CCN 075377 · South Central Ct County, Connecticut
Civita Care Center at West River
245 Orange Avenue, Milford, CT 06460
Civita Care Center at West River is a 120-bed for-profit nursing home in Milford, Connecticut, first certified for Medicare or Medicaid in 1992. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 111.5 residents a day, about 93% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $6.5 million in June 2010 (223(f) refinance or purchase), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 120
- Average residents per day
- 111.5 (92.9% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Bh West River LLC
- Certified since
- Aug 4, 1992
- Chain or affiliated group
- Civita Care Centers (6 facilities, chain average 2.0 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Connecticut median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 36 at 1, 46 at 2, 32 at 3, 34 at 4, 42 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.61 | 3.71 | 3.68 |
| RN hours per resident per day | 0.71 | 0.60 | 0.58 |
| Weekend nurse hours per resident per day | 3.13 | ||
| Nursing staff turnover | 30.6% | 35.9% | 44.9% |
| Occupancy (residents / beds) | 92.9% | 90.9% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 12 (Jan 29, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Civita Care Center at West River meets that part today: 4 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Ct6 Opco Holdco LLCOrganization | Direct Ownership Interest | 100% | 10/01/2024 |
| Esnh LLCOrganization | Indirect Ownership Interest | n/a | 10/01/2024 |
| Jpnh LLCOrganization | Indirect Ownership Interest | n/a | 10/01/2024 |
| Pepper, YehudaIndividual | Indirect Ownership Interest | n/a | 10/01/2024 |
| Schwarcz, EliIndividual | Indirect Ownership Interest | n/a | 10/01/2024 |
| 245 Orange LLCOrganization | Mortgage Interest | n/a | 10/01/2024 |
| Schwarcz, EliIndividual | Mortgage Interest | n/a | 10/01/2024 |
| Cleary, KevinIndividual | Operational / Managerial Control | n/a | 10/01/2024 |
| Pepper, YehudaIndividual | Operational / Managerial Control | n/a | 01/09/2025 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: 245 Orange LLC, Eli Schwarcz.
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jun 29, 2010 | 223(f) refinance or purchaseHUD project name: West River Health Care Center, 120 beds. Lender at endorsement: Housing & Healthcare Finc | $6,456,000 | Ended Jul 11, 2022Prepayment | 01722048 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.