Advanced Center for Nursing & Rehabilitation
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 158 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Low overall rating (1/5 stars)
- Above-median deficiencies (39 vs median 12)
- High RN turnover (60%)
Bottom 25% in CT · Below recommended RN staffing · Worst in ESSENTIAL HEALTHCARE chain · $250,575 in fines · Special Focus Facility (CMS)
What this means for your family
This facility features a highly regarded physical therapy department and a social work team that many families find invaluable for navigating discharge. However, the facility has a pattern of serious neglect allegations and communication failures. If you choose this facility, ensure you have a daily presence to advocate for your loved one and monitor their care closely.
Google Reviews
Google Reviews
158 reviews on Google“Advanced Center for Nursing & Rehabilitation receives highly polarized feedback, with many residents praising the physical therapy department and specific staff members like social worker Stephanie Bates. However, a significant number of families report severe concerns regarding neglect, poor communication, hygiene issues, and understaffing. While some patients describe a positive recovery experience, others report traumatic outcomes, suggesting inconsistent quality of care.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy teams
- Dedicated and responsive social work staff
- Beautifully renovated, clean facility interior
- Helpful and welcoming front desk and concierge staff
Concerns
- Neglect and poor patient care (e.g., soiled sheets, lack of feeding, ignored call bells) (mentioned by 9 reviewers)
- Poor communication and difficulty reaching staff/administration (mentioned by 5 reviewers)
- Understaffing leading to slow response times (mentioned by 4 reviewers)
- Unsanitary conditions and unpleasant odors (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 162 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1We noticed how much the management engages with feedback online; how does the administration currently work to address and resolve specific resident concerns or care gaps?
- 2With the recent renovations to the interior, how do you ensure that the cleanliness and upkeep of the resident rooms and common areas are maintained daily?
- 3Since the therapy teams are highly regarded here, how do you coordinate the transition between physical and occupational therapy for someone needing rehabilitation?
- 4How does the nursing staff manage call bells and response times during the night shifts to ensure no resident is left waiting?
- 5What is the process for ensuring medication management is accurate and that there is clear communication between the nurses and the family regarding any changes?
- 6Could you tell us more about the dining experience and how the facility is working to improve the variety and quality of the meals provided?
Personalized based on this facility's data
Key Review Excerpts
“Stephanie Bates, the social worker, made sure that everything that he needed help with was taken care of. I live over an hour away and she alleviated all of my anxiety and was always there for me.”
“The last summer of my father's life was spent in an oven - no air conditioning for his entire ward. They did provide a fan - and popped off the knob so he couldn't adjust it.”
“I was at Advanced for two months recreation brought me out of my shell helped me with my depression Erin the Advocate made my stay comfortable I really enjoyed being at an advanced.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
6
measures
6
measures
4
measures
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents needing more daily help over time
Residents vaccinated for the flu
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed 37 complaints that triggered federal inspections revealing 87 total deficiencies across 16 surveys, indicating serious ongoing concerns. The most recurring problems involve family notification of incidents, care planning quality, and medication management. While the facility has corrected each cited deficiency, the persistent pattern of complaint-driven investigations and repeated violations in core care areas suggests systemic issues that families should carefully evaluate before placement.
Mar 31, 2026Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Mar 19, 2026Complaint7
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Oct 2, 2025Complaint8
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
Ensure 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.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Environmental Deficiencies
Keep all essential equipment working safely.
Aug 20, 2025Complaint4
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jun 4, 2025Complaint2
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Apr 22, 2025Complaint4
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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Federal Penalties
Fine
Oct 2, 2025
$128,246
Fine
Jun 14, 2023
$53,275
Ownership & Operations
Who Operates This Facility
Advanced Center for Nursing & Rehabilitation
for profit
Chain Affiliation
Essential Healthcare
6 facilities nationwide
Chain avg rating: 2.2/5 · Rank 6 of 6 (Worst)
Ownership & Management
Owners
Gewirtz, Esther
Owner
Landa, Joseph
Owner
Landa, Joshua
Owner
Landa, Sari
Owner
Salamon, Menajem
Owner
Salamon, Mordejai
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
158 reviews from families & visitors
Official Website
Visit advancednh.com
Medicare data downloads
Original nursing home datasets
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