Complete Care at Kimberly Hall-South
Nursing home in Windsor, CT
Medicare & Medicaid certified4★ overall (CMS)
Public-record details
- Address
- 1 Emerson Drive, Windsor, CT 06095
- Phone
- (860) 688-6443
- Listed under
- For-profit, 4–5 star overall rating
- Medicare CCN
- 075237
- Overall star rating
- 4 of 5 ★★★★☆
- Health inspection rating
- 3 of 5
- Staffing rating
- 2 of 5
- Quality measures rating
- 5 of 5
- Certified beds
- 180
- Average residents per day
- 104
- Ownership
- For-profit, limited Liability company
- Legal business name
- Complete Care at Kimberly Hall South LLC
- Chain
- Complete Care (85 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Nov 1, 1975
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Nov 19, 2024. CMS lists 37 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 24, 2019 to May 1, 2025): 14 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| May 1, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| May 1, 2025 | Provide safe, appropriate pain management for a resident who requires such services. | D |
| Apr 3, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| Feb 3, 2025 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D |
| Feb 3, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | J |
| Jan 14, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Jan 14, 2025 | Provide and implement an infection prevention and control program. | D |
| Nov 19, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B |
| Nov 19, 2024 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D |
| Nov 19, 2024 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance… | D |
| Nov 19, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| Nov 19, 2024 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D |
Fines and payment denials
CMS records 1 fine totalling $14,728 in the last three years.
| Jan 14, 2025 | Fine: $14,728 |
Staffing
- Total nurse staffing per resident per day
- 3.74 hours
- Registered nurse (RN) time per resident per day
- 0.75 hours
- Nurse aide time per resident per day
- 2.16 hours
- Total nurse staffing on weekends
- 3.44 hours
- Nursing staff turnover (yearly)
- 27%
- RN turnover (yearly)
- 39%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.