Guilford House, the
109 West Lake Avenue · Guilford, CT · 06437 · 2034889142
75 certified beds For profit - Limited Liability company
- Staffing hours comfortably above national benchmarks.
The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.58 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.73 | 0.55–0.75 |
| Weekend hours / resident-day | 4.27 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | 1 · $8,824 |
Inspection citations (35 in the current record)
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Potential for harm · D September 22, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 21, 2025 · Resident Rights
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Potential for harm · D September 22, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected November 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G October 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 6, 2024 · Quality of Life and Care
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Potential for harm · D January 8, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 23, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected December 11, 2023 · Quality of Life and Care
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Potential for harm · D October 23, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 11, 2023 · Quality of Life and Care
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Potential for harm · D October 23, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected December 11, 2023 · Quality of Life and Care
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Potential for harm · D October 23, 2023
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.
Corrected December 11, 2023 · Pharmacy Service
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Potential for harm · D October 23, 2023
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.
Corrected December 11, 2023 · Nutrition and Dietary
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Potential for harm · F October 23, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 11, 2023 · Nutrition and Dietary
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Potential for harm · D October 23, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 11, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 23, 2023
Provide and implement an infection prevention and control program.
Corrected December 11, 2023 · Infection Control
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Potential for harm · D October 23, 2023
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 11, 2023 · Environmental
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No harm found · B October 23, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 11, 2023 · Resident Rights
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No harm found · B October 23, 2023
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.
Corrected December 11, 2023 · Resident Rights
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No harm found · C October 23, 2023
Observe each nurse aide's job performance and give regular training.
Corrected December 11, 2023 · Nursing and Physician Services
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Potential for harm · D June 20, 2023 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected July 31, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 20, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 31, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 27, 2021
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected November 17, 2021 · Resident Rights
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Potential for harm · D September 27, 2021
Give residents a notice of rights, rules, services and charges.
Corrected November 17, 2021 · Resident Rights
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Potential for harm · D September 27, 2021
The resident has the right to receive notices in a format and a language he or she understands.
Corrected November 17, 2021 · Resident Rights
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Potential for harm · D September 27, 2021
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected November 17, 2021 · Resident Rights
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Potential for harm · D September 27, 2021
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.
Corrected November 17, 2021 · Resident Rights
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Potential for harm · E September 27, 2021
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected November 17, 2021 · Quality of Life and Care
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Potential for harm · E September 27, 2021
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 17, 2021 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 15, 2024 | Fine | $8,824 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 075235 · certified since December 18, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.