The Guilford House

The Guilford House is a Nursing Home in Connecticut

The Guilford House is a Nursing Home in Connecticut

The Guilford House

109 W Lake Ave, Guilford, CT 06437 View Map

The Guilford House is a Nursing Home in Connecticut

The Guilford House is a Nursing Home in Connecticut

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Overview of The Guilford House

Located in the serene neighborhood of West Lake Avenue, Guilford, CT, The Guilford House is an exceptional senior living community that focuses on short-term rehabilitation services and long-term care. As a family-owned community, The Guilford House ensures quality care for its residents. The community features various floor plans including studio and studio deluxe and one-bedroom apartments.

The Guilford House boasts a skilled department of registered nurses, practical nurses, and certified nursing assistants to ensure that all the clinical needs of the seniors are met. The community also provides physical, occupational, speech, and massage therapy every day for the seniors’ welfare. Believing that food is necessary for success, the community serves healthy and hearty meals to satisfy its residents. The different departmental teams of the Guilford House work together to create a safe and comfortable community for its residents, considering their choices along the process.

203-488-9142

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 4.78/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
4/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
3/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
5/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
3/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 75

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Connecticut average
Occupancy rate 88.6%
Residents per day (avg) 72
Occupancy rate
88.6%
Residents per day (avg)
72

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

43% of new residents, usually for short-term rehab.

Typical stay 24 days

Private pay

50% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

6% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Proprietary home
Other
Home revenue
$13.9M
Loss
-$1.1M
Proprietary home Other
Home revenue
$13,898,394.00
Loss
$-1,064,610.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.0M
43.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.9M
Total costs $15.0M
Years in operation
18 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 32 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

Services

Alzheimers
Cardiac; Orthopedic and Stroke
Hospice
IV Therapy
Outpatient Therapy
Pain Management
Recreation
Rehabilitation Therapy

About this community

License Status
Active
Facility Type
Chronic & Convalescent Nursing Home
License Date
January 10, 2008
License Expiration
September 30, 2026

Additional licensing details

License number: 2264
CMS Certification Number: 75235

Room costs

Private Room (23 rooms) $540
Semi-Private Room (52 rooms) $255

Staffing

Key information about the people who lead and staff this community.

Languages Spoken by Staff

Languages: Polish, Portuguese, Russian, Spanish

Staff Composition (State Data)

Admin
4 FTE
Registered Nurse
14 FTE
Licensed Practical Nurse
14 FTE
Nursing Assistant
39 FTE
Recreation
1 FTE
Social Services
1 FTE
Food Service Supervisor
1 FTE
Physical Therapy
5 FTE
Occupational Therapy
4 FTE
Speech Therapy
1 FTE
Dietary
10 FTE
Other Staff
18 FTE

Additional Policies & Features

Religious Services: Catholic, Jewish

Inspection History

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.

18 visits/inspections

12 routine inspections

Breakdown by inspection type
  • 2 renewal/recertification inspections
  • 4 licensing inspections
  • 14 plans of correction
  • 5 statements of deficiencies

Results

15 with issues

4 without issues

Connecticut average: 13 visits/inspections

Latest inspection

Date:November 21, 2025

Inspection history

01-12-2021 Plan of Correction
01-22-2024 Inspection Report
01-22-2024 Inspection Report
01-22-2024 Inspection Report
02-18-2022 Inspection Report
03-04-2021 Plan of Correction
03-31-2025 Inspection Report
04-22-2024 Inspection Report
04-22-2024 Plan of Correction
05-28-2025 Inspection Report
05-28-2025 Plan of Correction
06-09-2021 Plan of Correction
06-09-2021 Statement of Deficiencies
06-09-2021 Statement of Deficiencies
06-14-2020 Statement of Deficiencies
07-24-2020 Statement of Deficiencies
07-24-2020 Statement of Deficiencies
07-28-2025 Plan of Correction
08-13-2019 Plan of Correction
08-13-2025 Inspection Report
09-22-2025 Inspection Report
10-10-2025 Inspection Report
10-20-2022 Plan of Correction
10-20-2022 Plan of Correction
10-25-2023 Inspection Report
10-25-2023 Inspection Report
11-18-2024 Inspection Report
11-18-2024 Plan of Correction
11-19-2025 Plan of Correction
11-21-2025 Inspection Report
11-22-2023 Plan of Correction
11-23-2021 Inspection Report
12-22-2023 Inspection Report
12-29-2020 Inspection Report
12-29-2020 Plan of Correction
12-29-2020 Plan of Correction
12-31-2024 Inspection Report

