NOBLE HORIZONS (Salisbury, CT) has a 2-star overall rating, with a 1-star health inspection rating and 2-star quality measures, while staffing is 5 stars. It reported 3.74 nurse hours per resident per day versus the 4.1 federal benchmark, had $51,775 in fines in the last 24 months, and has a recent federal penalty tied to infection control, accident hazards, and staff competency citations.
Last inspection: April 23, 2026Penalties, last 24 months: $51,775recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7361.
Staffing detail
Registered nurses
0.99
Licensed practical nurses
0.54
Nurse aides
2.21
Weekend nursing
3.41
Hours per resident per day.
Total staff turnover: 36%
Registered nurse turnover: 20%
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
5.1%15.2%Worsening
Residents with a fall causing major injury
7.3%12.2%Worsening
Residents with pressure ulcers (bedsores)
6.9%10.6%Worsening
Residents with a urinary tract infection
5.7%0%Improving
Residents who lost too much weight
12.5%4.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
29.8%22.7%Improving
Residents whose ability to walk got worse
9.5%14%Worsening
Long-stay residents on antianxiety or sleep medication
22%22.9%Worsening
Short-stay residents newly given an antipsychotic
0%2.2%Worsening
Residents with a long-term catheter
3.7%4.5%Worsening
Residents with new or worsening incontinence
18.8%27.4%Worsening
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).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—92.6%—
Long-stay residents given the pneumonia vaccine
98.2%87.8%Worsening
Short-stay residents given the seasonal flu vaccine
—62.5%—
Short-stay residents given the pneumonia vaccine
74.1%82.4%Improving
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 February 2026 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: F
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: E
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 636 — 42 CFR §483.20 — 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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $37,725 was recorded.
INSPECTION
Health inspection found 19 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $14,050 was recorded.
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: 3 fines · $62,302 in total fines.
Federal fine
Feb 27, 2026
$37,725
Federal fine
Jul 9, 2024
$14,050
Federal fine
Mar 21, 2024
$10,527
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
61.2 residents on an average day (67% of 91 beds)
Resident voice
Resident council
Medicare history
Certified for 51 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.