The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2019 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
PENDLETON REHABILITATION AND NURSING CENTER
MYSTIC, CT · Medicare-certified · 120 beds
In good standing
For-profitChain member
5 of 5 overall
5 of 5 stars overall. Pendleton Rehabilitation and Nursing Center has strong quality and health inspection ratings, no fines in the last 24 months, but staffing is only 3 of 5 stars and reported nurse staffing (3.72 hours per resident per day) is below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.7224 hrs/resident/day
Quality measures
Last inspection: November 18, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7224.
Staffing detail
- Registered nurses
- 0.68
- Licensed practical nurses
- 0.88
- Nurse aides
- 2.16
- Weekend nursing
- 3.35
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 7%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
14.9%Worsening
Residents with a fall causing major injury
5.1%Worsening
Residents with pressure ulcers (bedsores)
2.9%Worsening
Residents with a urinary tract infection
0.5%Improving
Residents who lost too much weight
6.7%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.6%Worsening
Residents whose ability to walk got worse
9.2%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
22.8%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
28.8%Worsening
Residents with depressive symptoms
15.1%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
98.2%Improving
Short-stay residents given the seasonal flu vaccine
88%Steady
Short-stay residents given the pneumonia vaccine
72%Worsening
What the inspectors found
The home failed to properly label and securely store medications and biologicals. Cited December 2022 — 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 December 2022 — 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 keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited December 2022 — limited pattern, potential for harm.
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F-Tag 921 — 42 CFR §483.90 — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited November 2025 — isolated incident, potential for harm.
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F-Tag 842 — 42 CFR §483.70 — S/S: D
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 8 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ATLAS HEALTHCARE · 29 homes · 3.6 stars avg
- Occupancy
- 113.3 residents on an average day (94% of 120 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 35 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.