Nursing homeActive

Civita Care Center At West River

245 Orange Avenue, Milford, CT 064602038765123120 certified beds · 112 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2020
Deficiencies
26
4220
Penalties · 3 yrs
none on file
Last survey
2025-01-29
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Connecticut Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-01-29Standard0120CMS-2567 (Care Compare)
2023-01-26Standard160CMS-2567 (Care Compare)
2020-02-14Standard340CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Connecticut Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-01-29Standard survey · 12 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-25Record 075377-20250129-F550
F578Honor 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 directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-25Record 075377-20250129-F578
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-25Record 075377-20250129-F580
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-25Record 075377-20250129-F644
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-25Record 075377-20250129-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-01Record 075377-20250129-F686
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-25Record 075377-20250129-F692
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-25Record 075377-20250129-F698
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-25Record 075377-20250129-F758
F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-25Record 075377-20250129-F810
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-25Record 075377-20250129-F882
F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-01Record 075377-20250129-F887
2023-01-26Standard survey · 7 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-09Record 075377-20230126-F550
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-09Record 075377-20230126-F584
F730Observe each nurse aide's job performance and give regular training.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-09Record 075377-20230126-F730
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-09Record 075377-20230126-F758
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-09Record 075377-20230126-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-09Record 075377-20230126-F883
F885Report COVID19 data to residents and families.Scope/severity CPaperwork
Infection control
Widespread; potential for minimal harm.Corrected 2023-03-09Record 075377-20230126-F885
2020-02-14Standard survey · 7 deficienciesOfficial report
F578Honor 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 directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-24Record 075377-20200214-F578
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-24Record 075377-20200214-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-24Record 075377-20200214-F686
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-24Record 075377-20200214-F692
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2020-03-24Record 075377-20200214-F636
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2020-03-24Record 075377-20200214-F638
F730Observe each nurse aide's job performance and give regular training.Scope/severity BPaperwork
Staffing
Pattern; potential for minimal harm.Corrected 2020-03-24Record 075377-20200214-F730

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.71
Facility
Connecticut
National
Connecticut 0.69 · National 0.69
Total nurse hours per resident day3.61
Facility
Connecticut
National
Connecticut 3.73 · National 3.86
Weekend total nurse hours3.13
Facility
Connecticut
National
Connecticut 3.37 · National 3.42
Total nursing staff turnover31%
Facility
Connecticut
National
Connecticut 37% · National 46%
Registered nurse turnover43%
Facility
Connecticut
National
Connecticut 39% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityConnecticutNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.9%4.0%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.9%3.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
19.2%17.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.2%1.5%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
9.7%18.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
7.5%6.5%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
11.9%17.6%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Ct6 Opco Holdco LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Esnh LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Jpnh LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Pepper, Yehuda
Individual
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Schwarcz, Elliot
Individual
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Cleary, Kevin
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Pepper, Yehuda
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
245 Orange LLC
Organization
5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
245 Orange LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Balsamo, Joseph
Individual
ADP OF THE SNFNOT APPLICABLE
Cleary, Kevin
Individual
ADP OF THE SNFNOT APPLICABLE
Ct6 Propco Holdco LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Esnh LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Everflow Healthcare LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Friedman, Samuel
Individual
ADP OF THE SNFNOT APPLICABLE
Jpnh LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Pepper, Yehuda
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Pepper, Yehuda
Individual
ADP OF THE SNFNOT APPLICABLE
Schwarcz, Elliot
Individual
5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
Schwarcz, Elliot
Individual
ADP OF THE SNFNOT APPLICABLE
Sfnh LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Templer, David
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Civita Care Centers6 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Connecticut.

No county cost figures on file for South Central Ct.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Civita Care Center At Milford
Milford
1.2 mi2026-06-242392
Milford Health And Rehabilitation Center
Milford
2.3 mi2026-06-163131
Lord Chamberlain Nursing & Rehabilitation Center
Stratford
2.6 mi2025-03-054242
Lord Chamberlain Manor Nursing & Rehabilitation Ce
Stratford
2.6 mi2026-04-200231
Masonicare At Bishop Wicke Health & Rehabilitation
Shelton
4.1 mi2026-04-172212
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01