility failed to ensure the physician and the resident's representative were notified when the resident's blood glucose (BG) levels were outside the parameters per the physician's order.
  7. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 16, 2023
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for 1 resident (Resident #55) reviewed for behaviors, the facility failed to ensure that the Preadmission Screening and Resident Review (PASSAR) re-screening was completed following a newly identified mental health diagnosis.
  8. D
    Provide care by qualified persons according to each resident's written plan of care.
    F659 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2023
    Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy and interview for 1 resident (Resident #55) reviewed for behaviors, the facility failed to ensure that qualified staff provided targeted behavior observation and monitoring for a resident that required 1:1 constant observation for inappropriate behaviors.
  9. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 12, 2023
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 2 residents (Resident #95) reviewed for Activities of Daily Living (ADL), the facility failed to ensure the resident was provided a shower on scheduled shower days.
  10. 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) November 16, 2023
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 3 of 8 residents (Resident #8, 55 and 222) reviewed for accidents, for Resident #8 the facility failed to ensure the resident's environment was free of an accident hazards, for Resident #55 the facility failed to ensure that adequate supervision by trained staff was provided to a resident who required 1:1 constant observation for inappropriate behaviors, and for Resident #222 the facility failed to ensure the resident was properly positioned and supported during the application of a pain patch to the residents lowered back and subsequently, fell face first out of the bed onto the floor.
  11. 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) November 16, 2023
    Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy, and interviews for 1 resident (Resident #48) reviewed for respiratory status, the facility failed to store the oxygen nasal canula in a sanitary manner.
  12. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 12, 2023
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and staff interviews for 1 resident (Resident #222) reviewed for discharge, the facility failed to remove 2 discontinued medications from the medication cart after they were discontinued by the physician, and both were subsequently sent home with the resident upon his/her discharge.
  13. B
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) November 16, 2023
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for 2 of 2 residents (Resident #105 and 112), reviewed for hospitalization, the facility failed to ensure the Office of the State Long-Term Care Ombudsman was notified when the residents were transferred to the hospital.
  14. B
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) November 12, 2023
    Inspectors wroteBased observation, review and facility documentation, and interviews the facility failed to post accurate nursing staffing information.
  15. B
    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 minimal harm, pattern · Corrected (the home has a date of correction) November 12, 2023
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interview for 5 residents (Resident #55, 66, 85, 87, 95) reviewed for activities of daily living, falls and behaviors, the facility failed to ensure a the medical record was complete and accurate.
  16. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · 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) November 12, 2023
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 4 residents (Resident #222) reviewed for discharge, the facility failed to ensure the recapitulation of the resident's stay included when the resident fell and was evaluated in the hospital, and failed to ensure medications sent home with the resident were current and not discontinued.
  17. 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 · found on a complaint visit · Corrected (the home has a date of correction) November 12, 2023
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 2 of 3 residents (Resident #117, and 222) reviewed for pressure ulcers, the facility failed to implement a pressure relieving device on the resident's bed when the resident was admitted to the facility with multiple pressure ulcers.
July 28, 2021Standard inspection · 10 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) September 8, 2021
    Inspectors wroteBased on review of the clinical record, review of facility policy/procedures and interviews for two of three sampled residents (Resident #38) reviewed for an injury of unknown origin and (Resident #355) reviewed for verbal mistreatment , the facility failed to ensure that the injury of unknown origin and the alleged verbal mistreatment was reported to the DNS, Administrator and to the State Survey Agency within the appropriate time parameters.
  2. E
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 8, 2021
    Inspectors wroteBased on clinical record reviews, review of facility policy/procedures, review of facility documentation and interviews for two of three sampled residents (Resident #38) reviewed for an injury of unknown origin, and (Resident #355) reviewed for an allegation of mistreatment, the facility failed to immediately initiate an investigation for a bruise of unknown origin and for an allegation of verbal mistreatment and failed to protect the residents from potential further mistreatment.
  3. 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) September 8, 2021
    Inspectors wroteBased on review of the clinical record, review of facility documentation, review of facility policy/procedures and interviews for one of three sampled residents (Resident #49) reviewed for an allegation of mistreatment the facility failed to ensure that care was provided in a dignified manner.
  4. 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) September 8, 2021
    Inspectors wroteBased on review of the clinical record, review of facility documentation, review of facility policy/procedures and interviews for one of three sample residents (Resident #38) reviewed for skin integrity the facility failed to ensure the resident's physician and responsible party were notified of an injury of unknown origin in a timely manner.
  5. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 8, 2021
    Inspectors wroteBased on observations, review of facility documentation and interviews, the facility failed to ensure equipment was in good repair and safe for usage in rooms [ROOM NUMBERS].
  6. 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 · Corrected (the home has a date of correction) September 8, 2021
    Inspectors wroteBased on review of the clinical record, review of facility policy/procedures and interviews for one of three sampled resident (Resident #38) reviewed for skin integrity, the facility failed to ensure that a bruise (injury of unknown origin) was assessed and documented per acceptable standards of care.
  7. 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) September 8, 2021
    Inspectors wroteBased on observation, review of the clinical record and interviews for one sampled resident (Resident #605) who required an assist of two for transfers, the facility failed to ensure the resident was transferred with the assistance of two staff.
  8. 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) September 8, 2021
    Inspectors wroteBased on observation, review of the clinical record, review of facility documentation, review of facility policy, and interviews for one sampled resident (Resident #81) reviewed for respiratory care, the facility failed to obtain a physician's order for oxygen treatment in a timely manner.
  9. 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) September 8, 2021
    Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy, and interviews for 1 resident (Resident # 358) reviewed for transmission based precautions (TBP), facility failed to ensure infection control practices were followed according to policy for required use of eye protection when providing care.
  10. B
    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 minimal harm, pattern · Corrected (the home has a date of correction) September 8, 2021
    Inspectors wroteBased on review of the clinical record, and interviews for one sampled resident (Resident #53), the facility failed to ensure the clinical record was complete and accurate in reflecting the residents diagnoses, intake and output record and recommendations for a follow up appointment with a specialist.