Comparison Chart

The information below is reported by the Connecticut Department of Public Health, Facility Licensing and Investigations Section.
Compare Nursing Homes around Connecticut
The Guilford House
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Guilford
75
No
A+
32
MOFFIE, CALVIN
88.6%
$13,898,383.00
$6,045,730.00
43.5%
72.00
4/5
4.7845
3/5
5/5
3/5
1
Advanced Center for Nursing and Rehabilitation
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

New Haven
226
No
A+
85
GEWIRTZ, ESTHER
92.0%
$29,783,937.00
$13,977,925.00
46.9%
212.60
1/5
3.9423
1/5
4/5
-
1

Places of interest near The Guilford House

Address 2.7 miles from city center

Address 109 W Lake Ave, Guilford, CT 06437

Calculate Travel Distance to The Guilford House

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

194
Total Staff
127
Employees
67
Contractors
41,228
Total Hours (Quarter)
60
Avg Staff/Day
7.6
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse167.6 Yes
Licensed Practical Nurse318.8 Yes
Certified Nursing Assistant1007.8 Yes
Staff by Category
Administration
2 staff
7.5hs shift avg
Nursing Staff
148 staff
7.9hs shift avg
Physicians & Practitioners
3 staff
6.1hs shift avg
Therapy Services
31 staff
7hs shift avg
Activities & Recreation
3 staff
6.6hs shift avg
Social Services
2 staff
3.1hs shift avg
Dietary Services
4 staff
7.2hs shift avg
Other Services
1 staff
8hs shift avg
Contractor Analysis
5.3%
of total hours from contractors
2,192 contractor hours this quarter
Certified Nursing Assistant: 49 Licensed Practical Nurse: 13 Feeding Assistant: 1 Registered Nurse: 1 Other Physician: 1 Medical Director: 1 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant514910018,47291100%7.8
Physical Therapist160166,05291100%7.2
Licensed Practical Nurse1813315,83891100%8.8
Registered Nurse151164,30291100%7.6
Respiratory Therapy Technician6069438897%6.8
Other Dietary Services Staff3039077380%6.9
Physical Therapy Assistant5058507380%6.6
Administrator1015126470%8
Nurse Practitioner1015126470%8
Dietitian1015126470%8
Mental Health Service Worker1015126470%8
Therapeutic Recreation Specialist3034476673%6.6
Respiratory Therapist2024466875%6.6
Clinical Nurse Specialist1013515864%6.1
Feeding Assistant0112335257%4.5
Occupational Therapy Aide1011632831%5.8
Medical Director011621314%4.8
Other Physician011472629%1.8
Qualified Social Worker202431415%3.1
Occupational Therapy Assistant0112433%8

Health Inspection History

Source: CMS Health Citations (May 2019 – Sep 2025)

