At a glance
Official CMS profileCMS overall rating
3 / 5
Certified beds
150
Residents / day
133.4
Ownership
For profit - Corporation
Facility information
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- County
- Lower Ct River Vly
- Certified beds
- 150
- Average residents per day
- 133.4
- First certified
- January 29, 1993
CMS quality ratings
- Overall
- 3 / 5
- Health inspections
- 2 / 5
- Staffing
- 2 / 5
- Quality measures
- 5 / 5
These are CMS quality ratings, not customer reviews.
How this home compares locally
Other homes in Lower Ct River Vly, Connecticut. Missing values are excluded; this home is excluded from peer averages.
| Measure | This home | County peers | State peers |
|---|---|---|---|
| CMS overall rating / 5 | 3.00 | 2.88 (n=16) | 3.01 |
| Nurse hours / resident / day | 3.67 | 3.79 (n=13) | 3.91 (n=164) |
| Weekend nurse hours / resident / day | 3.31 | 3.32 (n=13) | 3.49 (n=164) |
| Nursing staff turnover (%) | 43.40 | 42.02 (n=11) | 37.25 (n=165) |
CMS overall rating / 5
- This home
- 3.00
- County peers
- 2.88
- n=16
- State peers
- 3.01
Nurse hours / resident / day
- This home
- 3.67
- County peers
- 3.79
- n=13
- State peers
- 3.91
- n=164
Weekend nurse hours / resident / day
- This home
- 3.31
- County peers
- 3.32
- n=13
- State peers
- 3.49
- n=164
Nursing staff turnover (%)
- This home
- 43.40
- County peers
- 42.02
- n=11
- State peers
- 37.25
- n=165
Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology
Questions for your visit
- Reported weekend staffing is 9.8% below the all-days average. How is weekend coverage maintained?
- What changes were made after the abuse-related CMS flag, and how are residents protected today?
- CMS reports 43.4% total nursing staff turnover. How do you retain staff and maintain continuity of care?
- Which services are included, what costs extra, and can you provide a written care and payment plan?
Published record coverage
- Hospital measures
- 4
- Fire safety citations
- 1
- Health citations
- 36
- Resident measures
- 17
- Ownership records
- 11
- Penalties
- 3
- SNF rehabilitation measures
- 57
- Inspection summaries
- 3
- Medicare performance records
- 1
Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.
Full CMS profile
Staffing & operations
Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.
- Reported Total Nurse Staffing Hours per Resident per Day
- 3.67117
- Reported RN Staffing Hours per Resident per Day
- 0.47446
- Reported LPN Staffing Hours per Resident per Day
- 0.89704
- Reported Nurse Aide Staffing Hours per Resident per Day
- 2.29967
- Total number of nurse staff hours per resident per day on the weekend
- 3.31188
- Registered Nurse hours per resident per day on the weekend
- 0.22590
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.07220
- Total nursing staff turnover
- 43.4
- Registered Nurse turnover
- 42.1
- Number of administrators who have left the nursing home
- 0
- Chain Name
- NATIONAL HEALTH CARE ASSOCIATES
- Number of Facilities in Chain
- 42
- Chain Average Overall 5-star Rating
- 3.2
- Special Focus Status
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- With a Resident and Family Council
- Resident
- Automatic Sprinkler Systems in All Required Areas
- Yes
All provider source fields
- State
- CT
- Urban
- Y
- Chain ID
- 363
- Latitude
- 41.5553
- Location
- 111 CHURCH STREET,MIDDLETOWN,CT,06457
- ZIP Code
- 06457
- City/Town
- MIDDLETOWN
- Longitude
- -72.652
- QM Rating
- 5
- Abuse Icon
- Y
- Chain Name
- NATIONAL HEALTH CARE ASSOCIATES
- County/Parish
- Lower Ct River Vly
- Provider Name
- WATER'S EDGE CENTER FOR HEALTH & REHABILITATION
- Provider Type
- Medicare and Medicaid
- Overall Rating
- 3
- Ownership Type
- For profit - Corporation
- Number of Fines
- 3
- Processing Date
- 2026-10-01
- Staffing Rating
- 2
- Provider Address
- 111 CHURCH STREET
- Telephone Number
- 8603477286
- Geocoding Footnote
- Not reported
- QM Rating Footnote
- Not reported
- Legal Business Name
- HARBOR HILL CARE CENTER, INC.
