1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Cassena Care at Norwalk sits on Prospect Street, about a mile from Norwalk’s city center, in a neighborhood where a Walk Score of 76 means most day-to-day errands are within walking distance. The two-story, 150-bed nursing home and assisted living community currently houses 124 residents across private and semi-private rooms. An average stay of 131 days puts this facility squarely in mixed-use territory: short-term rehabilitation stays and longer-term nursing care are both part of the daily population.
Staffing figures reported to CMS put total nursing hours at 3 hours 47 minutes per resident per day. RN hours come in at 32 minutes per resident per day, with LPN/LVN coverage at 50 minutes. The facility accepts Medicare, Medicaid, and private pay, which covers the full range of standard funding pathways for this type of care. CMS Facility Characteristics data notes an Active Resident Council, a Residents Group, and a Family Member Group, indicating organized community governance structures are in place.
Cassena Care at Norwalk is a mid-sized, urban, CMS-certified nursing facility near the center of Norwalk. Stamford Hospital is 7.94 miles away.
They accept all three major payer types and carry a resident population split between short rehabilitation stays and longer nursing care, in a location that is genuinely walkable for visitors and staff.
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.
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.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 29th out of 67 homes in Connecticut for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 32m per day | ▼ 22% State avg: 42m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 50m per day | ■ Avg State avg: 50m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 25m per day | ▲ 6% State avg: 2h 16m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 28m per day | ■ Avg State avg: 3h 26m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 86% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 19m per day | ▼ 32% State avg: 27m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Connecticut average
0% compared with Connecticut average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
22 total: 7 full-time employees and 15 contractors.
22
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursAssists with medical care and medications.
61 total: 19 full-time employees and 42 contractors.
61
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursHelps with daily care and mobility.
108 total: 64 full-time employees and 44 contractors.
108
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
10,164 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 64 | 44 | 108 | 29,093 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 19 | 42 | 61 | 10,015 | 92 | 100% | 7.3 |
| Registered Nurse | 7 | 15 | 22 | 4,522 | 92 | 100% | 8.4 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,836 | 65 | 71% | 7.3 |
| Mental Health Service Worker | 3 | 0 | 3 | 964 | 76 | 83% | 6.7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 936 | 87 | 95% | 7.8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 740 | 61 | 66% | 7.9 |
| Speech Language Pathologist | 0 | 2 | 2 | 588 | 71 | 77% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 488 | 65 | 71% | 7.5 |
| Administrator | 2 | 0 | 2 | 480 | 64 | 70% | 7.5 |
| Qualified Social Worker | 0 | 2 | 2 | 470 | 64 | 70% | 6.6 |
| Dietitian | 1 | 0 | 1 | 427 | 57 | 62% | 7.5 |
| Feeding Assistant | 0 | 3 | 3 | 362 | 62 | 67% | 5.2 |
| Physical Therapy Aide | 0 | 1 | 1 | 314 | 37 | 40% | 8.5 |
| Nurse Practitioner | 1 | 0 | 1 | 160 | 22 | 24% | 7.3 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 130 | 22 | 24% | 5.6 |
| Medical Director | 0 | 2 | 2 | 104 | 24 | 26% | 4.3 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 63 | 30 | 33% | 1.8 |
| Other Physician | 0 | 1 | 1 | 32 | 8 | 9% | 4 |
| Physician Assistant | 0 | 1 | 1 | 32 | 4 | 4% | 8 |
Includes penalties issued in 2023-2024
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)
354% higher than Connecticut averageConnecticut average: $44K
15% more fines than Connecticut averageConnecticut average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
654% more payment denials than Connecticut averageConnecticut average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 9, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 26, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 26, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageConnecticut average: 10.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.9
39% better than Connecticut averageConnecticut average: 21.1
Percent of long-stay residents whose need for help with daily activities has increased
8.5%
55% better than Connecticut averageConnecticut average: 18.9%
Percent of long-stay residents whose ability to move independently worsened
9.6%
50% better than Connecticut averageConnecticut average: 19.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.5%
18% better than Connecticut averageConnecticut average: 24.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
12% better than Connecticut averageConnecticut average: 3.5%
Percent of long-stay high risk residents with pressure ulcers
6.7%
46% worse than Connecticut averageConnecticut average: 4.6%
Percent of long-stay residents with a urinary tract infection
0.7%
56% better than Connecticut averageConnecticut average: 1.7%
Percent of long-stay residents who lose too much weight
3.5%
45% better than Connecticut averageConnecticut average: 6.3%
Percent of long-stay residents who have depressive symptoms
84.2%
456% worse than Connecticut averageConnecticut average: 15.2%
Percent of long-stay residents who received an antipsychotic medication
15.9%
7% better than Connecticut averageConnecticut average: 17.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
75.8%
13% worse than Connecticut averageConnecticut average: 87.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.2%
In line with Connecticut averageConnecticut average: 93.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
55.9%
20% worse than Connecticut averageConnecticut average: 70.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
41% better than Connecticut averageConnecticut average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
62.8%
10% worse than Connecticut averageConnecticut average: 69.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
36% of new residents, usually for short-term rehab.
32% of new residents, often for short stays.
32% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
124Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Cassena Care at Norwalk from 2012–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 09/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #30 / 73Payroll — State benchmarkedThis home is ranked 30th out of 73 homes in Connecticut. Shows total annual staff payroll benchmarked to the Connecticut average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Connecticut that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #57 / 73Payroll % — State benchmarkedThis home is ranked 57th out of 73 homes in Connecticut. Shows payroll as a percentage of revenue versus the Connecticut average. Well-run Connecticut facilities typically land around 51–66% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Connecticut that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: Two-story
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (36% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.0 miles from city center
Estimated distance in miles from Norwalk's city center to Cassena Care at Norwalk's address, calculated via Google Maps.
— 7.94 miles to nearest hospital (Stamford Hospital)
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Cassena Care at Norwalk is located in Norwalk, Connecticut.
Here are the financial assistance programs available to residents in Connecticut.
Cassena Care at Norwalk has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Cassena Care at Norwalk's occupancy is 84.2%.
Cassena Care at Norwalk is registered as a for-profit.
Yes — there are 4 photos of Cassena Care at Norwalk in the photo gallery on this page.
Cassena Care at Norwalk is located at 23 Prospect St, Norwalk, CT 06850.
(203) 853-0010 will put you in contact with the team at Cassena Care at Norwalk.
Yes — Cassena Care at Norwalk is a CMS-certified provider of Medicare and Medicaid.
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