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Nursing home report

NOBLE HORIZONS

SALISBURY, CT · Medicare-certified · 91 beds

Needs attention
Special Focus candidateNon-profit
Data as of September 1, 2026
2 of 5 overall

NOBLE HORIZONS (Salisbury, CT) has an overall rating of 2 out of 5 stars. It is a special focus facility candidate with a 1-star health inspection rating, 2-star quality rating, reported nurse staffing below the federal benchmark (3.74 vs 4.1 hours per resident per day), and $126,965 in fines over the last 24 months.

Facility ratings

Health inspections

Staffing

3.7361 hrs/resident/day

Quality measures

Last inspection: April 23, 2026Penalties, last 24 months: $126,965special focus facility

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).

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).

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal payment denial was recorded.

  4. PENALTY

    A federal fine of $126,965 was recorded.

  5. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  6. PENALTY

    A federal fine of $37,725 was recorded.

  7. INSPECTION

    Health inspection found 19 health deficiencies.

    See what inspectors found
  8. PENALTY

    A federal fine of $14,050 was recorded.

  9. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  10. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 3 fines · $151,542 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Feb 27, 2026

    8 days
  • Federal fine

    Feb 27, 2026

    $126,965
  • 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.