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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.
The Nathaniel Witherell, a 208-bed nursing home with memory care services, occupies 70 Parsonage Road in Greenwich, Fairfield County, and has operated continuously since 2009 under governance by the Town of Greenwich.
The current census stands at 176 residents in 208 licensed beds (85% occupancy), aligned with state averages. The community draws patients across three payment models: Medicare beneficiaries represent 58% of new admissions (averaging one month), private-pay residents 36% (two to three months), and Medicaid beneficiaries 6% (averaging four years).
Staff fluently communicate in Spanish, Tagalog, Filipino, Vietnamese, Haitian, French, and Jamaican Creole.
Inspection history from 2018 through July 2025 documents persistent compliance challenges. Across 16 state inspections, inspectors cited 98 deficiencies; a rate of 12.3 annually versus Connecticut’s 2.4-per-year baseline, representing a 413% excess.
The predominant deficiency categories center on abuse prevention (substantiated incidents of verbal abuse, inappropriate sexual gestures, and physical assault documented in 2023 and 2024), resident rights protections, and quality of life standards. Inspectors substantiated failure to report abuse allegations timely to state authorities, failure to remove named staff from care assignments during investigations, and grossly inadequate supervision during mechanical lift transfers, one instance resulting in resident fall. Additional findings included an unwitnessed fall never reported by nursing staff (resident sustained subarachnoid hemorrhage), delayed physician notification of critical condition changes linked to resident death, and systemic incomplete care planning.
A single federal civil money penalty of $5,000 (January 2024) was assessed; the facility has incurred zero payment denials from Medicare or Medicaid.
Registered nurse hours total 4 hours 20 minutes per resident daily, running 7% above Connecticut’s average. Weekend RN coverage specifically reaches 39% above state levels, reflecting elevated clinical oversight during weekend shifts.
Services encompass Alzheimer’s care, cardiac and stroke rehabilitation, IV infusion therapy, pulmonary rehabilitation, hospice, wound care management, and outpatient physical therapy.
Private rooms cost $699 daily; semi-private rooms $656 daily.
Annual operating results show a deficit of $6 million against $30.1 million in revenue; a pattern of financial loss sustained over multiple consecutive years.
The Nathaniel Witherell remains available to Medicare, Medicaid, and private-pay residents in the Greenwich area, with inspection records documenting significant ongoing compliance needs and financial strain despite above-average nursing staffing commitments.
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 20th 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.
| 53m per day | ▲ 26% 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.
| 44m per day | ▼ 12% 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 35m per day | ▲ 13% 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 49m per day | ▲ 12% 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.
| 39m per day | ▲ 39% State avg: 28m per day · National avg: 29m per day |
Similar to 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.
| 98 | 19 | This facility has 416% more total deficiencies than a typical Connecticut nursing home (98 vs. CT avg 19).↑ 416% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 12.3 | 2.4 | This facility has 413% more deficiencies per year than a typical Connecticut nursing home (12.3 vs. CT avg 2.4).↑ 413% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 6.1 | 1.5 | This facility has 307% more deficiencies per inspection than a typical Connecticut nursing home (6.1 vs. CT avg 1.5).↑ 307% worse |
Inspections
| This Facility | CT Average | vs. CT Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 16 | 13 | This facility has 23% more total inspections than a typical Connecticut nursing home (16 vs. CT avg 13).↑ 23% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The facility’s inspection record is mixed, with repeated deficiencies in abuse prevention, care planning, and supervision despite some corrections. On July 28, 2025, inspectors cited three deficiencies including failure to supervise mechanical lift transfers and inadequate diabetes monitoring, resulting in a resident fall without injury. Earlier investigations substantiated multiple abuse incidents, delayed reporting, and incomplete care plans, with several deficiencies related to resident dignity, fall prevention, and documentation from 2023 through 2024.
Connecticut average 5.7
Last Health inspection on Dec 2024
Connecticut average 32
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).
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.
41% worse 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 30 RN Staff are full-time employees. No contractors work on this role.
30
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursAssists with medical care and medications.
All 30 LPN Staff are full-time employees. No contractors work on this role.
30
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 87 CNA Staff are full-time employees. No contractors work on this role.
