2/5
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.
2/5
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.
Located at 45 Maltby Street in Shelton, Connecticut’s Maltby Street neighborhood, Hewitt Health & Rehabilitation Center operates as a 120-bed nursing home and memory care facility. The privately owned community accepts Medicare, Medicaid, and private-pay residents. Walk score of 74 positions the facility in a very walkable area where most errands are accessible on foot.
Current occupancy stands at 78.8% with an average resident stay of 73 days, supporting both short-term rehabilitation and longer-term admissions. The current census is 114 residents.
The facility holds a 2-star overall CMS rating, notably below Connecticut’s state average. Health inspection performance rates 2 stars, 28.5% below state benchmark. Staffing carries a 1-star rating, 38.4% below the Connecticut standard.
The most significant staffing constraint is registered nurse availability at only 17 minutes per resident daily, a dramatic 60% shortfall compared to the state average of 42 minutes. This gap in RN coverage directly impacts clinical assessment and response capacity. The facility’s overall staff-to-resident ratio of 1.21:1 underperforms the state average of 1.86:1 by 35%.
Residents experience elevated clinical event rates, particularly pressure ulcer development at 6.9% (51% worse than peers) and unintended weight loss affecting 10.4% of residents (66% above state rates). A prominent gap exists in preventive care: pneumococcal vaccination coverage reaches only 48.5%; substantially below the Connecticut average of 87.5%, and seasonal influenza vaccination only 68.5% compared to a state norm of 93.5%.
For short-stay rehabilitation residents, re-hospitalization rates hit 30.1%, 20% above the state average. Residents’ ability to move independently worsens in over one-fifth of long-stay cases.
Federal penalties have been minimal: cumulative fines of $18,000 trail the state average by 59%, with no payment denials.
Hewitt serves mixed-stay residents, supported by staffing levels substantially below state norms with particular gaps in nursing oversight and documented vaccine coverage deficiencies across the population.
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 36th 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.
| 18m per day | ▼ 56% 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 5m per day | ▼ 9% 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 4m per day | ▼ 10% 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.
| 4m per day | ▼ 21% 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.
| 14m per day | ▼ 51% State avg: 28m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
35% fewer staff per resident than 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.
All 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursAssists with medical care and medications.
All 26 LPN Staff are full-time employees. No contractors work on this role.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursHelps with daily care and mobility.
All 75 CNA Staff are full-time employees. No contractors work on this role.
75
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
495 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 75 | 0 | 75 | 21,950 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 26 | 0 | 26 | 8,228 | 92 | 100% | 7.1 |
| Registered Nurse | 9 | 0 | 9 | 2,453 | 92 | 100% | 8.1 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,039 | 82 | 89% | 7.4 |
| Physical Therapy Aide | 2 | 0 | 2 | 792 | 77 | 84% | 6.6 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 690 | 78 | 85% | 5.6 |
| RN Director of Nursing | 3 | 0 | 3 | 476 | 49 | 53% | 7.2 |
| Administrator | 0 | 1 | 1 | 450 | 60 | 65% | 7.5 |
| Other Social Services Staff | 1 | 0 | 1 | 442 | 60 | 65% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 436 | 58 | 63% | 7.5 |
| Qualified Social Worker | 3 | 0 | 3 | 416 | 64 | 70% | 6.5 |
| Speech Language Pathologist | 1 | 0 | 1 | 413 | 63 | 68% | 6.6 |
| Mental Health Service Worker | 2 | 0 | 2 | 409 | 56 | 61% | 7.3 |
| Physical Therapy Assistant | 3 | 0 | 3 | 386 | 63 | 68% | 6.1 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 329 | 39 | 42% | 6.6 |
| Occupational Therapy Aide | 1 | 0 | 1 | 184 | 25 | 27% | 7.4 |
| Medical Director | 0 | 1 | 1 | 34 | 20 | 22% | 1.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 11 | 3 | 3% | 3.7 |
Includes penalties issued in 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)
59% lower 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.
0
100% fewer payment denials than Connecticut averageConnecticut average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jul 1, 2024 · $8K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 1, 2024Last 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.
