Civita Care Center at West River

Name: Civita Care Center at West River
Address: 245 ORANGE AVENUE, Milford, CT, 06460, US
Telephone: 2038765123

245 Orange Avenue, Milford, CT 06460 · South Central Ct County · 120 certified beds · avg 112 residents/day · certified since Aug 4, 1992

Part of chain: CIVITA CARE CENTERS (6 facilities, chain avg rating 2.0★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.45

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

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 (26)

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
Jan 29, 2025	E · Potential for harm, repeated	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Jan 29, 2025	E · Potential for harm, repeated	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.
Jan 29, 2025	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.
Jan 29, 2025	D · Potential for harm, one-off	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.
Jan 29, 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.
Jan 29, 2025	D · Potential for harm, one-off	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.
Jan 29, 2025	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.
Jan 29, 2025	D · Potential for harm, one-off	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.
Jan 29, 2025	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.
Jan 29, 2025	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jan 29, 2025	D · Potential for harm, one-off	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.
Jan 29, 2025	D · Potential for harm, one-off	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.
Jan 26, 2023	E · Potential for harm, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required.
Jan 26, 2023	E · Potential for harm, repeated	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.
Jan 26, 2023	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jan 26, 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.
Jan 26, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 26, 2023	D · Potential for harm, one-off	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.
Jan 26, 2023	C · Minimal risk, facility-wide	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.
Feb 14, 2020	D · Potential for harm, one-off	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.
Feb 14, 2020	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 14, 2020	D · Potential for harm, one-off	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.
Feb 14, 2020	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.
Feb 14, 2020	B · Minimal risk, repeated	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.
Feb 14, 2020	B · Minimal risk, repeated	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.
Feb 14, 2020	B · Minimal risk, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 12).

Year	Citations	Worst severity that year
2020	7	D
2023	7	E
2025	12	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)

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)	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, 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. Staffing rating: 3/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

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

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?"
"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
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 →

All facilities in Milford →

Facility data as of CMS processing date 2026-08-01. CCN 075377.

The Care File

Visit checklist — Civita Care Center at West River

245 Orange Avenue, Milford, CT 06460 · 2038765123

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "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?"
☐ "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 075377 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)