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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Cheshire House is a distinguished facility that has earned a prestigious five-star rating from the Centers for Medicare and Medicaid Services. As a family-owned and operated establishment, it takes pride in offering exceptional services for short-term rehab that prioritizes individual care and attention, making it an excellent choice for nursing home care needs. At Cheshire House, residents can benefit from a wide range of specialized services, including pulmonary care, aquatic therapy, outpatient rehabilitation, and short-term transitional care.
Moreover, Cheshire House understands the importance of financial security for its residents and their families. They accept nursing home insurance plans, providing peace of mind and easing the financial burden of care. Families can focus on the well-being of their loved ones, knowing that they are in capable and caring hands. In addition to its expert care and cutting-edge therapies, Cheshire House also prioritizes creating an unparalleled dining experience for residents. With restaurant-style dining, residents can savor delicious and thoughtfully prepared meals in an inviting and social setting.
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 21st out of 64 homes in Connecticut.| 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.
| 38m per day | ▼ 10% 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.
| 1h 15m per day | ▲ 50% 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 20m per day | ■ Avg State avg: 2h 17m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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 26m per day | ■ Avg State avg: 3h 25m per day · National avg: 3h 26m 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.
| 5m per day | ■ Avg State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 21m per day | ▼ 25% State avg: 28m per day · National avg: 29m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
36% of new residents, usually for short-term rehab.
62% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #63 / 70Payroll — State benchmarkedThis home is ranked 63rd out of 70 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Connecticut average: 84%Key information about the people who lead and staff this community.
In Connecticut, the Department of Public Health, Facility Licensing and Investigations Section conducts mandatory inspections and unannounced surveys to monitor the quality of care in long-term facilities.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Connecticut state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | CT Average | vs. CT Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 124 | 19 | This facility has 553% more total deficiencies than a typical Connecticut nursing home (124 vs. CT avg 19). Click this badge to view the full Connecticut ranking.↑ 553% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 15.5 | 2.4 | This facility has 546% more deficiencies per year than a typical Connecticut nursing home (15.5 vs. CT avg 2.4). Click this badge to view the full Connecticut ranking.↑ 546% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 6.2 | 1.5 | This facility has 313% more deficiencies per inspection than a typical Connecticut nursing home (6.2 vs. CT avg 1.5). Click this badge to view the full Connecticut ranking.↑ 313% worse |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | CT Average | vs. CT Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 20 | 13 | This facility has 54% more total inspections than a typical Connecticut nursing home (20 vs. CT avg 13). Click this badge to view the full Connecticut ranking.↑ 54% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Cheshire House Health Care Facility’s most recent inspection on October 20, 2025, substantiated one deficiency for failing to report an allegation of abuse within two hours as required by policy. The April 22, 2025 renewal inspection cited 14 deficiencies involving care planning, supervision during meals, infection control, and failure to notify families of significant changes. The facility’s record is mixed, showing repeated issues with abuse reporting, resident supervision, and care coordination despite some corrected violations.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsConnecticut average 5.7
Last Health inspection on Apr 2025
Connecticut average 32
Connecticut average 5.82
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
42 of 52 citations resulted from standard inspections; 9 of 52 resulted from complaint investigations; and 1 of 52 came from combined inspections (standard and complaint).
100% better than Connecticut averageConnecticut average: 0.3
100% better than Connecticut averageConnecticut average: 0.7
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Cheshire House is located in Waterbury, Connecticut.
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3.9 miles from city center
Estimated distance in miles from Waterbury's city center to Cheshire House's address, calculated via Google Maps.
— 4.33 miles to nearest hospital (UConn Health Waterbury Hospital)
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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
20% worse than Connecticut average
5% better than Connecticut average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
143 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 43 | 0 | 43 | 14,305 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 22 | 5 | 27 | 6,432 | 91 | 100% | 8.2 |
| Registered Nurse | 8 | 2 | 10 | 1,855 | 89 | 98% | 9.5 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,469 | 73 | 80% | 7.8 |
| Physical Therapy Assistant | 4 | 0 | 4 | 1,016 | 73 | 80% | 7.4 |
| Respiratory Therapy Technician | 4 | 1 | 5 | 644 | 76 | 84% | 6.6 |
| Physical Therapist | 1 | 0 | 1 | 526 | 54 | 59% | 9.7 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 60 | 66% | 8.1 |
| Physical Therapy Aide | 2 | 0 | 2 | 466 | 60 | 66% | 7.6 |
| Medical Director | 1 | 0 | 1 | 458 | 61 | 67% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 454 | 61 | 67% | 7.4 |
| Administrator | 1 | 0 | 1 | 434 | 63 | 69% | 6.9 |
| RN Director of Nursing | 2 | 0 | 2 | 359 | 48 | 53% | 6.9 |
| Qualified Social Worker | 2 | 0 | 2 | 342 | 56 | 62% | 6.1 |
| Occupational Therapy Aide | 1 | 0 | 1 | 194 | 24 | 26% | 8.1 |
| Other Dietary Services Staff | 1 | 0 | 1 | 93 | 18 | 20% | 5.2 |
| Speech Language Pathologist | 1 | 0 | 1 | 8 | 4 | 4% | 2.1 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
71Residents meet regularly to discuss policies, care quality, 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.
