Home / Connecticut / Durham
809 New Haven Road #r, Durham, CT 06422 · Lower Ct River Vly County · (860) 349-1041
44 certified beds, about 43 residents a day · For profit - Corporation · Medicare and Medicaid since 2003
CMS Care Compare ratings, data as of September 1, 2026 · CCN 075431 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 22, 2025, inspectors cited 7 health deficiencies (the Connecticut average is 13.4, the national average 9.2).
Of 27 health citations since July 2021, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $24,928 in the last three years; the largest was $24,928, and the latest is dated October 9, 2025.
Nurses and nurse aides worked 3.18 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.
35.3% of nursing staff left within the year CMS measured (Connecticut average 37.4%).
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.
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 27 health citations on file.
Inspectors wroteBased on clinical record review, facility policy and interviews, for one (1) of three (3) residents (Resident #1) reviewed for grievances, the facility failed to ensure a complaint made by a resident regarding a staff member was referred to the designated grievance official, investigated, and documented with findings and resolution.
Inspectors wroteBased on interviews, review of the clinical record, facility documentation, and facility policy for 1 of 3 sampled residents (Resident #2), reviewed for falls, the facility failed to transfer the resident per the physician's order, rehabilitation screen, and nurse aide assignment card, which resulted in a fall with multiple fractures.
Inspectors wroteBased on clinical record reviews, facility documentation, facility policies and interviews for one (1) of three (3) sampled residents (Resident #1) who had a history of wandering throughout the facility and self-ambulated with a walker, the facility failed to implement the Missing Person Policy when Resident #1 was not accounted for.
Inspectors wroteBased on clinical record reviews, facility documentation, facility policy, and interviews for one (1) of three (3) sampled residents (Resident #2) who had difficulty swallowing, the facility failed to follow the physician's recommended therapeutic diet which resulted in the resident choking.
Inspectors wroteBased on review of facility documentation, facility policy and interviews, the facility failed to complete annual nurse aide performance evaluations.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for 2 of 3 residents (Resident #5 and 36) reviewed for accidents, for Resident #5 the facility failed to implement the comprehensive care plan for a resident with a history of repeated falls and for Resident #36 the facility failed to develop a comprehensive care plan related to the resident's behavior of flailing arms.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for 1 of 3 residents (Resident #5) reviewed for accidents, the facility failed to revise the care plan following a fall for a resident with a history of repeated falls.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for 1 resident (Resident #41) reviewed for quality of care, the facility failed to ensure staff maintained current CPR (cardiopulmonary resuscitation) certification.
Inspectors wroteBased on review of facility documentation, the facility assessment, and interview, the facility failed to ensure intravenous (IV) therapy certifications and competencies were completed for 6 of 11 licensed nursing staff.
Inspectors wroteBased on observation, review of facility documentation, facility policy, and interviews, the facility failed to discard Insulin 28 days after it was opened according to professional standards.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 2 of 5 residents (Resident #15 and 78) reviewed for unnecessary medications, the facility failed to ensure pharmacy recommendations were addressed in a timely manner.
Inspectors wroteBased on clinical record reviews, review of facility documentation, facility policies, and interviews for eight (8) of ten (10) sampled residents (Resident #2, #3, #4, #5, #6, #7, #8, and #10) who were reviewed for the completion of a current Minimum Date Set assessment, the facility failed to ensure the assessments were completed within the fourteen (14) day timeframe requirement.
Inspectors wroteBased on clinical record reviews, facility documentation, facility policies and interviews for one of three sampled residents (Resident #2) who required staff assistance with daily living skills and was reviewed for an allegation of mistreatment, a staff member failed to immediately report the allegation of mistreatment by another staff member while providing care to Resident #2 therefore the alleged perpetrator worked for three (3) days.
Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for one (1) of two (2) residents (Resident #1) who were reviewed for pressure ulcers, the facility failed to ensure complete and accurate documentation for a resident with a scheduled skin inspection who subsequently developed a pressure ulcer.
Inspectors wroteBased on clinical record reviews, observations, facility documentation, facility policy and interviews for one (1) of two (2) residents,(Resident #1), who were reviewed for pressure ulcers, the facility failed to ensure appropriate infection control practices were followed for a resident receiving a wound treatment.
Inspectors wroteBased on observations during the kitchen tour, review of facility policy and interviews, the facility failed to ensure items were appropriately labeled and dated when opened and failed to discard expired foods prior to the expiration date.
Inspectors wroteBased on clinical record review, review of facility policy, review of facility documentation and interviews for one of three sampled residents (Resident #16) who experienced severe pain and inability to bear weight (change in condition) and required hospitalization, the facility failed to ensure that the APRN/physician was consistently updated when the resident's symptoms of pain persisted, inability to bear weight and the ordered ultrasound was not administered.
Inspectors wroteBased on observation, review of the clinical record, review of facility policy, and interviews for three of four sampled residents (Residents #2, #13, and #35) with bathrooms in their rooms, the facility failed to ensure that the water temperatures in the resident bathrooms were maintained within the required range of 105.0 to 120.0 degrees Fahrenheit.
Inspectors wroteBased on review of the facility assessment and interview for the intravenous therapy program, the facility failed to identify that licensed and nurse aide staff had demonstrated competency or were educated related to intravenous therapy use.
