C

COMPLETE CARE AT KIMBERLY HALL NORTH

1 EMERSON DR, WINDSOR, CT 06095
Score: 57 / 100

Complete Care At Kimberly Hall North is an average performer in CMS ratings, earning a C grade with a score of 57/100. Located in Windsor, Connecticut, the facility meets baseline standards across most quality metrics.

With 2.97 total nurse hours per resident per day, Complete Care At Kimberly Hall North falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 34 deficiencies at Complete Care At Kimberly Hall North, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.97 3.8 Below Average
Registered Nurses (RN) 0.50 0.7 Below Average
Licensed Practical Nurses (LPN) 0.61 0.7 Below Average
Certified Nursing Assistants (CNA) 1.86 2.4 Below Average
Weekend Total Nursing 2.75 3.8 Below Average
Weekend RN Hours 0.33 0.7 Below Average

🔍 Inspection & Deficiency History

34
Total Deficiencies
Jul 28, 2025
Most Recent Inspection
⚪ 2 Minor 🟠 30 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Jul 28, 2025 · Resident Rights Deficiencies
  • Tag 0726 Severity D
    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.
    Jul 28, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0600 Severity D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Jun 26, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Jun 26, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Feb 3, 2025 · Quality of Life and Care 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 1.8% 4.5% Better
Falls with major injury 5.0% 3.0% Worse
On antipsychotic medication 19.3% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 12.7% 14.0% Average
Excessive weight loss 4.6% 7.5% Better
New/worsened incontinence 26.5% 45.0% Better

How This Grade Was Calculated

This facility's grade of C is based on a score of 57 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
150
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 18, 2024
Deficiencies (Cycle 1)
14