Quick answers
- Where is Noble Horizons?
- 17 Cobble Rd, Salisbury, CT 06068, in Nw Hills County, Connecticut.
- What is the phone number of Noble Horizons?
- (860) 435-9851, as listed by Medicare (CMS).
- What is the Medicare star rating of Noble Horizons?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Noble Horizons been fined?
- Medicare lists 3 fines totaling $107,104 and 1 payment denial.
- What did inspectors find at Noble Horizons?
- In its last three inspection cycles (October 20, 2021 to April 23, 2026), Medicare lists 51 health citations; the most serious was level K. 5 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 20, 2021 to April 23, 2026), Noble Horizons had 51 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 5 of them were level G or higher (actual harm or immediate jeopardy). It was fined $107,104 in total (3 fines, the latest on February 27, 2026) and had 1 Medicare payment denial. Nurse staffing is 3.92 hours per resident per day; the Connecticut average is 3.90 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: February 27, 2026 — 23 health citations
Inspections in this cycle: February 27, 2026 (standard health inspection); April 23, 2026 (complaint investigation).
F0880 Level K
“Provide and implement an infection prevention and control program.”
immediate jeopardy to resident health or safety; pattern (some residents) · Infection Control Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 21 less serious citations (levels A to F)
F0628 Level E
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0636 Level E
“Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.”
F0638 Level E
“Assure that each resident’s assessment is updated at least once every 3 months.”
F0640 Level E
“Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0947 Level E
“Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0578 Level D
“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.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0730 Level D
“Observe each nurse aide's job performance and give regular training.”
F0835 Level D
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
F0881 Level D
“Implement a program that monitors antibiotic use.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
Previous cycle: March 21, 2024 — 22 health citations
Inspections in this cycle: March 21, 2024 (standard health inspection).
Show 22 citations (levels A to F, no actual harm)
F0726 Level F
“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.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0838 Level E
“Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0578 Level D
“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.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0604 Level D
“Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0638 Level D
“Assure that each resident’s assessment is updated at least once every 3 months.”
F0640 Level D
“Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0868 Level D
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0732 Level C
“Post nurse staffing information every day.”
Earlier cycle: October 20, 2021 — 6 health citations
Inspections in this cycle: October 20, 2021 (standard health inspection); April 24, 2024 (complaint investigation); July 9, 2024 (complaint investigation).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 3 less serious citations (levels A to F)
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (15)
K0711 Level F
“Provide a written emergency evacuation plan.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0225 Level D
“Have stairways and smokeproof enclosures used as exits that meet safety requirements.”
K0362 Level D
“Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0761 Level D
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0927 Level D
“Have proper fire barriers, ventilation and signs for the transfilling of oxygen.”
K0200 Level D
“Meet other general requirements.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0711 Level D
“Provide a written emergency evacuation plan.”
K0918 Level D
“Have generator or other power source capable of supplying service within 10 seconds.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0712 Level E
“Have simulated fire drills held at unexpected times.”
E0020 Level D
“Establish policies and procedures including evacuation.”
K0711 Level D
“Provide a written emergency evacuation plan.”
Fines and payment denials
Total fines over about the last three years: $107,104 (3 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| February 27, 2026 | Fine | $82,527 |
| February 27, 2026 | Payment denial | from May 27, 2026, 8 days |
| July 9, 2024 | Fine | $14,050 |
| March 21, 2024 | Fine | $10,527 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Connecticut | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.96 | 0.71 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.61 | 0.87 | 0.86 |
| Nurse aide hours per resident per day | 2.35 | 2.33 | 2.35 |
| Total nurse staff hours per resident per day | 3.92 | 3.90 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.54 | 3.48 | 3.43 |
| RN hours per resident per day on the weekend | 0.67 | 0.46 | 0.48 |
| Nursing staff turnover (per year) | 29.8% | 37.3% | 45.3% |
| RN turnover (per year) | 13.3% | 38.0% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.5 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 91 |
| Average residents per day | 58.5 |
| Takes part in | Medicare and Medicaid |
| Ownership | Non-profit – corporation |
| Legal business name | Church Homes, Inc. Congregational |
| First approved by Medicare/Medicaid | 1975-01-03 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 17 Cobble Rd, Salisbury, CT 06068 |
| County | Nw Hills County |
| State | Connecticut |
| Phone | (860) 435‑9851 |
| CMS Certification Number | 075236 |
| Name in Medicare records | NOBLE HORIZONS |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Geer Nursing and Rehabilitation4.7 mi · Canaan, CT · 4 of 5 stars
- Sharon Center for Health & Rehabilitation8.3 mi · Sharon, CT · 4 of 5 stars
- Timberlyn Heights Nursing and Rehabilitation13 mi · Great Barrington, MA · 5 of 5 stars
- Fairview Commons Nursing & Rehabilitation Center16 mi · Great Barrington, MA · 1 of 5 stars
- Berkshire Rehabilitation & Skilled Care Center17 mi · Sandisfield, MA · 1 of 5 stars
Nearest hospital emergency rooms
- Sharon Hospital8.3 mi · Sharon, CT · Acute Care Hospital
- Fairview Hospital14 mi · Great Barrington, MA · Critical Access Hospital
- Charlotte Hungerford Hospital20 mi · Torrington, CT · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13