Fire safety inspections

5 fire safety citations on file: 1 on June 30, 2025, 3 on October 18, 2023, 1 on July 28, 2021.

Every fire safety citation5 citations
  1. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · June 30, 2025 · Corrected (the home has a date of correction)
  2. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · October 18, 2023 · Corrected (the home has a date of correction)
  3. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · October 18, 2023 · Corrected (the home has a date of correction)
  4. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 18, 2023 · Corrected (the home has a date of correction)
  5. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 28, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

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)3.383.733.86
Registered nurses0.410.690.69
All nursing staff on weekends3.103.373.42
Nurse aides2.10
Licensed practical nurses0.88
Nursing staff turnover (share who left in a year)23.4%37.4%45.8%
Registered nurse turnover47.1%38.6%42.9%
Administrators who left0

CMS expects 4.08 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 3.50 on weekdays and 3.10 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.46 in April to June 2025 to 3.38 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.380.413.503.10 3.9%0 of 90120
Oct to Dec 20253.550.473.673.23 2.1%0 of 92118
Jul to Sep 20253.630.553.783.24 3.1%0 of 92120
Apr to Jun 20253.460.453.563.23 2.0%0 of 91121
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
19.917.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.31.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.43.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
18.916.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.64.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
21.417.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
30.224.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.710.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.62.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.51.8

Owners and operators

Legal business name: SHADY KNOLL ACQUISITION OPERATOR LLC. CMS links this home to National Health Care Associates, a group of 42 nursing homes averaging 3.2 stars overall.

