The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2022 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
GLADEVIEW HEALTH CARE CENTER
OLD SAYBROOK, CT · Medicare-certified · 132 beds
In good standing
For-profit
Data as of July 1, 2026
3 of 5 overall
GLADEVIEW HEALTH CARE CENTER in Old Saybrook, CT has a 3 out of 5 overall rating. Staffing is rated 4 of 5, but reported nurse staffing is 3.75 hours per resident per day, below the federal benchmark of 4.1; it has no fines in the last 24 months and no special-focus status was provided.
Facility ratings
Health inspections
Staffing
3.7489 hrs/resident/day
Quality measures
Last inspection: November 20, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7489.
Staffing detail
- Registered nurses
- 0.58
- Licensed practical nurses
- 0.85
- Nurse aides
- 2.32
- Weekend nursing
- 3.32
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 17%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
9.1%6.8%Improving
Residents with a fall causing major injury
1.8%4%Worsening
Residents with pressure ulcers (bedsores)
3.9%1.6%Improving
Residents with a urinary tract infection
4.6%0%Improving
Residents who lost too much weight
3%2.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
26.1%24.1%Improving
Residents whose ability to walk got worse
29.4%19.3%Improving
Long-stay residents on antianxiety or sleep medication
11.7%10.8%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1.7%0%Improving
Residents with new or worsening incontinence
33%29.6%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—94.6%—
Long-stay residents given the pneumonia vaccine
87.3%91.1%Improving
Short-stay residents given the seasonal flu vaccine
—50.8%—
Short-stay residents given the pneumonia vaccine
53.2%74.8%Improving
What the inspectors found
The home failed to properly label and securely store medications and biologicals. Cited November 2024 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2024 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
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 November 2024 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to develop and follow policies to make sure residents received flu and pneumonia vaccinations. Cited January 2020 — limited pattern, potential for harm.
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F-Tag 883 — 42 CFR §483.80 — 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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Individual
- Occupancy
- 109.4 residents on an average day (83% of 132 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 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.