Lutheran Home of Southbury INC
990 North Main Street, Southbury, CT 06488 · Naugatuck Vly County · 120 certified beds · avg 116 residents/day · certified since Oct 1, 1991
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 (35)
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 27, 2026 | 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 27, 2026 | 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 |
| Dec 1, 2025 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Dec 1, 2025 | D · Potential for harm, one-off | 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). · from a complaint |
| Dec 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 |
| Jun 17, 2025 | E · Potential for harm, 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. |
| Jun 17, 2025 | E · Potential for harm, repeated | The facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment. |
| Jun 17, 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. |
| Jun 17, 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. |
| Jun 17, 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. |
| Jun 17, 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. |
| Jun 17, 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. |
| Jun 17, 2025 | 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. |
| Jun 17, 2025 | 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. |
| Jun 17, 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. |
| Feb 5, 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. · from a complaint |
| Feb 5, 2025 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint |
| Sep 23, 2024 | 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. · from a complaint |
| Sep 23, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Sep 23, 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. · from a complaint |
| Aug 29, 2023 | 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. |
| Aug 29, 2023 | 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. |
| Aug 29, 2023 | 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. |
| Aug 29, 2023 | 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 29, 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. |
| Aug 29, 2023 | 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. |
| Aug 29, 2023 | 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 29, 2023 | B · Minimal risk, repeated | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Jul 20, 2021 | 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. |
| Jul 20, 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. |
| Jul 20, 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. |
| Jul 20, 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. |
| Jul 20, 2021 | 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. |
| Jul 20, 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. |
| Jul 20, 2021 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 7 | 0 | E |
| 2023 | 8 | 0 | D |
| 2024 | 3 | 0 | D |
| 2025 | 15 | 0 | E |
| 2026 | 2 | 0 | 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) | 4.45 | 3.80 | 3.95 | top 20% in Connecticut; top 25% in the U.S. |
| Registered Nurse hours | 0.66 | 0.70 | 0.69 | top 41% in Connecticut; top 41% in the U.S. |
| Weekend total nurse staffing | 3.87 | 3.43 | 3.50 | top 22% in Connecticut; top 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.46 | 0.48 | bottom 20% in Connecticut; bottom 23% in the U.S. |
| Total nursing staff turnover (%) | 49.2 | 37.4 | 45.8 | bottom 14% in Connecticut; bottom 39% in the U.S. |
| RN turnover (%) | 52.6 | 38.6 | 42.9 | bottom 22% in Connecticut; bottom 32% 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 4.25, RN 0.63, weekend 3.69. 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: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ascentria Care Alliance INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/08/2015 |
| Ascentria Care Alliance INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/25/2025 |
| Baroody, Ziad | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Baroody, Ziad | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Bartholomew, Alexander | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Bartholomew, Alexander | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Bovill, Angela | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2018 |
| Bovill, Angela | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2014 |
| Bovill, Angela | Individual | ADP of the SNF | NOT APPLICABLE | 01/02/2025 |
| Browne, Tara | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Browne, Tara | Individual | ADP of the SNF | NOT APPLICABLE | 11/14/2024 |
| Cowlagi, Ashish | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Goodman, Ross | Individual | Corporate Director | NOT APPLICABLE | 07/01/2013 |
| Hanscom, Kristin | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Hanscom, Kristin | Individual | ADP of the SNF | NOT APPLICABLE | 10/30/2024 |
| Khan, Ghulam | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Khan, Ghulam | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Mayo, William | Individual | Corporate Director | NOT APPLICABLE | 07/01/2014 |
| Oneal, Gary | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Oneal, Gary | Individual | ADP of the SNF | NOT APPLICABLE | 11/14/2024 |
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 make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "Under what circumstances, if any, would a resident ever be kept in their room or separated from others?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "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 |
|---|---|---|---|---|---|
| Pomperaug Woods Health Center | 1.4 mi | Southbury, CT | ★★★★☆ | 3/5 | |
| River Glen Health Care Center | 3.3 mi | Southbury, CT | ★★★★★ | 4/5 | |
| Complete Care at Middlebury | 5.4 mi | Middlebury, CT | ★★★★★ | 5/5 | |
| Apple Rehab Watertown | 7.7 mi | Watertown, CT | ★★★★☆ | 4/5 | |
| Waterbury Center for Nursing & Rehabilitation LLC | 8.4 mi | Waterbury, CT | ★★★★★ | 4/5 | |
| Stone Bridge Center for Health & Rehabilitation | 9.0 mi | Newtown, CT | ★★★★☆ | 3/5 | |
| Complete Care at Glendale | 9.4 mi | Naugatuck, CT | ★★★★☆ | 3/5 | |
| Beacon Brook Center for Health & Rehabilitation | 9.6 mi | Naugatuck, CT | ★★☆☆☆ | 2/5 | |
| Shady Knoll Center for Health & Rehabilitation | 10.7 mi | Seymour, CT | ★★☆☆☆ | 2/5 | |
| Bethel Health Care Center | 11.2 mi | Bethel, CT | ★★★★☆ | 4/5 | |
| Autumn Lake Healthcare at Bucks Hill | 11.3 mi | Waterbury, CT | ★★★★☆ | 3/5 | |
| Village Crest Center for Health & Rehabilitation | 11.6 mi | New Milford, CT | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 075371.