Connecticut › Capitol County › Windsor
Complete Care At Kimberly Hall-South
1 Emerson Drive, Windsor, CT 06095
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Complete Care At Kimberly Hall-South, in Windsor, Connecticut, is certified for 180 beds under for-profit, limited liability company ownership and belongs to the Complete Care chain.
CMS gives it 4 of 5 stars overall, above the Connecticut median of 3; the health inspection rating is 3, staffing 2 and quality measures 5.
Inspectors recorded 37 health deficiencies across the three most recent survey cycles (7, 18, 12 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 20.6 per 100 beds, fewer than the state median of 29.2.
CMS lists 1 penalty in the period covered: fines totalling $15K.
Reported nurse staffing is 3.7 hours per resident per day (0.7 RN), close to the Connecticut median of 3.7; nursing staff turnover is 27.4%.
Compared with county, state and nation
| Measure | This facility | Capitol Co. median | Connecticut median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 37 | 37 | 35 | 28.7 |
| Citations per 100 beds | 20.6 | 27.3 | 29.2 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.6 | 3.7 | 3.9 |
| RN hours per resident day | 0.7 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 27.4% | 33.9% | 35.9% | 45.8% |
| Fines listed | $14,728 | $8,018 | $8,021 | — |
County and state figures are medians across facilities (65 in the county, 191 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Connecticut average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Nov 2024, 23 May 2022.
Severity mix: J ×1 D ×29 E ×4 B ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 1 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 12 Jun 2025 |
| 1 May 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 12 Jun 2025 |
| 3 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 20 Feb 2025 |
| 3 Feb 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | J | Complaint investigation | 3 Feb 2025 |
| 3 Feb 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 7 Feb 2025 |
| 14 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 14 Feb 2025 |
| 14 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 14 Feb 2025 |
| 19 Nov 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 26 Dec 2024 |
| 19 Nov 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 26 Dec 2024 |
| 19 Nov 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 26 Dec 2024 |
| 19 Nov 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 26 Dec 2024 |
| 19 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 26 Dec 2024 |
| 19 Nov 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 26 Dec 2024 |
| 19 Nov 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 26 Dec 2024 |
| 13 Sep 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 17 Oct 2024 |
| 13 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 17 Oct 2024 |
| 13 Sep 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 17 Oct 2024 |
| 15 Jul 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 21 Aug 2024 |
| 15 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 21 Aug 2024 |
| 3 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 7 Aug 2024 |
| 19 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 30 Nov 2023 |
| 23 May 2022 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 30 Jun 2022 |
| 23 May 2022 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Standard survey | 30 Jun 2022 |
| 23 May 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Jun 2022 |
| 23 May 2022 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 30 Jun 2022 |
| 23 May 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 30 Jun 2022 |
| 23 May 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 30 Jun 2022 |
| 23 May 2022 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 30 Jun 2022 |
| 23 May 2022 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | B | Standard survey | 30 Jun 2022 |
| 24 Oct 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 5 Dec 2019 |
| 24 Oct 2019 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 5 Dec 2019 |
| 24 Oct 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 5 Dec 2019 |
| 24 Oct 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 5 Dec 2019 |
| 24 Oct 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 5 Dec 2019 |
| 24 Oct 2019 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 5 Dec 2019 |
| 24 Oct 2019 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 5 Dec 2019 |
| 24 Oct 2019 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | B | Standard survey | 5 Dec 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Jan 2025 | Fine | $14,728 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Connecticut average. Turnover: nursing staff 27.4%, RNs 38.5%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Connecticut median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 31.1% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 3.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 31.5% | 15.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.7% | 17.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Complete Care At Kimberly Hall South Llc. Chain: Complete Care (85 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pc Gen Ct Opco Holdco LLC | 5% or greater direct ownership interest | 100% | 11/15/2022 |
| Pc Gen Ct Opco Topco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/15/2022 |
| Pc Gen Ct Topco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/15/2022 |
| Des Capital LLC | Indirect ownership interest | NOT APPLICABLE | 11/15/2022 |
| Jrk Investments LLC | Indirect ownership interest | NOT APPLICABLE | 11/15/2022 |
| Des Capital LLC | Adp of the snf | NOT APPLICABLE | 11/15/2022 |
| Jrk Investments LLC | Adp of the snf | NOT APPLICABLE | 11/15/2022 |
| Kimberly Hall South Propco LLC | Adp of the snf | NOT APPLICABLE | 11/15/2022 |
| Pc Gen Ct Topco LLC | Adp of the snf | NOT APPLICABLE | 11/15/2022 |
| Peace Capital Holdings LLC | Adp of the snf | NOT APPLICABLE | 11/15/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Capitol County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| 60 West | Rocky Hill | 95 | 5 | 5 | 5 | 16 | 16.8 | — | 24 Jun 2025 |
| Autumn Lake Healthcare At New Britain | New Britain | 282 | 5 | 5 | 2 | 25 | 8.9 | — | 24 Apr 2026 |
| Bradley Home Infirmary/Pavilion | Meriden | 30 | 5 | 4 | 5 | 18 | 60.0 | $8K | 3 Feb 2026 |
| Elim Park Baptist Home, Inc | Cheshire | 90 | 5 | 4 | 5 | 19 | 21.1 | $8K | 13 Sep 2024 |
| Jefferson House | Newington | 104 | 5 | 4 | 5 | 25 | 24.0 | — | 28 Jan 2025 |
| Jerome Home | New Britain | 94 | 5 | 4 | 5 | 21 | 22.3 | $8K | 25 Jul 2025 |
| John L. Levitow Health Care Center | Rocky Hill | 125 | 5 | 4 | 5 | 15 | 12.0 | — | 25 Feb 2025 |
| Livewell Connecticut | Plantsville | 120 | 5 | 4 | 5 | 9 | 7.5 | — | 23 Apr 2026 |
All 65 facilities in Capitol County
Questions and answers
How many deficiencies has Complete Care At Kimberly Hall-South been cited for?
37 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Connecticut median is 35 per facility.
Has Complete Care At Kimberly Hall-South been fined?
Yes. CMS lists fines totalling $15K in the period covered.
How does staffing at Complete Care At Kimberly Hall-South compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Connecticut median of 3.7 and a national average of 3.9.
Who operates Complete Care At Kimberly Hall-South?
It is part of the Complete Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Pc Gen Ct Opco Holdco LLC, Pc Gen Ct Opco Topco LLC and Pc Gen Ct Topco LLC. Individual owners and managers are not listed on this site.
When was Complete Care At Kimberly Hall-South last inspected?
The most recent survey or investigation in the CMS record is dated 1 May 2025; the most recent standard health survey was 19 Nov 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.