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Nursing HomeMedicaid Investigative

Ingraham Manor Rehab and Nursing

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

400 N Main St, Downtown · Bristol, CT 06010128 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 39 Google reviews

5
4
3
2
1
Ingraham Manor Rehab and Nursing Nursing Home in Bristol, CT — Street View
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1/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low staffing rating (2/5 stars)

Above average in CT · Below recommended RN staffing · $29,950 in fines

Source: Medicare data

What this means for your family

Ingraham Manor shows a concerning trend of inconsistent care, with multiple reports of neglect and severe understaffing in recent years. While some families report excellent communication, you should conduct an unannounced visit during off-hours to observe response times and staff-to-patient ratios before making a decision.

Google Reviews

Google Reviews

39 reviews on Google
Ingraham Manor receives highly polarized feedback, with some families praising the dedicated, communicative staff and others reporting severe neglect and poor quality of care. While long-term residents often have positive experiences, multiple reviewers have raised critical alarms regarding understaffing, slow response times for basic needs, and incidents of physical injury or medical mismanagement.

Quality Themes

Tap a score for details
FoodN/AStaff5.0Clean4.0Activities7.0Meds3.0MemoryN/AComms6.0ValueN/A

Strengths

  • Responsive and communicative nursing staff
  • Coordinated care across departments
  • Compassionate and helpful physical therapy team
  • Strong support for family engagement

Concerns

  • Severe understaffing leading to long wait times for assistance (mentioned by 3 reviewers)
  • Neglect resulting in medical issues like bed sores and dehydration (mentioned by 3 reviewers)
  • Poor communication regarding care plans and health status (mentioned by 2 reviewers)
  • Unprofessional or rude staff behavior (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'20(5)'22(13)'24(5)'26(5)

Distribution · 43 analyzed

5
20
4
5
3
0
2
3
1
15

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that staffing levels are a priority for you, what specific protocols are in place to ensure residents receive timely assistance when they press their call buttons?
  • 2Could you walk me through your current process for monitoring skin integrity and hydration to ensure residents remain comfortable and healthy?
  • 3How do you ensure that families stay consistently informed about changes in a loved one's care plan or overall health status?
  • 4With medication management being a critical part of daily care, what steps do you take to ensure accuracy and consistency for each resident?
  • 5What opportunities are available for family members to stay actively engaged in their loved one's daily life and social activities here?
  • 6How does your leadership team foster a culture of professional communication and support among the nursing and therapy staff?

Personalized based on this facility's data


Key Review Excerpts

My father in law was there for 2 weeks for rehab. They are so under staffed there beyond any ones thoughts. He would ring his buzzer to have an aide change his diaper,they would come 2 hours later.

Rehab patient's family · 2025☆☆☆☆

I brought my father here and they neglected him badly he never had and ulcer in his life and the time he was here he had 4 I have pictures and video I sneaked in really early in the morning.

Resident's family · 2024☆☆☆☆

My mom has been at Ingraham for over a year now. I must say the staff does the best they can with the challenges they and the world has faced over the past couple years. The Aids and Nurses give quality care under difficult circumstances and provide great communication.

Long-term resident's family · 2022★★★★★
Source: 39 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.48hrs
64%
Registered nurses for medical care
Total Nursing
3.57hrs
87%
All nurses + aides combined
Staff Turnover
43%
Lower is better (< 30% = good)
RN Turnover
18%
Lower is better (< 30% = good)

Both 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 · 17 measures

Medicare Rating
2/ 5
Better Than Avg

5

measures

Worse Than Avg

10

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility7.4%
Better than Avg
Here
7.4%
US
12.1%
CT
19.7%
Naugatuck vly
26.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
93.4%
CT
88.0%
Naugatuck vly
86.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.6%
Worse than Avg
Here
29.6%
US
19.4%
CT
24.9%
Naugatuck vly
27.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility25.0%
Worse than Avg
Here
25.0%
US
15.4%
CT
17.8%
Naugatuck vly
15.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility24.4%
Worse than Avg
Here
24.4%
US
15.3%
CT
17.4%
Naugatuck vly
17.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility98.2%
Better than Avg
Here
98.2%
US
95.5%
CT
93.5%
Naugatuck vly
93.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility56.2%
Worse than Avg
Here
56.2%
US
79.7%
CT
69.7%
Naugatuck vly
67.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility81.2%
Mixed vs Avgs
Here
81.2%
US
81.8%
CT
71.0%
Naugatuck vly
68.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.4%
Worse than Avg
Here
2.4%
US
1.6%
CT
1.5%
Naugatuck vly
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
3penalties
Near state avg (12.8)
7 complaint-triggered
$29,950 in fines

Families have filed complaints that triggered four deficiencies, with recurring safety hazards and accident prevention issues appearing three times across different surveys from 2023 to 2025. The facility shows persistent problems with accident prevention, respiratory care, and food safety standards across multiple years. While all deficiencies have been corrected according to federal records, the pattern of repeated safety violations and family complaints warrants careful consideration during any visit.

Feb 20, 2026Complaint
3
0678Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor 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.

0725Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nov 18, 2025Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Sep 8, 2025Complaint
2
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Oct 27, 2023Routine
6
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Sep 6, 2023Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Aug 23, 2021Routine
6
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0656Potential for harm · IsolatedCorrected

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Feb 20, 2026

$22,925

Fine

Sep 8, 2025

$8,278

Fine

Sep 8, 2025

$11,190

Ownership & Operations

Who Operates This Facility

Owner / Operator

Ingraham Manor Rehab and Nursing

Organization Type

nonprofit

Ownership & Management

Owners

Shakow, Rachel

Owner

99%

Key personnel

Shakow, RachelManaging Control - Governing BodyAltows, KamalManagerElaba, WilfredManagerShakow, RachelManagerTkacz, ChristineManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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