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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, a 75-bed nursing facility located at 3396 East Main Street in Waterbury’s East Farms neighborhood, serves residents requiring skilled nursing care and short-term rehabilitation. The facility is located 3.9 miles from Waterbury’s city center and 4.33 miles from UConn Health Waterbury Hospital. It maintains a 95% occupancy rate; the ninth-highest among Connecticut nursing homes, and has been in continuous operation for 16 years.
The facility achieved a 4-star rating for staffing, with total nursing care of 4 hours per resident daily and licensed practical nurses providing 1 hour 15 minutes per resident daily, 50% above the Connecticut average. These figures rank the facility 23rd of 66 Connecticut SNFs for overall nursing intensity. However, the 2-star overall rating reflects weaker health inspection performance (2 stars, 35.3% below state average) and significantly below-average quality measures (1 star, 44.9% below state average). The facility operates with a 2-star health inspection rating.
Over seven years, Cheshire House has accumulated 124 regulatory deficiencies; 553% above the Connecticut average. Inspection findings cluster around resident rights, care quality, and abuse-reporting protocols. Recent 2025 investigations substantiated failures in timely abuse allegation reporting, inadequate supervision of residents with aspiration risk during meals, and delays in notifying families of condition changes. The facility reported corrections for all cited violations; no federal civil money penalties or admission payment denials were imposed in the past three years.
The resident census reflects a short-term care model: average stays of 65 days overall, with Medicare admissions averaging 23 days and private-pay admissions averaging one month. Current population stands at 71 residents (Medicaid 64.8%, Private Pay 29.6%, Medicare 5.6%).
Discharge data shows 61.6% of short-stay residents achieve successful return to home or community; 22% better than the state average, though 31.1% experience re-hospitalization after SNF discharge, 24% above state average.
The facility maintains an operating loss of $784,200 against revenue of $12.9 million (2023).
Private room rates are $525 per day; semi-private rooms cost $495 daily. The facility operates an active resident council and provides staff multilingual services in French, Jamaican, Polish, Portuguese, and Spanish.
Cheshire House accommodates residents seeking skilled nursing and post-acute rehabilitation in the Waterbury area, particularly Medicare and Medicaid populations, within a high-occupancy facility whose compliance record warrants family engagement in care oversight.
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 23rd out of 66 homes in Connecticut. 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.
| 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 |
|
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 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 |
|
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.
| 21m per day | ▼ 25% State avg: 28m per day · National avg: 29m per day |
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
| 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).↑ 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).↑ 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).↑ 313% worse |
Inspections
| 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).↑ 54% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Connecticut 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
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
10% better than Connecticut average
7% worse than Connecticut average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
18 total: 10 full-time employees and 8 contractors.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursAssists with medical care and medications.
46 total: 31 full-time employees and 15 contractors.
46
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursHelps with daily care and mobility.
All 49 CNA Staff are full-time employees. No contractors work on this role.
49
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,190 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 49 | 0 | 49 | 14,325 | 92 | 100% | 6.8 |
| Licensed Practical Nurse | 31 | 15 | 46 | 6,725 | 92 | 100% | 7.6 |
| Registered Nurse | 10 | 8 | 18 | 2,945 | 92 | 100% | 9.1 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,112 | 68 | 74% | 8.3 |
| Speech Language Pathologist | 0 | 4 | 4 | 819 | 69 | 75% | 6.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 607 | 75 | 82% | 6.1 |
| Physical Therapy Assistant | 0 | 6 | 6 | 563 | 74 | 80% | 6.6 |
| Administrator | 1 | 0 | 1 | 477 | 66 | 72% | 7.2 |
| RN Director of Nursing | 1 | 0 | 1 | 419 | 57 | 62% | 7.4 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 364 | 64 | 70% | 3.9 |
| Physical Therapy Aide | 0 | 2 | 2 | 355 | 59 | 64% | 5.9 |
| Mental Health Service Worker | 4 | 0 | 4 | 305 | 43 | 47% | 7.1 |
| Nurse Practitioner | 1 | 0 | 1 | 235 | 30 | 33% | 7.8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 208 | 27 | 29% | 7.7 |
| Qualified Social Worker | 0 | 2 | 2 | 202 | 61 | 66% | 3.3 |
| Medical Director | 0 | 1 | 1 | 14 | 12 | 13% | 1.2 |
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.
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.
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.
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.
Historical financial and operational data for Cheshire House based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #66 / 72Payroll — State benchmarkedThis home is ranked 66th out of 72 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.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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)
Add your location
Cheshire House is located in Waterbury, Connecticut.
Here are the financial assistance programs available to residents in Connecticut.
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 | 94.4% | +12% | 3.26 | -36% | -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 | 90.0% | +7% | 4.36 | +114% | +10% | $0 | 31 | 5.2 | - | 108 | - | 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 | 94.7% | +13% | 4.00 | +14% | +1% | $0 | 52 | 7.4 | - | 70 | A+ | 38 | - | $12.9M | $6.4M | 49.3% | 75373 | ||||
| Waterbury Gardens | - |
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 | 72 | 32.2% | -62% | - | - | - | - | - | - | - | - | - | - | - | - | 50 | #N/A | $8.6M | $9.5M | 110.9% | 75210 |
| 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 | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 89 | - | $51.1M | $16.5M | 32.3% | 75351 |
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%.
Yes — there is 1 photo of Cheshire House in the photo gallery on this page.
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