Is the applicant in a nursing home, hospital, or other facility?   -- Yes No

Please select the applicant's current facility. Select a town to narrow the list to just facilities in that town.

Town:	- Select One - Ansonia Avon Bethel Bloomfield Boston Braintree Brandford Branford Bridgeport Bristol Brookfield Brooklyn Burlington Canaan Cannan Canton Cheshire Chester Chittenango Clinton Cobalt Colchester Coventry Cromwell Danbury Danielson Dayville Deep River Derby Durham East Hartford East Haven East Windsor Enfield Essex Fairfield Farmington Glastonbury Granby Great Barrington Greenwich Groton Guilford Hamden Hampstead Hartford Holyoke Kensington Lake Katrine Litchfield Madison Manchester Mansfield Center Manuet Marlborough Meriden Middlebury Middletown Milford Moncks Corner Monroe Moodus Mystic Naugatuck New Britain New Britian New Canaan New Fairfield New Haven New London New Milford New York Newington Newtown Niantic North Branford North Haven Norwalk Norwich Old Greenwich Old Saybrook Orange Oxford Plainfield Plainville Plantsville Planville Plymouth Portland Putnam Redding Ridgefield Riverside Rocky Hill Salisbury Seymour Sharon Shelton Simsbury Southbury Southington Southport Springfield Stafford Springs Stamford Staten Island Storrs Stratford Suffield Thompson Tolland Torrington Trumbull Uncasville Unionville Valhalla Vernon W. Springfield Wallingford Waterbury Waterford Watertown Webster West Hartford West Haven Westport Wethersfield White Plains Williamantic Willimantic Wilton Winchester Windham Windosr Windsor Windsor Locks Winsted Woodbridge Worchester
Facility:	- Select One - () 60 West (Rocky Hill) Aaron Manor Nursing and Rehab. Ctr (Chester) Abbott Terrace Health Center (Waterbury) Abilis - Cross Ridge Drive, ICF (Old Greenwich) Abilis - Little Hill Road, ICF (Stamford) Abilis / Little Hill Drive- ICF (Stamford) Ability Beyond Disability Beckerle Street - ICF (Danbury) Ability Beyond Disability Deer Hill Drive - ICF (Danbury) Ability Beyond Disability Dodgintown Road - ICF (Bethel) Ability Beyond Disability Dorset Lane - ICF (Brookfield) Ability Beyond Disability Greenview Road - ICF (New Milford) Ability Beyond Disability Lanesville Road - ICF (New Milford) Ability Beyond Disability Long Meadow Hill - ICF (Brookfield) Ability Beyond Disability Maple Avenue R-517 - ICF (Bethel) Ability Beyond Disability Mountainville Road - ICF (Danbury) Ability Beyond Disability Old Hawleyville Road - ICF (Newtown) Ability Beyond Disability Pleasant Rise Circle - ICF (Brookfield) Ability Beyond Disability Pound Sweet - Pond - ICF (Bethel) Ability Beyond Disability Ridge Road CR R-235 - ICF (Newtown) Ability Beyond Disability Ritch Drive - ICF (Ridgefield) Ability Beyond Disability Saw Mill Road - ICF (New Fairfield) Ability Beyond Disability Squire Court - ICF (New Fairfield) Ability Beyond Disability Squire Court- ICF (Brookfield) Ability Beyond Disability Sweetcake Mountain Road - ICF (New Fairfield) Ability Beyond Disability Valley View Road R-144 - ICF (Brookfield) Ability Beyond Disability West Street R-234 - ICF (Newtown) Ability Beyond Disability Whippoorwill Road - ICF (Bethel) Advanced Nursing and Rehab (New Haven) Alternatives, Inc. Genoa - ICF (Waterbury) Alternatives, Inc. Highview - ICF (Waterbury) Alternatives, Inc. Lakeside - ICF (Waterbury) Amberwoods