nursing home in Windsor, CT
Complete Care at Kimberly Hall-South
1 Emerson Drive, Windsor, CT 06095 · (860) 688-6443
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Complete Care at Kimberly Hall-South at a glance
Complete Care at Kimberly Hall-South is a 180-bed for-profit nursing home in Windsor, Connecticut (Capitol County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Connecticut average of 3.
Residents receive about 3.7 hours of nursing care per day (0.7 of them from registered nurses), close to the state average of 3.7 hours.
Its most recent standard health inspection (November 19, 2024) found 7 health citations. The Connecticut average is 13.
Federal regulators fined it 1 time in the past three years, totaling $14,728.
Nursing staff turnover is 27.4% per year (state average 37.4%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 180
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Complete Care
- Medicare-certified since
- November 1, 1975
- Resident/family council
- Resident
- County
- Capitol County
- CMS Certification Number
- 075237
Ratings
| Measure | This facility | Connecticut avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.6 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.7 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Connecticut avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.74 hrs | 3.73 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.75 hrs | 0.69 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.16 hrs | 2.22 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.44 hrs | 3.37 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 27.4% | 37.4% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 38.5% | 38.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Connecticut avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 13 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 59.8 | 80.8 | 80.6 | Better |
Penalties
| Measure | This facility | Connecticut avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $14,728 | $23,730 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Connecticut avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 180 | 118 | 107 | |
| Average residents per day | 104 | 103 | 86 | |
| Occupancy | 57.8% | 88.3% | 80.9% |
Long-stay residents
| Measure | This facility | Connecticut avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.6% | 3.5% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4% | 4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 7.7% | 17.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 1.5% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 31.1% | 18% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 31.5% | 16.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.7% | 6.5% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 76.9% | 22.3% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 8.5% | 17.6% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 33.4% | 24.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 87.9% | 93.5% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 87.7% | 88.6% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Connecticut avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 54.2% | 69.7% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 54.6% | 71.8% | 82% | Worse |
Inspection citations
State inspectors cited this home for 37 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 1, 2025 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected June 12, 2025 |
| May 1, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 3, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected February 20, 2025 |
| February 3, 2025 Complaint | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | J Immediate jeopardy, isolated | Corrected February 3, 2025 |
| February 3, 2025 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected February 7, 2025 |
| January 14, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 14, 2025 |
| January 14, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected February 14, 2025 |
| November 19, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected January 6, 2025 |
| November 19, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected December 26, 2024 |
| November 19, 2024 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected December 26, 2024 |
| November 19, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected December 26, 2024 |
| November 19, 2024 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected December 26, 2024 |
| November 19, 2024 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected December 26, 2024 |
| November 19, 2024 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected December 26, 2024 |
| November 19, 2024 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | B No harm, pattern | Corrected December 26, 2024 |
| September 13, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected October 17, 2024 |
| September 13, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected October 17, 2024 |
| September 13, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected October 17, 2024 |
| July 15, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 21, 2024 |
| July 15, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected August 21, 2024 |
| July 3, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected August 7, 2024 |
| October 19, 2023 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected November 30, 2023 |
| May 23, 2022 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | D Potential harm, isolated | Corrected July 15, 2022 |
| May 23, 2022 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected July 15, 2022 |
| May 23, 2022 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected July 15, 2022 |
| May 23, 2022 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected July 15, 2022 |
| May 23, 2022 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected June 30, 2022 |
| May 23, 2022 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 30, 2022 |
| May 23, 2022 Standard | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Tag F0800 | E Potential harm, pattern | Corrected June 30, 2022 |
