The Nathaniel Witherell

Nursing Home in Greenwich

CMS overall rating Info 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.
The Nathaniel Witherell

Nursing Home in Greenwich

CMS overall rating Info 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.

Overview of The Nathaniel Witherell

An award-winning center of care, The Nathaniel Witherell offers the highest level of skilled nursing, providing a bright and healthy lifestyle for its long-term residents, and state-of-the-art therapeutic rehab for those requiring short-term and sub-acute, post-hospitalization care. At this premier skilled nursing, rehabilitation, and memory care community, professional caregivers practice compassion and kindness, ready to attend to each individual’s needs; they excel in creating an environment that is tightly knit between residents, their families, and staff.

The Nathaniel Witherell assures an enriched lifestyle for residents to feel inspired to maintain a purposeful life. Senior adults enjoy the Witherell’s high level of comprehensive services which focus on holistic wellness. They offer ADLs, exercise programs, cultural enrichment, religious and transportation services, housekeeping and laundry services, daily nutritious meals, and specialized programs – all in a home-like setting.

(203) 618-4200

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
2/5 ▼ 1.4 Connecticut average: 3.4/5
Health Inspection Info 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.
1/5 ▼ 2.1 Connecticut average: 3.1/5
Staffing Info 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.
5/5 ▲ 1.6 Connecticut average: 3.4/5
Quality Measures Info 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.
2/5 ▼ 1.6 Connecticut average: 3.6/5

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Connecticut state averages

Total nursing care / resident Info This home is ranked 21st out of 70 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.
4h 20m per day
This facility Connecticut avg (4h 4m per day)
vs Connecticut avg
+7%

0 of 5 metrics below state avg

Standout metric RN (Weekend) is +39% above state avg
Staff type Hours / day vs state avg
Registered Nurse (RN) Info 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. 53m per day ▲ 26% State avg: 42m per day · National avg: 41m per day
Nurse Aide Info 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 35m per day ▲ 13% State avg: 2h 17m per day · National avg: 2h 21m per day
Total Nursing (Weekend) Info 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 50m per day ▲ 12% State avg: 3h 25m per day · National avg: 3h 26m per day
Physical Therapist Info 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) Info 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. 39m per day ▲ 39% State avg: 28m per day · National avg: 29m per day

Capacity and availability

High-capacity home

May provide extensive amenities, services and programs.

Total beds 202
Avg. Length of Stay
120 days

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

58% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

36% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

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

Typical stay 4 years

Finances and operations

Governmental community
Operated by city and county authorities.
Home revenue
$30.1M
Operating deficit
-$6.0M
Governmental community Operated by city and county authorities.
Home revenue
$30.1M
Operating deficit
-$6.0M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$15.0M
49.9% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$21.0M
Total costs $36.0M
Years in operation
17 years in operation
A community with a solid operating history and experience delivering ongoing care.
Walk Score
Walk Score: 5 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

Services

Alzheimers
Cardiac; Orthopedic And Stroke
Dementia Care
Hospice
Iv Therapy
Outpatient Therapy
Pulmonary Rehabilitation
Recreation

About this community

Occupancy

Occupancy rate
85%
In line with Connecticut average
Occupied beds
176 / 208
Average residents 102 per day

License Details

Facility TypeChronic & Convalescent Nursing Home
StatusActive
IssuanceJanuary 10, 2009
ExpirationSeptember 30, 2027
License Number564C

Room costs

Private Room (64 rooms) $699 per day
Semi-Private Room (69 rooms) $656 per day

Staffing

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

Languages Spoken

Filipino French Haitian Jamaican Spanish Tagalog Vietnamese

Staff Composition (State Data)

Admin
3 FTE
Registered Nurse
26 FTE
Licensed Practical Nurse
22 FTE
Nursing Assistant
77 FTE
Recreation
7 FTE
Social Services
3 FTE
Dietary
21 FTE

Additional Policies & Features

Religious ServicesAll Denominations, Catholic, Chaplain Service, Jewish, Protestant

Types of Care at The Nathaniel Witherell

Nursing Home Memory Care

Contact The Nathaniel Witherell

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.

