Nursing homeActive
Water's Edge Center For Health & Rehabilitation
111 Church Street, Middletown, CT 064578603477286150 certified beds · 138 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
12
since 2022
Deficiencies
36
● 1● 31● 4
Penalties · 3 yrs
$99,037
3 fines
Last survey
2026-03-25
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 2
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| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-25 | Standard | 0111 | CMS-2567 (Care Compare) | — |
| 2026-03-05 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2025-07-30 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2025-01-30 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-12-17 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-08-07 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-07-08 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-07-03 | Standard | 171 | CMS-2567 (Care Compare) | — |
| 2024-04-02 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-01-02 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-10-24 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2022-03-03 | Standard | 030 | CMS-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.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-05-01Record 075381-20260325-F600
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 2026-05-01Record 075381-20260325-F550
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 2026-05-01Record 075381-20260325-F580
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 075381-20260325-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 075381-20260325-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 075381-20260325-F610
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 075381-20260325-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-09Record 075381-20260325-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 075381-20260325-F689
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-09Record 075381-20260325-F760
F825Provide or get specialized rehabilitative services as required for a resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 075381-20260325-F825
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 075381-20260325-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Correction not yet recordedRecord 075381-20260305-F689
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-30Record 075381-20260305-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-05-12Record 075381-20250730-F689
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 2025-05-12Record 075381-20250730-F684
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-24Record 075381-20250130-F609
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 2025-01-24Record 075381-20250130-F684
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-20Record 075381-20241217-F842
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 2024-09-17Record 075381-20240807-F550
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-29Record 075381-20240708-F805
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-07-05Record 075381-20240703-F689
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 2024-08-09Record 075381-20240703-F580
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 EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-09Record 075381-20240703-F584
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 2024-08-09Record 075381-20240703-F684
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-09Record 075381-20240703-F697
F791Provide or obtain dental services for each resident.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-09Record 075381-20240703-F791
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-09Record 075381-20240703-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-09Record 075381-20240703-F812
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2024-08-09Record 075381-20240703-F625
F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-14Record 075381-20240402-F557
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-13Record 075381-20240102-F656
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 2023-12-05Record 075381-20231024-F550
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 2022-04-14Record 075381-20220303-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-14Record 075381-20220303-F689
F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-04-14Record 075381-20220303-F841
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-03-05 | Civil money penalty | $20,395 | CMS · Penalties |
| 2026-03-05 | Civil money penalty | $63,000 | CMS · Penalties |
| 2024-07-03 | Civil money penalty | $15,642 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.46
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 hours3.26
Facility
Connecticut
National
Connecticut 3.37 · National 3.42
Total nursing staff turnover39%
Facility
Connecticut
National
Connecticut 37% · National 46%
Registered nurse turnover40%
Facility
Connecticut
National
Connecticut 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Connecticut | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.1% | 4.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.7% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 11.4% | 17.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 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 | 6.7% | 18.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 8.7% | 6.5% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.1% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| David Smilovitz Trust Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | — | — |
| Izask Keller S Corp Life Estate Trust Fbo Hymie Keller Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8% | — | — |
| Izask Keller S Corp. Life Estate Trust Fbo Perl Brown Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8% | — | — |
| Laufer, Doris Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | — | — |
| Marvin Ostreicher Family Trust 2012 Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | — | — |
| Senga Trust Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | — | — |
| Susan Ostreicher Family Trust 2012 Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | — | — |
| The Harry And Helen Ostreicher Family Trust Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17% | — | — |
| Weberman, Peggy Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | — | — |
| Zitter, Agnes Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | — | — |
| Ostreicher, Marvin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Rayel, Michael Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
Part of a chain
National Health Care Associates — 42 facilities
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 Lower Ct River Vly.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Apple Rehab Middletown Middletown | 1.3 mi | 2026-06-10 | 4320 |
| Wadsworth Glen Health Care And Rehabilitation Cent Middletown | 1.3 mi | 2025-08-11 | 2240 |
| Portland Care & Rehab Centre, INC Portland | 1.8 mi | 2026-03-10 | 081 |
| Autumn Lake Healthcare At Cromwell Cromwell | 3.1 mi | 2026-04-02 | 4161 |
| Pilgrim Manor Cromwell | 3.2 mi | 2025-05-01 | 0101 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |