Shady Knoll Center for Health & Rehabilitation
A nursing home in Seymour, Connecticut 06483
41 Skokorat Street, Seymour, Connecticut 06483. (203) 881-2555.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 13 health citations at the latest inspection cycle Connecticut average: 13.3
- 3.48 nurse hours per resident per day Connecticut average: 3.90
- 0 fines in the last three years
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.
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.
| 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 21 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. 8 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 21, 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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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.
Jun 30, 2025: standard inspection13 citations
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Respond appropriately to all alleged violations.
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PASARR screening for Mental disorders or Intellectual Disabilities
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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.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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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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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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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.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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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 or get specialized rehabilitative services as required for a resident.
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Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Jun 17, 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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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Apr 16, 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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Make sure that a working call system is available in each resident’s bathroom and bathing area.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
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.
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.
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 | 3.48 | 3.90 |
| Of which registered nurses | 0.38 | 0.71 |
| At weekends | 3.20 | 3.48 |
| Nursing staff turnover | 25.5% | 37.3% |
| Registered nurse turnover | 64.3% | 38% |
| Administrators who left | 0 | Not 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.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Master Tenant Holdco Ct5 II LLC | Holds 5% or more security interest | 100% | Oct 10, 2024 |
| Bg II Opco Ml LLC | Owns 5% or more directly | 100% | Oct 10, 2024 |
| Dymer Holdings LLC | Owns 5% or more through other companies | 51% | Oct 10, 2024 |
| Zadun II Holdings LLC | Owns 5% or more through other companies | 49% | Oct 10, 2024 |
| Cedar HILL Capital Associates LLC | Owns 5% or more through other companies | 20.25% | Oct 10, 2024 |
| Cedar HILL Capital Associates LLC | Holds 5% or more security interest | 20.25% | Oct 10, 2024 |
| Ilana Ostreicher Family Trust | Owns 5% or more through other companies | 10.13% | Oct 10, 2024 |
| Ilana Ostreicher Family Trust | Holds 5% or more security interest | 10.13% | Oct 10, 2024 |
| Marc Ephram Ostreicher Family Trust | Owns 5% or more through other companies | 10.13% | Oct 10, 2024 |
| Marc Ephram Ostreicher Family Trust | Holds 5% or more security interest | 10.13% | Oct 10, 2024 |
| Juniper Capital Associates LLC | Owns 5% or more through other companies | 9.42% | Oct 10, 2024 |
| Juniper Capital Associates LLC | Holds 5% or more security interest | 9.42% | Oct 10, 2024 |
| Oak Management Capital LLC | Owns 5% or more through other companies | 9.42% | Oct 10, 2024 |
| Oak Management Capital LLC | Holds 5% or more security interest | 9.42% | Oct 10, 2024 |
| Ysro Trust | Owns 5% or more through other companies | 9.41% | Oct 10, 2024 |
| Ysro Trust | Holds 5% or more security interest | 9.41% | Oct 10, 2024 |
| Shayna Steg Family Trust | Owns a share through other companies | 4.71% | Oct 10, 2024 |
| Michelle Ostreicher Family Trust | Owns a share through other companies | 4.71% | Oct 10, 2024 |
| David Ostreicher Family Trust | Owns a share through other companies | 4.71% | Oct 10, 2024 |
| Yitzchok Steg Family Trust | Owns a share through other companies | 4.71% | Oct 10, 2024 |
| Patriot HC 233 LLC | Owns a share through other companies | 4.5% | Oct 10, 2024 |
| White Deer Investments, LLC | Owns a share through other companies | 4.5% | Oct 10, 2024 |
| EJ Capital Holdings LLC | Owns a share through other companies | 4.08% | Oct 10, 2024 |
| Levon Papa II LLC | Owns a share through other companies | 1.52% | Oct 10, 2024 |
| Gray Family Investors LLC | Owns a share through other companies | 0.9% | Oct 10, 2024 |
| Gm Equities LLC | Owns a share through other companies | 0.9% | Oct 10, 2024 |
| Lpklr LLC | Owns a share through other companies | 0.17% | Oct 10, 2024 |
| Lpklr LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 2, 2024 | |
| Gray Family Investors LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 26, 2024 | |
| Gm Equities LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 12, 2024 | |
| EJ Capital Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 27, 2024 | |
| Yossi Ehrenfeld Investment LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 2, 2024 | |
| Master Tenant Holdco Ct5 II LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 19, 2024 | |
| Patriot HC 233 LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 26, 2024 | |
| Procare LTC Holding LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 19, 2024 | |
| Dymer Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 19, 2024 | |
| Preferred Therapy Solutions LLC | Additional 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 LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 12, 2024 | |
| Juniper Capital Associates LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 19, 2024 | |
| Ariella Ehrenfeld Investment LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 2, 2024 | |
| Cedar HILL Capital Associates LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 19, 2024 | |
| Baker Tilly Advisory Group LP | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 19, 2024 | |
| Ilana Ostreicher Family Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 19, 2024 | |
| Marc Ephram Ostreicher Family Trust | Additional 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).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 3 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).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Shady Knoll Center for Health & Rehabilitation This nursing home | 13 | |
| Beacon Brook Center for Health & Rehabilitation | 4.9 | 16 |
| Complete Care at Glendale | 4.9 | 12 |
| Autumn Lake Healthcare at the Willows | 5.6 | 7 |
| Hewitt Health & Rehabilitation Center, Inc. | 6.4 | 17 |
| Apple Rehab Shelton Lakes | 6.7 | 11 |
| Hamden Rehabilitation & Healthcare Center | 7.0 | 6 |
| Arden Care Center | 7.2 | 41 |
| Whitney Center | 8.0 | 17 |
| Gardner Heights Health Care Center, Inc. | 8.2 | 9 |
| Whitney Rehabilitation Care Center | 8.2 | 10 |
| Masonicare at Bishop Wicke Health & Rehabilitation | 8.5 | 14 |
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).
-
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.