How to file a complaint about care →
No fines or payment denials in the published 3-year window.
534 Town St, Moodus, CT 06469 (opens Google Maps) · Lower Ct River Vly County · (860) 873-1455· 76 certified beds · avg 71 residents/day · certified since May 1, 1986 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Showing the latest 3 of 13 inspection findings. Open the full record below to read every finding.
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 F-0580
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 F-0658
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 13, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0580 |
| Aug 13, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0658 |
| Nov 26, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Nov 26, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0580 |
| Nov 26, 2024 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Nov 26, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Nov 26, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Nov 26, 2024 | C · Potential for minimal harm, widespread | 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. · F-0585 |
| Nov 26, 2024 | B · Potential for minimal harm, pattern | 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. · F-0637 |
| Feb 15, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Feb 15, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Feb 15, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Jan 30, 2020 | E · Potential for more than minimal harm, pattern | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
Citations from standard inspections increased between the last two inspection cycles (3 → 7).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 1 | 0 | E |
| 2023 | 3 | 0 | D |
| 2024 | 7 | 0 | E |
| 2025 | 2 | 0 | 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.24 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Chestelm Health and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Regional context: $525.78/day — Connecticut statewide average for a semi-private nursing-facility room, September 30, 2025. This is a historical regional figure, not this facility's price or a prediction. View the OPM source.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 15 owning or managing parties CMS has on file are shown — none excluded.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 →
CMS records place this facility in Lower Ct River Vly, CT — 17 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 075307.
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