Nathaniel Witherell, the

70 Parsonage Rd · Greenwich, CT · 06830 · 2036184200

202 certified beds Government - City

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing hours comfortably above national benchmarks.

The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar; CMS rates its health inspections "much below average". That rule is part of the published method.

Red flags

Cited under the freedom-from-abuse rule

Cited 4 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 36
Serious harm & abuse 20% 100
Staffing 20% 88
Federal penalties 15% 80
Trend 10% 60
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 5 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day4.263.48 min · 4.1 strong
RN hours / resident-day0.890.55–0.75
Weekend hours / resident-day3.91≈ weekday level
Nursing turnover / year17%median 45%
Fines (3-yr window)1 · $4,516

Inspection citations (59 in the current record)

  • Potential for harm · D March 2, 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 13, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 2, 2026 · found via complaint

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

    Corrected April 13, 2026 · Quality of Life and Care

  • Potential for harm · D January 15, 2026 · found via complaint

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

    Corrected March 15, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D July 28, 2025 · 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 August 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 28, 2025 · found via complaint

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

    Corrected August 22, 2025 · Quality of Life and Care

  • Potential for harm · D July 28, 2025 · found via complaint

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

    Corrected August 22, 2025 · Quality of Life and Care

  • Potential for harm · D December 20, 2024 · 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 31, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 20, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected January 31, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 20, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected January 31, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 20, 2024 · found via complaint

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Corrected January 31, 2025 · Administration

  • Potential for harm · D October 2, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected October 26, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E August 6, 2024

    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.

    Corrected September 17, 2024 · Resident Rights

  • Potential for harm · D August 6, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected September 17, 2024 · Resident Rights

  • Potential for harm · D August 6, 2024

    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 September 17, 2024 · Resident Rights

  • Potential for harm · D August 6, 2024

    Assess the resident when there is a significant change in condition

    Corrected September 17, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E August 6, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected September 17, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 6, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected September 17, 2024 · Quality of Life and Care

  • Potential for harm · D August 6, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected September 17, 2024 · Quality of Life and Care

  • Potential for harm · D August 6, 2024

    Provide enough food/fluids to maintain a resident's health.

    Corrected September 17, 2024 · Quality of Life and Care

  • Potential for harm · E August 6, 2024

    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 September 17, 2024 · Nursing and Physician Services

  • Potential for harm · E August 6, 2024

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Corrected September 17, 2024 · Nutrition and Dietary

  • Potential for harm · E August 6, 2024

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

    Corrected September 17, 2024 · Nutrition and Dietary

  • Potential for harm · F August 6, 2024

    Provide and implement an infection prevention and control program.

    Corrected September 17, 2024 · Infection Control

  • Potential for harm · E August 6, 2024

    Implement a program that monitors antibiotic use.

    Corrected September 17, 2024 · Infection Control

  • Potential for harm · D August 6, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected September 17, 2024 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
January 30, 2024Fine$4,516

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 075117 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.