Inspection Report Summary
The most recent inspection on November 10, 2025, identified deficiencies and resulted in a citation related to a complaint investigation. Earlier inspections showed a mixed record, with some renewal inspections finding no violations, such as the one on March 21, 2025, while others, including the December 20, 2024 renewal, noted violations. The main themes of deficiencies involved regulatory compliance issues linked to complaint investigations, though follow-up audits in mid-2024 confirmed correction of prior cited deficiencies. Complaint investigations were mostly unsubstantiated except for the recent case leading to the citation. The inspection history suggests some recurring compliance challenges, but also shows efforts to address and correct identified issues over time.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
0 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Same as Connecticut average
Connecticut average: 5.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
90% occupied
Based on a November 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Monitoring
Census: 108
Capacity: 120
Deficiencies: 0
Nov 10, 2025
Visit Reason
The inspection visit was conducted as a strike monitoring visit related to a complaint investigation #2663729.
Findings
Violations of the General Statutes of Connecticut and/or regulations were identified at the time of this inspection, and a citation was issued to the facility. Additional narrative and violation letters are attached but not included in this report.
Complaint Details
Complaint investigation #2663729 was referenced in relation to this visit.
Report Facts
Licensed Bed Capacity: 120
Census: 108
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Serrano | Administrator | Personnel contacted during the inspection |
| Marlene Schaffner | Director of Nursing | Personnel contacted during the inspection |
Inspection Report
Renewal
Census: 110
Capacity: 120
Deficiencies: 0
Mar 21, 2025
Visit Reason
The inspection was conducted as a licensing renewal inspection for the facility.
Findings
No violations of the General Statutes of Connecticut and/or regulations were identified at the time of this inspection. A desk audit was completed on 3/25/2025.
Report Facts
Licensed Bed Capacity: 120
Census: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Serrano | Administrator notified of violation correction | |
| Jennifer Green | RN | Report submitted by |
Inspection Report
Renewal
Census: 109
Capacity: 120
Deficiencies: 0
Dec 20, 2024
Visit Reason
The inspection was conducted as a licensing renewal inspection and included review of complaint investigations numbered 34413, 39996, 40652, and 41620.
Findings
The report indicates that violations of the General Statutes of Connecticut and/or regulations were identified during the inspection, with attached violation letters referenced but not included in the provided pages.
Complaint Details
Complaint investigations #34413, #39996, #40652, and #41620 were reviewed during this inspection.
Report Facts
Licensed Bed Capacity: 120
Census: 109
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Serrano | Administrator | Personnel contacted during the inspection. |
| Marlene Schaffner | DWS | Personnel contacted during the inspection. |
Inspection Report
Follow-Up
Census: 112
Capacity: 120
Deficiencies: 0
Aug 21, 2024
Visit Reason
A desk audit was conducted to review the plan of correction related to previous deficiencies cited on 6/17/24 associated with complaints CT00034667 and CT00039263, to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
The deficiencies previously cited have been corrected and no new non-compliance was found during the desk audit.
Report Facts
Licensed Bed Capacity: 120
Census: 112
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marlene Schaffner | Director of Nursing | Personnel contacted during the inspection |
Inspection Report
Follow-Up
Census: 118
Capacity: 120
Deficiencies: 0
Jun 21, 2024
Visit Reason
A desk audit was conducted to review the implementation of the Plan of Correction for a prior violation letter dated 2024-05-30.
Findings
Violations #1 and #2 were identified as corrected as of 2024-06-05. The Administrator was notified via telephone that all violations were corrected.
Report Facts
Licensed Bed/Bassinet Capacity: 120
Census: 118
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Serrano | Administrator | Notified of correction of violations during desk audit |
Inspection Report
Complaint Investigation
Census: 116
Capacity: 120
Deficiencies: 0
Jun 7, 2024
Visit Reason
The inspection visit was conducted as a complaint investigation related to Complaint Investigations #39417.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Complaint Details
Complaint Investigation #39417 was conducted and found no violations.
Report Facts
Census: 116
Licensed Bed Capacity: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Serrano | Administrator | Personnel contacted during inspection |
| Marlene Schaffner | Director of Nursing | Personnel contacted during inspection |
| Deborah Smith | RN, NC | Report submitted by |
Inspection Report
Original Licensing
Deficiencies: 0
Oct 29, 2021
Visit Reason
This document is a Pre-Licensure Consent Order for Waterbury Center for Nursing & Rehabilitation LLC seeking an initial license to operate a Chronic and Convalescent Nursing Home in Connecticut.
Findings
The order outlines extensive requirements and conditions for the facility's initial licensing, including contracting with an Independent Nurse Consultant (INC), staffing ratios, infection preventionist designation, quality assurance programs, environmental consulting firm engagement, and compliance monitoring. It sets forth detailed operational, staffing, and compliance obligations to ensure patient safety and regulatory adherence.
Report Facts
INC consulting hours: 16
INC consulting duration: 6
Nurse aide staffing ratio 1st shift: 10
Nurse aide staffing ratio 2nd shift: 12
Nurse aide staffing ratio 3rd shift: 20
Licensed nurse staffing ratio all shifts: 30
Medical record audits: 5
Quality Assurance Committee meeting frequency: 30
Water management program development timeframe: 28
Emergency preparedness plan development timeframe: 56
In-service Coordinator training hours: 8
Environmental Consulting Firm contract timeframe: 14
Initial onsite review scheduling timeframe: 30
ECF report development timeframe: 30
ECF re-evaluation frequency: 90
ECF re-evaluation report development timeframe: 14
Vendor payment timeframe: 90
Record retention period for nurse supervisor reports: 1825
Record retention period for quality assurance meeting minutes: 1095
Record retention period for daily rounds documentation: 1825
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Menajem Salamon | Member | Member of Waterbury Center for Nursing & Rehabilitation LLC and signatory of the Pre-Licensure Consent Order |
| Donna Ortelle | Section Chief, Healthcare Quality and Safety Branch | Representative of the Connecticut Department of Public Health and signatory of the Pre-Licensure Consent Order |
Report
Dec 1, 2025
File
complaint-inspection_2025-12-01.pdf
Report
Feb 11, 2025
File
complaint-inspection_2025-02-11.pdf
Report
Dec 20, 2024
File
complaint-inspection_2024-12-20.pdf
Report
Dec 20, 2024
File
health-inspection_2024-12-20.pdf
Report
Jun 17, 2024
File
complaint-inspection_2024-06-17.pdf
Report
May 16, 2024
File
complaint-inspection_2024-05-16.pdf
Report
Jun 23, 2022
File
health-inspection_2022-06-23.pdf
Report
Nov 1, 2019
File
health-inspection_2019-11-01.pdf
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