Nw Hills County, Connecticut · Nursing home
Noble Horizons
2 of 5 overall from CMS
17 Cobble Rd, Salisbury, CT 06068
At a glance
- Overall rating 2 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.74 hours Above the state average of 3.73
- Nursing staff who left in a year 35.5% Below the state average of 37.4%
- Health citations, last 3 inspection cycles 51 5 at the harm level or above
- Fines in 3 years $151,542 3 fines
- Certified beds in use 67.3% of 91 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.
Noble Horizons is a 91-bed nursing home in Salisbury, Connecticut (Nw Hills County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.74 nurse staffing hours per resident per day, above the Connecticut average of 3.73. CMS lists 3 fines totaling $151,542 in the past three years.
- Certified beds
- 91
- Residents per day (average)
- 61.2
- Certified since
- 1975 (51 yrs)
Non profit - Corporation Participates in Medicare and MedicaidCMS Special Focus: SFF Candidate
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.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
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 Noble Horizons
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 3 fines totaling $151,542 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 23 health deficiencies in the latest inspection cycle (the standard inspection on Feb 27, 2026 plus complaint and infection-control inspections); the Connecticut average is 13.4. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Connecticut average 3.0
- Health inspections 1 of 5 Connecticut average 2.7
- Staffing 5 of 5 Connecticut average 3.2
- Quality measures 2 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 3.74 h Connecticut average 3.73
- Nurse aides 2.21 h Connecticut average 2.22
- Licensed practical nurses 0.54 h Connecticut average 0.82
- Registered nurses 0.99 h Connecticut average 0.69
- All staff, weekends 3.41 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 turnover35.5%
- Connecticut average37.4%
- Registered nurse turnover20.0%
- 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 | 28.0% | 18.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 9.3% | 6.5% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.1% | 0.7% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 3.7% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 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 | 9.4% | 3.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.1% | 88.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 14.9% | 16.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.6% | 17.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.6% | 93.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 7.2% | 4.0% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.3% | 24.7% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 12.5% | 17.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.89 | 2.06 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.70 | 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 | 78.1% | 71.8% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 62.5% | 69.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.8% | 24.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 15.2% | 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 51 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 4 involved actual harm; the rest were graded as no actual harm. 7 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Feb 27, 2026: Provide and implement an infection prevention and control program.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Feb 27, 2026 | 23 | 7 |
| Mar 21, 2024 | 22 | 5 |
| Oct 20, 2021 | 6 | 3 |
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 (51)
-
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal 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 (Jun 4, 2026)
-
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.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 4, 2026)
-
KImmediate jeopardy, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 10, 2026)
Show 25 more
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 10, 2026)
-
EPotential for more than minimal harm, pattern
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (Apr 10, 2026)
-
EPotential for more than minimal harm, pattern
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 10, 2026)
-
EPotential for more than minimal harm, pattern
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 10, 2026)
-
EPotential for more than minimal harm, pattern
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 10, 2026)
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Apr 10, 2026)
-
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 (Apr 10, 2026)
-
EPotential for more than minimal harm, pattern
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services · Deficient, Provider has date of correction (Apr 10, 2026)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Apr 10, 2026)
-
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 (Apr 10, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 10, 2026)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 10, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 10, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 10, 2026)
-
DPotential for more than minimal harm, isolated
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services · Deficient, Provider has date of correction (Apr 10, 2026)
-
DPotential for more than minimal harm, isolated
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · Deficient, Provider has date of correction (Apr 10, 2026)
-
DPotential for more than minimal harm, isolated
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Apr 10, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Apr 10, 2026)
-
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 (Aug 16, 2024)
-
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 (Jun 5, 2024)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 5, 2024)
-
FPotential for more than minimal harm, widespread
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services · Deficient, Provider has date of correction (May 2, 2024)
-
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 (May 2, 2024)
-
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 (May 2, 2024)
-
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 (May 2, 2024)
Showing the 30 most recent of 51.
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 |
|---|---|---|
| Feb 27, 2026 | Fine | $126,965 |
| Feb 27, 2026 | Payment Denial | 8 days |
| Jul 9, 2024 | Fine | $14,050 |
| Mar 21, 2024 | Fine | $10,527 |
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
- Size130 of 191 by certified beds
- Connecticut average residents per day103.3
- ChainNone listed
- Resident or family councilResident
- Homes in Nw Hills County9
Common questions
What is the CMS star rating for Noble Horizons?
Noble Horizons has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 5 and quality measures is 2.
How many beds does Noble Horizons have?
Noble Horizons has 91 certified beds. It averages 61.2 residents per day, about 67.3% of its certified beds.
How much nursing care do residents get at Noble Horizons?
The home reports 3.74 hours of nurse staffing per resident per day, including 0.99 hours from registered nurses. The Connecticut average is 3.73 hours and 0.69 hours from registered nurses.
Has Noble Horizons been fined?
Yes. CMS lists 3 fines totaling $151,542 in the past three years. It also lists 1 payment denial.
Does Noble Horizons 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 Geer Nursing and Rehabilitation 120beds 61.9%in use 4.18nurse hours a day
- 4 of 5 Sharon Center for Health & Rehabilitation 88beds 90.2%in use 3.55nurse hours a day
- 5 of 5 Timberlyn Heights Nursing and Rehabilitation 71beds 90.3%in use 3.10nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Nw Hills County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 075236. 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.