Hearth Record

Shady Knoll Center for Health & Rehabilitation

A nursing home in Seymour, Connecticut 06483

41 Skokorat Street, Seymour, Connecticut 06483. (203) 881-2555.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 21 citations in 4 months of the last 36. Last cited Jul 2025. Most serious: no actual harm, potential for more than minimal harm (D). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
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.
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?

13 health citations at the latest inspection cycle

The Connecticut average is 13.3.

Last standard inspection Jun 30, 2025.

Most serious in three years: D: no actual harm, potential for more than minimal harm.

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

21 citations in 4 months of the last 36. Last cited Jul 2025. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.

21 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 21 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 8 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jul 21, 2025: complaint inspection2 citations
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 3, 2025.

  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Rule F0761. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 3, 2025.

Jun 30, 2025: standard inspection13 citations
  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2025.

  • PASARR screening for Mental disorders or Intellectual Disabilities

    Rule F0645. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2025.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2025.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2025.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2025.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2025.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2025.

  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Rule F0756. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2025.

  • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Rule F0803. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2025.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2025.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2025.

  • Provide or get specialized rehabilitative services as required for a resident.

    Rule F0825. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2025.

  • Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Rule F0851. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2025.

Jun 17, 2024: complaint inspection3 citations
  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 18, 2024.

  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Rule F0698. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 18, 2024.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 18, 2024.

Apr 16, 2024: complaint inspection3 citations
  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 3, 2024.

  • Make sure that a working call system is available in each resident’s bathroom and bathing area.

    Rule F0919. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 3, 2024.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. B: no actual harm, potential for minimal harm. From a complaint. Correction date, as CMS recorded it: May 3, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Jun 9, 1993.
  • 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, corporation.
  • 128 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • No fines in the last three years.
  • No Medicare payment denials in the last three years.
  • 8 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Who does the caring?

3.48 nurse hours per resident per day

The Connecticut average is 3.90.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeConnecticut average
Nurse hours per resident per day3.483.90
Of which registered nurses0.380.71
At weekends3.203.48
Nursing staff turnover25.5%37.3%
Registered nurse turnover64.3%38%
Administrators who left0Not given

Who owns it?

