01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-10-16 | 9 | 2024-10-16 | 6 |
| Cycle 2 | 2023-04-18 | 11 | 2023-04-18 | 4 |
| Cycle 3 | 2021-06-08 | 0 | 2021-06-08 | 1 |
CMS CCN 0753182026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Pomperaug Woods Health Center
80 Heritage Rd · Southbury, CT 06488 · Naugatuck Vly County
Certified beds37CMS provider file
Recent citation rows31current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
31 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-20 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-06-08 · complaint2025-05-29 · HEALTHF0602Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Correction field: Past Non-Compliance · 2025-05-09 · complaint2025-01-07 · HEALTHF0602Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Correction field: Deficient, Provider has date of correction · 2025-01-31 · complaint2024-10-16 · FIREE0032Severity D · isolated; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Correction field: Deficient, Provider has date of correction · 2024-11-012024-10-16 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2024-12-022024-10-16 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-11-222024-10-16 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-11-222024-10-16 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-11-22 · complaint2024-10-16 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-11-222024-10-16 · HEALTHF0867Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2024-11-222024-10-16 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-11-222024-10-16 · HEALTHF0921Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2024-11-222024-10-16 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-11-012024-10-16 · FIREK0712Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-11-012024-10-16 · FIREK0918Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-12-062024-10-16 · FIREK0919Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Correction field: Deficient, Provider has date of correction · 2024-12-182024-10-16 · FIREK0921Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2024-11-012024-09-18 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-10-24 · complaint2024-09-18 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-10-24 · complaint2024-09-18 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-10-24 · complaint2023-04-18 · HEALTHF0578Severity B · pattern; potential for minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-05-122023-04-18 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2023-05-122023-04-18 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2023-05-122023-04-18 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-05-1203 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-09-18 | Fine | $8,018 | 0 |
| 2024-09-18 | Fine | $12,854 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- NEWTOWN SAVINGS BANKOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 06/05/2020
- NEWTOWN SAVINGS BANKOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 06/05/2020
- CONNERY, JANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2012
- EDELSON, CHRISTINEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2022
- JEDLINSKY, HELENAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/10/2019
- LUKOS, GREGIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2024
- MIHALCIK, MATTHEWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/01/2018
- MONAHAN, PATRICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2023
- SCHWARZCHILD, KARENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2024
- VAS, ANTONIOIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/01/2021
- WNUCK, MARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/07/2017
- CONNERY, JANEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/25/2021
- LUKOS, GREGIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/01/2024
- MIHALCIK, MATTHEWIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2025
- WNUCK, MARYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/25/2021
- GYBA, VICKIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/24/2024
- RAAD, MARCIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2021
- GYBA, VICKIIndividual · ADP OF THE SNFNOT APPLICABLE · since 03/20/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours5.26per resident day
RN hours1.35per resident day
Weekend nurse hours4.65per resident day
Staff turnover45.1%CMS reported field
06 / LOCAL RECORDS
Open the Southbury ledger →