Total health inspections
5
Connecticut average 5.7
Last Health inspection on Apr 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Independent Living Home
The Watermark at East Hill
Located in a serene picturesque area in Southbury, The Watermark at East Hill offers residential independent living and assisted living services. Residents can expect nothing but elegance and luxury at the cozy senior living home. The spirited retirement home performs nothing less than exceptional service offered by its professional and compassionate staff. The Watermark is a community that proudly raises senior members to thrive in the community.
The Watermark offers a range of services for its residents such as scheduled local transportation is available upon request; a calendar of activities is given to each resident with a list of classes, outings, and other events coming up.
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.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
96
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
69.8%
Residents per day (avg)
24
Occupancy rate
69.8%
Residents per day (avg)
24
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
53% of new residents, usually for short-term rehab.
Typical stay
23 days
Private pay
47% of new residents, often for short stays.
Typical stay
8 - 9 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$17.5M
Operating loss
-$7.2M
Privately-owned community
Operated by a business corporation.
Home revenue
$17,539,580.00
Operating loss
$-7,169,470.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.8M
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.
$17.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$24.7M
Walk Score: 6 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
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
Additional licensing details
CMS Certification Number:
75441
Types of Care at The Watermark at East Hill
Independent Living
Assisted Living
Memory Care
Nursing Home
Health Inspection History
Inspections
Total health citations
28
Connecticut average 32
Citations per inspection
5.6
Connecticut average 5.82
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
25 of 28 citations resulted from standard inspections; and 3 of 28 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
0
0
100% better than Connecticut averageConnecticut average: 0.7
0 critical citations
0 serious citations
26 moderate citations
2 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 14, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 14, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Apr 14, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Apr 14, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 08, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 08, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Jan 08, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Jan 08, 2025
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 Independent Living around Bridgeport The information below is reported by the Connecticut Department of Public Health, Facility Licensing and Investigations Section.
The Watermark at East Hill
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.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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).
Southbury (Heritage Village)
96
No
A+
6
studio / 1 bed / 2 bed
Pomperaug Woods
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.
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.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
Southbury
37
No
-
34
Semi-Private / Private Suite / Studio
River Valley Retirement Community
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
Trumbull (Trumbull Center)
-
Yes
-
19
Studio / 1 Bed / 2 Bed
Spring Meadows
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.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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.
Trumbull (Tashua)
-
No
-
20
studio / 1 bed / 2 bed
The Ivy at Watertown
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.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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.
Watertown (Oakville)
-
No
-
48
studio / 1 bed / 2 bed
Living Spaces & Floor Plans
The Watermark At East Hill Al 1 Br
The Watermark At East Hill Al 2Br
The Watermark At East Hill Il 1Br
The Watermark At East Hill Il 2Br
The Watermark At East Hill Mc Studio
Places of interest near The Watermark at East Hill
27.5 miles from city center — 8.72 miles to nearest hospital (Yale New Haven Health Urgent Care Brookfield)
611 E Hill Rd, Southbury, CT 06488
Calculate Travel Distance to The Watermark at East Hill
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
108
Employees
78
Contractors
30
Staff to resident ratio
4.00:1
113% better than Connecticut averageConnecticut average ratio: 1.88:1
Avg staff/day
24
Average shift
7.1 hours
5% worse than Connecticut averageConnecticut average: 7.5 hours
Total staff hours (quarter)
15,420
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
39
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
13.9%
2,143 contractor hours this quarter
Respiratory Therapy Technician: 9
Speech Language Pathologist: 6