of Farmington (Farmington) Apple Rehab - Ledgecrest Health Care Center (Kensington) Apple Rehab - Wolcott Hall Nursing Center (Torrington) Apple Rehab Avon (Avon) Apple Rehab Coccomo (Meriden) Apple Rehab Colchester (Colchester) Apple Rehab Cromwell (Cromwell) Apple Rehab Farmington Valley (Planville) Apple Rehab Gardner (Shelton) Apple Rehab Guilford (Guilford) Apple Rehab Hewitt (Shelton) Apple Rehab Laurel Woods (East Haven) Apple Rehab Middletown (Middletown) Apple Rehab Mystic (Mystic) Apple Rehab of Rocky Hill (Rocky Hill) Apple Rehab Saybrook (Old Saybrook) Apple Rehab Shelton Lakes (Shelton) Apple Rehab Uncasville (Uncasville) Apple Rehab West Haven (West Haven) Apple Rehabilitation Watertown (Watertown) ARK Healthcare & Rehabilitation (Brandford) ARK Healthcare & Rehabilitation at Governor's House (Simsbury) ARK Healthcare & Rehabilitation at St. Camillus (Stamford) Aspire Living And Learning Inc. (Woodbridge) Aspire Living And Learning Inc. - ICF (Meriden) Aspire Living And Learning Inc. - ICF (NORTH HAVEN) Aspire Living And Learning Inc. - Janet Drive (North Haven) Aspire Living and Learning Inc. - Janet Drive - ICF (North Haven ) Aspire Living and Learning Inc. - Maple Street - ICF (East Haven) Aspire Living And Learning Inc. - Ridge Road - ICF (North Haven) Aspire Living and Learning Inc. - Scrub Oak - ICF (North Haven ) Athena Meadowbrook LLC (Granby) Atria Greenridge Place (Rocky Hill) Autumn Lake at Norwalk (Norwalk) Autumn Lake Healthcare at Bucks Hill LLC (Waterbury) Autumn Lake Healthcare at Cromwell LLC (Cromwell) Autumn Lake Healthcare at New Britain LLC (New Britain) Avalon Health Care at Stoneridge (Mystic) Avery Nursing Home (Hartford) Avon Health Center (Avon) Backus Hospital (Norwich) Bayview Health Care Center (Waterford) Beacon Brook Health Center (Naugatuck) Bear Mountain at W. Springfield (W. Springfield) Bear Mountain at Worchester (Worchester) Beechwood (New London) Bel-Air Manor (Newington) Benhaven, Inc. - Rosenberg House - ICF (North Haven ) Bethel Health Care Center (Bethel) Bickford Health Care Center (Windsor Locks) Bishop Wicke Health & Rehab. Ctr. (Shelton) Bloomfield Health Center for Nursing and Rehabilitation (Bloomfield) Blythedale Children's Hospital (Valhalla) Boston Childrens Hospital (Boston) Bradley Home & Pavilion (Meriden) Bradley Hospital (Riverside) Braintree Manor Healthcare (Braintree) Bride Brook Health & Rehab. Center (Niantic) Bridgeport Hospital (Bridgeport) Bristol Hospital (Bristol) Brookside Rehabilitation & Healthcare Center (Webster) Brownstone Ridge/ Group Home (Meriden) Cambridge Health and Rehabilitation Center (Fairfield) Candlewood Valley Health & Rehabilitation Center (New Milford Rehab LLC) (New Milford) Care One at Holyoke (Holyoke) Caring Community/255 Tryon St (Glastonbury) Carlson Residential Care Home - Non-Demo Only (Norwalk) Carolton Chronic and Conv. Hospital (Fairfield) Cassena Care at Norwalk (Norwalk) Cassena Care at Stamford (Stamford) Charlotte Hungerford Hospital (Torrington) Chelsea Place Care Center (Hartford) Cherry Brook Health Care Center (Canton) Cheshire House Nursing and Rehabilitation Center (Waterbury) Chestelm Health & Rehabilitation Center (Moodus) Chesterfields Health Care Center (Chester) Civita Care Center at Cheshire (Cheshire) Civita Care Center at Danbury, CT (Danbury) Civita Care Center at Long Ridge (Stamford) Civita Care Center at Milford (Milford) Civita Care Center at Newington (Newington) Civita Care Center at West River (Milford) Cobalt Health Care and Rehabilitation Center (Cobalt) Colonial Health & Rehab Center of Plainfield, LLC (Plainfield) Community Residences, Inc. Boyd Street - ICF (Winsted) Community Residences, Inc. Edward Avenue - ICF (Torrington) Community Residences, Inc. Farmington Avenue - ICF (Plainville) Community Residences, Inc. Honey Hill Road - ICF (Cannan) Community Residences, Inc. Lydale Place - ICF (Meriden) Community Residences, Inc. Mohawk Drive- ICF (Bristol) Community Residences, Inc. Plainville Avenue - ICF (Farmington) Community Residences, Inc. Royal Oak Road - ICF (New Britain) Community Residences, Inc. Spencer Hill - ICF (Winchester) Complete Care at Fox Hill (Vernon) Complete Care at Glendale (Naugatuck) Complete Care at Groton Regency (Groton) Complete Care at Harrington Court (Colchester) Complete Care at Kimberly Hall - North (Windsor) Complete Care at Kimberly Hall - South (Windsor) Complete Care at Meriden (Meriden) Connecticut Baptist Homes (Meriden) Connecticut Children's Medical Center (Hartford) Connecticut Hospice (Branford) Connecticut Mental Health Center (New Haven) Connecticut Valley Hospital (Middletown) Cook Willow Health & Rehab Center (Plymouth) Countryside Manor of Bristol (Bristol) Crestfield Rehab Ctr & Fenwood Manor (Manchester) CRI-Lydale Place DDS-ICF (Meriden) Curtis Home/St. Elizabeth Center (Meriden) Danbury Hospital (Danbury) Davis Place - JACC Healthcare Center of Danielson LLC (Danielson) Day Kimball Healthcare (Putnam) Douglas Manor (Ryders) (Windham) Duncaster: Caleb Hitchcock Health Center (Bloomfield) Edgehill Health Center (Stamford) Elim Park Rehabilitation and Health Care Center (Cheshire) Ella Grasso Center (Stratford) Essex Meadows Properties, Inc. (Essex) Essex Village Manor (Essex) Evergreen Health Care Center (Stafford Springs) Evergreen Woods (North Branford) Fairview, Inc. (Groton) Fernwood Rest Home (Litchfield) Filosa Nursing Home and Rehabilitation Center (Danbury) Fresh River Healthcare (East Windsor) Gaylord Specialty Healthcare (Wallingford) Geer Nursing and Rehab. Center (Canaan) Genesis HealthCare - Arden House (Hamden) Gilmore Manor Inc. (Glastonbury) Gladeview Health Care Center (Old Saybrook) Glastonbury Health Care Center (Glastonbury) Glen Hill Center (Danbury) Golden Gate Rehab. (Staten Island) Grandview Rehabilitation and Healthcare Center (New Britain) Grandview Rehabilitation and Healthcare Center (New Britain) Greater Bridgeport Community Mental Health Center (GBCMHC) (Bridgeport) Greentree Manor Nursing & Rehab. Ctr (Waterford) Greenwich Hospital (Greenwich) Greenwich Woods Rehabilitation & Health Care Center (Greenwich) Griffin Hospital (Derby) Grimes Center (New Haven) Grimes Center (New Haven) Hamden Rehab. and Health Care Center (Hamden) Hampstead Hospital & Residential Treatment Facility (Hampstead) Hancock Hall (Danbury) Harbor Village North Health and Rehablitation Center (New London) Hartford Hospital (Hartford) Hartford Regional Center (Newington) Hebrew Center (West Hartford) Hewitt Health & rehabilitation Center (Shelton) Hospital for Special Care (New Britain) Hospital for Special Care Hartford (New Britain) Hospital