COMPLETE CARE AT KIMBERLY HALL-SOUTH
COMPLETE CARE AT KIMBERLY HALL-SOUTH is a 180-bed nursing home in WINDSOR, Connecticut. CMS has certified it for Medicare and Medicaid since 1975-11-01. It averages 104.0 residents a day.
What harm was found in the violations cited at COMPLETE CARE AT KIMBERLY HALL-SOUTH?
CMS lists 37 health-inspection deficiencies for COMPLETE CARE AT KIMBERLY HALL-SOUTH since 2019-10-24, 21 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-05-01.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-05-01 | F0684, F0697 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate pain management for a resident who requires such services. | D |
| 2025-04-03 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-02-03 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | J |
| 2025-02-03 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D |
| 2025-01-14 | F0689, F0880 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program. | D |
| 2024-11-19 | F0561, F0578, F0580, F0636, F0684, F0698 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate dialysis care/services for a resident who requires such services. | D |
| 2024-11-19 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B |
| 2024-09-13 | F0580, F0658, F0686 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2024-07-15 | F0580, F0684 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-07-03 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2023-10-19 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2022-05-23 | F0761, F0800, F0880 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Provide and implement an infection prevention and control program. | E |
| 2022-05-23 | F0625, F0657, F0689, F0883 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2022-05-23 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | B |
| 2019-10-24 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2019-10-24 | F0561, F0656, F0658, F0686, F0757, F0791 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide or obtain dental services for each resident. | D |
| 2019-10-24 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | B |
Why was COMPLETE CARE AT KIMBERLY HALL-SOUTH fined?
| Date | Type | Amount |
|---|---|---|
| 2025-01-14 | Fine | $14,728 |
How is COMPLETE CARE AT KIMBERLY HALL-SOUTH staffed?
| Measure | This facility | CT average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.74367 | 3.73452 |
| Total nursing staff turnover (%) | 27.4 | 37.4 |
| Average number of residents per day | 104.0 | 103.1 |
Who owns COMPLETE CARE AT KIMBERLY HALL-SOUTH, and what chain is it in?
COMPLETE CARE AT KIMBERLY HALL-SOUTH is registered with CMS as For profit - Limited Liability company, operates under the legal business name COMPLETE CARE AT KIMBERLY HALL SOUTH LLC and belongs to the COMPLETE CARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | PC GEN CT OPCO HOLDCO LLC | since 11/15/2022 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | PC GEN CT OPCO TOPCO LLC, PC GEN CT TOPCO LLC, SMS 2021 TRUST | since 11/15/2022 |
| INDIRECT OWNERSHIP INTEREST | DES CAPITAL LLC, JRK INVESTMENTS LLC, KLUGMAN, JACOB, STEIN, SHALOM, STERNBUCH, DANIEL | since 11/15/2022 |
| MANAGING CONTROL - GOVERNING BODY | STEIN, SHALOM | since 11/15/2022 |
| CORPORATE OFFICER | STEIN, SHALOM | since 11/15/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | GALLAGHER, JAMES, HOCH, ROBERT, LAGANA, KRISTIN, RUSSO, THOMAS, TETREAULT, MARNIE | since 11/15/2022 |
| TRUSTEE OF THE SNF | STEIN, SHALOM | since 11/15/2022 |
| ADP OF THE SNF | DES CAPITAL LLC, JRK INVESTMENTS LLC, KIMBERLY HALL SOUTH PROPCO LLC, PC GEN CT TOPCO LLC, PEACE CAPITAL HOLDINGS LLC, SMS 2021 TRUST, GALLAGHER, JAMES, HOCH, ROBERT, KLUGMAN, JACOB, LAGANA, KRISTIN, MESSENGER, MONICA, RUSSO, THOMAS, STERNBUCH, DANIEL, TETREAULT, MARNIE | since 02/02/2024 |
Were you or a family member harmed at COMPLETE CARE AT KIMBERLY HALL-SOUTH?