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Guilford House, The 1

Nursing Home Facility

109 West Lake Avenue, Guilford, CT 06437

Nursing Home Care Senior Living

Guilford House, The 1 is a senior care community located in Guilford, CT. It provides nursing home care and senior living for older adults in the Guilford area. To learn more or schedule a tour, call (203) 488-9142.

Guilford House, The 1 is licensed for 75 beds.

Federal reporting puts occupancy at about 96% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.

Medicare rates this community 4 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 5 stars for staffing against 3 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in October 2023 and recorded 14 deficiencies.

Residents receive about 4.4 hours of nursing care per day on average, including 0.7 hours from a registered nurse. Nursing staff turnover over the past year was about 39%.

Medicare five-star ratings

  • Overall ★★★★★ 4/5
  • Health inspections ★★★★★ 3/5
  • Staffing ★★★★★ 5/5
  • Quality measures ★★★★★ 3/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 33 problems at Guilford House, The 1. 1 finding involved harm to a resident. 4 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $8,824.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected September 2025, after a complaint. Corrected by November 21, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from the wrongful use of the resident's belongings or money.

    Inspected September 2025, after a complaint. Corrected by November 21, 2025.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

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

    Inspected October 2023. Corrected by December 11, 2023.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected October 2023. Corrected by December 11, 2023.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected October 2023. Corrected by December 11, 2023.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Inspected October 2023. Corrected by December 11, 2023.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected October 2023. Corrected by December 11, 2023.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    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.

    Inspected October 2023. Corrected by December 11, 2023.

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  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected October 2023. Corrected by December 11, 2023.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected October 2023. Corrected by December 11, 2023.

  • Could cause more than minimal harm, one or a few residents Environmental

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Inspected October 2023. Corrected by December 11, 2023.

  • Minimal harm or the potential for it, widespread Nursing and Physician Services

    Observe each nurse aide's job performance and give regular training.

    Inspected October 2023. Corrected by December 11, 2023.

  • Minimal harm or the potential for it, a pattern Resident Rights

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Inspected October 2023. Corrected by December 11, 2023.

  • Minimal harm or the potential for it, a pattern Resident Rights

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Inspected October 2023. Corrected by December 11, 2023.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Guilford House, The 1 offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 75
  • Occupancy 96%
  • Nursing hours per resident/day 4.4
  • Annual staff turnover 39%
  • Last health inspection October 2023

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