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COMPLETE CARE AT MIDDLEBURY

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COMPLETE CARE AT MIDDLEBURY is a for profit - corporation facility in MIDDLEBURY, CT with 58 certified beds and a 4-star overall CMS rating. The facility has 17 deficiency records on file.

778 MIDDLEBURY RD, MIDDLEBURY, CT 06762

Phone: 2037582471

Overall Rating

4/5

Health Inspection

3/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

4/5

Facility Information

Provider Number
075146
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
58
Residents
54
In Hospital
No
County
Naugatuck Vly
Last Inspection
Sep 25, 2023

Staffing Data

RN Hours
0.76 (nat'l avg: 0.68)
LPN Hours
0.83
CNA Hours
2.33
Total Nursing Hours
3.92 (nat'l avg: 3.89)
PT Hours
0.14
Nursing Turnover
48.6%
RN Turnover
55.0%

What the CMS Record Reveals About COMPLETE CARE AT MIDDLEBURY

COMPLETE CARE AT MIDDLEBURY operates 58 certified beds in MIDDLEBURY, CT with approximately 54 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (3★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 17 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.92 total nursing hours per resident day (national average 3.89), with RN coverage at 0.76 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, COMPLETE CARE AT MIDDLEBURY falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 48.6%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (17 most recent)

G — Isolated - Actual harm Sep 19, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

D — Isolated - Minimal harm Sep 25, 2023 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Nov 27, 2023

F — Widespread - Minimal harm Sep 25, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 27, 2023

B — Pattern - No harm Sep 25, 2023 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

Corrected: Nov 27, 2023

D — Isolated - Minimal harm Sep 25, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Nov 27, 2023

E — Pattern - Minimal harm Sep 25, 2023 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Nov 27, 2023

D — Isolated - Minimal harm Sep 25, 2023 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Nov 27, 2023

D — Isolated - Minimal harm Sep 25, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Nov 27, 2023

B — Pattern - No harm Sep 25, 2023 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 27, 2023

D — Isolated - Minimal harm Sep 25, 2023 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Nov 27, 2023

D — Isolated - Minimal harm Sep 25, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Nov 27, 2023

D — Isolated - Minimal harm Sep 15, 2021 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 23, 2021

D — Isolated - Minimal harm Sep 15, 2021 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 23, 2021

D — Isolated - Minimal harm Sep 15, 2021 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Nov 23, 2021

D — Isolated - Minimal harm May 9, 2019 Tag: 0825

Provide or get specialized rehabilitative services as required for a resident.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 20, 2019

G — Isolated - Actual harm May 9, 2019 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 20, 2019

D — Isolated - Minimal harm May 9, 2019 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 20, 2019

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 27.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.9% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.3% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 77.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.7% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 69.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 23.0% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 12.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 75.2% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 11.7% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for COMPLETE CARE AT MIDDLEBURY?
COMPLETE CARE AT MIDDLEBURY has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (5★).
What are the staffing levels at COMPLETE CARE AT MIDDLEBURY?
COMPLETE CARE AT MIDDLEBURY reports 3.92 total nursing hours per resident day (national average: 3.89). RN hours are 0.76 per resident day (national average: 0.68). Nursing staff turnover is 48.6%.
How many beds does COMPLETE CARE AT MIDDLEBURY have?
COMPLETE CARE AT MIDDLEBURY has 58 certified beds with approximately 54 residents. The facility is located at 778 MIDDLEBURY RD, MIDDLEBURY, CT 06762.
Does COMPLETE CARE AT MIDDLEBURY have any deficiencies on record?
Yes, COMPLETE CARE AT MIDDLEBURY has 17 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has COMPLETE CARE AT MIDDLEBURY received any fines or penalties?
No, COMPLETE CARE AT MIDDLEBURY has no fines or penalties on record.
Who owns COMPLETE CARE AT MIDDLEBURY?
COMPLETE CARE AT MIDDLEBURY is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was COMPLETE CARE AT MIDDLEBURY last inspected?
The most recent health inspection for COMPLETE CARE AT MIDDLEBURY was on Sep 25, 2023. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for COMPLETE CARE AT MIDDLEBURY?
COMPLETE CARE AT MIDDLEBURY is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial