PENDLETON REHABILITATION AND NURSING CENTER
PENDLETON REHABILITATION AND NURSING CENTER is a 120-bed nursing home in MYSTIC, Connecticut. CMS has certified it for Medicare and Medicaid since 1991-02-20. It averages 115.7 residents a day.
What harm was found in the violations cited at PENDLETON REHABILITATION AND NURSING CENTER?
CMS lists 32 health-inspection deficiencies for PENDLETON REHABILITATION AND NURSING CENTER since 2019-12-12, 14 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-11-18.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-11-18 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-08-06 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2025-01-23 | F0580, F0657, F0658, F0677, F0684, F0883 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2025-01-23 | F0584, F0641 | 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. / Ensure each resident receives an accurate assessment. | B |
| 2024-09-18 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-05-14 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2023-11-29 | F0580, F0686 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2022-12-01 | F0761, F0812, F0921 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2022-12-01 | F0550, F0561, F0656, F0658, F0677, F0686, F0689, F0726, F0756, F0758, F0842 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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 care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2022-12-01 | F0732 | Post nurse staffing information every day. | C |
| 2019-12-12 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2019-12-12 | F0578 | 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. | D |
| 2019-12-12 | F0641 | Ensure each resident receives an accurate assessment. | B |
How is PENDLETON REHABILITATION AND NURSING CENTER staffed?
| Measure | This facility | CT average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.75226 | 3.73452 |
| Total nursing staff turnover (%) | 33.7 | 37.4 |
| Average number of residents per day | 115.7 | 103.1 |
Who owns PENDLETON REHABILITATION AND NURSING CENTER, and what chain is it in?
PENDLETON REHABILITATION AND NURSING CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name PENDLETON SNF OPERATIONS LLC and belongs to the ATLAS HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | CT-2 OPERATIONS HOLDINGS LLC | since 09/01/2022 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | JMH FAMILY LLC, JMH FAMILY TRUST, MLS FAMILY LLC, MLS FAMILY TRUST, SGS FAMILY LLC, SGS FAMILY TRUST | since 09/01/2022 |
| INDIRECT OWNERSHIP INTEREST | GOTTLIEB, MOSHE | since 09/01/2022 |
| CORPORATE OFFICER | BAK, PINCHOS | since 09/01/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | CT-2 OPCO MANAGER LLC, BAK, PINCHOS, GOLDBERGER, SHLOMO, GOTTLIEB, MOSHE, HENNESSEY, JOHN, PEGLOW, SUSAN, SHAW, LINDSAY, SONNENSCHEIN, MOSHE | since 09/01/2022 |
| LIMITED PARTNERSHIP INTEREST | JMH FAMILY LLC, JMH FAMILY TRUST, MALT FAMILY TRUST, MLS FAMILY TRUST, SGS 2010 FAMILY TRUST, SGS FAMILY LLC, SGS FAMILY TRUST, TYH 2017 TRUST, GOTTLIEB, MOSHE | since 09/01/2022 |
| TRUSTEE OF THE SNF | ISAAC, CHAIM, SONNENSCHEIN, MOSHE | since 09/01/2022 |
| ADP OF THE SNF | 44 MARITIME DRIVE REALTY LLC, CT-2 OPCO MANAGER LLC, JMH FAMILY LLC, JMH FAMILY TRUST, MLS FAMILY LLC, MLS FAMILY TRUST, PENDLETON REALTY HOLDINGS LLC, SGS FAMILY LLC, SGS FAMILY TRUST, BAK, PINCHOS, GOLDBERGER, SHLOMO, GOTTLIEB, MOSHE, HENNESSEY, JOHN, PEGLOW, SUSAN, SHAW, LINDSAY, SONNENSCHEIN, MOSHE | since 07/03/2025 |
Were you or a family member harmed at PENDLETON REHABILITATION AND NURSING CENTER?