Chestelm Health and Rehabilitation Center

Name: Chestelm Health and Rehabilitation Center
Address: 534 TOWN ST, Moodus, CT, 06469, US
Telephone: 8608731455

534 Town St, Moodus, CT 06469 · Lower Ct River Vly County · 76 certified beds · avg 71 residents/day · certified since May 1, 1986

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.61

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (13)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Aug 13, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Aug 13, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Nov 26, 2024	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Nov 26, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Nov 26, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Nov 26, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 26, 2024	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Nov 26, 2024	C · Minimal risk, facility-wide	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Nov 26, 2024	B · Minimal risk, repeated	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Feb 15, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Feb 15, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 15, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jan 30, 2020	E · Potential for harm, repeated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 7).

Year	Citations	Worst severity that year
2020	1	E
2023	3	D
2024	7	E
2025	2	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Connecticut avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.61	3.80	3.95	top 15% in Connecticut; top 20% in the U.S.
Registered Nurse hours	0.97	0.70	0.69	top 18% in Connecticut; top 17% in the U.S.
Weekend total nurse staffing	4.17	3.43	3.50	top 16% in Connecticut; top 18% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.70	0.46	0.48	top 12% in Connecticut; top 16% in the U.S.
Total nursing staff turnover (%)	42.7	37.4	45.8	bottom 28% in Connecticut; top 44% in the U.S.
RN turnover (%)	26.7	38.6	42.9	top 27% in Connecticut; top 24% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.24, RN 0.89, weekend 3.84. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Chestelm Skilled Operations Holdco LLC	Organization	5% or Greater Direct Ownership Interest	100%	02/27/2025
MFK Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	50%	02/27/2025
Promos First LLC	Organization	5% or Greater Indirect Ownership Interest	50%	02/27/2025
Cavicke, Dana	Individual	Operational/Managerial Control	NOT APPLICABLE	02/27/2025
Cavicke, Dana	Individual	ADP of the SNF	NOT APPLICABLE	07/27/2025
Horowitz, Pinchos	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/27/2025
Horowitz, Pinchos	Individual	Operational/Managerial Control	NOT APPLICABLE	02/27/2025
Horowitz, Pinchos	Individual	ADP of the SNF	NOT APPLICABLE	02/27/2025
Kalmanowitz, Mark	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/27/2025
Kalmanowitz, Mark	Individual	Operational/Managerial Control	NOT APPLICABLE	02/27/2025
Kalmanowitz, Mark	Individual	ADP of the SNF	NOT APPLICABLE	02/27/2025
Marinar, Brenda	Individual	Operational/Managerial Control	NOT APPLICABLE	02/27/2025
Marinar, Brenda	Individual	ADP of the SNF	NOT APPLICABLE	02/27/2025
MFK Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/27/2025
Promos First LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/27/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Aaron Manor Nursing & Rehabilitation	6.0 mi	Chester, CT	★★☆☆☆	2/5
Cobalt Lodge Health Care and Rehabilitation Center	7.6 mi	Cobalt, CT	★☆☆☆☆	1/5	abuseSFF
Apple Rehab Colchester	8.7 mi	Colchester, CT	★☆☆☆☆	1/5	abuse
Complete Care at Harrington Court	8.7 mi	Colchester, CT	★★☆☆☆	2/5
Essex Meadows Health Center	10.4 mi	Essex, CT	★★★★★	4/5
Apple Rehab Middletown	11.4 mi	Middletown, CT	★★★☆☆	2/5
Marlborough Health & Rehabilitation Center	11.6 mi	Marlborough, CT	★★★☆☆	2/5	abuse
Water's Edge Center for Health & Rehabilitation	11.7 mi	Middletown, CT	★★★☆☆	2/5	abuse
Portland Care & Rehab Centre, INC	11.8 mi	Portland, CT	★★★★★	4/5
Gladeview Health Care Center	12.6 mi	Old Saybrook, CT	★★★☆☆	3/5
Twin Maples Healthcare, INC	12.8 mi	Durham, CT	★★★☆☆	3/5
Wadsworth Glen Health Care and Rehabilitation Cent	12.9 mi	Middletown, CT	★☆☆☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Moodus →

Facility data as of CMS processing date 2026-08-01. CCN 075307.

The Care File

Visit checklist — Chestelm Health and Rehabilitation Center

534 Town St, Moodus, CT 06469 · 8608731455

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 075307 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)