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Noble Horizons

Nursing Home Facility

17 Cobble Rd, Salisbury, CT 06068

Assisted Living Nursing Home Care Senior Living

Noble Horizons is a senior care community located in Salisbury, CT. It provides assisted living, nursing home care, and senior living for older adults in the Salisbury area. To learn more or schedule a tour, call (860) 435-9851.

Noble Horizons is licensed for 91 beds.

Federal reporting puts occupancy at about 67% of its licensed beds.

Medicare rates this community 2 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 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in February 2026 and recorded 23 deficiencies.

Residents receive about 3.7 hours of nursing care per day on average, including 1.0 hours from a registered nurse. Nursing staff turnover over the past year was about 36%.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 5/5
  • Quality measures ★★★★★ 2/5

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 51 problems at Noble Horizons. 5 findings involved harm to a resident, including 1 that put residents in immediate danger. 7 came from investigating complaints by residents or families.

In the last three years Medicare fined this home 3 times, a total of $151,542. Medicare also stopped paying for new admissions once in that period.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected February 2026. Corrected by April 10, 2026.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

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

    Inspected February 2026. Corrected by April 10, 2026.

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected April 2026, after a complaint. Corrected by June 4, 2026.

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

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

    Inspected April 2026, after a complaint. Corrected by June 4, 2026.

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

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

    Inspected April 2026, after a complaint. Corrected by June 4, 2026.

  • 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 April 2026, after a complaint. Corrected by June 4, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Inspected February 2026. Corrected by April 10, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Inspected February 2026. Corrected by April 10, 2026.

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  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Assure that each resident’s assessment is updated at least once every 3 months.

    Inspected February 2026. Corrected by April 10, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Inspected February 2026. Corrected by April 10, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected February 2026. Corrected by April 10, 2026.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

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

    Inspected February 2026. Corrected by April 10, 2026.

  • Could cause more than minimal harm, a pattern Nursing and Physician Services

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Inspected February 2026. Corrected by April 10, 2026.

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

    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.

    Inspected February 2026. Corrected by April 10, 2026.

  • 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 February 2026. Corrected by April 10, 2026.

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

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

    Inspected February 2026. Corrected by April 10, 2026.

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

    Respond appropriately to all alleged violations.

    Inspected February 2026. Corrected by April 10, 2026.

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected February 2026. Corrected by April 10, 2026.

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

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

    Inspected February 2026. Corrected by April 10, 2026.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

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

    Inspected February 2026. Corrected by April 10, 2026.

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

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Inspected February 2026. Corrected by April 10, 2026.

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

    Implement a program that monitors antibiotic use.

    Inspected February 2026. Corrected by April 10, 2026.

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Inspected February 2026. Corrected by April 10, 2026.

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.

Noble Horizons offers assisted living, nursing home care, and senior living.

Facility details

  • Organization type Non profit - Corporation
  • Beds / units 91
  • Occupancy 67%
  • Nursing hours per resident/day 3.7
  • Annual staff turnover 36%
  • Last health inspection February 2026

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