NameRoleTypeShareSince
Bg II Opco Ml LLC5% or greater direct ownership interestOrganization100%10/10/2024
Cedar Hill Capital Associates LLC5% or greater indirect ownership interestOrganization10/10/2024
Dymer Holdings LLC5% or greater indirect ownership interestOrganization10/10/2024
Ilana Ostreicher Family Trust5% or greater indirect ownership interestOrganization10/10/2024
Juniper Capital Associates LLC5% or greater indirect ownership interestOrganization10/10/2024
Marc Ephram Ostreicher Family Trust5% or greater indirect ownership interestOrganization10/10/2024
Oak Management Capital LLC5% or greater indirect ownership interestOrganization10/10/2024
Ysro Trust5% or greater indirect ownership interestOrganization10/10/2024
Zadun II Holdings LLC5% or greater indirect ownership interestOrganization10/10/2024
Ehrenfeld, Mindy5% or greater indirect ownership interestIndividual10/10/2024
David Ostreicher Family TrustIndirect ownership interestOrganization10/10/2024
Ej Capital Holdings LLCIndirect ownership interestOrganization10/10/2024
Gm Equities LLCIndirect ownership interestOrganization10/10/2024
Gray Family Investors LLCIndirect ownership interestOrganization10/10/2024
Levon Papa II LLCIndirect ownership interestOrganization10/10/2024
Lpklr LLCIndirect ownership interestOrganization10/10/2024
Michelle Ostreicher Family TrustIndirect ownership interestOrganization10/10/2024
Patriot Hc 233 LLCIndirect ownership interestOrganization10/10/2024
Shayna Steg Family TrustIndirect ownership interestOrganization10/10/2024
White Deer Investments, LLCIndirect ownership interestOrganization10/10/2024
Yitzchok Steg Family TrustIndirect ownership interestOrganization10/10/2024
Ehrenfeld, JacobIndirect ownership interestIndividual10/10/2024
Gelbtuch, JayIndirect ownership interestIndividual10/10/2024
Lopiansky, RebeccaIndirect ownership interestIndividual10/10/2024
Millstein, NechamaIndirect ownership interestIndividual10/10/2024
Ostreicher, DavidIndirect ownership interestIndividual10/10/2024
Ostreicher, MarvinIndirect ownership interestIndividual10/10/2024
Ostreicher, MichelleIndirect ownership interestIndividual10/10/2024
Steg, ShaynaIndirect ownership interestIndividual10/10/2024
Steg, YitzchokIndirect ownership interestIndividual10/10/2024
Weisz, DavidIndirect ownership interestIndividual10/10/2024
Wolkenfeld, StefanIndirect ownership interestIndividual10/10/2024
Cedar Hill Capital Associates LLC5% or greater security interestOrganization10/10/2024
Ilana Ostreicher Family Trust5% or greater security interestOrganization10/10/2024
Juniper Capital Associates LLC5% or greater security interestOrganization10/10/2024
Marc Ephram Ostreicher Family Trust5% or greater security interestOrganization10/10/2024
Master Tenant Holdco Ct5 II LLC5% or greater security interestOrganization10/10/2024
Oak Management Capital LLC5% or greater security interestOrganization10/10/2024
Ysro Trust5% or greater security interestOrganization10/10/2024
Ostreicher, Marc5% or greater security interestIndividual10/10/2024
National Health Care Associates IncOperational/managerial controlOrganization11/19/2024
Augustin, ElzaOperational/managerial controlIndividual11/19/2024
Desilva, GarumuniOperational/managerial controlIndividual12/02/2024
Gilmartin, ThomasOperational/managerial controlIndividual11/19/2024
Ostreicher, MarcOperational/managerial controlIndividual11/19/2024
Ariella Ehrenfeld Investment LLCAdp of the SNFOrganization12/02/2024
Baker Tilly Advisory Group LPAdp of the SNFOrganization11/19/2024
Cedar Hill Capital Associates LLCAdp of the SNFOrganization11/19/2024
Dymer Holdings LLCAdp of the SNFOrganization11/19/2024
Ej Capital Holdings LLCAdp of the SNFOrganization11/27/2024
Gm Equities LLCAdp of the SNFOrganization12/12/2024
Gray Family Investors LLCAdp of the SNFOrganization11/26/2024
Ilana Ostreicher Family TrustAdp of the SNFOrganization11/19/2024
Juniper Capital Associates LLCAdp of the SNFOrganization11/19/2024
Levon Papa II LLCAdp of the SNFOrganization12/12/2024
Lpklr LLCAdp of the SNFOrganization12/02/2024
Marc Ephram Ostreicher Family TrustAdp of the SNFOrganization11/19/2024
Master Tenant Holdco Ct5 II LLCAdp of the SNFOrganization11/19/2024
National Health Care Associates IncAdp of the SNFOrganization11/19/2024
Patriot Hc 233 LLCAdp of the SNFOrganization11/26/2024
Preferred Therapy Solutions LLCAdp of the SNFOrganization11/19/2024
Procare LTC Holding LLCAdp of the SNFOrganization11/19/2024
Yossi Ehrenfeld Investment LLCAdp of the SNFOrganization12/02/2024
Augustin, ElzaAdp of the SNFIndividual11/19/2024
Desilva, GarumuniAdp of the SNFIndividual12/02/2024
Ostreicher, IlanaAdp of the SNFIndividual12/12/2024
Ostreicher, MarcAdp of the SNFIndividual11/19/2024

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. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 16 problems in this area, most recently on July 21, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 9 problems in this area, most recently on June 30, 2025: "PASARR screening for Mental disorders or Intellectual Disabilities"
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on June 17, 2024: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on June 30, 2025: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.10 hours per resident per day, below the Connecticut average of 3.37.

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Common questions

What is Shady Knoll Center for Health & Rehabilitation's Medicare star rating?
CMS rates Shady Knoll Center for Health & Rehabilitation 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Shady Knoll Center for Health & Rehabilitation get at its last inspection?
13 health deficiencies at the standard inspection on June 30, 2025. The Connecticut average is 13.4.
Has Shady Knoll Center for Health & Rehabilitation been fined?
CMS lists no fines in the last three years.
Does Shady Knoll Center for Health & Rehabilitation 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 Shady Knoll Center for Health & Rehabilitation?
CMS lists 67 owners and managers, and links the home to National Health Care Associates. Legal business name: SHADY KNOLL ACQUISITION OPERATOR LLC.

Sources

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