Complete Care At Kimberly Hall-South is an average performer in CMS ratings, earning a C grade with a score of 68/100. Located in Windsor, Connecticut, the facility meets baseline standards across most quality metrics.
Staffing at Complete Care At Kimberly Hall-South is near the national average, with 3.69 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 37 deficiencies at Complete Care At Kimberly Hall-South, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate treatment and care according to orders, resident’s preferences and goals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.69 | 3.8 | Average |
| Registered Nurses (RN) | 0.83 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.82 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.04 | 2.4 | Below Average |
| Weekend Total Nursing | 3.24 | 3.8 | Below Average |
| Weekend RN Hours | 0.59 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Apr 30, 2025 · Quality of Life and Care Deficiencies
- Tag 0697 Severity DProvide safe, appropriate pain management for a resident who requires such services.Apr 30, 2025 · Quality of Life and Care Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Apr 2, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0698 Severity JProvide safe, appropriate dialysis care/services for a resident who requires such services.Feb 2, 2025 · Quality of Life and Care Deficiencies
- Tag 0726 Severity DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Feb 2, 2025 · Nursing and Physician Services Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.3% | 4.5% | Average |
| Falls with major injury | 2.2% | 3.0% | Better |
| On antipsychotic medication | 10.7% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 21.6% | 14.0% | Worse |
| Excessive weight loss | 2.6% | 7.5% | Better |
| New/worsened incontinence | 31.6% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $14,728
How This Grade Was Calculated
This facility's grade of C is based on a score of 68 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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