Noble Horizons
Noble Horizons
3.9 (12 reviews)
Skilled Nursing Facility • 91 Licensed Beds
Part of a CCRC
17 Cobble Rd, Salisbury, CT
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
Call
Claimed

Noble Horizons

Skilled Nursing Facility • 91 Licensed Beds
Part of a CCRC
17 Cobble Rd,
Salisbury, CT
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Noble Horizons – Medicare Certified Since 1975

Noble Horizons is a Medicare and Medicaid certified skilled nursing facility located in Salisbury, Connecticut. This facility has been serving the community for 51 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility is part of a Continuing Care Retirement Community (CCRC), which offers a continuum of care on a single campus—from independent living to assisted living to skilled nursing care. CCRC residents often have priority access to the skilled nursing facility and can transition between levels of care as their needs change without having to relocate to a new community.

This facility has 91 certified beds with a current occupancy rate of 72% (averaging 66 residents per day), which is moderate. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.43 hours of total nursing care per resident per day (2.04 hours from CNAs, 0.57 hours from LPNs, 0.82 hours from RNs). Physical therapy staffing is 0.08 hours per resident per day.

Medicare Quality Ratings: According to CMS, Noble Horizons has an overall quality rating of 2 out of 5 stars, which is below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 2 stars, staffing: 4 stars, quality measures: 2 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

Show Phone

Local Comparison Snapshot

How Noble Horizons compares to 12 facilities in Rural CT

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
2
2.9
Quality Measures
Clinical outcomes & safety
2
2.8
Health Inspections
State survey results
2
2.6
Staffing
Nurse-to-resident ratio
4
3.6
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.82 hrs
0.63 hrs
LPN/LVN Hours
Licensed practical nurses
0.57 hrs
0.72 hrs
CNA Hours
Certified nursing assistants
2.04 hrs
2.00 hrs
Total Nursing Hours
CNA + LPN + RN combined
3.43 hrs
3.35 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
16.3 %
4.1 %
LPN/LVN Agency Use
% of LPN hours from contractors
34.2 %
7.9 %
CNA Agency Use
% of CNA hours from contractors
52.5 %
7.4 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
41 %
34 %
Occupancy Rate
Percentage of beds filled
72 %
86 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$553
$545
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 12 facilities in Rural CT.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

View Other Options Near You

Claimed

Geer Nursing and Rehabilitation

99 SOUTH CANAAN RD
Canaan, CT 06018 (5 miles away)
Skilled Nursing Facility • 120 beds
★★★★★ 3.0 (10 reviews)
Show Phone
View Listing
Claimed

Sharon Center for Health & Rehabilitation

27 HOSPITAL HILL ROAD
Sharon, CT 06069 (8 miles away)
Skilled Nursing Facility • 88 beds
★★★★★ 4.3 (50 reviews)
Show Phone
View Listing
Claimed

Timberlyn Heights Nursing and Rehabilitation

320 MAPLE AVENUE
Great Barrington, MA 01230 (13 miles away)
Skilled Nursing Facility • 71 beds
★★★★★ 2.5 (8 reviews)
Show Phone
View Listing
Claimed

Fairview Commons Nursing & Rehabilitation Center

CHRISTIAN HILL ROAD
Great Barrington, MA 01230 (16 miles away)
Skilled Nursing Facility • 146 beds
★★★★★ 3.3 (14 reviews)
Show Phone
View Listing
Claimed

Berkshire Rehabilitation & Skilled Care Center

7 SANDISFIELD ROAD BOX 216
Sandisfield, MA 01255 (17 miles away)
Skilled Nursing Facility • 57 beds
★★★★★ 3.4 (5 reviews)
Show Phone
View Listing

Litchfield Woods Health Care Center

255 ROBERTS ST
Torrington, CT 06790 (19 miles away)
Skilled Nursing Facility • 160 beds
Show Phone
View Listing
Claimed

Wolcott Hall Nursing Center Inc

215 FOREST ST
Torrington, CT 06790 (20 miles away)
Skilled Nursing Facility • 87 beds
★★★★★ 4.5 (22 reviews)
Show Phone
View Listing

Torrington Center for Nursing & Rehabilitation LLC

80 FERN DR
Torrington, CT 06790 (20 miles away)
Skilled Nursing Facility • 75 beds
Show Phone
View Listing

Valerie Manor

1360 TORRINGFORD ST
Torrington, CT 06790 (21 miles away)
Skilled Nursing Facility • 151 beds
Show Phone
View Listing

Livingston Hills Nursing and Rehabilitation Center

2781 ROUTE 9 , P O BOX 95
Livingston, NY 12541 (21 miles away)
Skilled Nursing Facility • 120 beds
Show Phone
View Listing

Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
2/5
Quality Measures
2/5
Health Inspections
2/5
Staffing
4/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 12 other nursing homes in Rural CT

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Noble Horizons
Rural CT Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Noble Horizons
Rural CT Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Noble Horizons
Rural CT Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

Noble Horizons
Rural CT Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
122
minutes/day
CNAs
Certified Nursing Assistants
34
minutes/day
LPNs
Licensed Practical Nurses
49
minutes/day
RNs
Registered Nurses
5
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Noble Horizons
Rural CT Average (85.6%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$553
per resident per day
Compared to 11 facilities in your area
Above local median ($545)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

Nonprofit Facility Part of CCRC

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
-24% -6% Below
Net Income
Annual profit or loss
$-668,153 $-568,987 Below
Staff Cost per Resident
Daily salary expense per resident
$191/day $191/day Lower
Occupancy Rate
Bed utilization percentage
72% 83% Lower
Est. Daily Rate
Average revenue per patient day
$553/day $545/day Higher
Total Beds
Licensed bed capacity
91 95 Smaller

Local comparisons based on 11 skilled nursing facilities in the Connecticut (Rural) metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$10,406,216
Operating Expenses
Total operating costs
$12,896,221
Total Salaries
Staff compensation
$5,238,106
Contract Labor
Agency & temp staff
$1,709,148

Payer Mix

Medicare
10%
Medicaid
54%
Private Pay & Other
36%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
27,394
Medicare
Short-term skilled nursing
10%
Medicaid
Long-term care residents
54%
Private Pay / Other
Self-pay, insurance, VA
36%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
140.13
days
Medicare Stays
41.18
days
Medicaid Stays
386.71
days
Total Admissions
151
Total Discharges
179
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in SALISBURY

Looking for Caregiver or Nursing Jobs?

Create a free profile to connect with senior care employers in Salisbury, CT. Browse open positions, get matched with opportunities, and take the next step in your caregiving career.

Find Jobs Near Me
Create a free job seeker profile →

Reviews

3.9 (12 reviews)
Powered by Google Logo
Cal's profile photo
Cal 4 years ago

My grandmother stayed at Noble for a while and had a really great stay. All of the staff were always so kind and attentive to her and to our family. I was particularly impressed by Noble Horizons when they arranged travel for her to join us at our Easter celebration one year. They were kind enough to provide a safe ride for her from Noble to our home, and then back to Noble. It's such a beautiful campus and has such wonderful workers. Would definitely have another family member reside here if care was needed!! Thank you, Noble.

Christianne White's profile photo

Noble who  did an amazing job of restoring my mother to health in just three short months. The staff showed her kindness and patience every day.  Their work is much appreciated, especially during this difficult and turbulent time.  I felt she was safe at Noble Horizons and staff were attentive and creative in accommodating her needs.  And they managed to support us; her family, too!  I have deep gratitude and admiration for the care she got at Noble Horizons.

Nina Mathus's profile photo
Nina Mathus 4 years ago

As a second generation family now living at Noble Horizons, we have always felt that the medical care and personal caring of staff is top notch. Among my family members we have occupied all of the levels of care available, from the independent cottages through Cobble, Wagner, Riga and finally, Whitridge. The staff at all levels is so very thoughtful and capable. Especially at this time of covid, I offer a heartfelt Thank You for all you do.

mierpaul zozo's profile photo
mierpaul zozo 7 years ago

This was once a great place. Sadly, the administrator, Bill Pond ran it into the ground . He's a do nothing executive who is only good at terminating employees. Even the residents hate him . Just pitiful .

Justice Danielle's profile photo
Justice Danielle 2 years ago

This facility is atrocious, the supervisor, very unprofessional and rude, whispering and laughing at staff. Very discriminatory & unfair. I’m sure if you are of lighter skin you’d have no problem working here.

View All 12 Google Reviews

Explore Skilled Nursing Facilities Near Salisbury

Discover skilled nursing facilities in nearby communities

Lakeville

2.7 mi away

Falls Village

4.0 mi away

Canaan

5.5 mi away

Sharon

8.3 mi away

West Cornwall

9.3 mi away

Cornwall

11.0 mi away

Norfolk

11.7 mi away

Cornwall Bridge

13.1 mi away

Torrington

18.5 mi away

Winsted

18.5 mi away

Bantam

20.5 mi away

Litchfield

20.7 mi away

Riverton

20.8 mi away

New Preston

21.8 mi away

Pleasant Valley

22.6 mi away

Find Additional Care Services in Salisbury

Explore additional care options and services available in your area