Ingraham Manor Rehab and Nursing
400 N Main St, Bristol, CT 06010
Ingraham Manor Rehab and Nursing is a nursing home in Bristol, Connecticut. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
CMS star ratings
- 3 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (860) 584-3400
- Last standard health inspection
- June 17, 2025 (1 year ago)
- Certified beds
- 128
- Residents per day, on average
- 114.4
- Ownership type
- Non profit - Corporation
- Legal business name
- Im Opco LLC
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Connecticut average (23 vs 38).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of July 29, 2026
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
Fine
CMS changed the fine from February 20, 2026 from $22,925 to $14,901.
CMS update of May 27, 2026
Fine
CMS changed the fine from September 8, 2025 from $12,735 to $11,190.
Fine
CMS changed the fine from September 8, 2025 from $17,215 to $8,278.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Name
CMS lists a new legal business name for this home.
CMS update of March 25, 2026
Name
CMS lists a new name for this home. It was INGRAHAM MANOR.
CMS update of February 25, 2026
Name
CMS lists a new legal business name for this home.
3 citations
Health inspection on February 20, 2026
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
21 of 191 Connecticut homes (11%) got a citation at the immediate jeopardy level in 2026.
Citation F0678. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 19, 2026.
Citation F0725. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS lists it as corrected on March 19, 2026.
Fine
February 20, 2026 (8 months ago)
CMS fine of $14,901 on February 20, 2026.
CMS update of January 14, 2026
Health citation
CMS removed citation F0580 from the health inspection on June 17, 2025.
Health citation
CMS removed citation F0628 from the health inspection on June 17, 2025.
Health citation
CMS removed citation F0684 from the health inspection on June 17, 2025.
Health citation
CMS removed citation F0686 from the health inspection on June 17, 2025.
Health citation
CMS removed citation F0730 from the health inspection on June 17, 2025.
Health citation
CMS removed citation F0756 from the health inspection on June 17, 2025.
Health citation
CMS removed citation F0812 from the health inspection on June 17, 2025.
Health citation
CMS removed citation F0851 from the health inspection on June 17, 2025.
Health citation
CMS removed citation F0947 from the health inspection on June 17, 2025.
CMS update of December 15, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
1 citation
Health inspection on November 18, 2025
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
45 of 191 Connecticut homes (24%) got a citation at the actual harm level in 2025.
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on November 19, 2025.
CMS has cited this home for F0689 2 times since 2025.
2 citations
Health inspection on September 8, 2025
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
45 of 191 Connecticut homes (24%) got a citation at the actual harm level in 2025.
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on November 6, 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on November 6, 2025.
CMS has cited this home for F0684 2 times since 2025.
Fine
September 8, 2025 (1 year ago)
CMS fine of $11,190 on September 8, 2025.
Fine
September 8, 2025 (1 year ago)
CMS fine of $8,278 on September 8, 2025.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
9 citations
Health inspection on June 17, 2025
CMS lists this as a standard inspection.
Citation F0730. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Observe each nurse aide's job performance and give regular training.
CMS lists it as corrected on July 29, 2025.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 29, 2025.
CMS has cited this home for F0812 3 times since 2021.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on July 29, 2025.
Citation F0628. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on July 29, 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on July 29, 2025.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on July 29, 2025.
Citation F0756. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on July 29, 2025.
Citation F0947. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on July 29, 2025.
Citation F0851. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS lists it as corrected on July 29, 2025.
28 citations
Fire safety inspection on June 17, 2025
CMS lists this as a standard inspection.
Citation K0271. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have exits that are accessible at all times.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation E0001. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish an Emergency Preparedness Program (EP).
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation E0004. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation E0006. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Conduct risk assessment and an All-Hazards approach.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation E0007. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Address patient/client population and determine types of services needed.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation E0009. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Include a process for Emergency Preparedness collaboration.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation E0013. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop Emergency Preparedness policies and procedures.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation E0020. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish policies and procedures including evacuation.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation E0025. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create arrangements with other facilities to receive patients.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation E0029. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop a communication plan.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation E0030. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
List the names and contact information of those in the facility.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation E0032. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide primary/alternate means for communication.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation E0033. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish methods for sharing information.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation E0034. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide a means of sharing information on occupancy/needs.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation E0036. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish emergency prep training and testing.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation E0037. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish staff and initial training requirements.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation E0039. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Conduct testing and exercise requirements.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation K0291. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation K0311. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have an enclosure around a vertical opening shaft.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
CMS has cited this home for K0363 2 times since 2023.
Citation K0372. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation K0711. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide a written emergency evacuation plan.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation K0914. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 29, 2025.
CMS has cited this home for K0918 2 times since 2023.
CMS update of April 30, 2025
Staffing
Total nurse staffing reported to CMS went from 2.0 to 1.7 hours per resident per day.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 3 of 5 to 1 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.7 to 2.0 hours per resident per day.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of March 28, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 4 of 5.
Health citation
CMS changed citation F0689 from severity J to D. It is from the health inspection on September 6, 2023. Severity D: potential for more than minimal harm, isolated.
CMS update of February 29, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 2 of 5.
4 citations
Health inspection on October 27, 2023
CMS lists this as a standard inspection.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on December 9, 2023.
Citation F0658. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on December 9, 2023.
Citation F0695. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on December 9, 2023.
CMS has cited this home for F0695 2 times since 2021.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on December 9, 2023.
2 citations
Fire safety inspection on October 27, 2023
CMS lists this as a standard inspection.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on December 26, 2023.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on December 26, 2023.
4 citations
Health inspection on August 23, 2021
CMS lists this as a standard inspection.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on October 20, 2021.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on October 31, 2021.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on October 31, 2021.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on October 31, 2021.
2 citations
Fire safety inspection on August 23, 2021
CMS lists this as a standard inspection.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on October 18, 2021.
Citation K0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on October 18, 2021.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- SHAKOW, RACHEL5% or greater direct ownership interest · 99% · since 10/21/2025
- ALTOWS, KAMALOperational/managerial control · not applicable · since 10/21/2025
- ELABA, WILFREDOperational/managerial control · not applicable · since 10/21/2025
- SHAKOW, RACHELOperational/managerial control · not applicable · since 10/21/2025
- TKACZ, CHRISTINEOperational/managerial control · not applicable · since 10/21/2025
Questions
When was Ingraham Manor Rehab and Nursing last inspected?
CMS lists June 17, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Ingraham Manor Rehab and Nursing have?
CMS lists 23 health citations since August 23, 2021. CMS also calls these deficiencies.
Has Ingraham Manor Rehab and Nursing been fined?
CMS lists 3 fines in the past three years, $34,369 in total.
What is the CMS star rating of Ingraham Manor Rehab and Nursing?
Its CMS overall star rating is 3 of 5.
Is Ingraham Manor Rehab and Nursing a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.