Nathaniel Witherell in Greenwich, CT has a 2-star overall rating, with a 1-star health inspection rating, 5-star staffing, and 2-star quality measures. Reported nurse staffing is 4.38 hours per resident day, slightly above the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: March 2, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3834.
Staffing detail
Registered nurses
0.94
Licensed practical nurses
0.84
Nurse aides
2.60
Weekend nursing
3.99
Hours per resident per day.
Total staff turnover: 7%
Registered nurse turnover: 9%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
20.9%16.5%Improving
Residents with a fall causing major injury
3.6%4.7%Worsening
Residents with pressure ulcers (bedsores)
4.1%5.3%Worsening
Residents with a urinary tract infection
0.7%0.8%No change
Residents who lost too much weight
13.2%5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25.2%27.3%Worsening
Residents whose ability to walk got worse
15.7%17.2%Worsening
Long-stay residents on antianxiety or sleep medication
11.4%23.2%Worsening
Short-stay residents newly given an antipsychotic
2.5%1.2%Improving
Residents with a long-term catheter
1.7%1.1%Improving
Residents with new or worsening incontinence
30.4%20.2%Improving
Residents with depressive symptoms
1.1%1.1%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—92.3%—
Long-stay residents given the pneumonia vaccine
71.7%62.8%Worsening
Short-stay residents given the seasonal flu vaccine
—80.7%—
Short-stay residents given the pneumonia vaccine
85.2%77.7%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 August 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 honor residents’ choices about treatment, research participation, and advance care instructions. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: E
The home failed to make sure residents were served meals and snacks at times that fit their needs, preferences, and requests. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 809 — 42 CFR §483.60 — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $4,516 in total fines.
Federal fine
Jan 30, 2024
$4,516
Operator & ownership
Ownership
Government - City
Occupancy
158.3 residents on an average day (78% of 202 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.