12.7
22% worse than Connecticut averageConnecticut average: 10.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.8
8% 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
24.1%
28% worse than Connecticut averageConnecticut average: 18.9%
Percent of long-stay residents whose ability to move independently worsened
20.5%
7% worse than Connecticut averageConnecticut average: 19.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.8%
5% better than Connecticut averageConnecticut average: 24.9%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
56% better than Connecticut averageConnecticut average: 3.5%
Percent of long-stay high risk residents with pressure ulcers
6.9%
51% worse than Connecticut averageConnecticut average: 4.6%
Percent of long-stay residents with a urinary tract infection
2.3%
38% worse than Connecticut averageConnecticut average: 1.7%
Percent of long-stay residents who lose too much weight
10.4%
66% worse than Connecticut averageConnecticut average: 6.3%
Percent of long-stay residents who have depressive symptoms
7.6%
50% better than Connecticut averageConnecticut average: 15.2%
Percent of long-stay residents who received an antipsychotic medication
20.2%
18% worse than Connecticut averageConnecticut average: 17.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
48.5%
45% worse than Connecticut averageConnecticut average: 87.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
68.5%
27% worse than Connecticut averageConnecticut average: 93.5%
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
11.2%
84% worse than Connecticut averageConnecticut average: 70.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Connecticut averageConnecticut average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
25.0%
64% worse than Connecticut averageConnecticut average: 69.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.1%
20% worse than Connecticut averageConnecticut average: 25.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
2.7%
76% 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.
53.6%
In line with Connecticut averageConnecticut average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
57.7%
14% 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.
21% of new residents, usually for short-term rehab.
41% of new residents, often for short stays.
38% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
118Residents 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 Hewitt Health & Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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 #65 / 73Payroll — State benchmarkedThis home is ranked 65th 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 #26 / 73Payroll % — State benchmarkedThis home is ranked 26th 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).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (41% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
12.0 miles from city center
Estimated distance in miles from Shelton's city center to Hewitt Health & Rehabilitation Center's address, calculated via Google Maps.
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The information below is reported by the Connecticut Department of Public Health, Facility Licensing and Investigations Section.
| 3030 Park by Senior Living Hospitality | NH AL IL MC | Bridgeport (Brooklawn/St. Vincent) | 23
Facility
23
CT AVG
111
Rank
#117 / 123 |
78.4%
Facility
78.4%
CT AVG
84%
Rank
#60 / 72 | -7% | 5.50
Facility
5.50
CT AVG
3.97
Rank
#7 / 67 | +39% | +38% | $8.0k
Facility
$8.0k
CT AVG
$43.8k
Rank
#37 / 69 | 15
Facility
15
CT AVG
32.0
Rank
#10 / 69 | 5.0
Facility