| May 23, 2022 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected June 30, 2022 |
| May 23, 2022 Standard | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected June 30, 2022 |
| May 23, 2022 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected June 30, 2022 |
| May 23, 2022 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 30, 2022 |
| May 23, 2022 Standard | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | B No harm, pattern | Corrected June 30, 2022 |
| October 24, 2019 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected November 8, 2019 |
| October 24, 2019 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected November 8, 2019 |
| October 24, 2019 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected December 5, 2019 |
| October 24, 2019 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected December 5, 2019 |
| October 24, 2019 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected December 5, 2019 |
| October 24, 2019 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected December 5, 2019 |
| October 24, 2019 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected December 5, 2019 |
| October 24, 2019 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected December 5, 2019 |
| October 24, 2019 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected December 5, 2019 |
| October 24, 2019 Standard | 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. Resident Rights Deficiencies · Tag F0584 | B No harm, pattern | Corrected December 5, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $14,728 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 14, 2025 | Fine | $14,728 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| PC GEN CT OPCO HOLDCO LLC Organization | 5% or greater direct ownership interest | 100% | 11/15/2022 |
| PC GEN CT OPCO TOPCO LLC Organization | 5% or greater indirect ownership interest | — | 11/15/2022 |
| PC GEN CT TOPCO LLC Organization | 5% or greater indirect ownership interest | — | 11/15/2022 |
| SMS 2021 TRUST Organization | 5% or greater indirect ownership interest | — | 11/15/2022 |
| DES CAPITAL LLC Organization | adp of the snf | NOT APPLICABLE | 11/15/2022 |
| GALLAGHER, JAMES Individual | adp of the snf | NOT APPLICABLE | 11/15/2022 |
| HOCH, ROBERT Individual | adp of the snf | NOT APPLICABLE | 11/15/2022 |
| JRK INVESTMENTS LLC Organization | adp of the snf | NOT APPLICABLE | 11/15/2022 |
| KIMBERLY HALL SOUTH PROPCO LLC Organization | adp of the snf | NOT APPLICABLE | 11/15/2022 |
| KLUGMAN, JACOB Individual | adp of the snf | NOT APPLICABLE | 11/15/2022 |
| LAGANA, KRISTIN Individual | adp of the snf | NOT APPLICABLE | 11/15/2022 |
| MESSENGER, MONICA Individual | adp of the snf | NOT APPLICABLE | 02/02/2024 |
| PC GEN CT TOPCO LLC Organization | adp of the snf | NOT APPLICABLE | 11/15/2022 |
| PEACE CAPITAL HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 11/15/2022 |
| RUSSO, THOMAS Individual | adp of the snf | NOT APPLICABLE | 11/15/2022 |
| SMS 2021 TRUST Organization | adp of the snf | NOT APPLICABLE | 11/15/2022 |
| STERNBUCH, DANIEL Individual | adp of the snf | NOT APPLICABLE | 11/15/2022 |
| TETREAULT, MARNIE Individual | adp of the snf | NOT APPLICABLE | 11/15/2022 |
| STEIN, SHALOM Individual | corporate officer | NOT APPLICABLE | 11/15/2022 |
| DES CAPITAL LLC Organization | indirect ownership interest | NOT APPLICABLE | 11/15/2022 |
| JRK INVESTMENTS LLC Organization | indirect ownership interest | NOT APPLICABLE | 11/15/2022 |
| KLUGMAN, JACOB Individual | indirect ownership interest | NOT APPLICABLE | 11/15/2022 |
| STEIN, SHALOM Individual | indirect ownership interest | NOT APPLICABLE | 11/15/2022 |
| STERNBUCH, DANIEL Individual | indirect ownership interest | NOT APPLICABLE | 11/15/2022 |
| STEIN, SHALOM Individual | managing control - governing body | NOT APPLICABLE | 11/15/2022 |
| GALLAGHER, JAMES Individual | operational/managerial control | NOT APPLICABLE | 11/15/2022 |
| HOCH, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 11/15/2022 |
| LAGANA, KRISTIN Individual | operational/managerial control | NOT APPLICABLE | 11/15/2022 |
| RUSSO, THOMAS Individual | operational/managerial control | NOT APPLICABLE | 11/15/2022 |
| TETREAULT, MARNIE Individual | operational/managerial control | NOT APPLICABLE | 11/15/2022 |
| STEIN, SHALOM Individual | trustee of the snf | NOT APPLICABLE | 11/15/2022 |
Other nursing homes near Complete Care at Kimberly Hall-South
Complete Care at Kimberly Hall North
1 Emerson Dr, Windsor, CT 06095 · under 1 mi
For-profit · 150 beds · Part of Complete Care
- Abuse citation
★★★★★1Much below average- ★★★★★5Much above average
Touchpoints at Bloomfield
140 Park Ave, Bloomfield, CT 06002 · 2.2 mi
For-profit · 146 beds · Part of Icare Health Network
★★★★★4Above averageAutumn Lake Healthcare at Windsor
581 Poquonock Ave, Windsor, CT 06095 · 2.2 mi
For-profit · 108 beds
- Abuse citation
★★★★★1Much below averageBloomfield Center for Nursing & Rehabilitation
355 Park Avenue, Bloomfield, CT 06002 · 2.6 mi
For-profit · 120 beds · Part of National Health Care Associates
- Abuse citation
★★★★★2Below averageCaleb Hitchcock Health Center
10 Loeffler Rd, Bloomfield, CT 06002 · 4.7 mi
Non-profit · 60 beds
- Abuse citation
★★★★★2Below average
Frequently asked questions
What is Complete Care at Kimberly Hall-South's rating?
Complete Care at Kimberly Hall-South has 4 out of 5 stars on the CMS overall star rating. The average for Connecticut nursing homes is 3 stars.
How many inspection citations did Complete Care at Kimberly Hall-South receive?
Its most recent standard health inspection found 7 citations, compared with a Connecticut average of 13. Every citation is listed on this page with its severity.
Does Complete Care at Kimberly Hall-South accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Complete Care at Kimberly Hall-South?
It is for profit - limited liability company and part of Complete Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Complete Care at Kimberly Hall-South and how do I contact it?
Complete Care at Kimberly Hall-South is at 1 Emerson Drive, Windsor, CT 06095. Phone: (860) 688-6443.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.