Inspectors wroteBased on interview, review of facility narcotic records, clinical record review, and facility policy for 3 of 11 sampled residents (Resident #1, #6 and #16) who were reviewed for controlled substance records (narcotics), the facility failed to accurately reconcile controlled medication or identify the potential for diversion for controlled medications.
Inspectors wroteBased on clinical record review, facility policy review, and interviews for one of three residents (Resident #18) reviewed for unnecessary medication, the pharmacist failed to report a medication irregularity regarding a Gradual Dose Reduction (GDR) for Risperidone (anti-psychotic medication).
Inspectors wroteBased on clinical record review, facility policy review, and interviews for one of three residents (Resident #18) reviewed for unnecessary medication, the facility failed to ensure gradual dose reduction was attempted when a resident was receiving Risperdal (anti-psychotics medication).
Inspectors wroteBased on observation, interviews, and facility policy during an inspection of medication storage for the only medication cart in the facility, the facility failed to store ophthalmic medications appropriately to prevent cross contamination.
Inspectors wroteBased on clinical record review, and interviews for one sampled resident (Resident #20) reviewed for dental services, the facility failed to provide routine dental services to meet the resident's needs.
Inspectors wroteBased on observations, review of the clinical record, and interviews for one of thirty residents, (Resident #4), observed during the lunch meal, the facility failed to provide adaptive equipment according to the dietary slip and physician order.
Inspectors wroteBased on interview, review of facility policy and review of facility emergency water supply, the facility failed to ensure that there was an adequate amount of emergency potable and non-potable water available for each resident per the requirement.
Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy, and interviews for 2 residents (Resident #5 and 24) reviewed for positioning, the facility failed to ensure physician orders were obtained for the use of a custom wheelchair with lap tray.
6 fire safety citations on file: 3 on June 22, 2023, 1 on July 14, 2021, 2 on July 2, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| October 9, 2025 | Fine | $24,928 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.18 | 3.73 | 3.86 |
| Registered nurses | 0.80 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.77 | 3.37 | 3.42 |
| Nurse aides | 1.97 | ||
| Licensed practical nurses | 0.41 | ||
| Nursing staff turnover (share who left in a year) | 35.3% | 37.4% | 45.8% |
| Registered nurse turnover | 33.3% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.23 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.35 on weekdays and 2.77 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.15 in April to June 2025 to 3.18 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 | 3.18 | 0.80 | 3.35 | 2.77 | 9.8% | 0 of 90 | 43 |
| Oct to Dec 2025 | 3.07 | 0.85 | 3.15 | 2.84 | 12.2% | 0 of 92 | 42 |
| Jul to Sep 2025 | 3.13 | 0.82 | 3.23 | 2.87 | 8.4% | 0 of 92 | 42 |
| Apr to Jun 2025 | 3.15 | 0.83 | 3.27 | 2.84 | 6.7% | 0 of 91 | 40 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Connecticut, all employers | |||
| CNAs (nursing assistants) | $21.53 | $20.14 to $22.68 | 21,380 |
| LPNs and LVNs | $35.43 | $32.05 to $36.94 | 8,540 |
| Registered nurses | $49.39 | $41.40 to $58.58 | 40,110 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 12.7 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.6 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.1 | 3.5 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.4 | 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 | 21.9 | 17.8 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Twin Maples Healthcare, Inc's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · Connecticut: 75 better, 2 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 10 eligible stays.
9.7% this home
No different from the national rate
US median of homes 10.7% · Connecticut: 0 better, 3 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 30 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Connecticut: 0 better, 2 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 14 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Connecticut58.9% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 5 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Connecticut0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 5 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Connecticut1.6% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 5 residents counted.
Not reported
CMS note: Newly certified nursing home with less than 12-15 months of data available or the nursing opened less than 6 months ago, and there were no data to submit or claims for this measure.
Median of homes: Connecticut100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: TWIN MAPLES HEALTH CARE FACILITY.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Jackson, Shelley | Direct ownership interest | Individual | 10/01/1997 | |
| Jackson, Theodore | Direct ownership interest | Individual | 10/01/1997 | |
| Jackson, Shelley | Managing control - governing body | Individual | 10/01/1997 | |
| Jackson, Theodore | Managing control - governing body | Individual | 10/01/1997 | |
| Jackson, Shelley | Corporate officer | Individual | 10/01/1997 | |
| Jackson, Theodore | Corporate officer | Individual | 10/01/1997 | |
| Caron, John | Operational/managerial control | Individual | 04/06/2022 | |
| D'amico, Michele | Operational/managerial control | Individual | 01/13/1997 | |
| Jackson, Shelley | Operational/managerial control | Individual | 10/01/1997 | |
| Jackson, Theodore | Operational/managerial control | Individual | 10/01/1997 | |
| Walaliyadda, Anuruddha | Operational/managerial control | Individual | 11/01/2016 | |
| Caron, John | Adp of the SNF | Individual | 04/06/2022 | |
| Jackson, Shelley | Adp of the SNF | Individual | 10/01/1997 | |
| Jackson, Theodore | Adp of the SNF | Individual | 10/01/1997 | |
| Walaliyadda, Anuruddha | Adp of the SNF | Individual | 03/25/2025 |
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.
Chosen from this home's own inspection record.
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