5
Inspections
32
Total Citations
0
Critical (J-L)
1
Serious (G-I)
6.4
Citations/Inspection
Sep 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
3
Moderate (D-F)
28
Serious (G-I)
1
Critical (J-L)
0
What do these levels mean?
Top Deficiency Categories
Resident Rights
10
31% of total
Quality of Life & Care
6
19% of total
Infection Control
3
9% of total
Administration
2
6% of total
Pharmacy Services
2
6% of total
Abuse, Neglect & Exploitation
1
3% of total
Citation Sources
Standard Inspections 29
Complaint Investigations 3
State Comparison (CT)
Citations
32
Connecticut average: 32
Critical Citations
0
Connecticut average: 0.3
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Sep 22, 2025 D Abuse/NeglectF0602 Corrected
Sep 22, 2025 D Resident RightsF0580 Corrected
Oct 15, 2024 G Quality of CareF0689 Corrected
Oct 23, 2023 D EnvironmentalF0921 Corrected
Oct 23, 2023 D Infection ControlF0880 Corrected
Oct 23, 2023 C Nursing ServicesF0730 Corrected
Oct 23, 2023 D NutritionF0803 Corrected
Oct 23, 2023 F NutritionF0812 Corrected
Oct 23, 2023 D PharmacyF0761 Corrected
Oct 23, 2023 D Quality of CareF0692 Corrected
Oct 23, 2023 D Quality of CareF0695 Corrected
Oct 23, 2023 D Quality of CareF0698 Corrected
Oct 23, 2023 D Care PlanningF0842 Corrected
Oct 23, 2023 B Resident RightsF0623 Corrected
Oct 23, 2023 B Resident RightsF0625 Corrected
Sep 27, 2021 E NutritionF0812 Corrected
Sep 27, 2021 E Quality of CareF0694 Corrected
Sep 27, 2021 D Resident RightsF0565 Corrected
Sep 27, 2021 D Resident RightsF0572 Corrected
Sep 27, 2021 D Resident RightsF0574 Corrected
Sep 27, 2021 D Resident RightsF0577 Corrected
Sep 27, 2021 D Resident RightsF0585 Corrected
May 17, 2019 D AdministrationF0773 Corrected
May 17, 2019 E AdministrationF0838 Corrected
May 17, 2019 E Infection ControlF0880 Corrected
May 17, 2019 D Infection ControlF0883 Corrected
May 17, 2019 E NutritionF0804 Corrected
May 17, 2019 D NutritionF0808 Corrected
May 17, 2019 D PharmacyF0757 Corrected
May 17, 2019 D Quality of CareF0676 Corrected
May 17, 2019 D Resident RightsF0550 Corrected
May 17, 2019 D Resident RightsF0580 Corrected

Facility Characteristics

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

Ownership: For-Profit LLC
Resident Census by Payment Source
68 Total Residents
Medicare 10 (14.7%)
Medicaid 38 (55.9%)
Private Pay/Other 20 (29.4%)
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
12.1 Score
17% worse than avg Connecticut avg: 10.4

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
29.1 Score
38% worse than avg Connecticut avg: 21.1

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
26.0%
Lost Too Much Weight
5.4%
Urinary Tract Infection
1.5%
Depressive Symptoms
6.0%
Falls with Major Injury
3.9%
Pneumococcal Vaccine
75.6%
Antipsychotic Use
8.8%
Walking Ability Worsened
22.5%
Influenza Vaccine
98.3%
High Risk Residents with Pressure Ulcers
2.9%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
38.9%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
70.6% Near average Connecticut: 70.1%
Short-Stay Residents Who Received a New Antipsychotic Medication
2.4% 57% worse than avg Connecticut: 1.5%
Influenza Vaccine
70.2% Near average Connecticut: 69.8%

Penalties & 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 $9K Connecticut avg: $44K 80% better than avg
Number of Fines 1 Connecticut avg: 1.7
Compared to Connecticut Average Facility: $9K | Connecticut Avg: $44K
Penalty History

Showing all 1 penalties (Oct 2024 - Oct 2024)

Oct 15, 2024 Civil Money Penalty
$9K

Guides for Better Senior Living

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Claim What’s Yours: Financial Aid for Connecticut Seniors

