Complete Care At Kimberly Hall-South
Windsor, Capitol County, Connecticut · CCN 075237 · For-profit (LLC) · part of Complete Care (85 facilities, chain average 3.1 stars)
CMS rates Complete Care At Kimberly Hall-South 4 of 5 overall as of August 2026. 180 certified beds, 104 residents a day on average. 37 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $14,728.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 4 / 5 of 5 |
Staffing
| Total nurse staffing | 3.74367 hours per resident per day |
|---|---|
| Registered nurses | 0.74652 hours per resident per day |
| Weekend total | 3.44195 hours per resident per day |
| Nursing staff turnover | 27.4% (registered nurses 38.5%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-05-01 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-12 |
| 2025-05-01 complaint survey |
Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-12 |
| 2025-04-03 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2025-02-20 |
| 2025-02-03 complaint survey |
Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-02-03 |
| 2025-02-03 complaint survey |
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. Nursing and Physician Services Deficiencies · tag F0726 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-07 |
| 2025-01-14 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-14 |
| 2025-01-14 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0561 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0636 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-26 |
| 2024-11-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-26 |
| 2024-11-19 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0623 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2024-12-26 |
| 2024-09-13 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-17 |
| 2024-09-13 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-17 |
| 2024-09-13 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-17 |
| 2024-07-15 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-21 |
| 2024-07-15 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-21 |
| 2024-07-03 complaint survey |
Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-07 |
| 2023-10-19 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0800 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-06-30 |
| 2022-05-23 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-06-30 |
| 2022-05-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-06-30 |
| 2022-05-23 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0585 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2022-06-30 |
| 2019-10-24 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0561 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-12-05 |
| 2019-10-24 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-12-05 |
| 2019-10-24 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-12-05 |
| 2019-10-24 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-12-05 |
| 2019-10-24 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · tag F0791 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0584 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2019-12-05 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-14 | Fine | $14,728 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| PC Gen Ct Opco Holdco LLC Organization | 5% or greater direct ownership interest | 100% | 2022-11-15 |
| PC Gen Ct Opco Topco LLC Organization | 5% or greater indirect ownership interest | — | 2022-11-15 |
| PC Gen Ct Topco LLC Organization | 5% or greater indirect ownership interest | — | 2022-11-15 |
| Sms 2021 Trust Organization | 5% or greater indirect ownership interest | — | 2022-11-15 |
| Des Capital LLC Organization | adp of the snf | — | 2022-11-15 |
| Jrk Investments LLC Organization | adp of the snf | — | 2022-11-15 |
| Kimberly Hall South Propco LLC Organization | adp of the snf | — | 2022-11-15 |
| PC Gen Ct Topco LLC Organization | adp of the snf | — | 2022-11-15 |
| Peace Capital Holdings LLC Organization | adp of the snf | — | 2022-11-15 |
| Sms 2021 Trust Organization | adp of the snf | — | 2022-11-15 |
| Des Capital LLC Organization | indirect ownership interest | — | 2022-11-15 |
| Jrk Investments LLC Organization | indirect ownership interest | — | 2022-11-15 |
| Gallagher, James Individual | adp of the snf | — | 2022-11-15 |
| Hoch, Robert Individual | adp of the snf | — | 2022-11-15 |
| Klugman, Jacob Individual | adp of the snf | — | 2022-11-15 |
| Lagana, Kristin Individual | adp of the snf | — | 2022-11-15 |
| Messenger, Monica Individual | adp of the snf | — | 2024-02-02 |
| Russo, Thomas Individual | adp of the snf | — | 2022-11-15 |
| Sternbuch, Daniel Individual | adp of the snf | — | 2022-11-15 |
| Tetreault, Marnie Individual | adp of the snf | — | 2022-11-15 |
| Stein, Shalom Individual | corporate officer | — | 2022-11-15 |
| Klugman, Jacob Individual | indirect ownership interest | — | 2022-11-15 |
| Stein, Shalom Individual | indirect ownership interest | — | 2022-11-15 |
| Sternbuch, Daniel Individual | indirect ownership interest | — | 2022-11-15 |
| Stein, Shalom Individual | managing control - governing body | — | 2022-11-15 |
| Gallagher, James Individual | operational/managerial control | — | 2022-11-15 |
| Hoch, Robert Individual | operational/managerial control | — | 2022-11-15 |
| Lagana, Kristin Individual | operational/managerial control | — | 2022-11-15 |
| Russo, Thomas Individual | operational/managerial control | — | 2022-11-15 |
| Tetreault, Marnie Individual | operational/managerial control | — | 2022-11-15 |
| Stein, Shalom Individual | trustee of the snf | — | 2022-11-15 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Complete Care At Kimberly Hall-South.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Capitol County.