Cook Willow Health & Rehabilitation Center, INC.

Name: Cook Willow Health & Rehabilitation Center, INC.
Address: 81 HILLSIDE AVENUE, Plymouth, CT, 06782, US
Telephone: 8602838208

81 Hillside Avenue, Plymouth, CT 06782 · Naugatuck Vly County · 60 certified beds · avg 50 residents/day · certified since Nov 1, 1991

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.16

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · 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.

All citations in the current public record (23)

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
Apr 29, 2026	D · Potential for harm, one-off	The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. · from a complaint
Sep 12, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 12, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Sep 12, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Sep 12, 2025	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.
Sep 12, 2025	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.
Sep 12, 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.
Sep 12, 2025	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Sep 12, 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.
Sep 12, 2025	C · Minimal risk, facility-wide	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Feb 6, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 6, 2024	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.
Feb 6, 2024	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.
Feb 6, 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.
Feb 6, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Feb 6, 2024	D · Potential for harm, one-off	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.
Feb 6, 2024	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Feb 6, 2024	B · Minimal risk, repeated	The facility did not properly protect the personal money residents deposited with it for safekeeping.
Feb 6, 2024	B · Minimal risk, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Feb 6, 2024	B · Minimal risk, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required.
Nov 22, 2021	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 22, 2021	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Nov 22, 2021	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 7).

Year	Citations	Worst severity that year
2021	3	D
2024	10	F
2025	9	E
2026	1	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.

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)	4.16	3.80	3.95	top 26% in Connecticut; top 34% in the U.S.
Registered Nurse hours	0.99	0.70	0.69	top 17% in Connecticut; top 16% in the U.S.
Weekend total nurse staffing	3.39	3.43	3.50	top 42% in Connecticut; top 48% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.51	0.46	0.48	top 29% in Connecticut; top 31% in the U.S.
Total nursing staff turnover (%)	40.8	37.4	45.8	bottom 34% in Connecticut; top 38% in the U.S.
RN turnover (%)	37.5	38.6	42.9	top 46% in Connecticut; top 42% 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 3.97, RN 0.94, weekend 3.24. Staffing rating: 4/5.

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 - Corporation

Owner / manager	Type	Role	Stake	Since
Macdonald, Susan	Individual	5% or Greater Direct Ownership Interest	100%	07/01/1975
Le Clair, Jennesa	Individual	Corporate Officer	NOT APPLICABLE	03/18/1989
Le Clair, Jennesa	Individual	Operational/Managerial Control	NOT APPLICABLE	03/18/1989
Le Clair, Jennesa	Individual	ADP of the SNF	NOT APPLICABLE	01/30/2004
Macdonald, Susan	Individual	Corporate Director	NOT APPLICABLE	07/01/1975
Macdonald, Susan	Individual	Corporate Officer	NOT APPLICABLE	07/01/1975
Macdonald, Susan	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/1975
Macdonald, Susan	Individual	ADP of the SNF	NOT APPLICABLE	07/01/1975
Macdonald, Walter	Individual	Corporate Officer	NOT APPLICABLE	01/15/1990
Oh, Jong Gil	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2007
Oh, Jong Gil	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2007

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 handle room assignments and roommate requests, and do residents get advance written notice before any move?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you coordinate hospice care, and can residents stay here while receiving it?"
"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
Autumn Lake Healthcare at Bucks Hill	5.4 mi	Waterbury, CT	★★★★☆	3/5
Ingraham Manor Rehab and Nursing	5.8 mi	Bristol, CT	★★☆☆☆	2/5
Pines at Bristol for Nursing & Rehabilitation, the	6.1 mi	Bristol, CT	★★★★☆	3/5
Waterbury Center for Nursing & Rehabilitation LLC	6.4 mi	Waterbury, CT	★★★★★	4/5
Apple Rehab Watertown	6.6 mi	Watertown, CT	★★★★☆	4/5
Civita Care Sheriden Woods	7.1 mi	Bristol, CT	★☆☆☆☆	1/5	abuse
Village Green Rehabilitation and Healthcare Center	8.0 mi	Bristol, CT	★★☆☆☆	2/5
Complete Care at Middlebury	9.4 mi	Middlebury, CT	★★★★★	5/5
Cheshire House Health Care Facility & Rehab Center	9.5 mi	Waterbury, CT	★★☆☆☆	2/5
Summit at Plantsville Center for Health & Rehabili	10.0 mi	Plantsville, CT	★★☆☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Plymouth →

Facility data as of CMS processing date 2026-08-01. CCN 075349.

The Care File

Visit checklist — Cook Willow Health & Rehabilitation Center, INC.

81 Hillside Avenue, Plymouth, CT 06782 · 8602838208

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

Questions for the administrator:

☐ "How do you handle room assignments and roommate requests, and do residents get advance written notice before any move?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you coordinate hospice care, and can residents stay here while receiving it?"
☐ "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 075349 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)