87
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,376 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 87 | 0 | 87 | 39,148 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 30 | 0 | 30 | 12,010 | 92 | 100% | 7.6 |
| Registered Nurse | 30 | 0 | 30 | 8,175 | 92 | 100% | 7.6 |
| Clinical Nurse Specialist | 14 | 0 | 14 | 4,969 | 92 | 100% | 7.7 |
| Other Social Services Staff | 4 | 0 | 4 | 1,433 | 65 | 71% | 6.3 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 1,354 | 77 | 84% | 6.5 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,068 | 63 | 68% | 6.6 |
| Physical Therapy Assistant | 0 | 7 | 7 | 934 | 79 | 86% | 6 |
| Physical Therapy Aide | 0 | 2 | 2 | 853 | 64 | 70% | 7.1 |
| Occupational Therapy Aide | 1 | 1 | 2 | 818 | 62 | 67% | 7.5 |
| Other Dietary Services Staff | 2 | 0 | 2 | 762 | 66 | 72% | 6.6 |
| Speech Language Pathologist | 0 | 2 | 2 | 754 | 66 | 72% | 6.7 |
| Qualified Activities Professional | 0 | 1 | 1 | 523 | 60 | 65% | 8.7 |
| Qualified Social Worker | 0 | 2 | 2 | 436 | 64 | 70% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 413 | 55 | 60% | 7.5 |
| Administrator | 1 | 0 | 1 | 375 | 50 | 54% | 7.5 |
| Occupational Therapy Assistant | 0 | 6 | 6 | 95 | 55 | 60% | 1.3 |
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)
90% lower than Connecticut averageConnecticut average: $44K
43% fewer 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
Jan 30, 2024 · $5K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 30, 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.
14.6
41% worse than Connecticut averageConnecticut average: 10.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.3
34% 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
26.2%
39% worse than Connecticut averageConnecticut average: 18.9%
Percent of long-stay residents whose ability to move independently worsened
27.5%
43% worse than Connecticut averageConnecticut average: 19.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.3%
26% worse than Connecticut averageConnecticut average: 24.9%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
20% worse than Connecticut averageConnecticut average: 3.5%
Percent of long-stay high risk residents with pressure ulcers
5.1%
12% worse than Connecticut averageConnecticut average: 4.6%
Percent of long-stay residents with a urinary tract infection
0.5%
69% better than Connecticut averageConnecticut average: 1.7%
Percent of long-stay residents who lose too much weight
10.2%
63% worse than Connecticut averageConnecticut average: 6.3%
Percent of long-stay residents who have depressive symptoms
0.8%
95% better than Connecticut averageConnecticut average: 15.2%
Percent of long-stay residents who received an antipsychotic medication
20.3%
18% worse than Connecticut averageConnecticut average: 17.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
75.0%
14% worse than Connecticut averageConnecticut average: 87.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.3%
In line with Connecticut averageConnecticut average: 93.5%
Number of hospitalizations per 1,000 long-stay resident days.
2.68
28% worse than Connecticut averageConnecticut average: 2.10
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.05
31% better 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
88.1%
26% better than Connecticut averageConnecticut average: 70.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
13% better than Connecticut averageConnecticut average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.7%
16% better than Connecticut averageConnecticut average: 69.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.8%
19% worse than Connecticut averageConnecticut average: 25.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.5%
23% better than Connecticut averageConnecticut average: 11.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.7%
16% better than Connecticut averageConnecticut average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
50.7%
6% worse than Connecticut averageConnecticut average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
29.4%
42% worse 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.
58% of new residents, usually for short-term rehab.
36% of new residents, often for short stays.
6% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
180Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, 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 The Nathaniel Witherell 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 #4 / 72Payroll — State benchmarkedThis home is ranked 4th 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.
Most residents typically stay for a few weeks or months before returning home or moving on.
3.3 miles from city center
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)
Add your location
The Nathaniel Witherell is located in Greenwich, Connecticut.
Here are the financial assistance programs available to residents in Connecticut.
The Nathaniel Witherell is in the Parsonage Road neighborhood of Greenwich.
The team at The Nathaniel Witherell speaks Filipino, French, Haitian, Jamaican, Spanish, Tagalog, and Vietnamese.
The Nathaniel Witherell has a walk score of 5. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to CT state health department records, The Nathaniel Witherell's license number is 564C.
According to CT state health department records, The Nathaniel Witherell's license expires on September 30, 2027.
The Nathaniel Witherell's occupancy is 85%.
Yes — there are 6 photos of The Nathaniel Witherell in the photo gallery on this page.
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