Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

COMPLETE CARE AT MIDDLEBURY

MIDDLEBURY, CT · 58 certified beds · Last Life Safety survey June 20, 2025

CMS Certification Number 075146 · first certified January 1967

Ownership

Operated by COMPLETE CARE · For profit - Corporation

  • Ownership changed October 10, 2023 (change of ownership)to COMPLETE CARE AT MIDDLEBURY LLC from MIDDLEBURY CONVALESCENT HOME, INC.
4
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within CT

4 citations — more than 19% of the 191 certified nursing homes in CT. Compared within CT rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 0.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 6 months from now. This facility’s last Life Safety survey was June 2025. Facilities in CT are typically surveyed 21–28 months after the last one (median 24), measured over 181 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 4 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0584 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.

How that compares

Citations on file over three years

Compared with the median facility in CT, and nationally. Surveyors differ markedly between states, so the CT figure is the meaningful one.

This facility4CT median10National median11
Citations on file over three years, compared
MeasureCitations
This facility4
Median facility in CT10
Median facility nationally11

Survey history

Citations at each Life Safety survey
02021-0912023-0932025-06
Citations at each Life Safety survey
Survey dateCitations
September 15, 20210
September 25, 20231
June 20, 20253

Most-cited tags

Most-cited tags at this facility
K-03211K-09181K-03621K-03631
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12023-09-25
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-06-20
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.12025-06-20
K-0363Install corridor and hallway doors that block smoke.12025-06-20

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 20, 2025 — 3 citations

Citations issued on June 20, 2025
TagWhat the surveyor checksStatus
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (August 14, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 14, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 14, 2025)

September 25, 2023 — 1 citation

Citations issued on September 25, 2023
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (November 2, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.