- Long-Stay QM Rating
- 5
- High Performing Icon
- N
- Short-Stay QM Rating
- 4
- Special Focus Status
- Not reported
- Nursing Case-Mix Index
- 1.49735
- Chain Average QM Rating
- 4.2
- Overall Rating Footnote
- Not reported
- Health Inspection Rating
- 2
- Number of Certified Beds
- 150
- Provider SSA County Code
- 030
- Staffing Rating Footnote
- Not reported
- Number of Payment Denials
- 0
- Registered Nurse turnover
- 42.1
- Total Number of Penalties
- 3
- Reported Staffing Footnote
- Not reported
- Long-Stay QM Rating Footnote
- Not reported
- Nursing Case-Mix Index Ratio
- 1.06176
- Provider Resides in Hospital
- N
- Total nursing staff turnover
- 43.4
- Chain Average Staffing Rating
- 3.1
- Number of Facilities in Chain
- 42
- Short-Stay QM Rating Footnote
- Not reported
- CMS Certification Number (CCN)
- 075381
- Administrator turnover footnote
- Not reported
- Total Amount of Fines in Dollars
- 91899.00
- Health Inspection Rating Footnote
- Not reported
- Rating Cycle 1 Total Health Score
- 88
- Registered Nurse turnover footnote
- Not reported
- Total Weighted Health Survey Score
- 109.750
- With a Resident and Family Council
- Resident
- Average Number of Residents per Day
- 133.4
- Chain Average Overall 5-star Rating
- 3.2
- Rating Cycle 1 Health Revisit Score
- 0
- Rating Cycle 2/3 Total Health Score
- 175
- Continuing Care Retirement Community
- N
- Physical Therapist Staffing Footnote
- Not reported
- Rating Cycle 2/3 Health Revisit Score
- 0
- Total nursing staff turnover footnote
- Not reported
- Chain Average Health Inspection Rating
- 2.8
- Rating Cycle 1 Health Deficiency Score
- 88
- Rating Cycle 1 Standard Survey Footnote
- Not reported
- Rating Cycle 2 Standard Survey Footnote
- Not reported
- Rating Cycle 1 Number of Health Revisits
- 1
- Rating Cycle 2/3 Health Deficiency Score
- 175
- Rating Cycle 1 Standard Survey Health Date
- 2026-03-25
- Rating Cycle 2 Standard Health Survey Date
- 2024-07-03
- Rating Cycle 2/3 Number of Health Revisits
- 1
- Average Number of Residents per Day Footnote
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- Adjusted RN Staffing Hours per Resident per Day
- 0.44335
- Case-Mix RN Staffing Hours per Resident per Day
- 0.73436
- Reported RN Staffing Hours per Resident per Day
- 0.47446
- Adjusted LPN Staffing Hours per Resident per Day
- 0.83823
- Case-Mix LPN Staffing Hours per Resident per Day
- 0.91509
- Reported LPN Staffing Hours per Resident per Day
- 0.89704
- Automatic Sprinkler Systems in All Required Areas
- Yes
- Rating Cycle 1 Total Number of Health Deficiencies
- 14
- Most Recent Health Inspection More Than 2 Years Ago
- N
- Rating Cycle 2/3 Total Number of Health Deficiencies
- 19
- Rating Cycle 1 Number of Standard Health Deficiencies
- 12
- Rating Cycle 2 Number of Standard Health Deficiencies
- 9
- Reported Licensed Staffing Hours per Resident per Day
- 1.37150
- Number of Citations from Infection Control Inspections
- Not reported
- Rating Cycle 1 Number of Complaint Health Deficiencies
- 3
- Adjusted Nurse Aide Staffing Hours per Resident per Day
- 2.14891
- Case-Mix Nurse Aide Staffing Hours per Resident per Day
- 2.49233
- Number of administrators who have left the nursing home
- 0
- Reported Nurse Aide Staffing Hours per Resident per Day
- 2.29967
- Adjusted Total Nurse Staffing Hours per Resident per Day
- 3.43049
- Case-Mix Total Nurse Staffing Hours per Resident per Day
- 4.14178
- Rating Cycle 2/3 Number of Complaint Health Deficiencies
- 12
- Reported Total Nurse Staffing Hours per Resident per Day
- 3.67117
- Registered Nurse hours per resident per day on the weekend
- 0.22590
- Date First Approved to Provide Medicare and Medicaid Services
- 1993-01-29
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.07220
- Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
- 3.09475
- Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
- 3.64507
- Total number of nurse staff hours per resident per day on the weekend
- 3.31188
COMMUNITY EXPERIENCE
Reviews of WATER'S EDGE CENTER FOR HEALTH & REHABILITATION
Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.
No published community reviews yet.
Community reviews & discussions
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Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.
Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026