Physical Therapy Assistant: 4
Physical Therapy Aide: 3
Qualified Social Worker: 3
Medical Director: 2
Registered Nurse: 1
Occupational Therapy Assistant: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 39 | 0 | 39 | 5,750 | 91 | 100% | 8.1 |
| Registered Nurse | 18 | 1 | 19 | 2,340 | 91 | 100% | 8.5 |
| Licensed Practical Nurse | 7 | 0 | 7 | 2,250 | 91 | 100% | 8.2 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 935 | 67 | 74% | 7.7 |
| Speech Language Pathologist | 0 | 6 | 6 | 751 | 66 | 73% | 5 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Physical Therapy Aide | 0 | 3 | 3 | 467 | 66 | 73% | 6.5 |
| Physical Therapy Assistant | 0 | 4 | 4 | 436 | 76 | 84% | 4 |
| Other Dietary Services Staff | 4 | 0 | 4 | 304 | 40 | 44% | 7.6 |
| Dietitian | 1 | 0 | 1 | 280 | 36 | 40% | 7.8 |
| Administrator | 1 | 0 | 1 | 248 | 62 | 68% | 4 |
| Respiratory Therapy Technician | 0 | 9 | 9 | 202 | 71 | 78% | 2 |
| Occupational Therapy Aide | 1 | 1 | 2 | 189 | 26 | 29% | 7.3 |
| Qualified Social Worker | 0 | 3 | 3 | 174 | 51 | 56% | 3.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 57 | 27 | 30% | 2.1 |
| Medical Director | 0 | 2 | 2 | 39 | 26 | 29% | 1.5 |
| RN Director of Nursing | 1 | 0 | 1 | 24 | 6 | 7% | 4.1 |
39 Certified Nursing Assistant
% of Days
100%
19 Registered Nurse
% of Days
100%
7 Licensed Practical Nurse
% of Days
100%
4 Clinical Nurse Specialist
% of Days
74%
6 Speech Language Pathologist
% of Days
73%
1 Mental Health Service Worker
% of Days
69%
1 Nurse Practitioner
% of Days
65%
3 Physical Therapy Aide
% of Days
73%
4 Physical Therapy Assistant
% of Days
84%
4 Other Dietary Services Staff
% of Days
44%
1 Dietitian
% of Days
40%
1 Administrator
% of Days
68%
9 Respiratory Therapy Technician
% of Days
78%
2 Occupational Therapy Aide
% of Days
29%
3 Qualified Social Worker
% of Days
56%
1 Occupational Therapy Assistant
% of Days
30%
2 Medical Director
% of Days
29%
1 RN Director of Nursing
% of Days
7%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
27 residents
Residents by payment source
Medicare
14 residents (51.9%)
Private pay or other
13 residents (48.1%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
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.
12.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.8
23% 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.
35.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
35.6
69% worse than Connecticut averageConnecticut average: 21.1
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
34.6%
Percent of long-stay residents whose need for help with daily activities has increased
34.6%
83% worse than Connecticut averageConnecticut average: 18.9%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
36.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
36.5%
46% worse than Connecticut averageConnecticut average: 24.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
8.3%
Percent of long-stay residents experiencing one or more falls with major injury
8.3%
141% worse than Connecticut averageConnecticut average: 3.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.2%
Percent of long-stay high risk residents with pressure ulcers
8.2%
79% worse than Connecticut averageConnecticut average: 4.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.9%
Percent of long-stay residents with a urinary tract infection
2.9%
74% worse than Connecticut averageConnecticut average: 1.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.0%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Connecticut averageConnecticut average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Connecticut averageConnecticut average: 15.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
27.8%
Percent of long-stay residents who received an antipsychotic medication
27.8%
62% worse than Connecticut averageConnecticut average: 17.2%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
14% better than Connecticut averageConnecticut average: 87.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.2%
29% better than Connecticut averageConnecticut average: 70.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Connecticut averageConnecticut average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.4%
34% better than Connecticut averageConnecticut average: 69.8%
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
$25K
43% 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.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
654% more payment denials than Connecticut averageConnecticut average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$25K
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.
Aug 19, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 19, 2025
$25K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jun 21, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jun 21, 2024
26 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for The Watermark at East Hill based on CMS SNF Cost Reports.
Occupancy Rate
69.8%
↓ 8.3pp vs 2022
Net Income
-$7,169,470
↓ ~$1.6M vs 2022
Total Payroll
$7,845,820
↑ ~$856K vs 2022
Profit Margin
-41.9%
↓ 9.5pp vs 2022
Loading trend charts...
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