5.0
CT AVG
5.8
Rank
#28 / 69 | 1 | 20 | - |
45
Facility
45
CT AVG
47
Rank
#143 / 264 | Ct Watermark Operator LLC | $21.2M
Facility
$21.2M
CT AVG
$19.0M
Rank
#39 / 73 | $9.3M
Facility
$9.3M
CT AVG
$7.2M
Rank
#43 / 73 | 43.7%
Facility
43.7%
CT AVG
42.4%
Rank
#46 / 73 | 75440 | ||||
| Pomperaug Woods | NH AL HC IL MC RC | Southbury (Southbury Historic District No. 1) | 37
Facility
37
CT AVG
111
Rank
#108 / 123 |
81.1%
Facility
81.1%
CT AVG
84%
Rank
#55 / 72 | -3% | 5.75
Facility
5.75
CT AVG
3.97
Rank
#2 / 67 | +26% | +45% | $20.9k
Facility
$20.9k
CT AVG
$43.8k
Rank
#54 / 69 | 14
Facility
14
CT AVG
32.0
Rank
#8 / 69 | 7.0
Facility
7.0
CT AVG
5.8
Rank
#54 / 69 | 1 | 28 | - |
34
Facility
34
CT AVG
47
Rank
#178 / 264 | Dennis Fitzgerald | $12.8M
Facility
$12.8M
CT AVG
$19.0M
Rank
#60 / 73 | $6.8M
Facility
$6.8M
CT AVG
$7.2M
Rank
#59 / 73 | 53.6%
Facility
53.6%
CT AVG
42.4%
Rank
#19 / 73 | 75318 | ||||
| Hewitt Health & Rehabilitation Center | NH MC | Shelton (Maltby Street) | 206
Facility
206
CT AVG
111
Rank
#11 / 123 |
78.8%
Facility
78.8%
CT AVG
84%
Rank
#58 / 72 | -6% | 3.68
Facility
3.68
CT AVG
3.97
Rank
#36 / 67 | -42% | -7% | $8.0k
Facility
$8.0k
CT AVG
$43.8k
Rank
#37 / 69 | 61
Facility
61
CT AVG
32.0
Rank
#65 / 69 | 6.8
Facility
6.8
CT AVG
5.8
Rank
#53 / 69 | 1 | 114 | - |
74
Facility
74
CT AVG
47
Rank
#50 / 264 | - | $11.5M
Facility
$11.5M
CT AVG
$19.0M
Rank
#64 / 73 | $6.6M
Facility
$6.6M
CT AVG
$7.2M
Rank
#65 / 73 | 57.3%
Facility
57.3%
CT AVG
42.4%
Rank
#26 / 73 | 75047 | ||||
| Jewish Senior Services | NH AL IL MC | Bridgeport (North End) | 294
Facility
294
CT AVG
111
Rank
#3 / 123 |
97.6%
Facility
97.6%
CT AVG
84%
Rank
#3 / 72 | +16% | 4.72
Facility
4.72
CT AVG
3.97
Rank
#16 / 67 | -22% | +19% | $58.3k
Facility
$58.3k
CT AVG
$43.8k
Rank
#60 / 69 | 23
Facility
23
CT AVG
32.0
Rank
#25 / 69 | 4.6
Facility
4.6
CT AVG
5.8
Rank
#21 / 69 | 2 | 281 | - |
36
Facility
36
CT AVG
47
Rank
#173 / 264 | Jewish Home For The Elderly Of Fairfield County Incorporated | $64.1M
Facility
$64.1M
CT AVG
$19.0M
Rank
#1 / 73 | $40.8M
Facility
$40.8M
CT AVG
$7.2M
Rank
#1 / 73 | 63.6%
Facility
63.6%
CT AVG
42.4%
Rank
#45 / 73 | 75353 | ||||
| Northbridge Health Care Center | NH HC MC NC RC | Bridgeport (Brooklawn/St. Vincent) | 145
Facility
145
CT AVG
111
Rank
#29 / 123 |
89.0%
Facility
89.0%
CT AVG
84%
Rank
#37 / 72 | +6% | 3.85
Facility
3.85
CT AVG
3.97
Rank
#29 / 67 | -94% | -3% | $57.3k
Facility
$57.3k
CT AVG
$43.8k
Rank
#59 / 69 | 32
Facility
32
CT AVG
32.0
Rank
#45 / 69 | 4.6
Facility
4.6
CT AVG
5.8
Rank
#21 / 69 | 2 | 125 | - |
75
Facility
75
CT AVG
47
Rank
#46 / 264 | Erica Roman | $16.5M
Facility
$16.5M
CT AVG
$19.0M
Rank
#16 / 73 | $11.8M
Facility
$11.8M
CT AVG
$7.2M
Rank
#24 / 73 | 71.3%
Facility
71.3%
CT AVG
42.4%
Rank
#68 / 73 | 75413 |
Hewitt Health & Rehabilitation Center is located in Shelton, Connecticut.
Here are the financial assistance programs available to residents in Connecticut.
Hewitt Health & Rehabilitation Center is in the Maltby Street neighborhood.
Hewitt Health & Rehabilitation Center has a walk score of 74. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Hewitt Health & Rehabilitation Center's occupancy is 78.8%.
Yes — there are 38 photos of Hewitt Health & Rehabilitation Center in the photo gallery on this page.
Hewitt Health & Rehabilitation Center is located at 45 Maltby St, Shelton, CT 06484.
(203) 924-4671 will put you in contact with the team at Hewitt Health & Rehabilitation Center.
Yes — Hewitt Health & Rehabilitation Center is a CMS-certified provider of Medicare and Medicaid.
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