Program
State Program Name
Eligibility
Benefits
Connecticut Home Care Program for Elders
CHCPE
  • General: Age 65+, Connecticut resident, at risk of nursing home placement.
  • Income Limits: State-funded: ~$1,600/month; Medicaid: ~$2,829/month (300% FBR).
  • Asset Limits: $1,600 (state), $2,000 (Medicaid, individual).
  • CT Specifics: Two tiers (state and Medicaid); waitlists possible.
  • Services: In-home care (4-6 hours/day), adult day care (~$70/day), meals, respite (up to 14 days/year).
Statewide Respite Care Program
CT Respite Care
  • General: Caregiver of senior with dementia, Connecticut resident.
  • Income Limits: ~$2,500/month (individual, varies).
  • Asset Limits: $40,000 (individual).
  • CT Specifics: Limited to dementia caregivers; capped funding.
  • Services: In-home respite (up to 30 days/year), adult day care (~$70/day).
Congregate Housing Services Program (CHSP)
Connecticut Congregate Housing Services Program
  • General: Age 62+, Connecticut resident, frail but not needing 24/7 care, resides in CHSP-eligible housing.
  • Income Limits (2025): ~$41,000/year (individual, adjusted annually).
  • Asset Limits: Not specified; focus is income-based.
  • CT Specifics: Limited to 14 state-subsidized sites; participants pay 10% of service costs.
  • Services: Personal care (3-5 hours/day), meals ($5-$7/meal), housekeeping, transportation (~5 trips/month).
Medicare Savings Program (MSP)
Connecticut Medicare Savings Program
  • General: Age 65+ or disabled, Connecticut resident, enrolled in Medicare Part A/B.
  • Income Limits (2025): ~$2,510/month (individual, QMB); ~$3,380/month (SLMB); ~$3,598/month (ALMB)—adjusted annually.
  • Asset Limits: None since 2023 policy change.
  • CT Specifics: Three tiers (Qualified Medicare Beneficiary, Specified Low-Income, Additional Low-Income); no asset test.
  • Services: Covers Medicare Part B premiums ($174.70/month), deductibles ($240/year), copays (~20% of services).
Senior Community Service Employment Program (SCSEP)
Connecticut SCSEP (federally funded, state-administered)
  • General: Age 55+, unemployed, low-income, Connecticut resident.
  • Income Limits (2025): ~$1,983/month (125% FPL, individual).
  • Asset Limits: Not specified; income-focused.
  • CT Specifics: Priority for veterans, rural residents; limited slots (~500/year).
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.

Claim What’s Yours Financial Aid for Connecticut Seniors

CHCPE

Connecticut Home Care Program for Elders

Requirements:
  • General:
    Age 65+, Connecticut resident, at risk of nursing home placement.
  • Income Limits:
    State-funded: ~$1,600/month; Medicaid: ~$2,829/month (300% FBR).
  • Asset Limits:
    $1,600 (state), $2,000 (Medicaid, individual).
  • CT Specifics:
    Two tiers (state and Medicaid); waitlists possible.
Benefits without Contact:
  • Services: In-home care (4-6 hours/day), adult day care (~$70/day), meals, respite (up to 14 days/year).
CT Respite Care

Statewide Respite Care Program

Requirements:
  • General:
    Caregiver of senior with dementia, Connecticut resident.
  • Income Limits:
    ~$2,500/month (individual, varies).
  • Asset Limits:
    $40,000 (individual).
  • CT Specifics:
    Limited to dementia caregivers; capped funding.
Benefits without Contact:
  • Services: In-home respite (up to 30 days/year), adult day care (~$70/day).
Connecticut Congregate Housing Services Program

Congregate Housing Services Program (CHSP)

Requirements:
  • General:
    Age 62+, Connecticut resident, frail but not needing 24/7 care, resides in CHSP-eligible housing.
  • Income Limits (2025):
    ~$41,000/year (individual, adjusted annually).
  • Asset Limits:
    Not specified; focus is income-based.
  • CT Specifics:
    Limited to 14 state-subsidized sites; participants pay 10% of service costs.
Benefits without Contact:
  • Services: Personal care (3-5 hours/day), meals ($5-$7/meal), housekeeping, transportation (~5 trips/month).
Connecticut Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, Connecticut resident, enrolled in Medicare Part A/B.
  • Income Limits (2025):
    ~$2,510/month (individual, QMB); ~$3,380/month (SLMB); ~$3,598/month (ALMB)—adjusted annually.
  • Asset Limits:
    None since 2023 policy change.
  • CT Specifics:
    Three tiers (Qualified Medicare Beneficiary, Specified Low-Income, Additional Low-Income); no asset test.
Benefits without Contact:
  • Services: Covers Medicare Part B premiums ($174.70/month), deductibles ($240/year), copays (~20% of services).
Connecticut SCSEP (federally funded, state-administered)

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, Connecticut resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL, individual).
  • Asset Limits:
    Not specified; income-focused.
  • CT Specifics:
    Priority for veterans, rural residents; limited slots (~500/year).
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
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