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Water's Edge Center for Health & RehabilitationCMS ratings, inspections and fines

Address
111 Church Street, Middletown, CT 06457
CCN
075381
Ownership type
For-profit, corporation
Certified beds
150
Residents per day
138
CMS flags
  • CMS abuse icon
CMS star ratings
Overall rating3 of 5
Health inspection rating2 of 5
Staffing rating2 of 5
Quality measure rating5 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Water's Edge Center for Health & Rehabilitation an overall rating of 3 of 5 stars. The last standard survey was on 25 Mar 2026. The latest survey cycle has 14 health citations. The median for nursing homes in Connecticut is 12. CMS lists 3 fines with a total of $99,037 for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Water's Edge Center for Health & Rehabilitation, with medians
Rating (1 to 5 stars)This homeLower Connecticut River Valley Planning Region medianConnecticut medianUS average (CMS)
Overall rating33.03.03.0
Health inspection rating22.03.02.8
Staffing rating23.03.02.9
Quality measure rating53.04.03.6

A median is the middle value of the homes in the group: 17 homes in the planning region, 191 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Water's Edge Center for Health & Rehabilitation in the last three survey cycles
Survey cycleStandard surveyCitationsConnecticut median
Cycle 1 (latest)25 Mar 20261412
Cycle 23 Jul 20241513
Cycle 3No date77

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 36 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyK0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harmF0
No actual harm, potential for minimal harmA0C0

Survey cycle 1 (latest): 14 citations

Standard survey of this cycle: .

Health citations of Water's Edge Center for Health & Rehabilitation in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
25 Mar 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey1 May 2026
25 Mar 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey1 May 2026
25 Mar 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GStandard survey1 May 2026
25 Mar 2026F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey1 May 2026
25 Mar 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey1 May 2026
25 Mar 2026F0610Respond appropriately to all alleged violations.DStandard survey1 May 2026
25 Mar 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey1 May 2026
25 Mar 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey9 Mar 2026
25 Mar 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey1 May 2026
25 Mar 2026F0760Ensure that residents are free from significant medication errors.DComplaint investigation9 Mar 2026
25 Mar 2026F0825Provide or get specialized rehabilitative services as required for a resident.DStandard survey1 May 2026
25 Mar 2026F0880Provide and implement an infection prevention and control program.DStandard survey1 May 2026
5 Mar 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation30 Apr 2026
5 Mar 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigationPast Non-Compliance

Survey cycle 2: 15 citations

Standard survey of this cycle: .

Health citations of Water's Edge Center for Health & Rehabilitation in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
30 Jul 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation12 May 2025
30 Jul 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation12 May 2025
30 Jan 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation24 Jan 2025
30 Jan 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation24 Jan 2025
17 Dec 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation20 Jan 2025
7 Aug 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation17 Sep 2024
3 Jul 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey9 Aug 2024
3 Jul 2024F0584Honor 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.EComplaint investigation9 Aug 2024
3 Jul 2024F0625Notify 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.BStandard survey9 Aug 2024
3 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey9 Aug 2024
3 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation5 Jul 2024
3 Jul 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey9 Aug 2024
3 Jul 2024F0791Provide or obtain dental services for each resident.EStandard survey9 Aug 2024
3 Jul 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey9 Aug 2024
3 Jul 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey9 Aug 2024

Survey cycle 3: 7 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Water's Edge Center for Health & Rehabilitation in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
8 Jul 2024F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DComplaint investigation29 Jul 2024
2 Apr 2024F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint investigation14 May 2024
2 Jan 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation13 Feb 2024
24 Oct 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation5 Dec 2023
3 Mar 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey14 Apr 2022
3 Mar 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey14 Apr 2022
3 Mar 2022F0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.EStandard survey14 Apr 2022

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Water's Edge Center for Health & Rehabilitation in the CMS penalties file
DateTypeFineDays without payment
5 Mar 2026Fine$63,000
5 Mar 2026Fine$20,395
3 Jul 2024Fine$15,642

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Water's Edge Center for Health & Rehabilitation
StaffThis homeConnecticut medianConnecticut average (CMS)
All nurse staff3.613.703.73
Registered nurses (RN)0.460.600.69
Licensed practical nurses (LPN)0.830.82
Nurse aides2.322.22
All nurse staff, weekends3.263.303.37
Nurse staff turnover in a year
39.2%
Nurse staff turnover, Connecticut median
35.9%
RN turnover in a year
40.0%
Administrators who left in a year
0

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Water's Edge Center for Health & Rehabilitation, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeConnecticut medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay6.7%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%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 Stay4.7%3.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.3%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay10.7%15.3%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.1%3.8%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.4%17.6%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, corporation
Legal business name
Harbor Hill Care Center, Inc.
Chain
National Health Care Associates (42 homes in the CMS chain file)

The CMS ownership record of this home lists no organisation.

The site shows organisations only. It does not show the names of persons.

Other homes in Lower Connecticut River Valley Planning Region

The 12 nearest other nursing homes in Lower Connecticut River Valley Planning Region, Connecticut
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Apple Rehab MiddletownMiddletown3 of 524$07 Oct 2024
Wadsworth Glen Health Care and Rehabilitation CentMiddletown1 of 513$011 Aug 2025
Portland Care & Rehab Centre, IncPortland5 of 54$10,03310 Mar 2026
Cobalt Lodge Health Care and Rehabilitation CenterSpecial Focus candidateCobalt1 of 532$37,44019 Nov 2024
Apple Rehab CoccomoMeriden1 of 521$14,0694 Aug 2025
Connecticut Baptist Homes, IncMeriden2 of 510$83,94730 Mar 2026
Twin Maples Healthcare, IncDurham3 of 510$24,92822 May 2025
Complete Care at MeridenMeriden4 of 510$8,82717 Feb 2026
Meriden Health and RehabMeriden1 of 511$29,96513 Jan 2025
Curtis Home St Elizabeth Center, TheMeriden1 of 514$10,35811 Mar 2025
Silver Springs Care CenterMeriden3 of 513$24,15020 Dec 2024
Chestelm Health and Rehabilitation CenterMoodus5 of 59$026 Nov 2024

All 17 nursing homes in Lower Connecticut River Valley Planning Region

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Water's Edge Center for Health & Rehabilitation (CCN 075381). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/water-s-edge-center-for-health-rehabilitation-middletown-ct-075381/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Water's Edge Center for Health & Rehabilitation last inspected?
The latest inspection with a citation in the CMS record was on 25 Mar 2026. It was a standard survey and a complaint investigation. It gave 12 citations. The standard survey before the last one was on 3 Jul 2024.
Who operates Water's Edge Center for Health & Rehabilitation?
The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain National Health Care Associates. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
Is Water's Edge Center for Health & Rehabilitation a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Connecticut as a Special Focus Facility and 5 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.