ElderGrade
D

44/100

Below average

Noble Horizons

17 Cobble Rd, Salisbury, CT 06068

CMS 2/5 stars #9 of 9 in Nw Hills County (860) 435-9851
Certified beds
91
Occupancy
67%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 5 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $62,302 in federal fines

    CMS has fined this facility across 3 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -12 for 3 actual-harm citation(s) in the last 3 years
  • -10 for 48 total citations against a national median of 17

Staffing

22/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.14 total nurse hours per resident per day (national median 3.77)
  • 0.99 RN hours per resident per day
  • Weekend staffing drops 9% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 36% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $62,302 in federal fines across 3 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.74 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.99 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.41 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 35.50%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 51 citations

Last standard health inspection: February 27, 2026 (5 months ago).

D Apr 23, 2026 F0550 From a complaint

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

D Apr 23, 2026 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

D Apr 23, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Apr 23, 2026 F0842 From a complaint

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

No actual harm, potential for more than minimal harm

K Feb 27, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Immediate jeopardy to resident health or safety

G Feb 27, 2026 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm to a resident

E Feb 27, 2026 F0628

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

E Feb 27, 2026 F0636

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
LARGE, MERCEDESE Individual CORPORATE DIRECTOR
LATINA, MICHAEL Individual CORPORATE DIRECTOR
MARTINEZ, CYNTHIA Individual CORPORATE DIRECTOR
SHAHEN, CYNTHIA Individual CORPORATE DIRECTOR
THOMPSON, WILLIAM Individual CORPORATE DIRECTOR
ANQUILLARE, JOSEPH Individual CORPORATE OFFICER
BALDONI, DOREEN Individual CORPORATE OFFICER
CANUEL, DAVID Individual CORPORATE OFFICER
FIDANZA, JAMES Individual CORPORATE OFFICER
GILLAND, PATRICK Individual CORPORATE OFFICER
GOLAS, MARGARET Individual CORPORATE OFFICER
LATINA, MICHAEL Individual CORPORATE OFFICER

What families say

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Common questions about Noble Horizons

What is the ElderGrade for Noble Horizons? +

Noble Horizons holds an ElderGrade of D (44 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Noble Horizons? +

Residents receive an average of 3.74 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Noble Horizons been cited for harming residents? +

Yes. 5 of the 51 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Noble Horizons accept Medicaid? +

Yes, Noble Horizons is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.