Occupancy rate
95%
In line with Connecticut averageMix 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.
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Nursing Home
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.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
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.
Occupancy rate
94.7%
Residents per day (avg)
72
Occupancy rate
94.7%
Residents per day (avg)
72
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
Privately-owned community
Home revenue
$13.9M
Operating loss
-$1.1M
Privately-owned community
Home revenue
$13,898,394.00
Operating loss
$-1,064,610.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$15.0M
18 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 32 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
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
How BBB ratings work
Services
About this community
Occupancy
In line with Connecticut averageOccupied beds
71 / 75
Average residents
102 per day
License details
Facility type
Chronic & Convalescent Nursing Home
Status
Active
Issuance
January 10, 2008
Expiration
September 30, 2026
Additional licensing details
License number:
2264
CMS Certification Number:
75235
Room costs
Private Room (23 rooms)
$540 per day
Semi-Private Room (52 rooms)
$255 per day
Staffing
Key information about the people who lead and staff this community.
Languages Spoken
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
Show Inspection Reports
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
58 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for The Guilford House
Most inspections at this facility found no deficiencies, including the most recent complaint investigation on October 10, 2025, which was clean. However, earlier in September 2025, inspectors identified issues related to resident rights and property misappropriation, though no serious harm occurred and the staff member involved was terminated. Past deficiencies have included resident safety concerns such as failure to prevent falls and timely family notification, infection control lapses, medication and dietary monitoring problems, and documentation errors. Several complaint investigations were substantiated, but many others found no violations. The facility’s record shows improvement over time, with recent reports showing fewer and less severe deficiencies compared to earlier years.
Health Inspection History
Inspections
Total health inspections
5
Connecticut average 5.7
Last Health inspection on Sep 2025
Total health citations
32
Connecticut average 32
Citations per inspection
6.4
Connecticut average 5.82
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
29 of 32 citations resulted from standard inspections; and 3 of 32 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Connecticut averageConnecticut average: 0.3
Serious Health citations
1
1
43% worse than Connecticut averageConnecticut average: 0.7
0 critical citations
1 serious citation
28 moderate citations
3 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 22, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 22, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 22, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 22, 2025
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 15, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 15, 2024
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Oct 23, 2023
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Oct 23, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Connecticut The information below is reported by the Connecticut Department of Public Health, Facility Licensing and Investigations Section.
The Guilford 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.
Guilford
75
88.6%
+6%
4.78
+20%
1
32
1
72
A+
32
Moffie, Calvin
$13,9M
$6,0M
43.5%
75235
Advanced 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.
New Haven (The Hill)
226
92.0%
+10%
3.94
-1%
1
69
3
213
A+
85
Gewirtz, Esther
$29,8M
$14,0M
46.9%
75348
Places of interest near The Guilford House
2.7 miles from city center — 10.35 miles to nearest hospital (PACT Gastroenterology Center | Hamden)
109 W Lake Ave, Guilford, CT 06437
Calculate Travel Distance to The Guilford House
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
194
Employees
127
Contractors
67
Staff to resident ratio
2.85:1
52% better than Connecticut averageConnecticut average ratio: 1.88:1
Avg staff/day
60
Average shift
7.6 hours
0% compared with Connecticut averageConnecticut average: 7.5 hours
Total staff hours (quarter)
41,228
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
31
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
100
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
5.3%
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
Staff by category
| Certified Nursing Assistant | 51 | 49 | 100 | 18,472 | 91 | 100% | 7.8 |
| Physical Therapist | 16 | 0 | 16 | 6,052 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 18 | 13 | 31 | 5,838 | 91 | 100% | 8.8 |
| Registered Nurse | 15 | 1 | 16 | 4,302 | 91 | 100% | 7.6 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 943 | 88 | 97% | 6.8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 907 | 73 | 80% | 6.9 |
| Physical Therapy Assistant | 5 | 0 | 5 | 850 | 73 | 80% | 6.6 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Therapeutic Recreation Specialist | 3 | 0 | 3 | 447 | 66 | 73% | 6.6 |
| Respiratory Therapist | 2 | 0 | 2 | 446 | 68 | 75% | 6.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 351 | 58 | 64% | 6.1 |
| Feeding Assistant | 0 | 1 | 1 | 233 | 52 | 57% | 4.5 |
| Occupational Therapy Aide | 1 | 0 | 1 | 163 | 28 | 31% | 5.8 |
