Elder Care Record

Connecticut › Southeastern Ct County › Mystic

Pendleton Rehabilitation and Nursing Center

44 Maritime Drive, Mystic, CT 06355

CCN 075341 · For-profit, limited liability company · 120 certified beds · chain Atlas Healthcare

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 120 beds, Pendleton Rehabilitation and Nursing Center serves Mystic in Southeastern Ct County, Connecticut and has taken Medicare and Medicaid residents since 1991.

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

Inspectors recorded 32 health deficiencies across the three most recent survey cycles (10, 16, 6 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 26.7 per 100 beds, about the same as the state median of 29.2.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.8 hours per resident per day (0.7 RN), close to the Connecticut median of 3.7; nursing staff turnover is 33.7%.

32health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.8nurse hours per resident per daystate median 3.7
96%occupancy (residents ÷ beds)116 residents a day

Compared with county, state and nation

MeasureThis facilitySoutheastern Ct Co. medianConnecticut medianUS average
Overall star rating5433.0
Health citations, 3 cycles32323528.7
Citations per 100 beds26.732.329.226.8
Total nurse hours per resident day3.83.53.73.9
RN hours per resident day0.70.70.60.7
Nursing staff turnover33.7%35.2%35.9%45.8%
Fines listed$0$16,065$8,021—

County and state figures are medians across facilities (14 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)10
Cycle 216
Cycle 36

Dark bar: this facility. Grey bar: Connecticut average per facility for the same cycle, as published by CMS. Standard health survey dates: 23 Jan 2025, 1 Dec 2022.

Severity mix: G ×1 D ×24 E ×3 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
18 Nov 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation23 Dec 2025
6 Aug 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation8 Sep 2025
23 Jan 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey24 Feb 2025
23 Jan 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey24 Feb 2025
23 Jan 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey24 Feb 2025
23 Jan 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation24 Feb 2025
23 Jan 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey24 Feb 2025
23 Jan 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey24 Feb 2025
23 Jan 2025F0584Honor 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.BStandard survey24 Feb 2025
23 Jan 2025F0641Ensure each resident receives an accurate assessment.BStandard survey24 Feb 2025
18 Sep 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation30 Oct 2024
14 May 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation17 Jun 2024
29 Nov 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation8 Jan 2024
29 Nov 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation8 Jan 2024
1 Dec 2022F0761Ensure 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 survey12 Jan 2023
1 Dec 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey12 Jan 2023
1 Dec 2022F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard survey12 Jan 2023
1 Dec 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey12 Jan 2023
1 Dec 2022F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey12 Jan 2023
1 Dec 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey12 Jan 2023
1 Dec 2022F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey12 Jan 2023
1 Dec 2022F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey12 Jan 2023
1 Dec 2022F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey12 Jan 2023
1 Dec 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey12 Jan 2023
1 Dec 2022F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard survey12 Jan 2023
1 Dec 2022F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey12 Jan 2023
1 Dec 2022F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey12 Jan 2023
1 Dec 2022F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey12 Jan 2023
1 Dec 2022F0732Post nurse staffing information every day.CStandard survey12 Jan 2023
12 Dec 2019F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey23 Jan 2020
12 Dec 2019F0578Honor 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 survey23 Jan 2020
12 Dec 2019F0641Ensure each resident receives an accurate assessment.BStandard survey23 Jan 2020

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.75 h
Nurse aides2.16 h
LPN0.87 h
RN0.72 h
Weekend total3.35 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Connecticut average. Turnover: nursing staff 33.7%, RNs 12.5%; 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 Stay11.0%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.5%0.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.2%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.6%3.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay10.1%15.3%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.4%3.8%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay16.5%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: Pendleton Snf Operations Llc. Chain: Atlas Healthcare (29 facilities).

OrganisationRole in the CMS recordInterestSince
Ct-2 Operations Holdings LLC5% or greater direct ownership interest100%09/01/2022
Ct-2 Opco Manager LLCOperational/managerial controlNOT APPLICABLE09/01/2022
44 Maritime Drive Realty LLCAdp of the snfNOT APPLICABLE07/03/2025
Ct-2 Opco Manager LLCAdp of the snfNOT APPLICABLE07/04/2025
Pendleton Realty Holdings LLCAdp of the snfNOT APPLICABLE09/01/2022

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 Southeastern Ct County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Avalon Health Care Center At StoneridgeMystic40555717.5$8K4 Mar 2025
Bride Brook Rehabilitation & Nursing CenterNiantic130554118.5—23 Apr 2025
Complete Care At Groton RegencyGroton1625422113.0—29 Jan 2026
Beechwood Health & Rehabilitation CenterNew London604422338.3—21 Nov 2025
FairviewGroton1204411714.2—13 Apr 2026
Norwich Sub-Acute and NursingNorwich1204422319.2$47K4 Jun 2026
Apple Rehab MysticMystic602313253.3$17K8 May 2026
Apple Rehab UncasvilleUncasville1302234232.3$16K16 Dec 2025

All 14 facilities in Southeastern Ct County

Questions and answers

How many deficiencies has Pendleton Rehabilitation and Nursing Center been cited for?

32 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 Pendleton Rehabilitation and Nursing Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Pendleton Rehabilitation and Nursing Center compare?

Reported total nurse staffing is 3.8 hours per resident per day against a Connecticut median of 3.7 and a national average of 3.9.

Who operates Pendleton Rehabilitation and Nursing Center?

It is part of the Atlas Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Ct-2 Operations Holdings LLC and Ct-2 Opco Manager LLC. Individual owners and managers are not listed on this site.

When was Pendleton Rehabilitation and Nursing Center last inspected?

The most recent survey or investigation in the CMS record is dated 18 Nov 2025; the most recent standard health survey was 23 Jan 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.