facebook tracking Noble Horizons, Salisbury CT: CMS Ratings & Inspections
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Noble Horizons

All states › Connecticut › Salisbury › Noble Horizons

17 Cobble Rd Salisbury, CT 06068 · Nw Hills County

(860) 435-9851

SFF candidate Accepts Medicare Accepts Medicaid 91 certified beds Non profit

CMS certification number 075236 · See this home on Medicare Care Compare

Special Focus Facility candidate CMS lists this nursing home as a candidate for its Special Focus Facility program, which means it qualifies to be selected for the program based on its inspection record. Shown as of October 2026. About the program (CMS).

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 Noble Horizons 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 Noble Horizons as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Connecticut average of 3.0. Inspectors issued 51 citations in the last three years. CMS imposed 4 penalties, including $107,104 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 1 out of 5. Those results differ a lot, so ask about the unit your family member would be on. CMS lists it as a Special Focus Facility candidate.

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.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.93 hours per resident per day at Noble Horizons, above the Connecticut median of 3.81 (US median: 3.72). About 0.96 of those hours are from registered nurses. On weekends it falls to 3.54 hours, 10% below its all-week average. 29.8% of nursing staff left within a year (Connecticut median 35.7%).

Nursing care per resident per day 3.93 hours
Above the Connecticut median of 3.81 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.96 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.54 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 29.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 13.3% 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 beds91
Residents per day 59 About 64% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 1975
Legal business nameCHURCH HOMES, INC. CONGREGATIONAL

Paying for care at Noble Horizons: Medicare and Medicaid

Noble Horizons 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 February 27, 2026 and found 19 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 51 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 51 citations at Noble Horizons across 6 inspection dates, 7 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on February 27, 2026. The most common areas cited were resident assessment and care planning (14) and quality of life and care (7). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level K, February 27, 2026). 4 citations were under CMS's abuse, neglect and exploitation rules.

April 23, 2026 · 4 citations · includes complaint inspection

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 · Complaint inspection · Deficient, Provider has date of correction (Jun 4, 2026)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Jun 4, 2026)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jun 4, 2026)

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 · Complaint inspection · Deficient, Provider has date of correction (Jun 4, 2026)

February 27, 2026 · 19 citations, includes immediate jeopardy

KProvide and implement an infection prevention and control program.

Immediate jeopardy · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 10, 2026)

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 · Deficient, Provider has date of correction (Apr 10, 2026)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0628 · Deficient, Provider has date of correction (Apr 10, 2026)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has date of correction (Apr 10, 2026)

EAssure that each resident’s assessment is updated at least once every 3 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0638 · Deficient, Provider has date of correction (Apr 10, 2026)

EEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0640 · Deficient, Provider has date of correction (Apr 10, 2026)

EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Apr 10, 2026)

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 (Apr 10, 2026)

EEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0947 · Deficient, Provider has date of correction (Apr 10, 2026)

DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Apr 10, 2026)

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 (Apr 10, 2026)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Apr 10, 2026)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (Apr 10, 2026)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Apr 10, 2026)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Apr 10, 2026)

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

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0730 · Deficient, Provider has date of correction (Apr 10, 2026)

DAdminister the facility in a manner that enables it to use its resources effectively and efficiently.

Potential for more than minimal harm · Administration Deficiencies · Tag F0835 · Deficient, Provider has date of correction (Apr 10, 2026)

DImplement a program that monitors antibiotic use.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0881 · Deficient, Provider has date of correction (Apr 10, 2026)

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 (Apr 10, 2026)

July 9, 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 (Aug 16, 2024)

April 24, 2024 · 2 citations, 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 (Jun 5, 2024)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Deficient, Provider has date of correction (Jun 5, 2024)

March 21, 2024 · 22 citations

FEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Deficient, Provider has date of correction (May 2, 2024)

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 (May 2, 2024)

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 (May 2, 2024)

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 (May 2, 2024)

DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (May 2, 2024)

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 (May 2, 2024)

DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 · Deficient, Provider has date of correction (May 2, 2024)

DAssess the resident when there is a significant change in condition

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0637 · Deficient, Provider has date of correction (May 2, 2024)

DAssure that each resident’s assessment is updated at least once every 3 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0638 · Deficient, Provider has date of correction (May 2, 2024)

DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0640 · Deficient, Provider has date of correction (May 2, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (May 2, 2024)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (May 2, 2024)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (May 2, 2024)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (May 2, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (May 2, 2024)

DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (May 2, 2024)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (May 2, 2024)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Deficient, Provider has date of correction (May 2, 2024)

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 (May 2, 2024)

DHave the Quality Assessment and Assurance group have the required members and meet at least quarterly

Potential for more than minimal harm · Administration Deficiencies · Tag F0868 · Deficient, Provider has date of correction (May 2, 2024)

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 (May 2, 2024)

CPost nurse staffing information every day.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (May 2, 2024)

October 20, 2021 · 3 citations, includes actual harm

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 · Deficient, Provider has date of correction (Nov 30, 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 30, 2021)

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 (Nov 30, 2021)

Questions to ask on a tour of Noble Horizons

  1. Inspectors cited the home at the immediate-jeopardy level on February 27, 2026 under the rule on infection control. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on April 23, 2026. How are staff trained, and how are concerns reported?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. 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

4 penalties in the last three years, including $107,104 in fines.

DateTypeAmount or length
Feb 27, 2026 Fine $82,527
Feb 27, 2026 Payment Denial 8 days of payments denied
Jul 9, 2024 Fine $14,050
Mar 21, 2024 Fine $10,527

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 1/5 5/5 2/5
August 2026 2/5 1/5 5/5 2/5
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Location

Hospitals near Noble Horizons

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 8.2 mi
    Sharon Hospital Sharon
    Emergency room ★★★★★ Medicare overall 5 of 5
    Median ER visit 2h 10m for patients treated and sent home
  • 14.1 mi
    Fairview Hospital Great Barrington
    Emergency room ★★★★★ Medicare overall 5 of 5
    Median ER visit 1h 53m for patients treated and sent home
  • 20.1 mi
    Charlotte Hungerford Hospital Torrington
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 27m for patients treated and sent home

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

Nearby nursing homes

Geer Nursing and Rehabilitation Canaan · 4.7 mi away ★★★★☆ Inspection 3/5 · Staffing 5/5 120 beds · Medicaid
Sharon Center for Health & Rehabilitation Sharon · 8.3 mi away ★★★★☆ Inspection 3/5 · Staffing 5/5 88 beds · Medicaid
Havencare at Litchfield Woods Torrington · 19.0 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 4/5 160 beds · Medicaid
Wolcott Hall Nursing Center Torrington · 19.5 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 57 beds · Medicaid
Torrington Center for Nursing & Rehabilitation Torrington · 20.2 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 75 beds · Medicaid

More nursing homes near Noble Horizons ›   All nursing homes in Salisbury ›

Compare Noble Horizons 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.

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