Elder Care Record

Connecticut › Northeastern Ct County › Windham

Douglas Manor

103 North Road, Windham, CT 06280

CCN 075258 · For-profit, limited liability company · 90 certified beds · chain Ryders Health Management

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Certified for 90 beds, Douglas Manor serves Windham in Northeastern Ct County, Connecticut and has taken Medicare and Medicaid residents since 1976.

CMS gives it 1 of 5 stars overall, below the Connecticut median of 3; the health inspection rating is 1, staffing 4 and quality measures 2.

Inspectors recorded 57 health deficiencies across the three most recent survey cycles (25, 24, 8 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 63.3 per 100 beds, more than the state median of 29.2.

CMS lists 1 penalty in the period covered: fines totalling $8K.

Reported nurse staffing is 3.6 hours per resident per day (0.5 RN), close to the Connecticut median of 3.7; nursing staff turnover is 31.7%.

57health deficiencies, 3 survey cycles1 at actual harm or worse
$8Kfines listed by CMS1 penalty in period
3.6nurse hours per resident per daystate median 3.7
91%occupancy (residents ÷ beds)82 residents a day

Compared with county, state and nation

MeasureThis facilityNortheastern Ct Co. medianConnecticut medianUS average
Overall star rating1333.0
Health citations, 3 cycles57303528.7
Citations per 100 beds63.329.129.226.8
Total nurse hours per resident day3.63.93.73.9
RN hours per resident day0.50.80.60.7
Nursing staff turnover31.7%41.0%35.9%45.8%
Fines listed$8,278$12,735$8,021—

County and state figures are medians across facilities (8 in the county, 191 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)25
Cycle 224
Cycle 38

Dark bar: this facility. Grey bar: Connecticut average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 Apr 2025, 13 Mar 2023.

Severity mix: G ×1 D ×38 E ×14 B ×3 C ×1

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
8 Apr 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation20 May 2026
8 Apr 2026F0585Honor 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.DComplaint investigation20 May 2026
15 Oct 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation21 Nov 2025
15 Oct 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation21 Nov 2025
18 Aug 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint investigation29 Sep 2025
18 Aug 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation29 Sep 2025
18 Aug 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation29 Sep 2025
22 Apr 2025F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.EStandard survey28 Jun 2025
22 Apr 2025F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey28 Jun 2025
22 Apr 2025F0567Honor the resident's right to manage his or her financial affairs.EStandard survey28 Jun 2025
22 Apr 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey28 Jun 2025
22 Apr 2025F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.EStandard survey28 Jun 2025
22 Apr 2025F0761Ensure 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.EStandard survey28 Jun 2025
22 Apr 2025F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.EStandard survey28 Jun 2025
22 Apr 2025F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey28 Jun 2025
22 Apr 2025F0578Honor 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.DStandard survey28 Jun 2025
22 Apr 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation28 Jun 2025
22 Apr 2025F0610Respond appropriately to all alleged violations.DComplaint investigation28 Jun 2025
22 Apr 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey28 Jun 2025
22 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey28 Jun 2025
22 Apr 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey28 Jun 2025
22 Apr 2025F0791Provide or obtain dental services for each resident.DStandard survey28 Jun 2025
22 Apr 2025F0880Provide and implement an infection prevention and control program.DStandard survey28 Jun 2025
22 Apr 2025F0570Assure the security of all personal funds of residents deposited with the facility.CStandard survey28 Jun 2025
22 Apr 2025F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.BStandard survey28 Jun 2025
7 Apr 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation19 May 2025
7 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation19 May 2025
6 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation23 Dec 2024
30 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation10 Sep 2024
30 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation10 Sep 2024
13 Mar 2023F0585Honor 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.EStandard survey24 Apr 2023
13 Mar 2023F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard survey24 Apr 2023
13 Mar 2023F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.EStandard survey24 Apr 2023
13 Mar 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey24 Apr 2023
13 Mar 2023F0880Provide and implement an infection prevention and control program.EStandard survey24 Apr 2023
13 Mar 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey24 Apr 2023
13 Mar 2023F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard survey24 Apr 2023
13 Mar 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey24 Apr 2023
13 Mar 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey24 Apr 2023
13 Mar 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey24 Apr 2023
13 Mar 2023F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey24 Apr 2023
13 Mar 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey24 Apr 2023
13 Mar 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey24 Apr 2023
13 Mar 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey24 Apr 2023
13 Mar 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey24 Apr 2023
13 Mar 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey24 Apr 2023
13 Mar 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey24 Apr 2023
13 Mar 2023F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey24 Apr 2023
13 Mar 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey24 Apr 2023
13 Mar 2023F0888Ensure staff are vaccinated for COVID-19DStandard survey24 Apr 2023
13 Mar 2023F0641Ensure each resident receives an accurate assessment.BStandard survey24 Apr 2023
5 Feb 2020F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey18 Mar 2020
5 Feb 2020F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey18 Mar 2020
5 Feb 2020F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey18 Mar 2020
5 Feb 2020F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey18 Mar 2020
5 Feb 2020F0610Respond appropriately to all alleged violations.DStandard survey18 Mar 2020
5 Feb 2020F0730Observe each nurse aide's job performance and give regular training.BStandard survey18 Mar 2020

Penalties

DateTypeAmountDetail
15 Oct 2025Fine$8,278

Staffing

Total nursing3.57 h
Nurse aides1.97 h
LPN1.08 h
RN0.52 h
Weekend total3.28 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Connecticut average. Turnover: nursing staff 31.7%, RNs 10.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityConnecticut medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay26.9%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.0%0.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.4%1.2%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.7%3.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.2%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay20.0%15.3%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.7%3.8%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay23.5%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: Windham Nursing & Rehabilitation Llc. Chain: Ryders Health Management (7 facilities).

No organisations are listed in the CMS ownership record for this facility.

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 Northeastern Ct County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Matulaitis Rehabilitation & Skilled CarePutnam1195541512.6—2 Jul 2026
Pierce Memorial Baptist Home, Inc.Brooklyn725452737.5$13K17 Jun 2026
Colonial Health & Rehab Center of Plainfield, LLCPlainfield904442527.8$13K8 Jun 2026
Saint Josephs Living Center IncWindham1203342218.3$13K1 Apr 2026
Westview Health Care CenterDayville1033253029.1—26 Nov 2025
Davis PlaceDanielson1901123116.3$14K3 Jun 2026
Villa Maria Nursing and Rehabilitation CommunityPlainfield5611263112.5$36K15 Jun 2026

All 8 facilities in Northeastern Ct County

Questions and answers

How many deficiencies has Douglas Manor been cited for?

57 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 Douglas Manor been fined?

Yes. CMS lists fines totalling $8K in the period covered.

How does staffing at Douglas Manor compare?

Reported total nurse staffing is 3.6 hours per resident per day against a Connecticut median of 3.7 and a national average of 3.9.

Who operates Douglas Manor?

It is part of the Ryders Health Management chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.

When was Douglas Manor last inspected?

The most recent survey or investigation in the CMS record is dated 8 Apr 2026; the most recent standard health survey was 22 Apr 2025.

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.