facebook tracking The Guilford House, Guilford CT: CMS Ratings & Inspections
Skip to content

The Guilford House

All states › Connecticut › Guilford › The Guilford House

109 West Lake Avenue Guilford, CT 06437 · South Central Ct County

(203) 488-9142

All 2 nursing homes in Guilford, CT (2 take Medicaid)

Accepts Medicare Accepts Medicaid 75 certified beds For profit

CMS certification number 075235 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 33 citations in the last three years. CMS imposed 1 penalty, including $8,824 in fines, in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 2 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

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%).

Nursing care per resident per day 4.50 hours
Above the Connecticut median of 3.81 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.64 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.26 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 42.2% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 16.7% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds75
Residents per day 71 About 94% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceDecember 1974
Legal business nameWEST LAKE PROPERTIES LLC

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Nov 21, 2025)

DProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Deficient, Provider has date of correction (Nov 21, 2025)

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.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Dec 6, 2024)

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.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Feb 28, 2024)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Dec 11, 2023)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Dec 11, 2023)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Dec 11, 2023)

DProvide safe, appropriate dialysis care/services for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0698 · Deficient, Provider has date of correction (Dec 11, 2023)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Dec 11, 2023)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Dec 11, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Dec 11, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Dec 11, 2023)

DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Deficient, Provider has date of correction (Dec 11, 2023)

CObserve each nurse aide's job performance and give regular training.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0730 · Deficient, Provider has date of correction (Dec 11, 2023)

BProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Dec 11, 2023)

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.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0625 · Deficient, Provider has date of correction (Dec 11, 2023)

September 27, 2021 · 7 citations

EProvide for the safe, appropriate administration of IV fluids for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0694 · Deficient, Provider has date of correction (Nov 17, 2021)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Nov 17, 2021)

DHonor the resident's right to organize and participate in resident/family groups in the facility.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0565 · Deficient, Provider has date of correction (Nov 17, 2021)

DGive residents a notice of rights, rules, services and charges.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0572 · Deficient, Provider has date of correction (Nov 17, 2021)

DThe resident has the right to receive notices in a format and a language he or she understands.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0574 · Deficient, Provider has date of correction (Nov 17, 2021)

DAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0577 · Deficient, Provider has date of correction (Nov 17, 2021)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0585 · Deficient, Provider has date of correction (Nov 17, 2021)

May 17, 2019 · 10 citations

EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Jun 7, 2019)

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.

Potential for more than minimal harm · Administration Deficiencies · Tag F0838 · Deficient, Provider has date of correction (Jun 26, 2019)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jun 7, 2019)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Jun 7, 2019)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (Jun 26, 2019)

DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0676 · Deficient, Provider has date of correction (Jun 12, 2019)

DEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Jun 12, 2019)

DProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Potential for more than minimal harm · Administration Deficiencies · Tag F0773 · Deficient, Provider has date of correction (Jun 7, 2019)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0808 · Deficient, Provider has date of correction (Jun 7, 2019)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Jun 12, 2019)

Questions to ask on a tour of The Guilford House

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on September 22, 2025. How are staff trained, and how are concerns reported?
  3. The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. 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.

DateTypeAmount or length
Oct 15, 2024 Fine $8,824

Rating history

CMS monthOverallInspectionStaffingQuality
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

The Guilford House Medicare star rating badge

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.

Examples, sizes and help on the badge page ›

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.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Evergreen Woods North Branford · 1.4 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 50 beds
Apple Rehab Guilford Guilford · 4.4 mi away ★★☆☆☆ Inspection 2/5 · Staffing 1/5 90 beds · Medicaid
Autumn Lake Healthcare at Madison Madison · 4.8 mi away ★★☆☆☆ Inspection 2/5 · Staffing 1/5 90 beds · Medicaid
Ark Healthcare & Rehabilitation at Branford Hills Branford · 7.1 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 190 beds · Medicaid
Apple Rehab Laurel Woods East Haven · 7.5 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 120 beds · Medicaid

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

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.

Compare

https://www.nursinghomesineachstate.com/connecticut/guilford/the-guilford-house/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.