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Assisted Living Home

Cassena Care at Norwalk

Assisted Living Home

Cassena Care at Norwalk

23 Prospect St, Norwalk, CT 06850 View map
Overview of Cassena Care at Norwalk

Cassena Care at Norwalk is a beautiful community in Connecticut that offers a comprehensive range of services, including short-term rehabilitation, long-term rehabilitation, and 24-hour skilled nursing home care. Here, residents are welcomed into a nurturing environment, where a highly skilled team and state-of-the-art facilities ensure their utmost comfort and well-being.

No matter the stage or age, Cassena Care at Norwalk is committed to providing the best possible care for seniors. With round-the-clock skilled nursing care and access to physician services, residents receive continuous medical attention tailored to their individual needs. The community also offers specialized services such as occupational, speech, and physical therapy, respiratory therapy, and postoperative care, ensuring that residents have access to the therapies they require. The community also offers IV therapy and a range of other services, ensuring that residents have access to the highest quality of care.

(203) 853-0010

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
1/5
Connecticut average: 3.0/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
1/5
Connecticut average: 2.8/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
3/5
Connecticut average: 3.2/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
4/5
Connecticut average: 3.5/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 47m per day

This home provides 5% less nursing time per resident than the Connecticut average.

Connecticut average: 3h 58m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 150

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Connecticut average
Occupancy rate 84.2%
Residents per day (avg) 124
Occupancy rate
84.2%
Residents per day (avg)
124

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

36% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

32% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

32% of new residents, often for long-term daily care.

Typical stay 9 - 10 months

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$28.6M
Operating loss
-$95.5K
Privately-owned community Operated by a business corporation.
Home revenue
$28,611,345.00
Operating loss
$-95,544.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.3M
25.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$21.4M
Total costs $28.7M

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private Rooms / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Two-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Cassena Care at Norwalk

Assisted Living Nursing Home
Contact Cassena Care at Norwalk

Health Inspection History

Inspections
Total health inspections 6

Connecticut average 5.7


Last Health inspection on Mar 2025

Total health citations 42

Connecticut average 32

Citations per inspection
7

Connecticut average 5.82


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

26 of 42 citations resulted from standard inspections; and 16 of 42 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
233% worse than Connecticut average

Connecticut average: 0.3


Serious Health citations More info 2
186% worse than Connecticut average

Connecticut average: 0.7

1 critical citation More info Connecticut average: 0.3

2 serious citations More info Connecticut average: 0.7

38 moderate citations More info Connecticut average: 28.8

1 minor citation More info Connecticut average: 2.3
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Mar 19, 2025
Corrected

Abuse/Neglect serious citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Oct 09, 2024
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Oct 09, 2024
Corrected

Administration minor citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Oct 09, 2024
Corrected

Compare Assisted Living around Norwalk The information below is reported by the Connecticut Department of Public Health, Facility Licensing and Investigations Section.

Cassena Care at Norwalk
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Norwalk
150
No
-
76
Private Rooms / Semi-Private Rooms
Autumn Lake Healthcare at Norwalk
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Norwalk
150
No
A+
13
Private Rooms / Semi-Private Rooms
Atria Senior Living Darien
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Darien (Noroton)
-
Yes
-
30
Private Rooms / Semi-Private Rooms
Brightview on New Canaan
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Norwalk
-
No
-
54
Private Rooms / Semi-Private Rooms
The Residence at Selleck‘s Woods
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Darien (Darien Downtown)
-
No
-
49
Studio / 1 Bed / 2 Bed

Places of interest near Cassena Care at Norwalk

Address 1.0 miles from city center — 7.94 miles to nearest hospital (Stamford Hospital)

Address 23 Prospect St, Norwalk, CT 06850

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 187
Employees 113
Contractors 74
Staff to resident ratio 1.51:1
20% worse than Connecticut average

Connecticut average ratio: 1.88:1

Avg staff/day 78
Average shift 7.2 hours
0% compared with Connecticut average

Connecticut average: 7.5 hours

Total staff hours (quarter) 51,323
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 22
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 26
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 79
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

