Complete Care at Kimberly Hall-South

Name: Complete Care at Kimberly Hall-South
Address: 1 EMERSON DRIVE, Windsor, CT, 06095, US
Telephone: 8606886443

1 Emerson Drive, Windsor, CT 06095 · Capitol County · 180 certified beds · avg 104 residents/day · certified since Nov 1, 1975

Part of chain: COMPLETE CARE (85 facilities, chain avg rating 3.1★)

3/5

Health inspection rating (on-site)

Serious findings on record

$14,728

Fines, last 3 years

2.93

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Feb 3, 2025 · F-0698 · triggered by a complaint

The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.

Why it matters: Mistakes in dialysis care can quickly become life-threatening for residents with kidney failure.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Feb 3, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (37)

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
May 1, 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. · from a complaint
May 1, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Apr 3, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Feb 3, 2025	▲ J · Immediate jeopardy, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint
Feb 3, 2025	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Jan 14, 2025	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. · from a complaint
Jan 14, 2025	D · Potential for harm, one-off	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. · from a complaint
Nov 19, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Nov 19, 2024	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.
Nov 19, 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 19, 2024	D · Potential for harm, one-off	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.
Nov 19, 2024	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.
Nov 19, 2024	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.
Nov 19, 2024	B · Minimal risk, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Sep 13, 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. · from a complaint
Sep 13, 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. · from a complaint
Sep 13, 2024	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. · from a complaint
Jul 15, 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. · from a complaint
Jul 15, 2024	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. · from a complaint
Jul 3, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Oct 19, 2023	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
May 23, 2022	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
May 23, 2022	E · Potential for harm, repeated	The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs.
May 23, 2022	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.
May 23, 2022	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
May 23, 2022	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
May 23, 2022	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.
May 23, 2022	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
May 23, 2022	B · Minimal risk, repeated	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.
Oct 24, 2019	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Oct 24, 2019	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Oct 24, 2019	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Oct 24, 2019	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.
Oct 24, 2019	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.
Oct 24, 2019	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Oct 24, 2019	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Oct 24, 2019	B · Minimal risk, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 7).

Year	Citations	Serious (G–L)	Worst severity that year
2019	8	0	E
2022	8	0	E
2023	1	0	D
2024	13	0	D
2025	7	1	J ▲

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)

1 fine totaling $14,728.

Date	Type	Amount / length
Jan 14, 2025	Fine	$14,728

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)	2.93	3.80	3.95	bottom 5% in Connecticut; bottom 12% in the U.S.
Registered Nurse hours	0.58	0.70	0.69	bottom 45% in Connecticut; bottom 50% in the U.S.
Weekend total nurse staffing	2.69	3.43	3.50	bottom 5% in Connecticut; bottom 16% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.54	0.46	0.48	top 27% in Connecticut; top 29% in the U.S.
Total nursing staff turnover (%)	27.4	37.4	45.8	top 19% in Connecticut; top 10% in the U.S.
RN turnover (%)	38.5	38.6	42.9	top 49% in Connecticut; top 44% 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 3.74, RN 0.75, weekend 3.44. Staffing rating: 2/5.

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: 4/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Des Capital LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	11/15/2022
JRK Investments LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	11/15/2022
Klugman, Jacob	Individual	Indirect Ownership Interest	NOT APPLICABLE	11/15/2022
PC Gen Ct Opco Holdco LLC	Organization	5% or Greater Direct Ownership Interest	100%	11/15/2022
PC Gen Ct Opco Topco LLC	Organization	5% or Greater Indirect Ownership Interest	—	11/15/2022
PC Gen Ct Topco LLC	Organization	5% or Greater Indirect Ownership Interest	—	11/15/2022
SMS 2021 Trust	Organization	5% or Greater Indirect Ownership Interest	—	11/15/2022
Stein, Shalom	Individual	Indirect Ownership Interest	NOT APPLICABLE	11/15/2022
Sternbuch, Daniel	Individual	Indirect Ownership Interest	NOT APPLICABLE	11/15/2022
Des Capital LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/15/2022
Gallagher, James	Individual	Operational/Managerial Control	NOT APPLICABLE	11/15/2022
Gallagher, James	Individual	ADP of the SNF	NOT APPLICABLE	11/15/2022
Hoch, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	11/15/2022
Hoch, Robert	Individual	ADP of the SNF	NOT APPLICABLE	11/15/2022
JRK Investments LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/15/2022
Kimberly Hall South Propco LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/15/2022
Klugman, Jacob	Individual	ADP of the SNF	NOT APPLICABLE	11/15/2022
Lagana, Kristin	Individual	Operational/Managerial Control	NOT APPLICABLE	11/15/2022
Lagana, Kristin	Individual	ADP of the SNF	NOT APPLICABLE	11/15/2022
Messenger, Monica	Individual	ADP of the SNF	NOT APPLICABLE	02/02/2024

Questions to ask on your visit

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

"How do you coordinate and monitor care for residents who receive dialysis?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"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
Complete Care at Kimberly Hall North	0.0 mi	Windsor, CT	★☆☆☆☆	1/5	abuse
Seabury	2.1 mi	Bloomfield, CT	★★★★★	4/5
Touchpoints at Bloomfield	2.2 mi	Bloomfield, CT	★★★★☆	3/5
Autumn Lake Healthcare at Windsor	2.3 mi	Windsor, CT	★☆☆☆☆	1/5	abuse
Bloomfield Center for Nursing & Rehabilitation	2.6 mi	Bloomfield, CT	★★☆☆☆	2/5	abuse
Caleb Hitchcock Health Center	4.7 mi	Bloomfield, CT	★★☆☆☆	1/5	abuse
Saint Mary Home	4.7 mi	West Hartford, CT	★★★☆☆	2/5	abuse
Riverside Health & Rehabilitation Center	5.1 mi	East Hartford, CT	★★☆☆☆	2/5	abuse
Chelsea Place Care Center LLC	5.3 mi	Hartford, CT	★☆☆☆☆	1/5	abuse
Parkville Care Center	6.2 mi	Hartford, CT	★★★☆☆	3/5
West Hartford Health & Rehabilitation Center	6.2 mi	West Hartford, CT	★★★★★	4/5
Hebrew Center for Health and Rehabilitation	6.3 mi	West Hartford, CT	★★★☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Windsor →

Facility data as of CMS processing date 2026-08-01. CCN 075237.

The Care File

Visit checklist — Complete Care at Kimberly Hall-South

1 Emerson Drive, Windsor, CT 06095 · 8606886443

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $14,728

Most serious findings on record:

▲ Feb 3, 2025 (F-0698, Immediate jeopardy, one-off): The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.

Questions for the administrator:

☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "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 075237 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)