The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
ARK HEALTHCARE & REHABILITATION AT GOVERNOR'S HO
SIMSBURY, CT · Medicare-certified · 70 beds
In good standing
For-profit
4 of 5 overall
4 out of 5 stars overall. Inspection and quality are both 4 stars, staffing is 3 stars with reported nurse staffing below the federal benchmark (3.50 vs 4.1 hours/resident/day), and there were no fines in the last 24 months; recent citations included pressure ulcer care, infection prevention and control, and monthly pharmacist drug review.
Facility ratings
Health inspections
Staffing
3.5009 hrs/resident/day
Quality measures
Last inspection: December 30, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5009.
Staffing detail
- Registered nurses
- 0.66
- Licensed practical nurses
- 0.76
- Nurse aides
- 2.08
- Weekend nursing
- 3.26
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 67%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
12.8%Improving
Residents with a fall causing major injury
3.3%Improving
Residents with pressure ulcers (bedsores)
3.7%Worsening
Residents with a urinary tract infection
1%Steady
Residents who lost too much weight
8.5%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
28.5%Improving
Residents whose ability to walk got worse
20%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
21.7%Improving
Short-stay residents newly given an antipsychotic
1%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
30.7%Improving
Residents with depressive symptoms
1%Improving
Long-stay residents given the seasonal flu vaccine
92.7%Steady
Long-stay residents given the pneumonia vaccine
83.1%Worsening
Short-stay residents given the seasonal flu vaccine
60%Steady
Short-stay residents given the pneumonia vaccine
62.8%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited March 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: E
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited March 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $16,039 in total fines.
- $16,039
Federal fine
Mar 13, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 65.9 residents on an average day (94% of 70 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.