Noble Horizons
17 Cobble Rd · Salisbury, CT · 06068 · 8604359851
91 certified beds Non profit - Corporation
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $51,775 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
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
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$51,775 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.18 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.84 | 0.55–0.75 |
| Weekend hours / resident-day | 2.90 | ≈ weekday level |
| Nursing turnover / year | 38% | median 45% |
| Fines (3-yr window) | 3 · $62,302 |
Inspection citations (52 in the current record)
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Potential for harm · D April 23, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has no plan of correction · Resident Rights
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Potential for harm · D April 23, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 23, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · D April 23, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
-
Immediate jeopardy · K February 27, 2026
Provide and implement an infection prevention and control program.
Corrected April 10, 2026 · Infection Control
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Actual harm · G February 27, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 10, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
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.
Corrected April 10, 2026 · Resident Rights
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Potential for harm · D February 27, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 10, 2026 · Resident Rights
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Potential for harm · D February 27, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 10, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2026
Respond appropriately to all alleged violations.
Corrected April 10, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 27, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 10, 2026 · Resident Rights
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Potential for harm · E February 27, 2026
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected April 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 27, 2026
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected April 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 27, 2026
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected April 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2026
Observe each nurse aide's job performance and give regular training.
Corrected April 10, 2026 · Nursing and Physician Services
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Potential for harm · E February 27, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 10, 2026 · Pharmacy Service
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Potential for harm · E February 27, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 10, 2026 · Nutrition and Dietary
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Potential for harm · D February 27, 2026
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected April 10, 2026 · Administration
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Potential for harm · D February 27, 2026
Implement a program that monitors antibiotic use.
Corrected April 10, 2026 · Infection Control
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Potential for harm · D February 27, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 10, 2026 · Infection Control
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Potential for harm · E February 27, 2026
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected April 10, 2026 · Nursing and Physician Services
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Actual harm · G July 9, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 16, 2024 · Quality of Life and Care
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Actual harm · G April 24, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 5, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 27, 2026 | Fine | $37,725 |
| July 9, 2024 | Fine | $14,050 |
| March 21, 2024 | Fine | $10,527 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 075236 · certified since January 3, 1975. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.