Elder Care Record

Connecticut › Nw Hills County › Salisbury

Noble Horizons

17 Cobble Rd, Salisbury, CT 06068

CCN 075236 · Non-profit, corporation · 91 certified beds

Special Focus Facility candidate
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.

Noble Horizons, in Salisbury, Connecticut, is certified for 91 beds under non-profit, corporation ownership.

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

Inspectors recorded 51 health deficiencies across the three most recent survey cycles (23, 22, 6 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 56.0 per 100 beds, more than the state median of 29.2.

CMS lists 4 penalties in the period covered: fines totalling $152K and 1 payment denial.

Reported nurse staffing is 3.7 hours per resident per day (1.0 RN), close to the Connecticut median of 3.7; nursing staff turnover is 35.5%.

CMS flags that the facility is a Special Focus Facility candidate.

51health deficiencies, 3 survey cycles5 at actual harm or worse
$152Kfines listed by CMS4 penalties in period
3.7nurse hours per resident per daystate median 3.7
67%occupancy (residents ÷ beds)61 residents a day

Compared with county, state and nation

MeasureThis facilityNw Hills Co. medianConnecticut medianUS average
Overall star rating2333.0
Health citations, 3 cycles51403528.7
Citations per 100 beds56.039.829.226.8
Total nurse hours per resident day3.73.53.73.9
RN hours per resident day1.00.70.60.7
Nursing staff turnover35.5%35.5%35.9%45.8%
Fines listed$151,542$11,190$8,021—

County and state figures are medians across facilities (9 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)23
Cycle 222
Cycle 36

Dark bar: this facility. Grey bar: Connecticut average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Feb 2026, 21 Mar 2024.

Severity mix: K ×1 G ×4 D ×34 E ×10 F ×1 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
23 Apr 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation4 Jun 2026
23 Apr 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation4 Jun 2026
23 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation4 Jun 2026
23 Apr 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation4 Jun 2026
27 Feb 2026F0880Provide and implement an infection prevention and control program.KStandard survey10 Apr 2026
27 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey10 Apr 2026
27 Feb 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard survey10 Apr 2026
27 Feb 2026F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard survey10 Apr 2026
27 Feb 2026F0638Assure that each resident’s assessment is updated at least once every 3 months.EStandard survey10 Apr 2026
27 Feb 2026F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.EStandard survey10 Apr 2026
27 Feb 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey10 Apr 2026
27 Feb 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey10 Apr 2026
27 Feb 2026F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard survey10 Apr 2026
27 Feb 2026F0578Honor 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 survey10 Apr 2026
27 Feb 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey10 Apr 2026
27 Feb 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey10 Apr 2026
27 Feb 2026F0610Respond appropriately to all alleged violations.DStandard survey10 Apr 2026
27 Feb 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey10 Apr 2026
27 Feb 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey10 Apr 2026
27 Feb 2026F0730Observe each nurse aide's job performance and give regular training.DStandard survey10 Apr 2026
27 Feb 2026F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard survey10 Apr 2026
27 Feb 2026F0881Implement a program that monitors antibiotic use.DStandard survey10 Apr 2026
27 Feb 2026F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey10 Apr 2026
9 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation16 Aug 2024
24 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation5 Jun 2024
24 Apr 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation5 Jun 2024
21 Mar 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard survey2 May 2024
21 Mar 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey2 May 2024
21 Mar 2024F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.EStandard survey2 May 2024
21 Mar 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey2 May 2024
21 Mar 2024F0578Honor 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 survey2 May 2024
21 Mar 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey2 May 2024
21 Mar 2024F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey2 May 2024
21 Mar 2024F0637Assess the resident when there is a significant change in conditionDStandard survey2 May 2024
21 Mar 2024F0638Assure that each resident’s assessment is updated at least once every 3 months.DStandard survey2 May 2024
21 Mar 2024F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey2 May 2024
21 Mar 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey2 May 2024
21 Mar 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey2 May 2024
21 Mar 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey2 May 2024
21 Mar 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey2 May 2024
21 Mar 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey2 May 2024
21 Mar 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey2 May 2024
21 Mar 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey2 May 2024
21 Mar 2024F0760Ensure that residents are free from significant medication errors.DStandard survey2 May 2024
21 Mar 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey2 May 2024
21 Mar 2024F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard survey2 May 2024
21 Mar 2024F0880Provide and implement an infection prevention and control program.DStandard survey2 May 2024
21 Mar 2024F0732Post nurse staffing information every day.CStandard survey2 May 2024
20 Oct 2021F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey30 Nov 2021
20 Oct 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey30 Nov 2021
20 Oct 2021F0880Provide and implement an infection prevention and control program.DStandard survey30 Nov 2021

Penalties

DateTypeAmountDetail
27 Feb 2026Payment denial—8 days
27 Feb 2026Fine$126,965
9 Jul 2024Fine$14,050
21 Mar 2024Fine$10,527

Staffing

Total nursing3.74 h
Nurse aides2.21 h
LPN0.54 h
RN0.99 h
Weekend total3.41 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Connecticut average. Turnover: nursing staff 35.5%, RNs 20.0%; 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 Stay28.0%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.1%0.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.7%1.2%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay9.4%3.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.0%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay14.9%15.3%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay7.2%3.8%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay12.5%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: non-profit, corporation. Legal business name: Church Homes, Inc. Congregational.

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 Nw Hills County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Geer Nursing and RehabilitationCanaan1205451815.0$25K7 Nov 2024
Sharon Center For Health & RehabilitationSharon884353539.8—27 Apr 2026
Torrington Center For Nursing & Rehabilitation LLCTorrington754354154.7—11 May 2026
Village Crest Center For Health & RehabilitationNew Milford954332627.4$24K6 May 2025
Candlewood Rehabilitation and Healthcare CenterNew Milford1483334027.0$25K27 Apr 2026
Havencare At Valerie Manorabuse iconTorrington1512214529.8—26 May 2026
Wolcott Hall Nursing Center, IncTorrington602323355.0$11K7 Jan 2026
Havencare At Litchfield Woodsabuse iconTorrington1601146641.3$8K5 May 2026

All 9 facilities in Nw Hills County

Questions and answers

How many deficiencies has Noble Horizons been cited for?

51 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Connecticut median is 35 per facility.

Has Noble Horizons been fined?

Yes. CMS lists fines totalling $152K in the period covered, plus 1 payment denial.

How does staffing at Noble Horizons 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 Noble Horizons?

Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.

When was Noble Horizons last inspected?

The most recent survey or investigation in the CMS record is dated 23 Apr 2026; the most recent standard health survey was 27 Feb 2026.

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.