16 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

1 visits/inspections triggered by complaints

15 routine inspections

Breakdown by inspection type
  • 1 complaint investigation
  • 7 plans of correction
  • 1 statement of deficiencies

Results

8 with issues

0 without issues

Connecticut average: 13 visits/inspections

Latest inspection

Date February 3, 2025

Inspection history

02-01-2024 Inspection Report
02-01-2024 Plan of Correction
02-03-2025 Inspection Report
02-03-2025 Plan of Correction
02-05-2024 Inspection Report
02-27-2024 Inspection Report
03-08-2022 Inspection Report
03-11-2021 Plan of Correction
05-15-2024 Inspection Report
06-07-2023 Inspection Report
06-09-2022 Plan of Correction
06-10-2022 Inspection Report
06-10-2022 Inspection Report
06-16-2020 Plan of Correction
06-26-2024 Inspection Report
06-26-2024 Inspection Report
07-22-2020 Statement of Deficiencies
08-07-2024 Inspection Report
08-10-2023 Inspection Report
09-19-2019 Plan of Correction
09-30-2019 Plan of Correction
10-30-2024 Inspection Report
11-17-2023 Inspection Report
12-13-2023 Inspection Report

99 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Connecticut average: 19 deficiencies

Inspection Report Summary for The Nathaniel Witherell

The most recent inspection on October 29, 2024, found that all previously identified violations had been corrected. Earlier inspections showed a pattern of deficiencies related mainly to resident care issues such as failure to report and assess falls, inadequate wound care, and concerns about resident dignity and abuse. Several complaint investigations were substantiated, including findings of abuse and failure to report incidents timely. Enforcement actions such as plans of correction were required, but fines or license suspensions were not listed in the available reports. The facility’s record shows improvement over time, with recent audits confirming correction of prior violations.

Health Inspection History

Inspections
Total health inspections 8

Connecticut average 5.7


Last Health inspection on Dec 2024

Total health citations 53

Connecticut average 32

Citations per inspection
6.62

Connecticut average 5.82


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

37 of 53 citations resulted from standard inspections; 12 of 53 resulted from complaint investigations; and 4 of 53 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Connecticut average

Connecticut average: 0.3


Serious Health citations More info 0
100% better than Connecticut average

Connecticut average: 0.7

0 critical citations More info Connecticut average: 0.3

0 serious citations More info Connecticut average: 0.7

49 moderate citations More info Connecticut average: 28.8

4 minor citations More info Connecticut average: 2.3
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Dec 20, 2024
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Dec 20, 2024
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Dec 20, 2024
Corrected

Administration moderate citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Dec 20, 2024
Corrected

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

2 facilities compared · CMS & CT Dept. of Health data · Updated Apr 2026

Filter by care type
The Nathaniel Witherell
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

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).

Greenwich (Parsonage Road) 202 86.5% +3% 4.33 +39% +9% 1 53 6.6 0 166 - 5 Town Of Greenwich $29.8M $15.0M 50.4% 75117
Greenwich Nursing and Health Care Registry -
HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

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).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Greenwich - - - - - - - - - 0 0 0.0 0 - - 74 - - - - -

Financial Assistance for
Nursing Home in Connecticut

Get Financial aid guidance

Connecticut Home Care Program for Elders

CHCPE

Age 65+
General 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

Two tiers (state and Medicaid); waitlists possible.

Benefits
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

Age
General Caregiver of senior with dementia, Connecticut resident.
Income Limits ~$2,500/month individual, varies
Asset Limits $40,000 individual
CT

Limited to dementia caregivers; capped funding.

Benefits
In-home respite (up to 30 days/year) Adult day care (~$70/day)

Congregate Housing Services Program (CHSP)

Connecticut Congregate Housing Services Program

Age 62+
General 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

Limited to 14 state-subsidized sites; participants pay 10% of service costs.

Benefits
Personal care (3-5 hours/day) Meals ($5-$7/meal) Housekeeping Transportation (~5 trips/month)

Medicare Savings Program (MSP)

Connecticut Medicare Savings Program

Age 65+ or disabled
General 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

Three tiers (Qualified Medicare Beneficiary, Specified Low-Income, Additional Low-Income); no asset test.

Benefits
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)

Age 55+
General unemployed, low-income, Connecticut resident.
Income Limits (2025) ~$1,983/month 125% FPL, individual
Asset Limits Not specified; income-focused.
CT

Priority for veterans, rural residents; limited slots (~500/year).

