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

COMPLETE CARE AT KIMBERLY HALL NORTH

WINDSOR, CT · 150 certified beds · Last Life Safety survey September 19, 2024

CMS Certification Number 075279 · first certified January 1977

Ownership

Operated by COMPLETE CARE · For profit - Limited Liability company

  • Ownership changed November 15, 2022 (change of ownership)to COMPLETE CARE AT KIMBERLY HALL NORTH LLC from 1 EMERSON DRIVE NORTH OPERATIONS LLC
19
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within CT

19 citations — more than 77% 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 4 citations; the earlier surveys in the window averaged 7.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: July 2026 to January 2027. This facility’s last Life Safety survey was September 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

1 inspection-and-testing tag has 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

3 of the 19 citations on file are 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)

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 19 Life Safety citations above. The Physical Environment Index

  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • 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.

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 facility19CT median10National median11
Citations on file over three years, compared
MeasureCitations
This facility19
Median facility in CT10
Median facility nationally11

Survey history

Citations at each Life Safety survey
12019-09142022-0542024-09
Citations at each Life Safety survey
Survey dateCitations
September 26, 20191
May 26, 202214
September 19, 20244

Most-cited tags

Most-cited tags at this facility
K-03532K-02112K-03451E-00041K-03551K-07111K-03511K-03721
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22022-05-26
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22024-09-19
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12022-05-26
E-0004Develop and maintain an Emergency Preparedness Program (EP).12022-05-26
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12022-05-26
K-0711Provide a written emergency evacuation plan.12022-05-26
K-0351Install an approved automatic sprinkler system.12024-09-19
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12022-05-26

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Egress Deficiencies 4
  • Emergency Preparedness Deficiencies 3
  • Miscellaneous Deficiencies 3
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Egress Deficiencies4
Emergency Preparedness Deficiencies3
Miscellaneous Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies2

Every citation on file

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

September 19, 2024 — 4 citations

Citations issued on September 19, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (November 26, 2024)
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 (October 28, 2024)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (November 26, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (October 28, 2024)

May 26, 2022 — 14 citations

Citations issued on May 26, 2022
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (July 15, 2022)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (July 15, 2022)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (July 15, 2022)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (July 15, 2022)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 15, 2022)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 15, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 15, 2022)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (July 15, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (July 15, 2022)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (July 15, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 15, 2022)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (July 15, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 15, 2022)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (July 15, 2022)

September 26, 2019 — 1 citation

Citations issued on September 26, 2019
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 12, 2019)

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