HomeConnecticutLower Ct River Vly CountyWATER'S EDGE CENTER FOR HEALTH & REHAB
C
Below Standard

WATER'S EDGE CENTER FOR HEALTH & REHAB

111 CHURCH STREET · MIDDLETOWN, CT 06457

8603477286 · For profit - Corporation

150 beds137.5 residents307 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

WATER'S EDGE CENTER FOR HEALTH & REHAB receives an overall staffing grade of C (Below Standard). With 3.4584 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4657 HPRD, below the recommended 0.75. It is 0.44 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.33% compared to weekdays. The facility relies heavily on temporary agency staff (16.79% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4584 HPRD — needs 0.02 more hours per resident per day.
⚠️RN staffing (0.4657 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️16.79% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

Strengths (1)

No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.4584hrs/resident/day 0.44
CMS benchmark: 3.48
RN HPRD
0.4657hrs/resident/day 0.22
Recommended: 0.75
Weekend Drop-off
15.33%
3.615 weekday → 3.0609 weekend
Agency Staff
16.79%
22.81% of RN hours from contractors
High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1434hrs/resident/day
Direct care aides
LPN HPRD
0.8493hrs/resident/day
Licensed practical nurses
Consistency
0.3166std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Lower Ct River Vly County Average-0.19 HPRD
3.65
03.46 HPRD
vs. Connecticut State Average-0.38 HPRD
3.84
03.46 HPRD
vs. National Average-0.44 HPRD
3.90
03.46 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
WATER'S EDGE CENTER FOR HEALTH & REHAB
MIDDLETOWN · This facility
C
3.45840.4657★★☆☆☆
APPLE REHAB MIDDLETOWN
MIDDLETOWN
1.3 mi
C
3.26110.5715★★☆☆☆
WADSWORTH GLEN HEALTH CARE AND REHABILITATION CENT
MIDDLETOWN
1.3 mi
C
3.58640.4984★★☆☆☆
PORTLAND CARE & REHAB CENTER
PORTLAND
1.8 mi
B
3.7850.852★★★★★
AUTUMN LAKE HEALTHCARE AT CROMWELL
CROMWELL
3.1 mi
D
3.05220.2585★★★★
PILGRIM MANOR
CROMWELL
3.2 mi
B
3.96790.8172★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

11
Inspections
32
Total Deficiencies
$15,642
Fines Assessed
Jul 30, 2025Health
2 deficiencies cited· Includes actual harm
Jan 30, 2025Health
2 deficiencies cited
Dec 17, 2024Health
1 deficiency cited
Aug 7, 2024Health
1 deficiency cited
Jul 8, 2024Health
1 deficiency cited
Jul 3, 2024Health
9 deficiencies cited· Includes actual harm
Apr 2, 2024Health
1 deficiency cited
Jan 2, 2024Health
1 deficiency cited
Oct 24, 2023Health
1 deficiency cited
Mar 3, 2022Health
3 deficiencies cited
Aug 29, 2019Health
10 deficiencies cited· Includes actual harm

Penalty History

Jul 3, 2024Fine
$15,642
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.