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

WATERBURY CENTER FOR NURSING & REHABILITATION LLC

WATERBURY, CT · 120 certified beds · Last Life Safety survey December 20, 2024

CMS Certification Number 075219 · first certified June 1972

Ownership

Operated by ESSENTIAL HEALTHCARE · For profit - Partnership

  • Ownership changed November 1, 2021 (change of ownership)from REGALCARE AT WATERBURY LLC
24
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within CT

24 citations — more than 89% 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

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

The latest survey found 2 citations; the earlier surveys in the window averaged 11. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 2026. This facility’s last Life Safety survey was December 2024. 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

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 24 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

10 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 24 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • 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.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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 facility24CT median10National median11
Citations on file over three years, compared
MeasureCitations
This facility24
Median facility in CT10
Median facility nationally11

Survey history

Citations at each Life Safety survey
132019-1192022-0622024-12
Citations at each Life Safety survey
Survey dateCitations
November 1, 201913
June 23, 20229
December 20, 20242

Most-cited tags

Most-cited tags at this facility
K-03742K-03632K-02232K-03532K-03721K-07811K-07541K-09191
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.22022-06-23
K-0363Install corridor and hallway doors that block smoke.22022-06-23
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.22022-06-23
K-0353Inspect, test, and maintain automatic sprinkler systems.22022-06-23
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12022-06-23
K-0781Have restrictions on the use of portable space heaters.12019-11-01
K-0754Provide properly sized and located linen or trash receptacles.12019-11-01
K-0919Meet requirements for the use of electrical equipment.12022-06-23

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 11
  • Egress Deficiencies 4
  • Miscellaneous Deficiencies 4
  • Services Deficiencies 2
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies11
Egress Deficiencies4
Miscellaneous Deficiencies4
Services Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2
Emergency Preparedness Deficiencies1

Every citation on file

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

December 20, 2024 — 2 citations

Citations issued on December 20, 2024
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (January 9, 2025)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (January 9, 2025)

June 23, 2022 — 9 citations

Citations issued on June 23, 2022
TagWhat the surveyor checksStatus
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (July 27, 2022)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (July 27, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 27, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 27, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (July 27, 2022)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (July 27, 2022)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (July 27, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 27, 2022)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (July 27, 2022)

November 1, 2019 — 13 citations

Citations issued on November 1, 2019
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (November 17, 2019)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (November 9, 2019)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (November 17, 2019)
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 9, 2019)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (November 9, 2019)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (November 9, 2019)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 9, 2019)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 9, 2019)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (November 9, 2019)
K-0500Meet other general requirements that are deficient.Deficient, Provider has date of correction (November 9, 2019)
K-0754Provide properly sized and located linen or trash receptacles.Deficient, Provider has date of correction (November 9, 2019)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (November 9, 2019)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (November 9, 2019)

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