Pilgrim Manor
52 Missionary Rd, Cromwell, CT 06416 · Capitol County · 60 certified beds · avg 54 residents/day · certified since Feb 1, 1987
Part of chain: COVENANT LIVING (15 facilities, chain avg rating 4.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
⚠ 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)
▲ Actual harm, one-off · Apr 23, 2024 · 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: May 16, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (16)
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 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 |
| May 1, 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 |
| May 1, 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 |
| May 1, 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 |
| May 24, 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 |
| Apr 23, 2024 | ▲ 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 |
| Apr 23, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Apr 23, 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 |
| Apr 23, 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 |
| Apr 23, 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. |
| Apr 23, 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. |
| Jan 31, 2020 | 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. |
| Jan 31, 2020 | 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. |
| Jan 31, 2020 | 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. |
| Jan 31, 2020 | B · Minimal risk, repeated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Mar 7, 2019 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | E |
| 2020 | 4 | 0 | D |
| 2024 | 7 | 1 | G ▲ |
| 2025 | 4 | 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)
1 fine totaling $12,048.
| Date | Type | Amount / length |
|---|---|---|
| Apr 23, 2024 | Fine | $12,048 |
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) | 4.59 | 3.80 | 3.95 | top 16% in Connecticut; top 21% in the U.S. |
| Registered Nurse hours | 1.00 | 0.70 | 0.69 | top 16% in Connecticut; top 16% in the U.S. |
| Weekend total nurse staffing | 4.26 | 3.43 | 3.50 | top 13% in Connecticut; top 16% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.64 | 0.46 | 0.48 | top 18% in Connecticut; top 20% in the U.S. |
| Total nursing staff turnover (%) | 37.7 | 37.4 | 45.8 | bottom 46% in Connecticut; top 30% in the U.S. |
| RN turnover (%) | 23.1 | 38.6 | 42.9 | top 23% in Connecticut; top 18% 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 3.94, RN 0.86, weekend 3.66. Staffing rating: 5/5.
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
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Covenant Living Communities & Services | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/03/2014 |
| Aagaard, Jon | Individual | Corporate Director | NOT APPLICABLE | 07/01/2013 |
| Christensen, Pamela | Individual | Corporate Director | NOT APPLICABLE | 07/01/2013 |
| Covenant Living Communities & Services | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/03/2014 |
| Cunliffe, Terri | Individual | W-2 Managing Employee | NOT APPLICABLE | 03/19/2009 |
| Cunliffe, Terri | Individual | Corporate Officer | NOT APPLICABLE | 03/19/2009 |
| Eastburg, Mark | Individual | Corporate Director | NOT APPLICABLE | 07/01/2013 |
| Erickson, David | Individual | Corporate Officer | NOT APPLICABLE | 01/31/2008 |
| Espinosa, Marc | Individual | Corporate Director | NOT APPLICABLE | 07/01/2013 |
| Hodgkinson, Donald | Individual | Corporate Director | NOT APPLICABLE | 07/01/2013 |
| Holt, Jody | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/02/2017 |
| Holt, Jody | Individual | Corporate Officer | NOT APPLICABLE | 06/02/2017 |
| Holt, Jody | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2013 |
| Manlove, Matt | Individual | Corporate Director | NOT APPLICABLE | 07/01/2017 |
| Oxendale, Roger | Individual | Corporate Director | NOT APPLICABLE | 07/01/2017 |
| Stante, Marlene | Individual | Corporate Director | NOT APPLICABLE | 07/01/2013 |
| Vining, Anne | Individual | Corporate Director | NOT APPLICABLE | 07/01/2013 |
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?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "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?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 Cromwell | 0.6 mi | Cromwell, CT | ★★★★☆ | 3/5 | |
| Portland Care & Rehab Centre, INC | 1.9 mi | Portland, CT | ★★★★★ | 4/5 | |
| Apple Rehab Cromwell | 2.8 mi | Cromwell, CT | ★★☆☆☆ | 2/5 | |
| Water's Edge Center for Health & Rehabilitation | 3.2 mi | Middletown, CT | ★★★☆☆ | 2/5 | abuse |
| Wadsworth Glen Health Care and Rehabilitation Cent | 3.4 mi | Middletown, CT | ★☆☆☆☆ | 2/5 | abuse |
| John L. Levitow Health Care Center | 3.6 mi | Rocky Hill, CT | ★★★★★ | 4/5 | |
| 60 West | 3.8 mi | Rocky Hill, CT | ★★★★★ | 5/5 | |
| Apple Rehab Middletown | 4.4 mi | Middletown, CT | ★★★☆☆ | 2/5 | |
| Apple Rehab Rocky Hill | 4.5 mi | Rocky Hill, CT | ★★☆☆☆ | 2/5 | |
| Maple View Health & Rehabilitation Center | 5.1 mi | Rocky Hill, CT | ★★★★★ | 5/5 | |
| Cobalt Lodge Health Care and Rehabilitation Center | 6.1 mi | Cobalt, CT | ★☆☆☆☆ | 1/5 | abuseSFF |
| Ledgecrest Health Care Center | 6.1 mi | Kensington, CT | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 075306.