Nursing home
The Guilford House
109 West Lake Avenue, Guilford, CT 06437 · Map
For profit - Limited Liability company · 75 certified beds
The Guilford House is a Medicare-certified nursing home in Guilford, Connecticut. CMS rates it 4 out of 5 stars overall (5/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.35 hours per resident per day, above the Connecticut average of 3.83. Its most recent inspection on Oct 23, 2023 cited 14 deficiencies.
- 1 fine totaling $8,824In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Guilford House compares
This facility vs. the Connecticut and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Connecticut avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.35 | 3.83 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.75 | 0.70 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.71 | 2.28 | 2.34 | above avg |
| Nursing staff turnover | 44.2% | 37.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 14.0 | 12.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the September 22, 2025 inspection was corrected by November 21, 2025
Penalties in CMS records: 1 fine totaling $8,824, 1 total penalty.
What inspectors found at The Guilford House
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 22, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Sep 22, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 15, 2024 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 8, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Oct 23, 2023
Show all 12 deficiencies
- Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Oct 23, 2023 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Oct 23, 2023 - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Oct 23, 2023 - Potential for harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Oct 23, 2023 - Potential for harm
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.
Pharmacy Service Deficiencies · Oct 23, 2023 - Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Oct 23, 2023 - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Oct 23, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 109 West Lake Avenue
Guilford, CT 06437 - CMS certification #
- 075235
- Ownership
- For profit - Limited Liability company
- Certified beds
- 75
- Avg residents/day
- 70.7
- Provider type
- Medicare and Medicaid
- First certified
- 1974-12-18
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Guilford House using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Middlesex Hospital, Middletown. 16.5 miles away, straight line. CMS overall hospital rating: 3 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Evergreen Woods, North Branford. 1.4 miles away, straight line.
- Nearest home health agency office
- Utopia Home Care Inc, East Haven. 6.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Big Y Pharmacy. 3.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 06437 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc Shoreline Dialysis Center, Branford, 1.9 miles away, straight line (CMS rating 3 of 5 stars)
Usrc Branford Dialysis, Branford, 3.6 miles away, straight line (CMS rating 5 of 5 stars)
Davita Branford Dialysis, Branford, 7.1 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 11 Medicare hospices tell CMS they serve ZIP code 06437.
Home Care Plus, Inc, office in Guilford, 3.1 miles away, straight line (CMS family survey rating 3 of 5 stars)
Connecticut Hospice Inc, The, office in Branford, 6.8 miles away, straight line (CMS family survey rating 4 of 5 stars)
Masonicare Home Health And Hospice Inc, office in Wallingford, 11.2 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Northeast Medical Group Inc, North Branford. 1.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Nothing on record |
| FEMA National Risk Index | Nothing on record | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is The Guilford House a good nursing home?
CMS gives The Guilford House an overall rating of 4 out of 5 stars, including 5/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Guilford House staffed?
The Guilford House reports 4.35 total nurse hours per resident per day, compared with the Connecticut average of 3.83.
Has The Guilford House had inspection problems?
Its most recent CMS inspection cited 14 deficiencies.
How many beds does The Guilford House have?
The Guilford House is certified for 75 beds.