Nursing HomeMedicaid Investigative

Montowese Center for Health & Rehabilitation

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

163 Quinnipiac Avenue, North Haven, CT 06473|120 beds|Licensed & Active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

4.0/5

based on 195 Google reviews

(203) 624-3303 Directions Website

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5/ 10

high Risk

Quality Concerns Identified

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

Low overall rating (1/5 stars)
Above-median deficiencies (13 vs median 12)
High staff turnover (52%)
High RN turnover (73%)

Bottom 25% in CT · Below recommended RN staffing · Above average staffing · Worst in NATIONAL HEALTH CARE ASSOCIATES chain · $19,344 in fines

Source: Medicare data

What this means for your family

The facility's rehabilitation therapy department is highly regarded and often leads to successful recovery outcomes. However, families should be vigilant regarding communication and call-bell response times; we recommend establishing a direct point of contact with the nursing supervisor immediately upon admission to ensure your loved one's needs are met.

Google Reviews

195 reviews on Google

“Montowese Center for Health & Rehabilitation receives highly polarized feedback, with many families praising the facility's cleanliness, modern check-in systems, and effective physical therapy department. However, significant concerns persist regarding inconsistent nursing responsiveness, poor communication with families, and recurring complaints about food quality and dietary management. Prospective families should be aware that while many report excellent short-term rehab outcomes, others describe serious lapses in basic patient care and staffing levels.”

Quality Themes

Tap a score for details

Strengths

Highly effective physical and occupational therapy
Clean, well-maintained facility
Efficient and welcoming check-in/admissions process
Dedicated and compassionate individual staff members

Concerns

Slow or non-existent response to call bells (mentioned by 12 reviewers)
Poor food quality and failure to follow dietary restrictions (mentioned by 9 reviewers)
Lack of communication with family members (mentioned by 7 reviewers)
Inconsistent medication administration (mentioned by 5 reviewers)
Understaffing leading to neglect of basic hygiene (showers/linens) (mentioned by 6 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 167 analyzed

108

How They Respond to Reviews

57%response rate

This facility responds to some reviews.

Questions for Your Tour

1Given that physical and occupational therapy is a noted strength here, how do you coordinate those sessions with a resident's daily schedule to ensure they aren't missing out on meals or social activities?
2I noticed that communication is a high priority for families; what is your standard process for keeping us updated on changes in care or health status, and who is our primary point of contact?
3We have some specific dietary requirements to manage; could you walk us through how the kitchen team tracks and verifies these restrictions for each meal?
4How do you monitor call bell response times during shifts, and what is the protocol if a resident needs assistance while the floor staff is busy with another patient?
5I appreciate that you actively engage with online feedback; how do you take that input from families and turn it into tangible improvements for the residents' daily care?
6With the current staffing levels, what systems are in place to ensure that consistent hygiene, such as regular showers and linen changes, remains a priority for every resident?

Personalized based on this facility's data

Key Review Excerpts

“My grandmother has very bad dementia and was here for 2 weeks because of a uti and was left in the bathroom for an hour and tried to get up and fell and we found out she had a broken hip for 4 days.”

Memory care family member · 2018★☆☆☆☆

“My mother was a resident at Montowese for the last five years before her recent passing. I wanted to express my sincere and heartfelt appreciation for the staff's dedication and compassion.”

Long-term resident's family · 2025★★★★★

“The physical therapists were great. They were supportive and kind and my sister has nothing bad to say about their treatment of her. That's where the good things end.”

Rehab patient's family · 2025★★☆☆☆

Source: 195 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.52hrs

69%

Registered nurses for medical care

Total Nursing

3.89hrs

95%

All nurses + aides combined

Staff Turnover

46%

Lower is better (< 30% = good)

RN Turnover

60%

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

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility8.6%

Better than Avg

Here

8.6%

15.4%

17.8%

South central ct

21.7%

😔

Residents with depression symptoms

↓ Lower is better

This Facility11.7%

Better than Avg

Here

11.7%

12.1%

19.7%

South central ct

23.9%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility30.7%

Worse than Avg

Here

30.7%

19.4%

24.9%

South central ct

25.0%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility82.9%

Mixed vs Avgs

Here

82.9%

93.4%

88.0%

South central ct

78.4%

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility86.7%

Worse than Avg

Here

86.7%

95.5%

93.5%

South central ct

90.6%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility13.6%

Better than Avg

Here

13.6%

14.4%

18.2%

South central ct

19.7%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility66.7%

Mixed vs Avgs

Here

66.7%

81.8%

71.0%

South central ct

63.7%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility71.0%

Mixed vs Avgs

Here

71.0%

79.7%

69.7%

South central ct

68.1%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.1%

Better than Avg

Here

1.1%

1.6%

1.5%

South central ct

1.2%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies

2penalties

Above state avg (12.8)

44 complaint-triggered

$19,344 in fines

This facility has a concerning pattern of repeated deficiencies, with over half triggered by family complaints. Families have consistently filed reports about medication management errors, neglect and abuse protection failures, and poor care planning. Recent violations include medication errors as recently as 2024-2025, ongoing care planning problems, and nursing staffing issues. While the facility corrects cited deficiencies, the persistent recurrence of similar problems across multiple years suggests systemic care quality concerns.

Jan 27, 2026Complaint1 finding

0658Potential for harm · IsolatedResolved (past non-compliance)

Resident Assessment and Care Planning Deficiencies

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

May 22, 2025Complaint1 finding

0658Potential for harm · PatternResolved (past non-compliance)

Resident Assessment and Care Planning Deficiencies

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

May 5, 2025Complaint1 finding

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Jan 15, 2025Complaint1 finding

0600Actual harm · IsolatedResolved (past non-compliance)

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.

Dec 23, 2024Complaint1 finding

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Oct 24, 2024Routine9 findings

0580Potential for harm · PatternCorrected

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.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0688Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0711Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0919Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

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

0657Potential for harm · IsolatedCorrected

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.

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.

Federal Penalties

Fine

Dec 23, 2024

$10,033

Fine

Jun 7, 2023

$9,311

Ownership & Operations

Who Operates This Facility

Owner / Operator

Montowese Center for Health & Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

National Health Care Associates

Chain Size

43 facilities nationwide

Chain avg rating: 3.0/5 · Rank 37 of 43 (Worst)

Ownership & Management

Owners

Mydert Holdings LLC

Owner · Organization

51%

Zadun Holdings LLC

Owner · Organization

49%

Cedar Hill Capital Associates LLC