Complete Care at Middlebury

Name: Complete Care at Middlebury
Address: 778 MIDDLEBURY RD, Middlebury, CT, 06762, US
Telephone: 2037582471

778 Middlebury Rd, Middlebury, CT 06762 · Naugatuck Vly County · 58 certified beds · avg 54 residents/day · certified since Jan 1, 1967

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

5/5

Health inspection rating (on-site)

Serious findings on record

$12,735

Fines, last 3 years

3.61

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Sep 19, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

All citations in the current public record (14)

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
Sep 19, 2025	▲ G · Actual 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
Sep 25, 2023	F · Potential for harm, facility-wide	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.
Sep 25, 2023	E · Potential for harm, repeated	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.
Sep 25, 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.
Sep 25, 2023	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.
Sep 25, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Sep 25, 2023	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Sep 25, 2023	D · Potential for harm, one-off	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.
Sep 25, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Sep 25, 2023	B · Minimal risk, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required.
Sep 25, 2023	B · Minimal risk, repeated	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Sep 15, 2021	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.
Sep 15, 2021	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.
Sep 15, 2021	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.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2021	3	0	D
2023	10	0	F
2025	1	1	G ▲

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 $12,735.

Date	Type	Amount / length
Sep 19, 2025	Fine	$12,735

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)	3.61	3.80	3.95	bottom 43% in Connecticut; bottom 42% in the U.S.
Registered Nurse hours	0.69	0.70	0.69	top 36% in Connecticut; top 37% in the U.S.
Weekend total nurse staffing	3.28	3.43	3.50	bottom 47% in Connecticut; bottom 46% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.48	0.46	0.48	top 34% in Connecticut; top 35% in the U.S.
Total nursing staff turnover (%)	50.7	37.4	45.8	bottom 12% in Connecticut; bottom 35% in the U.S.
RN turnover (%)	70.6	38.6	42.9	bottom 5% in Connecticut; bottom 11% 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 3.84, RN 0.73, weekend 3.49. 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: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Des Capital LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	10/10/2023
JRK Investments LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	10/10/2023
Klugman, Jacob	Individual	Indirect Ownership Interest	NOT APPLICABLE	10/10/2023
PC Middlebury Opco LLC	Organization	5% or Greater Direct Ownership Interest	100%	10/10/2023
PC Middlebury Topco LLC	Organization	5% or Greater Indirect Ownership Interest	—	10/10/2023
Peace Capital Holdings II LLC	Organization	5% or Greater Indirect Ownership Interest	—	10/10/2023
SMS 2021 Trust	Organization	5% or Greater Indirect Ownership Interest	—	10/10/2023
Stein, Shalom	Individual	Indirect Ownership Interest	NOT APPLICABLE	10/10/2023
Sternbuch, Daniel	Individual	Indirect Ownership Interest	NOT APPLICABLE	10/10/2023
Adetola, Adedayo	Individual	Operational/Managerial Control	NOT APPLICABLE	02/14/2025
Adetola, Adedayo	Individual	ADP of the SNF	NOT APPLICABLE	02/14/2025
Cisowski, Jennifer	Individual	ADP of the SNF	NOT APPLICABLE	10/10/2023
Des Capital LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/10/2023
Hoch, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	10/10/2023
Hoch, Robert	Individual	ADP of the SNF	NOT APPLICABLE	10/10/2023
JRK Investments LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/10/2023
Klugman, Jacob	Individual	ADP of the SNF	NOT APPLICABLE	10/10/2023
Knights, Peter	Individual	Operational/Managerial Control	NOT APPLICABLE	10/10/2023
Knights, Peter	Individual	ADP of the SNF	NOT APPLICABLE	10/10/2023
Lagana, Kristin	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/10/2023

Questions to ask on your visit

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

"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?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"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?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"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
Apple Rehab Watertown	2.9 mi	Watertown, CT	★★★★☆	4/5
Waterbury Center for Nursing & Rehabilitation LLC	3.3 mi	Waterbury, CT	★★★★★	4/5
Lutheran Home of Southbury INC	5.4 mi	Southbury, CT	★★★☆☆	3/5
Autumn Lake Healthcare at Bucks Hill	6.0 mi	Waterbury, CT	★★★★☆	3/5
Complete Care at Glendale	6.3 mi	Naugatuck, CT	★★★★☆	3/5
Beacon Brook Center for Health & Rehabilitation	6.4 mi	Naugatuck, CT	★★☆☆☆	2/5
Pomperaug Woods Health Center	6.6 mi	Southbury, CT	★★★★☆	3/5
Cheshire House Health Care Facility & Rehab Center	7.2 mi	Waterbury, CT	★★☆☆☆	2/5
River Glen Health Care Center	8.3 mi	Southbury, CT	★★★★★	4/5
Cook Willow Health & Rehabilitation Center, INC.	9.4 mi	Plymouth, CT	★★★★★	4/5
Shady Knoll Center for Health & Rehabilitation	10.0 mi	Seymour, CT	★★☆☆☆	2/5
Civita Care Center at Cheshire	11.4 mi	Cheshire, CT	★★☆☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Middlebury →

Facility data as of CMS processing date 2026-08-01. CCN 075146.

The Care File

Visit checklist — Complete Care at Middlebury

778 Middlebury Rd, Middlebury, CT 06762 · 2037582471

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $12,735

Most serious findings on record:

▲ Sep 19, 2025 (F-0689, Actual 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.

Questions for the administrator:

☐ "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?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "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?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "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 075146 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)