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

Places of interest near The Nathaniel Witherell

Address 3.3 miles from city center Info Estimated distance in miles from Greenwich's city center to The Nathaniel Witherell's address, calculated via Google Maps. — 3.83 miles to nearest hospital (Stamford Hospital)

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 202
Employees 178
Contractors 24
Staff to resident ratio 1.12:1
40% worse than Connecticut average

Connecticut average ratio: 1.88:1

Avg staff/day 103
Average shift 7.7 hours
0% compared with Connecticut average

Connecticut average: 7.5 hours

Total staff hours (quarter) 71,916
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 31
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 95
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

7.1%

5,131 contractor hours this quarter

Respiratory Therapy Technician: 6 Physical Therapy Assistant: 5 Occupational Therapy Assistant: 5 Physical Therapy Aide: 3 Qualified Social Worker: 2 Speech Language Pathologist: 2 Occupational Therapy Aide: 1
Staff by category
Certified Nursing Assistant 95 0 95 38,602 91 100% 8
Licensed Practical Nurse 27 0 27 11,122 91 100% 7.7
Registered Nurse 31 0 31 7,971 91 100% 7.8
Clinical Nurse Specialist 13 0 13 4,801 91 100% 7.6
Respiratory Therapy Technician 0 6 6 1,371 76 84% 6.7
Other Social Services Staff 4 0 4 1,242 64 70% 6.4
Physical Therapy Assistant 0 5 5 1,151 72 79% 6.1
Mental Health Service Worker 3 0 3 1,011 64 70% 6.6
Occupational Therapy Aide 1 1 2 960 64 70% 7.5
Physical Therapy Aide 0 3 3 885 71 78% 7.2
Speech Language Pathologist 0 2 2 744 65 71% 6.8
Other Dietary Services Staff 2 0 2 740 70 77% 6.6
Qualified Social Worker 0 2 2 418 63 69% 6.6
Administrator 1 0 1 413 55 60% 7.5
Nurse Practitioner 1 0 1 405 54 59% 7.5
Occupational Therapy Assistant 0 5 5 83 56 62% 1.2
95 Certified Nursing Assistant
% of Days 100%
27 Licensed Practical Nurse
% of Days 100%
31 Registered Nurse
% of Days 100%
13 Clinical Nurse Specialist
% of Days 100%
6 Respiratory Therapy Technician
% of Days 84%
4 Other Social Services Staff
% of Days 70%
5 Physical Therapy Assistant
% of Days 79%
3 Mental Health Service Worker
% of Days 70%
2 Occupational Therapy Aide
% of Days 70%
3 Physical Therapy Aide
% of Days 78%
2 Speech Language Pathologist
% of Days 71%
2 Other Dietary Services Staff
% of Days 77%
2 Qualified Social Worker
% of Days 69%
1 Administrator
% of Days 60%
1 Nurse Practitioner
% of Days 59%
5 Occupational Therapy Assistant
% of Days 62%

Facility Characteristics

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

Total residents 180
Medicare
36
20% of residents
Medicaid
107
59.4% of residents
Private pay or other
37
20.6% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 14.6
41% worse than Connecticut average

Connecticut average: 10.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 28.3
34% worse than Connecticut average

Connecticut average: 21.1

Long-stay resident measures
Below average Connecticut avg: 3.2 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 26.2%
39% worse than Connecticut average

Connecticut average: 18.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 27.5%
43% worse than Connecticut average

Connecticut average: 19.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 31.3%
26% worse than Connecticut average

Connecticut average: 24.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.1%
20% worse than Connecticut average

Connecticut average: 3.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.1%
12% worse than Connecticut average

Connecticut average: 4.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.5%
69% better than Connecticut average

Connecticut average: 1.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 10.2%
63% worse than Connecticut average

Connecticut average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.8%
95% better than Connecticut average

Connecticut average: 15.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 20.3%
18% worse than Connecticut average

Connecticut average: 17.2%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 75.0%
14% worse than Connecticut average

Connecticut average: 87.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92.3%
In line with Connecticut average

Connecticut average: 93.5%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.68
28% worse than Connecticut average

Connecticut average: 2.10

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.05
31% better than Connecticut average

Connecticut average: 1.53

Short-stay resident measures
Below average Connecticut avg: 3.3 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.1%
26% better than Connecticut average

Connecticut average: 70.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.3%
13% better than Connecticut average

Connecticut average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 80.7%
16% better than Connecticut average

Connecticut average: 69.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 29.8%
19% worse than Connecticut average

Connecticut average: 25.0%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.5%
23% better than Connecticut average

Connecticut average: 11.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.7%
16% better than Connecticut average

Connecticut average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 50.7%
6% worse than Connecticut average

Connecticut average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 29.4%
42% worse than Connecticut average

Connecticut average: 50.6%

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 $5K
90% lower than Connecticut average

Connecticut average: $44K

Number of fines 1
43% fewer fines than Connecticut average

Connecticut average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Connecticut average

Connecticut average: 0.1

Fines amount comparison
Fines amount comparison
This facility $5K
Connecticut average $44K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 30, 2024
$5K

Last updated: Jan 2026

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