All states › Connecticut › Guilford › The Guilford House
109 West Lake Avenue Guilford, CT 06437 · South Central Ct County
All 2 nursing homes in Guilford, CT (2 take Medicaid)
CMS certification number 075235 · See this home on Medicare Care Compare
Is The Guilford House a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Guilford House as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Connecticut average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.50 hours per resident per day at The Guilford House, above the Connecticut median of 3.81 (US median: 3.72). About 0.64 of those hours are from registered nurses. On weekends it falls to 4.26 hours, 5% below its all-week average. 42.2% of nursing staff left within a year (Connecticut median 35.7%).
About this nursing home
Paying for care at The Guilford House: Medicare and Medicaid
The Guilford House is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Connecticut's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on October 23, 2023 and found 12 deficiencies. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 33 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 33 citations at The Guilford House across 6 inspection dates, 4 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on October 15, 2024. The most common areas cited were resident rights (10) and quality of life and care (6). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, October 15, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.
September 22, 2025 · 2 citations · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProtect each resident from the wrongful use of the resident's belongings or money.
October 15, 2024 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 8, 2024 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
October 23, 2023 · 12 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure 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.
DEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CObserve each nurse aide's job performance and give regular training.
BProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
BNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
September 27, 2021 · 7 citations
EProvide for the safe, appropriate administration of IV fluids for a resident when needed.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to organize and participate in resident/family groups in the facility.
DGive residents a notice of rights, rules, services and charges.
DThe resident has the right to receive notices in a format and a language he or she understands.
DAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
DHonor 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.
May 17, 2019 · 10 citations
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EConduct 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.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
DEnsure 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.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
Questions to ask on a tour of The Guilford House
- Inspectors cited the home at the actual-harm level on October 15, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on September 22, 2025. How are staff trained, and how are concerns reported?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $8,824 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Oct 15, 2024 | Fine | $8,824 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 4/5 | 4/5 |
| August 2026 | 4/5 | 3/5 | 5/5 | 3/5 |
Add this rating badge to your websiteFree. Shows The Guilford House's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near The Guilford House
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 6.9 mi
-
10.9 mi
Yale-New Haven Hospital New HavenEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 18m for patients treated and sent home
- 11.0 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near The Guilford House › All nursing homes in Guilford ›
Compare The Guilford House with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Evergreen Woods · North Branford · 5 stars · 1.4 mi
- Leeway · New Haven · 5 stars · 9.0 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.