Complete Care at Kimberly Hall-South
A nursing home in Windsor, Connecticut 06095
1 Emerson Drive, Windsor, Connecticut 06095. (860) 688-6443.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 4of 5 CMS’s overall rating
- 8 health citations at the latest inspection cycle Connecticut average: 13.3
- 3.87 nurse hours per resident per day Connecticut average: 3.90
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
8 health citations at the latest inspection cycle
The Connecticut average is 13.3.
Last standard inspection Jul 7, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Feb 3, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
28 citations in 8 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 28 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 13 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 7, 2026: standard inspection8 citations
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Properly hold, secure, and manage each resident’s personal money which is deposited with the nursing home.
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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
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Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
May 1, 2025: complaint inspection2 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide safe, appropriate pain management for a resident who requires such services.
Apr 3, 2025: complaint inspection1 citation
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Feb 3, 2025: complaint inspection2 citations
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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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.
Jan 14, 2025: complaint inspection2 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide and implement an infection prevention and control program.
Nov 19, 2024: standard inspection7 citations
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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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 directive.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Sep 13, 2024: complaint inspection3 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jul 15, 2024: complaint inspection2 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jul 3, 2024: complaint inspection1 citation
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Nov 1, 1975.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 180 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $14,728 in all.
- No Medicare payment denials in the last three years.
- 13 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jan 14, 2025 | Fine | $14,728 |
Who does the caring?
3.87 nurse hours per resident per day
The Connecticut average is 3.90.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Connecticut average |
|---|---|---|
| Nurse hours per resident per day | 3.87 | 3.90 |
| Of which registered nurses | 0.83 | 0.71 |
| At weekends | 3.45 | 3.48 |
| Nursing staff turnover | 26.5% | 37.3% |
| Registered nurse turnover | 40.7% | 38% |
| Administrators who left | 0 | Not given |
Who owns it?
- PC Gen Ct Opco Holdco LLC owns 100% directly since Nov 15, 2022.
- 19 owners or officers are people: Daniel Sternbuch (owns a share through other companies, 4.9%); Jacob Klugman (owns a share through other companies, 4.9%); Shalom Stein (owns a share through other companies, 4.41%); Thomas Russo (runs it (operational or managerial control)); Thomas Russo (additional disclosable party (controls, leases property to, or provides services to the home)); Daniel Sternbuch (additional disclosable party (controls, leases property to, or provides services to the home)); Marnie Tetreault (runs it (operational or managerial control)); Marnie Tetreault (additional disclosable party (controls, leases property to, or provides services to the home)); Jacob Klugman (additional disclosable party (controls, leases property to, or provides services to the home)); Kristin Lagana (runs it (operational or managerial control)); Kristin Lagana (additional disclosable party (controls, leases property to, or provides services to the home)); Monica Messenger (additional disclosable party (controls, leases property to, or provides services to the home)); Robert J Hoch (runs it (operational or managerial control)); Robert J Hoch (additional disclosable party (controls, leases property to, or provides services to the home)); James P Gallagher (runs it (operational or managerial control)); James P Gallagher (additional disclosable party (controls, leases property to, or provides services to the home)); Shalom Stein (corporate officer); Shalom Stein (on the governing body (managing control)); Shalom Stein (trustee).
- Part of Complete Care (85 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| PC Gen Ct Opco Holdco LLC | Owns 5% or more directly | 100% | Nov 15, 2022 |
| PC Gen Ct Opco Topco LLC | Owns 5% or more through other companies | 100% | Nov 15, 2022 |
| Peace Capital Holdings LLC | Owns 5% or more through other companies | 90.2% | Nov 15, 2022 |
| PC Gen Ct Topco LLC | Owns 5% or more through other companies | 90.2% | Nov 15, 2022 |
| Sms 2021 Trust | Owns 5% or more through other companies | 85.78% | Nov 15, 2022 |
| DES Capital LLC | Owns a share through other companies | 4.9% | Nov 15, 2022 |
| Jrk Investments LLC | Owns a share through other companies | 4.9% | Nov 15, 2022 |
| Peace Capital Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 15, 2022 | |
| PC Gen Ct Topco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 15, 2022 | |
| Sms 2021 Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 15, 2022 | |
| Kimberly Hall South Propco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 15, 2022 | |
| DES Capital LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 15, 2022 | |
| Jrk Investments LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 15, 2022 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Connecticut average 3.7).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 4 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 6.2 miles, this one had the 12th most health citations at the latest inspection cycle (8; the middle value was 13).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Complete Care at Kimberly Hall-South This nursing home | 8 | |
| Complete Care at Kimberly Hall North | 0.0 | 13 |
| Seabury | 2.1 | 13 |
| Touchpoints at Bloomfield | 2.2 | 13 |
| Autumn Lake Healthcare at Windsor | 2.2 | 31 |
| Bloomfield Center for Nursing & Rehabilitation | 2.6 | 19 |
| Caleb Hitchcock Health Center | 4.7 | 10 |
| Saint Mary Home | 4.7 | 11 |
| Riverside Health & Rehabilitation Center | 5.1 | 17 |
| Chelsea Place Care Center LLC | 5.3 | 17 |
| Parkville Care Center | 6.2 | 13 |
| West Hartford Health & Rehabilitation Center | 6.2 | 9 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.