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.
16.7
60% worse than Connecticut averageConnecticut average: 10.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
32.2
53% worse than Connecticut averageConnecticut average: 21.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
32.1%
70% worse than Connecticut averageConnecticut average: 18.9%
Percent of long-stay residents whose ability to move independently worsened
33.6%
75% worse than Connecticut averageConnecticut average: 19.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.9%
24% worse than Connecticut averageConnecticut average: 24.9%
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
32% better than Connecticut averageConnecticut average: 3.5%
Percent of long-stay high risk residents with pressure ulcers
6.2%
34% worse than Connecticut averageConnecticut average: 4.6%
Percent of long-stay residents with a urinary tract infection
3.3%
96% worse than Connecticut averageConnecticut average: 1.7%
Percent of long-stay residents who lose too much weight
9.1%
45% worse than Connecticut averageConnecticut average: 6.3%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Connecticut averageConnecticut average: 15.2%
Percent of long-stay residents who received an antipsychotic medication
25.9%
51% worse than Connecticut averageConnecticut average: 17.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
51.2%
42% worse than Connecticut averageConnecticut average: 87.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
73.3%
22% worse than Connecticut averageConnecticut average: 93.5%
Number of hospitalizations per 1,000 long-stay resident days.
3.35
60% worse than Connecticut averageConnecticut average: 2.10
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.99
30% worse than Connecticut averageConnecticut average: 1.53
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
22.1%
69% worse than Connecticut averageConnecticut average: 70.1%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
36% worse than Connecticut averageConnecticut average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
18.1%
74% worse than Connecticut averageConnecticut average: 69.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.1%
24% worse than Connecticut averageConnecticut average: 25.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.1%
36% better than Connecticut averageConnecticut average: 11.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Connecticut averageConnecticut average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
49.2%
8% worse than Connecticut averageConnecticut average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
61.6%
22% better than Connecticut averageConnecticut average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the Connecticut Department of Public Health, Facility Licensing and Investigations Section.
| Autumn Lake Healthcare at Bucks Hill |
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. | Waterbury | 90 | 94.0% | +12% | 3.26 | -43% | -18% | $0 | 24 | 4.8 | - | 85 | - | 15 | Bucks Hill Parent LLC | $13.3M | $7.2M | 53.9% | 75418 | ||||
| Waterbury Center for Nursing and Rehabilitation |
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. | Waterbury | 120 | 94.1% | +12% | 4.36 | +91% | +10% | $0 | 31 | 5.2 | - | 107 | - | 39 | Joseph Landa | $14.7M | $11.2M | 76.6% | 75219 | ||||
| Cheshire House |
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. | Waterbury (East Farms) | 75 | 93.2% | +11% | 4.00 | -15% | +1% | $0 | 52 | 7.4 | - | 70 | A+ | 38 | - | $12.9M | $6.4M | 49.3% | 75373 | ||||
| Abbott Terrace Health Center | - |
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. | Waterbury (Exchange Place) | 205 | 93.7% | +12% | - | - | - | - | - | - | - | - | - | - | - | - | 89 | - | $51.1M | $16.5M | 32.3% | 75351 |
Historical financial and operational data for Cheshire House based on CMS SNF Cost Reports.
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Cheshire House is in the East Farms neighborhood of Waterbury.
The team at Cheshire House speaks French, Jamaican, Polish, Portuguese, and Spanish.
Cheshire House has a walk score of 38. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to CT state health department records, Cheshire House's license number is 2141C.
According to CT state health department records, Cheshire House's license expires on December 31, 2027.
Cheshire House's occupancy is 95%.
(203) 754-2161 will put you in contact with the team at Cheshire House.
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