22.7%

11,635 contractor hours this quarter

Certified Nursing Assistant: 24 Licensed Practical Nurse: 12 Registered Nurse: 10 Other Physician: 7 Feeding Assistant: 6 Diagnostic X-ray Services Staff: 3 Respiratory Therapy Technician: 3 Physical Therapy Assistant: 2 Qualified Social Worker: 2 Physician Assistant: 2 Speech Language Pathologist: 1 Medical Director: 1 Physical Therapy Aide: 1
Staff by category
Certified Nursing Assistant55247925,65491100%7.3
Licensed Practical Nurse1412267,70691100%7
Registered Nurse1210225,91491100%8.5
Physical Therapist170174,2766167%7.3
Clinical Nurse Specialist5051,3636470%7.4
Other Dietary Services Staff3031,30191100%8.1
Physical Therapy Assistant0229126571%7.5
Mental Health Service Worker3038606673%7.1
Qualified Social Worker0224826976%6.8
Speech Language Pathologist0114545965%7.7
Administrator1014355864%7.5
Nurse Practitioner1013905257%7.5
Therapeutic Recreation Specialist1013313235%10.3
Physical Therapy Aide0113173842%8.3
Feeding Assistant0662564448%2.2
Other Physician0771894651%2.6
Dietitian1011431921%7.5
Respiratory Therapy Technician0331282325%5.3
Medical Director011782629%3
Diagnostic X-ray Services Staff033751314%2.4
Physician Assistant022612123%2.3
79 Certified Nursing Assistant
% of Days 100%
26 Licensed Practical Nurse
% of Days 100%
22 Registered Nurse
% of Days 100%
17 Physical Therapist
% of Days 67%
5 Clinical Nurse Specialist
% of Days 70%
3 Other Dietary Services Staff
% of Days 100%
2 Physical Therapy Assistant
% of Days 71%
3 Mental Health Service Worker
% of Days 73%
2 Qualified Social Worker
% of Days 76%
1 Speech Language Pathologist
% of Days 65%
1 Administrator
% of Days 64%
1 Nurse Practitioner
% of Days 57%
1 Therapeutic Recreation Specialist
% of Days 35%
1 Physical Therapy Aide
% of Days 42%
6 Feeding Assistant
% of Days 48%
7 Other Physician
% of Days 51%
1 Dietitian
% of Days 21%
3 Respiratory Therapy Technician
% of Days 25%
1 Medical Director
% of Days 29%
3 Diagnostic X-ray Services Staff
% of Days 14%
2 Physician Assistant
% of Days 23%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
124 residents
Residents by payment source
Medicare
22 residents (17.7%)
Medicaid
95 residents (76.6%)
Private pay or other
7 residents (5.6%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 6.3
40% better than Connecticut average

Connecticut average: 10.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 12.9
39% better than Connecticut average

Connecticut average: 21.1

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 8.5%
55% better than Connecticut average

Connecticut average: 18.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 9.6%
50% better than Connecticut average

Connecticut average: 19.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 20.5%
18% better than Connecticut average

Connecticut average: 24.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.0%
12% better than Connecticut average

Connecticut average: 3.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.7%
46% worse than Connecticut average

Connecticut average: 4.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.7%
56% better than Connecticut average

Connecticut average: 1.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.5%
45% better than Connecticut average

Connecticut average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 84.2%
456% worse than Connecticut average

Connecticut average: 15.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.9%
7% better than Connecticut average

Connecticut average: 17.2%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 75.8%
13% worse than Connecticut average

Connecticut average: 87.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.2%
In line with Connecticut average

Connecticut average: 93.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 55.9%
20% worse than Connecticut average

Connecticut average: 70.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.9%
41% better than Connecticut average

Connecticut average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 62.8%
10% worse than Connecticut average

Connecticut average: 69.8%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $198K
354% higher than Connecticut average

Connecticut average: $44K

Number of fines 2
15% more fines than Connecticut average

Connecticut average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
654% more payment denials than Connecticut average

Connecticut average: 0.1

Fines amount comparison
Fines amount comparison
This facility $198K
Connecticut average $44K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 9, 2024
$38K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 26, 2023
$160K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Oct 26, 2023
27 days

Last updated: Jan 2026

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Connecticut Seniors

Get financial aid guidance

Connecticut Home Care Program for Elders

CHCPE

Age 65+, Connecticut resident, at risk of nursing home placement.

State-funded: ~$1,600/month; Medicaid: ~$2,829/month (300% FBR).

$1,600 (state), $2,000 (Medicaid, individual).

Two tiers (state and Medicaid); waitlists possible.

Statewide Respite Care Program

CT Respite Care

Caregiver of senior with dementia, Connecticut resident.

~$2,500/month (individual, varies).

$40,000 (individual).

Limited to dementia caregivers; capped funding.

Congregate Housing Services Program (CHSP)

Connecticut Congregate Housing Services Program

Age 62+, Connecticut resident, frail but not needing 24/7 care, resides in CHSP-eligible housing.

~$41,000/year (individual, adjusted annually).

Not specified; focus is income-based.

Limited to 14 state-subsidized sites; participants pay 10% of service costs.

Medicare Savings Program (MSP)

Connecticut Medicare Savings Program

Age 65+ or disabled, Connecticut resident, enrolled in Medicare Part A/B.

~$2,510/month (individual, QMB); ~$3,380/month (SLMB); ~$3,598/month (ALMB)—adjusted annually.

None since 2023 policy change.

Three tiers (Qualified Medicare Beneficiary, Specified Low-Income, Additional Low-Income); no asset test.

Senior Community Service Employment Program (SCSEP)

Connecticut SCSEP (federally funded, state-administered)

Age 55+, unemployed, low-income, Connecticut resident.

~$1,983/month (125% FPL, individual).

Not specified; income-focused.

Priority for veterans, rural residents; limited slots (~500/year).

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