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Civita Care Center at West River
245 Orange Avenue, Milford, CT 06460 (opens Google Maps) · South Central Ct County · (203) 876-5123· 120 certified beds · avg 112 residents/day · certified since Aug 4, 1992 · 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 →
Part of chain: CIVITA CARE CENTERS (6 facilities, chain avg rating 2.0★)
3/5
Health inspection rating (on-site)
inspected Jan 29, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.45
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · 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.
Inspection findings in the public record
Showing the latest 3 of 26 inspection findings. Open the full record below to read every finding.
The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. F-0882
The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. F-0887
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
View all 26 inspection findingsShow only the latest 3 findings
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 |
|---|---|---|
| Jan 29, 2025 | E · Potential for more than minimal harm, pattern | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882 |
| Jan 29, 2025 | E · Potential for more than minimal harm, pattern | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887 |
| Jan 29, 2025 | 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 |
| Jan 29, 2025 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Jan 29, 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. · F-0580 |
| Jan 29, 2025 | D · Potential for more than minimal harm, isolated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644 |
| Jan 29, 2025 | 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 |
| Jan 29, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Jan 29, 2025 | 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 |
| Jan 29, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Jan 29, 2025 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Jan 29, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. · F-0810 |
| Jan 26, 2023 | E · Potential for more than minimal harm, pattern | The facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730 |
| Jan 26, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jan 26, 2023 | E · Potential for more than minimal harm, pattern | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Jan 26, 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 |
| Jan 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jan 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Jan 26, 2023 | C · Potential for minimal harm, widespread | The facility did not report COVID-19 data to residents and their families as required. Facilities must keep residents and families informed about COVID-19 cases. · F-0885 |
| Feb 14, 2020 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Feb 14, 2020 | 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 14, 2020 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Feb 14, 2020 | 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 |
| Feb 14, 2020 | B · Potential for minimal harm, pattern | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636 |
| Feb 14, 2020 | B · Potential for minimal harm, pattern | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. · F-0638 |
| Feb 14, 2020 | B · Potential for minimal harm, pattern | The facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 12).
All citationsSerious citations (G–L)
2020
All citations: 7
Serious citations (G–L): 0
2023
All citations: 7
Serious citations (G–L): 0
2025
All citations: 12
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 7 | 0 | D |
| 2023 | 7 | 0 | E |
| 2025 | 12 | 0 | E |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityConnecticut averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.45
Connecticut average: 3.80
U.S. average: 3.95
Registered Nurse hours
This facility: 0.68
Connecticut average: 0.70
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.99
Connecticut average: 3.43
U.S. average: 3.50
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) | 3.45 | 3.80 | 3.95 | bottom 33% in Connecticut; bottom 34% in the U.S. |
| Registered Nurse hours | 0.68 | 0.70 | 0.69 | top 37% in Connecticut; top 38% in the U.S. |
| Weekend total nurse staffing | 2.99 | 3.43 | 3.50 | bottom 21% in Connecticut; bottom 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.46 | 0.48 | bottom 42% in Connecticut; bottom 43% in the U.S. |
| Total nursing staff turnover (%) | 30.6 | 37.4 | 45.8 | top 25% in Connecticut; top 15% in the U.S. |
| RN turnover (%) | 42.9 | 38.6 | 42.9 | bottom 41% in Connecticut; bottom 49% 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 3.61, RN 0.71, weekend 3.13.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.61 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Civita Care Center at West River. 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.
Calculate a stay from a quote you receive
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.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
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 - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ct6 Opco Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/01/2024 |
| Esnh LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2024 |
| JPNH LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2024 |
| Pepper, Yehuda | Individual | 5% or Greater Indirect Ownership Interest | — | 10/01/2024 |
| Schwarcz, Elliot | Individual | 5% or Greater Indirect Ownership Interest | — | 10/01/2024 |
| 245 Orange LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 10/01/2024 |
| 245 Orange LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/09/2025 |
| Balsamo, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 01/23/2025 |
| Cleary, Kevin | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2024 |
| Cleary, Kevin | Individual | ADP of the SNF | NOT APPLICABLE | 01/23/2025 |
| Ct6 Propco Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/09/2025 |
| Esnh LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/23/2025 |
| Everflow Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/23/2025 |
| Friedman, Samuel | Individual | ADP of the SNF | NOT APPLICABLE | 01/23/2025 |
| JPNH LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/23/2025 |
| Pepper, Yehuda | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2024 |
| Pepper, Yehuda | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/09/2025 |
| Pepper, Yehuda | Individual | ADP of the SNF | NOT APPLICABLE | 01/23/2025 |
| Schwarcz, Elliot | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 10/01/2024 |
| Schwarcz, Elliot | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
Showing 20 of 22 parties CMS has on file for this facility; 2 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Civita Care Centers — 6 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Civita Care Center at Cheshire — Cheshire, CT · overall 2/5abuse
- Civita Care Center at Danbury — Danbury, CT · overall 2/5abuse
- Civita Care Center at Long Ridge — Stamford, CT · overall 2/5abuse
- Civita Care Center at Milford — Milford, CT · overall 1/5abuse
- Civita Care Center at Newington — Newington, CT · overall 1/5abuse
Listed by state, then facility name — not a ranking.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who is your infection preventionist, and what training do they have?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Connecticut midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 31% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 22 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 48 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Civita Care Center at Milford | 1.2 mi | Milford, CT | ★☆☆☆☆ | 1/5 | abuse |
| Milford Health and Rehabilitation Center | 2.3 mi | Milford, CT | ★★★★★ | 4/5 | |
| Lord Chamberlain Nursing & Rehabilitation Center | 2.6 mi | Stratford, CT | ★★☆☆☆ | 2/5 | |
| Lord Chamberlain Manor Nursing & Rehabilitation Ce | 2.6 mi | Stratford, CT | ★☆☆☆☆ | 1/5 | |
| Orange Health Care Center | 4.0 mi | Orange, CT | ★★★★★ | 5/5 | |
| Masonicare at Bishop Wicke Health & Rehabilitation | 4.1 mi | Shelton, CT | ★★★☆☆ | 3/5 | |
| Gardner Heights Health Care Center, INC | 4.3 mi | Shelton, CT | ★★☆☆☆ | 2/5 | |
| West Haven Center for Nursing & Rehabilitation | 5.8 mi | West Haven, CT | ★★☆☆☆ | 2/5 | |
| Apple Rehab West Haven | 5.8 mi | West Haven, CT | ★☆☆☆☆ | 1/5 | |
| Hewitt Health & Rehabilitation Center, INC | 5.9 mi | Shelton, CT | ★★☆☆☆ | 2/5 | |
| Apple Rehab Shelton Lakes | 6.5 mi | Shelton, CT | ★★☆☆☆ | 3/5 | |
| Maefair Center for Health & Rehabilitation | 7.2 mi | Trumbull, CT | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in South Central Ct, CT — 23 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Evergreen Woods — North Branford, CT · overall 5/5
- Grimes Center — New Haven, CT · overall 5/5
- Guilford House, the — Guilford, CT · overall 4/5
- Hamden Rehabilitation & Healthcare Center — Hamden, CT · overall 3/5
- Leeway, INC — New Haven, CT · overall 4/5
- Mary Wade Home — New Haven, CT · overall 1/5abuse
- Montowese Center for Health & Rehabilitation — North Haven, CT · overall 2/5
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 075377.