Noble Horizons
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.
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
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.
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Medicare Star Ratings
Official CMS ratings based on health inspections, staffing, and quality measures
Data as of December 2025
Star Ratings History
Quarterly performance from 2013-2026
How Does This Facility Compare?
Compared to 12 other nursing homes in Rural CT
Based on CMS Medicare star ratings. Higher ratings indicate better performance.
Staffing Hours per Resident Day
Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.
Staff Turnover Rate
Lower turnover rates generally indicate a more stable workforce and better continuity of care.
Agency/Contract Staff Usage
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
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
Staffing Trends
Direct care minutes per resident per day
Occupancy Rate History
Average daily residents as a percentage of certified beds
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
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)
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)
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
Average Length of Stay
How long residents typically stay at this facility
Based on fiscal year 2023 cost report data
Services
Comprehensive skilled nursing services, rehabilitation programs, and medical care in SALISBURY
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Find Jobs Near MeReviews
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.
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.
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.
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 .
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.
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