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Nursing home report

NOBLE HORIZONS

SALISBURY, CT · Medicare-certified · 91 beds

Needs attention
Non-profit
1 of 5 overall

Noble Horizons (Salisbury, CT) has a 1 out of 5 overall rating, with a 1-star health inspection rating, 2-star quality measures, and 4-star staffing. Its reported nurse staffing is 3.18 hours per resident per day versus the 4.1 federal benchmark, and it has had $51,775 in fines in the last 24 months with a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.1784 hrs/resident/day

Quality measures

Last inspection: February 27, 2026Penalties, last 24 months: $51,775recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1784.

Staffing detail

Registered nurses
0.84
Licensed practical nurses
0.44
Nurse aides
1.90
Weekend nursing
2.90

Hours per resident per day.

Total staff turnover: 38%
Registered nurse turnover: 33%

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

12.5%17.5%Worsening

Residents with a fall causing major injury

5.9%7.8%Worsening

Residents with pressure ulcers (bedsores)

8.7%6.2%Improving

Residents with a urinary tract infection

2%6.1%Worsening

Residents who lost too much weight

2.1%6.4%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

19.1%33.3%Worsening

Residents whose ability to walk got worse

25.8%19.2%Improving

Long-stay residents on antianxiety or sleep medication

18%20.4%Worsening

Short-stay residents newly given an antipsychotic

6.7%2.1%Improving

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

23.2%27.7%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

100%90.2%Worsening

Short-stay residents given the seasonal flu vaccine

62.5%

Short-stay residents given the pneumonia vaccine

100%82.9%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 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. PENALTY

    A federal fine of $37,725 was recorded.

  3. INSPECTION

    Health inspection found 19 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $14,050 was recorded.

  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 4 fines · $73,482 in total fines.

  • Federal fine

    Feb 27, 2026

    $37,725
  • Federal fine

    Jul 9, 2024

    $14,050
  • Federal fine

    Mar 21, 2024

    $10,527
  • Federal fine

    Jun 5, 2023

    $11,180

Operator & ownership

Ownership
Non profit - Corporation
Occupancy
71.5 residents on an average day (79% 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.