Ingraham Manor Rehab and Nursing
400 N Main St, Bristol, CT 06010 · Naugatuck Vly County · 128 certified beds · avg 111 residents/day · certified since Dec 29, 1989
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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 20, 2026 · F-0678 · triggered by a complaint
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
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.
▲ Actual harm, one-off · Nov 18, 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.
Corrected: Nov 19, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 8, 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.
Corrected: Nov 6, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 |
|---|---|---|
| Feb 20, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint |
| Feb 20, 2026 | 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. · from a complaint |
| Feb 20, 2026 | D · Potential for harm, one-off | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Nov 18, 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 8, 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 8, 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 |
| Oct 27, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Oct 27, 2023 | E · Potential for harm, repeated | 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 27, 2023 | E · Potential for harm, repeated | 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. |
| Oct 27, 2023 | 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 6, 2023 | 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 |
| Aug 23, 2021 | 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. |
| Aug 23, 2021 | 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. |
| Aug 23, 2021 | 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. |
| Aug 23, 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. |
| Apr 26, 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. |
| Apr 26, 2019 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 2 | 0 | D |
| 2021 | 4 | 0 | E |
| 2023 | 5 | 0 | E |
| 2025 | 3 | 2 | G ▲ |
| 2026 | 3 | 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)
3 fines totaling $34,369.
| Date | Type | Amount / length |
|---|---|---|
| Feb 20, 2026 | Fine | $14,901 |
| Sep 8, 2025 | Fine | $8,278 |
| Sep 8, 2025 | Fine | $11,190 |
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) | 3.52 | 3.80 | 3.95 | bottom 39% in Connecticut; bottom 37% in the U.S. |
| Registered Nurse hours | 0.48 | 0.70 | 0.69 | bottom 29% in Connecticut; bottom 35% in the U.S. |
| Weekend total nurse staffing | 3.13 | 3.43 | 3.50 | bottom 35% in Connecticut; bottom 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.41 | 0.46 | 0.48 | top 48% in Connecticut; top 47% in the U.S. |
| Total nursing staff turnover (%) | 38.1 | 37.4 | 45.8 | bottom 44% in Connecticut; top 31% in the U.S. |
| RN turnover (%) | 22.2 | 38.6 | 42.9 | top 21% in Connecticut; top 17% 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 3.88, RN 0.53, weekend 3.45. 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: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation · changed ownership in the last 12 months
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Shakow, Rachel | Individual | 5% or Greater Direct Ownership Interest | 99% | 10/21/2025 |
| Altows, Kamal | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/21/2025 |
| Elaba, Wilfred | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/21/2025 |
| Elaba, Wilfred | Individual | ADP of the SNF | NOT APPLICABLE | 11/12/2025 |
| Im Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/21/2025 |
| LTC Consulting Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/21/2025 |
| Shakow, Rachel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/21/2025 |
| Shakow, Rachel | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/21/2025 |
| Tkacz, Christine | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/21/2025 |
| Tkacz, Christine | Individual | ADP of the SNF | NOT APPLICABLE | 11/12/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 |
|---|---|---|---|---|---|
| Pines at Bristol for Nursing & Rehabilitation, the | 0.4 mi | Bristol, CT | ★★★★☆ | 3/5 | |
| Civita Care Sheriden Woods | 1.4 mi | Bristol, CT | ★☆☆☆☆ | 1/5 | abuse |
| Village Green Rehabilitation and Healthcare Center | 2.3 mi | Bristol, CT | ★★☆☆☆ | 2/5 | |
| Apple Rehab Farmington Valley | 4.9 mi | Plainville, CT | ★★☆☆☆ | 3/5 | |
| Cook Willow Health & Rehabilitation Center, INC. | 5.8 mi | Plymouth, CT | ★★★★★ | 4/5 | |
| Summit at Plantsville Center for Health & Rehabili | 6.6 mi | Plantsville, CT | ★★☆☆☆ | 2/5 | abuse |
| Southington Care Center | 6.8 mi | Southington, CT | ★★★★★ | 5/5 | |
| Autumn Lake Healthcare at Bucks Hill | 7.2 mi | Waterbury, CT | ★★★★☆ | 3/5 | |
| Jerome Home | 7.5 mi | New Britain, CT | ★★★★★ | 4/5 | |
| Monsignor Bojnowski Manor, INC | 7.7 mi | New Britain, CT | ★★★☆☆ | 2/5 | abuse |
| Livewell Connecticut | 7.8 mi | Plantsville, CT | ★★★★★ | 4/5 | |
| Avon Health Center | 7.9 mi | Avon, CT | ★★☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 075329.