Lower Ct River Vly County, Connecticut · Nursing home
Twin Maples Healthcare, Inc
3 of 5 overall from CMS
809 New Haven Road #r, Durham, CT 06422
At a glance
- Overall rating 3 of 5 Same as the state average of 3.0
- Nurse time per resident, per day 3.18 hours Below the state average of 3.73
- Nursing staff who left in a year 35.3% Below the state average of 37.4%
- Health citations, last 3 inspection cycles 27 1 at the harm level or above
- Fines in 3 years $24,928 1 fine
- Certified beds in use 97.5% of 44 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.
Twin Maples Healthcare, Inc is a 44-bed nursing home in Durham, Connecticut (Lower Ct River Vly County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 3.18 nurse staffing hours per resident per day, below the Connecticut average of 3.73. CMS lists 1 fine totaling $24,928 in the past three years.
- Certified beds
- 44
- Residents per day (average)
- 42.9
- Certified since
- 2003 (23 yrs)
For profit - Corporation 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 Twin Maples Healthcare, Inc
Chosen from this home's public data.
- CMS lists 1 fine totaling $24,928 in the past three years. What changed after the most recent one?Penalties in CMS data
- Reported nurse staffing is 2.77 hours per resident on weekends against 3.18 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 97.5% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Connecticut average 3.0
- Health inspections 3 of 5 Connecticut average 2.7
- Staffing 4 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 3.18 h Connecticut average 3.73
- Nurse aides 1.97 h Connecticut average 2.22
- Licensed practical nurses 0.41 h Connecticut average 0.82
- Registered nurses 0.80 h Connecticut average 0.69
- All staff, weekends 2.77 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 turnover35.3%
- Connecticut average37.4%
- Registered nurse turnover33.3%
- 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 | 12.7% | 18.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.7% | 6.5% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.6% | 0.7% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.6% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.6% | 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 | 9.1% | 3.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.6% | 88.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 15.4% | 16.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.5% | 17.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 93.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.0% | 4.0% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.0% | 24.7% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 21.9% | 17.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.36 | 2.06 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.72 | 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 | Too few residents or stays to report | 71.8% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 69.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 24.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 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 27 health deficiencies in the three most recent inspection cycles. Of these, 1 involved actual harm; the rest were graded as no actual harm. 9 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Oct 9, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 22, 2025 | 10 | 3 |
| Jun 22, 2023 | 13 | 1 |
| Jul 14, 2021 | 4 | 2 |
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 (27)
-
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 18, 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 (Dec 5, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 21, 2025)
-
DPotential for more than minimal harm, isolated
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jul 16, 2025)
-
EPotential for more than minimal harm, pattern
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services · Deficient, Provider has date of correction (Jun 9, 2025)
Show 22 more
-
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.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 9, 2025)
-
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.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 9, 2025)
-
DPotential for more than minimal harm, isolated
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 9, 2025)
-
DPotential for more than minimal harm, isolated
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 (Jun 9, 2025)
-
DPotential for more than minimal harm, isolated
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 (Jun 9, 2025)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Jun 9, 2025)
-
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.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 3, 2024)
-
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 (Sep 30, 2024)
-
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 (Feb 20, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Feb 20, 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 (Aug 9, 2023)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 9, 2023)
-
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.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 8, 2023)
-
DPotential for more than minimal harm, isolated
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 (Aug 9, 2023)
-
DPotential for more than minimal harm, isolated
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 (Aug 9, 2023)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Aug 9, 2023)
-
DPotential for more than minimal harm, isolated
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service · Deficient, Provider has date of correction (Aug 9, 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 (Aug 9, 2023)
-
DPotential for more than minimal harm, isolated
Provide or obtain dental services for each resident.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 9, 2023)
-
DPotential for more than minimal harm, isolated
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 9, 2023)
-
CPotential for minimal harm, widespread
Have enough backup water supply for essential areas of the nursing home.
Environmental · Deficient, Provider has date of correction (Aug 9, 2023)
-
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 (Jul 30, 2021)
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 9, 2025 | Fine | $24,928 |
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
- Size185 of 191 by certified beds
- Connecticut average residents per day103.3
- ChainNone listed
- Resident or family councilResident
- Homes in Lower Ct River Vly County17
Common questions
What is the CMS star rating for Twin Maples Healthcare, Inc?
Twin Maples Healthcare, Inc has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 4 and quality measures is 3.
How many beds does Twin Maples Healthcare, Inc have?
Twin Maples Healthcare, Inc has 44 certified beds. It averages 42.9 residents per day, about 97.5% of its certified beds.
How much nursing care do residents get at Twin Maples Healthcare, Inc?
The home reports 3.18 hours of nurse staffing per resident per day, including 0.80 hours from registered nurses. The Connecticut average is 3.73 hours and 0.69 hours from registered nurses.
Has Twin Maples Healthcare, Inc been fined?
Yes. CMS lists 1 fine totaling $24,928 in the past three years.
Does Twin Maples Healthcare, Inc 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
- 2 of 5 Connecticut Baptist Homes, Inc 60beds 95.8%in use 3.87nurse hours a day
- 1 of 5 Apple Rehab Coccomo 100beds 90.7%in use 3.36nurse hours a day
- 4 of 5 Complete Care at Meriden 115beds 92.9%in use 3.33nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Lower Ct River Vly County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 075431. 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.