The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
COMPLETE CARE AT MIDDLEBURY
MIDDLEBURY, CT · Medicare-certified · 58 beds
In good standing
For-profitChain member
5 of 5 overall
Complete Care at Middlebury has a 5-star overall rating, with strong health inspection results and no fines in the last 24 months. The main concern is staffing: it has a 2-star staffing rating and reported nurse staffing of 3.78 hours per resident per day, below the federal benchmark of 4.1, while recent inspection citations included accident hazards, infection control, and unnecessary drugs.
Facility ratings
Health inspections
Staffing
3.7849 hrs/resident/day
Quality measures
Last inspection: September 19, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7849.
Staffing detail
- Registered nurses
- 0.73
- Licensed practical nurses
- 0.79
- Nurse aides
- 2.26
- Weekend nursing
- 3.44
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 63%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.2%Worsening
Residents with a fall causing major injury
3.9%Steady
Residents with pressure ulcers (bedsores)
4%Improving
Residents with a urinary tract infection
1.3%Steady
Residents who lost too much weight
1.6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
29%Improving
Residents whose ability to walk got worse
28.5%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
12.8%Improving
Short-stay residents newly given an antipsychotic
1.7%Worsening
Residents with a long-term catheter
1%Worsening
Residents with new or worsening incontinence
31.7%Worsening
Residents with depressive symptoms
79.7%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
98.7%Improving
Short-stay residents given the seasonal flu vaccine
75.2%Steady
Short-stay residents given the pneumonia vaccine
61%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 September 2023 — 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 residents’ medications were free from unnecessary drugs. Cited September 2023 — limited pattern, potential for harm.
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F-Tag 757 — 42 CFR §483.45(d) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited September 2023 — isolated incident, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: D
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited September 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of COMPLETE CARE · 85 homes · 3.2 stars avg
- Occupancy
- 54.1 residents on an average day (93% of 58 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 59 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.