Mystic Healthcare & Rehabilitation Center, LLC
475 High St · Mystic, CT · 06355 · 8605366070
100 certified beds For profit - Limited Liability company Chain: Ryders Health Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.45 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 3.27 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 1 · $21,645 |
Inspection citations (37 in the current record)
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Immediate jeopardy · J March 19, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 30, 2026 · Quality of Life and Care
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Potential for harm · D March 19, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 19, 2026 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected April 30, 2026 · Nursing and Physician Services
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Potential for harm · D January 14, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 27, 2026 · Resident Rights
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Potential for harm · D January 14, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 25, 2026 · Resident Rights
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Potential for harm · D January 14, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 14, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 14, 2026
Provide activities to meet all resident's needs.
Corrected February 27, 2026 · Quality of Life and Care
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Potential for harm · D January 14, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 25, 2026 · Quality of Life and Care
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Potential for harm · E January 14, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected February 25, 2026 · Quality of Life and Care
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Potential for harm · D January 14, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 25, 2026 · Pharmacy Service
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Potential for harm · E January 14, 2026
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.
Corrected February 25, 2026 · Pharmacy Service
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Potential for harm · D January 14, 2026
Provide and implement an infection prevention and control program.
Corrected February 25, 2026 · Infection Control
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No harm found · B January 14, 2026
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected February 25, 2026 · Administration
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Potential for harm · D November 25, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 25, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G April 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 29, 2025 · Quality of Life and Care
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Potential for harm · D April 17, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 29, 2025 · Quality of Life and Care
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Potential for harm · E February 14, 2025 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected March 24, 2025 · Resident Rights
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Potential for harm · D February 14, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 14, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 14, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 14, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 8, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 20, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 19, 2026 | Fine | $21,645 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 075271 · certified since August 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.