South Central Ct County, Connecticut · Nursing home
Guilford House, the
4 of 5 overall from CMS
109 West Lake Avenue, Guilford, CT 06437
At a glance
- Overall rating 4 of 5 Above the state average of 3.0
- Nurse time per resident, per day 4.44 hours Above the state average of 3.73
- Nursing staff who left in a year 39.2% Above the state average of 37.4%
- Health citations, last 3 inspection cycles 33 1 at the harm level or above
- Fines in 3 years $8,824 1 fine
- Certified beds in use 96.4% of 75 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Guilford House, the is a 75-bed nursing home in Guilford, Connecticut (South Central Ct County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 4.44 nurse staffing hours per resident per day, above the Connecticut average of 3.73. CMS lists 1 fine totaling $8,824 in the past three years.
- Certified beds
- 75
- Residents per day (average)
- 72.3
- Certified since
- 1974 (52 yrs)
For profit - Limited Liability company Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Guilford House, the
Chosen from this home's public data.
- CMS lists 1 fine totaling $8,824 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 14 health deficiencies in the latest inspection cycle (the standard inspection on Oct 23, 2023 plus complaint and infection-control inspections); the Connecticut average is 13.4. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 39.2%, above the Connecticut average of 37.4%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 Connecticut average 3.0
- Health inspections 3 of 5 Connecticut average 2.7
- Staffing 5 of 5 Connecticut average 3.2
- Quality measures 3 of 5 Connecticut average 3.6
The vertical line marks the Connecticut average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.44 h Connecticut average 3.73
- Nurse aides 2.70 h Connecticut average 2.22
- Licensed practical nurses 1.05 h Connecticut average 0.82
- Registered nurses 0.69 h Connecticut average 0.69
- All staff, weekends 4.29 h Connecticut average 3.37
How much nurse staffing is enough? All bars share one scale, 0 to 6 hours. The vertical line marks the Connecticut average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover39.2%
- Connecticut average37.4%
- Registered nurse turnover18.2%
- Connecticut average38.6%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Connecticut and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Connecticut | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 28.9% | 18.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.6% | 6.5% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.2% | 0.7% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 2.9% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 29.5% | 22.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% | 3.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 81.0% | 88.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 25.3% | 16.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.5% | 17.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.3% | 93.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.4% | 4.0% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.6% | 24.7% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 16.1% | 17.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.04 | 2.06 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.10 | 1.46 | 1.78 |
Short-stay residents
| Measure | This home | Connecticut | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.1% | 71.8% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 70.2% | 69.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.0% | 24.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 7.9% | 10.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 33 health deficiencies in the three most recent inspection cycles. Of these, 1 involved actual harm; the rest were graded as no actual harm. 4 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Oct 15, 2024: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Oct 23, 2023 | 14 | 9 |
| Sep 27, 2021 | 8 | 9 |
| May 17, 2019 | 11 | 4 |
Connecticut homes averaged 13.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (33)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Nov 21, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Nov 21, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 6, 2024)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 28, 2024)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 11, 2023)
Show 25 more
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 11, 2023)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 11, 2023)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 11, 2023)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Dec 11, 2023)
-
DPotential for more than minimal harm, isolated
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.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 11, 2023)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 11, 2023)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Dec 11, 2023)
-
DPotential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · Deficient, Provider has date of correction (Dec 11, 2023)
-
CPotential for minimal harm, widespread
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services · Deficient, Provider has date of correction (Dec 11, 2023)
-
BPotential for minimal harm, pattern
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Dec 11, 2023)
-
BPotential for minimal harm, pattern
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 · Deficient, Provider has date of correction (Dec 11, 2023)
-
EPotential for more than minimal harm, pattern
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 17, 2021)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 17, 2021)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · Deficient, Provider has date of correction (Nov 17, 2021)
-
DPotential for more than minimal harm, isolated
Give residents a notice of rights, rules, services and charges.
Resident Rights · Deficient, Provider has date of correction (Nov 17, 2021)
-
DPotential for more than minimal harm, isolated
The resident has the right to receive notices in a format and a language he or she understands.
Resident Rights · Deficient, Provider has date of correction (Nov 17, 2021)
-
DPotential for more than minimal harm, isolated
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights · Deficient, Provider has date of correction (Nov 17, 2021)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Nov 17, 2021)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 7, 2019)
-
EPotential for more than minimal harm, pattern
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration · Deficient, Provider has date of correction (Jun 26, 2019)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jun 7, 2019)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Jun 7, 2019)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Jun 26, 2019)
-
DPotential for more than minimal harm, isolated
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 12, 2019)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Jun 12, 2019)
Showing the 30 most recent of 33.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Oct 15, 2024 | Fine | $8,824 |
Connecticut homes averaged 0.9 fines and $23,730 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Connecticut
- Size147 of 191 by certified beds
- Connecticut average residents per day103.3
- ChainNone listed
- Resident or family councilResident
- Homes in South Central Ct County23
Common questions
What is the CMS star rating for Guilford House, the?
Guilford House, the has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 5 and quality measures is 3.
How many beds does Guilford House, the have?
Guilford House, the has 75 certified beds. It averages 72.3 residents per day, about 96.4% of its certified beds.
How much nursing care do residents get at Guilford House, the?
The home reports 4.44 hours of nurse staffing per resident per day, including 0.69 hours from registered nurses. The Connecticut average is 3.73 hours and 0.69 hours from registered nurses.
Has Guilford House, the been fined?
Yes. CMS lists 1 fine totaling $8,824 in the past three years.
Does Guilford House, the accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Evergreen Woods 50beds 82.0%in use 5.40nurse hours a day
- 2 of 5 Apple Rehab Guilford 90beds 87.1%in use 3.20nurse hours a day
- 2 of 5 Autumn Lake Healthcare at Madison 90beds 92.6%in use 3.17nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in South Central Ct County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 075235. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.