  • Bg II Opco Ml LLC owns 100% directly since Oct 10, 2024.
  • National Health Care Associates Inc. runs it.
  • 23 owners or officers are people: Mindy Ehrenfeld (owns 5% or more through other companies, 30.67%); Ilana Ostreicher (owns 5% or more through other companies, 10.13%); Marc Ephram Ostreicher (owns 5% or more through other companies, 10.13%); Marc Ephram Ostreicher (holds 5% or more security interest, 10.13%); Michelle Ostreicher (owns a share through other companies, 4.71%); David Ostreicher (owns a share through other companies, 4.71%); Yitzchok Steg (owns a share through other companies, 4.71%); Shayna Steg (owns a share through other companies, 4.71%); Rebecca Lopiansky (owns a share through other companies, 4.71%); David Weisz (owns a share through other companies, 4.5%); Marvin J. Ostreicher (owns a share through other companies, 2.5%); Stefan Wolkenfeld (owns a share through other companies, 2.25%); Jay Gelbtuch (owns a share through other companies, 0.63%); Jacob Ehrenfeld (owns a share through other companies, 0.63%); Nechama Millstein (owns a share through other companies, 0.21%); Ilana Ostreicher (additional disclosable party (controls, leases property to, or provides services to the home)); Thomas Joseph Gilmartin (runs it (operational or managerial control)); Marc Ephram Ostreicher (runs it (operational or managerial control)); Marc Ephram Ostreicher (additional disclosable party (controls, leases property to, or provides services to the home)); Garumuni Desilva (runs it (operational or managerial control)); Garumuni Desilva (additional disclosable party (controls, leases property to, or provides services to the home)); Elza Augustin (runs it (operational or managerial control)); Elza Augustin (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of National Health Care Associates (42 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Master Tenant Holdco Ct5 II LLCHolds 5% or more security interest100%Oct 10, 2024
Bg II Opco Ml LLCOwns 5% or more directly100%Oct 10, 2024
Dymer Holdings LLCOwns 5% or more through other companies51%Oct 10, 2024
Zadun II Holdings LLCOwns 5% or more through other companies49%Oct 10, 2024
Cedar HILL Capital Associates LLCOwns 5% or more through other companies20.25%Oct 10, 2024
Cedar HILL Capital Associates LLCHolds 5% or more security interest20.25%Oct 10, 2024
Ilana Ostreicher Family TrustOwns 5% or more through other companies10.13%Oct 10, 2024
Ilana Ostreicher Family TrustHolds 5% or more security interest10.13%Oct 10, 2024
Marc Ephram Ostreicher Family TrustOwns 5% or more through other companies10.13%Oct 10, 2024
Marc Ephram Ostreicher Family TrustHolds 5% or more security interest10.13%Oct 10, 2024
Juniper Capital Associates LLCOwns 5% or more through other companies9.42%Oct 10, 2024
Juniper Capital Associates LLCHolds 5% or more security interest9.42%Oct 10, 2024
Oak Management Capital LLCOwns 5% or more through other companies9.42%Oct 10, 2024
Oak Management Capital LLCHolds 5% or more security interest9.42%Oct 10, 2024
Ysro TrustOwns 5% or more through other companies9.41%Oct 10, 2024
Ysro TrustHolds 5% or more security interest9.41%Oct 10, 2024
Shayna Steg Family TrustOwns a share through other companies4.71%Oct 10, 2024
Michelle Ostreicher Family TrustOwns a share through other companies4.71%Oct 10, 2024
David Ostreicher Family TrustOwns a share through other companies4.71%Oct 10, 2024
Yitzchok Steg Family TrustOwns a share through other companies4.71%Oct 10, 2024
Patriot HC 233 LLCOwns a share through other companies4.5%Oct 10, 2024
White Deer Investments, LLCOwns a share through other companies4.5%Oct 10, 2024
EJ Capital Holdings LLCOwns a share through other companies4.08%Oct 10, 2024
Levon Papa II LLCOwns a share through other companies1.52%Oct 10, 2024
Gray Family Investors LLCOwns a share through other companies0.9%Oct 10, 2024
Gm Equities LLCOwns a share through other companies0.9%Oct 10, 2024
Lpklr LLCOwns a share through other companies0.17%Oct 10, 2024
Lpklr LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 2, 2024
Gray Family Investors LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 26, 2024
Gm Equities LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 12, 2024
EJ Capital Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 27, 2024
Yossi Ehrenfeld Investment LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 2, 2024
Master Tenant Holdco Ct5 II LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 19, 2024
Patriot HC 233 LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 26, 2024
Procare LTC Holding LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 19, 2024
Dymer Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 19, 2024
Preferred Therapy Solutions LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 19, 2024
National Health Care Associates Inc.Runs it (operational or managerial control)Nov 19, 2024
National Health Care Associates Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Nov 19, 2024
Levon Papa II LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 12, 2024
Juniper Capital Associates LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 19, 2024
Ariella Ehrenfeld Investment LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 2, 2024
Cedar HILL Capital Associates LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 19, 2024
Baker Tilly Advisory Group LPAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 19, 2024
Ilana Ostreicher Family TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 19, 2024
Marc Ephram Ostreicher Family TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 19, 2024

How do residents fare?

  • CMS rates its quality measures 3 of 5 (Connecticut average 3.7).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating2 of 5
Health inspections2 of 5
Staffing2 of 5
Quality measures3 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 8.5 miles, this one had the 6th most health citations at the latest inspection cycle (13; the middle value was 12.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

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

  • 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).

  • 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).

  • 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).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • 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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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