Complete Care at Kimberly Hall-South

Nursing Home · Windsor, CT

CMS overall rating 4/5 For profit - Limited Liability company

CMS certification number075237

Contact & location

1 Emerson Drive
Windsor, CT 06095
Capitol County
Phone
(860) 688-6443
ZIP code
06095 – all care providers

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Facility details

Certified beds
180
Residents per day
104.0 (58% occupied)
Ownership
For profit - Limited Liability company
Legal name
Complete Care at Kimberly Hall South LLC
Chain
Complete Care (85 facilities, avg 3.1★)
Medicare certified since
November 1, 1975
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 3.0
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 3.2
Quality measures★★★★★ 5/5
State avg 3.6
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.74 (state 3.73 · U.S. 3.86)
Registered nurses (RN)
0.75 (state 0.69 · U.S. 0.69)
Licensed practical nurses
0.84 (state 0.82 · U.S. 0.86)
Nurse aides
2.16 (state 2.22 · U.S. 2.32)
Weekend total
3.44 (state 3.37 · U.S. 3.42)
Nursing staff turnover
27.4 (state 37.4 · U.S. 45.8)%
RN turnover
38.5 (state 38.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
November 19, 2024
Health deficiencies (last cycle)
7.0 (state 13.4 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
37 health · 7 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-05-01 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-12
2025-05-01 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-12
2025-04-03 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-20
2025-02-03 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-02-03
2025-02-03 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.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-07
2025-01-14 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-14
2025-01-14 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-14
2024-11-19 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-26
2024-11-19 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.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-26
2024-11-19 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-26
2024-11-19 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-26
2024-11-19 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-26
2024-11-19 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-26
2024-11-19 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
B
No actual harm, potential for minimal harm
Corrected 2024-12-26
2024-09-13 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-17
2024-09-13 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-17
2024-09-13 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-17
2024-07-15 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-21
2024-07-15 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-21
2024-07-03 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-07
2023-10-19 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-30
2022-05-23 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-30
2022-05-23 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
F0800 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-30
2022-05-23 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-30
2022-05-23 Notify 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.
F0625 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-06-30
2022-05-23 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-06-30
2022-05-23 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-06-30
2022-05-23 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-06-30
2022-05-23 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies
B
No actual harm, potential for minimal harm
Corrected 2022-06-30
2019-10-24 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2019-12-05
2019-10-24 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-12-05
2019-10-24 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-12-05
2019-10-24 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-12-05
2019-10-24 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-12-05
2019-10-24 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-12-05
2019-10-24 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-12-05
2019-10-24 Honor 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.
F0584 · Resident Rights Deficiencies
B
No actual harm, potential for minimal harm
Corrected 2019-12-05

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $14,728 in fines.

DateTypeAmount
2025-01-14Fine$14,728

Ownership & management

NameRoleSince
PC Gen CT Opco Holdco LLC (organization)5%+ Direct Ownership Interest · 100%
PC Gen CT Opco Topco LLC (organization)5%+ Indirect Ownership Interest
PC Gen CT Topco LLC (organization)5%+ Indirect Ownership Interest
SMS 2021 Trust (organization)5%+ Indirect Ownership Interest
Des Capital LLC (organization)Administrator · NOT APPLICABLE
Gallagher, James (individual)Administrator · NOT APPLICABLE
Hoch, Robert (individual)Administrator · NOT APPLICABLE
JRK Investments LLC (organization)Administrator · NOT APPLICABLE
Kimberly Hall South Propco LLC (organization)Administrator · NOT APPLICABLE
Klugman, Jacob (individual)Administrator · NOT APPLICABLE
Lagana, Kristin (individual)Administrator · NOT APPLICABLE
Messenger, Monica (individual)Administrator · NOT APPLICABLE
PC Gen CT Topco LLC (organization)Administrator · NOT APPLICABLE
Peace Capital Holdings LLC (organization)Administrator · NOT APPLICABLE
Russo, Thomas (individual)Administrator · NOT APPLICABLE
SMS 2021 Trust (organization)Administrator · NOT APPLICABLE
Sternbuch, Daniel (individual)Administrator · NOT APPLICABLE
Tetreault, Marnie (individual)Administrator · NOT APPLICABLE
Stein, Shalom (individual)Corporate Officer · NOT APPLICABLE
Des Capital LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
JRK Investments LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Klugman, Jacob (individual)Indirect Ownership Interest · NOT APPLICABLE
Stein, Shalom (individual)Indirect Ownership Interest · NOT APPLICABLE
Sternbuch, Daniel (individual)Indirect Ownership Interest · NOT APPLICABLE
Stein, Shalom (individual)Managing Control - Governing Body · NOT APPLICABLE
Gallagher, James (individual)Operational/managerial Control · NOT APPLICABLE
Hoch, Robert (individual)Operational/managerial Control · NOT APPLICABLE
Lagana, Kristin (individual)Operational/managerial Control · NOT APPLICABLE
Russo, Thomas (individual)Operational/managerial Control · NOT APPLICABLE
Tetreault, Marnie (individual)Operational/managerial Control · NOT APPLICABLE
Stein, Shalom (individual)Trustee Of The Snf · NOT APPLICABLE

Frequently asked questions

What is the rating of Complete Care at Kimberly Hall-South?

Complete Care at Kimberly Hall-South has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Connecticut.

How many beds does Complete Care at Kimberly Hall-South have?

It has 180 certified beds and cares for about 104 residents per day.

Has Complete Care at Kimberly Hall-South been fined?

Yes. CMS lists 1 penalty totaling $14,728 in the last three years.

Who owns Complete Care at Kimberly Hall-South?

It is part of Complete Care and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Complete Care at Kimberly Hall-South?

(860) 688-6443. The facility is located at 1 Emerson Drive, Windsor, CT 06095.

Other nursing homes in Windsor

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.