39.4/100
Poor
111 Church Street, Middletown, CT 06457
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.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
4 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.
$99,037 in federal fines
CMS has fined this facility across 3 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: March 25, 2026 (4 months ago).
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Actual harm to a resident
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
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
No actual harm, potential for more than minimal harm
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
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
Part of NATIONAL HEALTH CARE ASSOCIATES, which operates 43 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| RAYEL, MICHAEL | Individual | W-2 MANAGING EMPLOYEE | — |
| OSTREICHER, MARVIN | Individual | CORPORATE DIRECTOR | — |
| IZASK KELLER S CORP LIFE ESTATE TRUST FBO HYMIE KELLER | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| IZASK KELLER S CORP. LIFE ESTATE TRUST FBO PERL BROWN | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| SENGA TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| ZITTER, AGNES | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
| DAVID SMILOVITZ TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| LAUFER, DORIS | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| WEBERMAN, PEGGY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| THE HARRY AND HELEN OSTREICHER FAMILY TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| MARVIN OSTREICHER FAMILY TRUST 2012 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| SUSAN OSTREICHER FAMILY TRUST 2012 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
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Water's Edge Center For Health & Rehab holds an ElderGrade of F (39.4 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.61 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 4 of the 36 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.
Yes, Water's Edge Center For Health & Rehab 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.