| Medical Director | 0 | 1 | 1 | 62 | 13 | 14% | 4.8 |
| Other Physician | 0 | 1 | 1 | 47 | 26 | 29% | 1.8 |
| Qualified Social Worker | 2 | 0 | 2 | 43 | 14 | 15% | 3.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
100 Certified Nursing Assistant
% of Days
100%
16 Physical Therapist
% of Days
100%
31 Licensed Practical Nurse
% of Days
100%
16 Registered Nurse
% of Days
100%
6 Respiratory Therapy Technician
% of Days
97%
3 Other Dietary Services Staff
% of Days
80%
5 Physical Therapy Assistant
% of Days
80%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
1 Dietitian
% of Days
70%
1 Mental Health Service Worker
% of Days
70%
3 Therapeutic Recreation Specialist
% of Days
73%
2 Respiratory Therapist
% of Days
75%
1 Clinical Nurse Specialist
% of Days
64%
1 Feeding Assistant
% of Days
57%
1 Occupational Therapy Aide
% of Days
31%
1 Medical Director
% of Days
14%
1 Other Physician
% of Days
29%
2 Qualified Social Worker
% of Days
15%
1 Occupational Therapy Assistant
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
68 residents
Residents by payment source
Medicare
10 residents (14.7%)
Medicaid
38 residents (55.9%)
Private pay or other
20 residents (29.4%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.1
17% worse than Connecticut averageConnecticut average: 10.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.1
38% worse than Connecticut averageConnecticut average: 21.1
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
26.0%
Percent of long-stay residents whose need for help with daily activities has increased
26.0%
38% worse than Connecticut averageConnecticut average: 18.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
22.5%
Percent of long-stay residents whose ability to move independently worsened
22.5%
17% worse than Connecticut averageConnecticut average: 19.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
38.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
38.9%
56% worse than Connecticut averageConnecticut average: 24.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
13% worse than Connecticut averageConnecticut average: 3.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.9%
Percent of long-stay high risk residents with pressure ulcers
2.9%
36% better than Connecticut averageConnecticut average: 4.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.5%
Percent of long-stay residents with a urinary tract infection
1.5%
10% better than Connecticut averageConnecticut average: 1.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.4%
Percent of long-stay residents who lose too much weight
5.4%
14% better than Connecticut averageConnecticut average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
6.0%
Percent of long-stay residents who have depressive symptoms
6.0%
61% better than Connecticut averageConnecticut average: 15.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
8.8%
Percent of long-stay residents who received an antipsychotic medication
8.8%
49% better than Connecticut averageConnecticut average: 17.2%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
75.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
75.6%
14% worse than Connecticut averageConnecticut average: 87.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
5% better than Connecticut averageConnecticut average: 93.5%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.67
Number of hospitalizations per 1,000 long-stay resident days.
2.67
27% worse than Connecticut averageConnecticut average: 2.10
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.62
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.62
59% better than Connecticut averageConnecticut average: 1.53
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.6%
In line with Connecticut averageConnecticut average: 70.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
57% worse than Connecticut averageConnecticut average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
70.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
70.2%
In line with Connecticut averageConnecticut average: 69.8%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.9%
In line with Connecticut averageConnecticut average: 25.0%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
11.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.9%
7% worse than Connecticut averageConnecticut average: 11.1%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
60% worse than Connecticut averageConnecticut average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
42.2%
Percentage of residents at or above expected ability to care for themselves at discharge.
42.2%
21% worse than Connecticut averageConnecticut average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
69.0%
Rate of successful return to home or community from a skilled nursing facility.
69.0%
36% 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.
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
$9K
80% lower than Connecticut averageConnecticut average: $44K
Number of fines
1
43% fewer fines than Connecticut averageConnecticut average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Connecticut averageConnecticut average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$9K
Connecticut average
$44K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 15, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 15, 2024
$9K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for The Guilford House based on CMS SNF Cost Reports.
Occupancy Rate
88.6%
↑ 2.2pp vs 2022
Net Income
-$1,064,610
↓ ~$932K vs 2022
Total Payroll
$7,076,272
↓ ~$2K vs 2022
Profit Margin
-7.7%
↓ 6.7pp vs 2022
Loading trend charts...
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