of Central Connecticut/New Britain General Campus (New Britian) ICF-Royal Oak Group Home (New Britain) Ingraham Manor (Bristol) Institute of Living (Hartford) Institute of Professional Practice (IPP) - Ridge Road (North Haven) Jefferson House (Newington) Jerome Home, The (New Britain) Johnson Memorial Hospital (Stafford Springs) Kindred Hospital Park View (Springfield) Laurel Ridge Health Care Center (Ridgefield) Lawrence & Memorial Hospital (New London) Leeway, Inc. (New Haven) Litchfield County ARC - ICF (Litchfield) Litchfield Woods Health Care Ctr. (Torrington) LiveWell Connecticut (Plantsville) Lord Chamberlain Manor (Stratford) Lord Chamberlain Nursing & Rehabilitation Ctr. (Stratford) Lower Fairfield Family Respite Center (Norwalk) Ludlowe Center for Health and Rehabilitation (Fairfield) Lutheran Home of Southbury, Inc. (Southbury) Madison House (Madison) Maefair Health Care Center, Inc (Trumbull) Manchester Memorial Hospital (Manchester) Manchester Rehab and Healthcare Center (Manchester) Mansfield Center for Nursing & Rehabilitation (Storrs) Maple View Center for Health and Rehabilitation (Rocky Hill) Marlborough Health & Rehab. Center (Marlborough) Marrakech ICF: Clinton Harbor (Clinton) Marrakech Residental - Wildwood House - ICF (West Haven) Marrakech Residential - ICF (New Haven) Marrakech Residential - Lyda Drive - ICF (Milford) Martine Center for Rehabilitation and Nursing (White Plains) Mary Wade Home, Inc., The (New Haven) Masonicare Health Center (Wallingford) Mattatuck Health Care Facility (Waterbury) Matulaitis Nursing Home (Putnam) McLean Health Center (Simsbury) Meadow Ridge (Redding) Meriden Regional Center (Meriden) Middlebury Conv. Home, Inc. (Middlebury) Middlesex Health Care Center (Middletown) Middlesex Hospital (Middletown) MidState Medical Center (Meriden) Milford Health and Rehab. Center (Milford) Miller Memorial Community, Inc. (Meriden) Monsignor Bojnowski Manor (New Britain) Montowese Health & Rehab. Ctr., Inc. (North Haven) Mount Sinai Rehabilitation Hospital (Hartford) Mozaic Senior Life (Bridgeport) Mystic Healthcare & Rehabilitation Center, LLC (Mystic) Natchaug Hospital (Mansfield Center) Nathaniel Witherell (Greenwich) New Haven Center for Nursing & Rehabilitation, LLC (New Haven) New Horizon Village (Unionville) New London Rehab & Care of Waterford (Waterford) New York Presbyterian Hospital / Weill Cornell Medical Center (New York) Newtown Rehabilitation & Health Care Center (Newtown) Noble Horizons (Salisbury) Northbridge Health Care Center (Bridgeport) Northeast Center for Rehabilitation and Brian Inury (Lake Katrine) Northern Manor (Manuet) Norwalk Hospital (Norwalk) Norwichtown Rehab & Care Center (Norwich) Norwichtown Rehabilitation & Care Center (Norwich) Notre Dame Health and Rehabilitation Center (Norwalk) OAK HILL - Avon Street - ICF (Enfield) OAK HILL - Burnham Drive - ICF (West Hartford) OAK HILL - Burns Road - ICF (Ansonia) OAK HILL - Carolyn John's - ICF (Granby) OAK HILL - Carriage Drive, R-114 - ICF (Burlington) OAK HILL - Cloverdale Ave - ICF (Shelton) OAK HILL - Duncaster Road - ICF (Bloomfield) OAK HILL - George Street - ICF (Middlebury) OAK HILL - Hayes Road - ICF (Rocky Hill) OAK HILL - Moose Hill - ICF (Monroe) OAK HILL - Pisgah Road - ICF (Oxford) OAK HILL - Prospect Steet, R-297 - ICF (Wethersfield) OAK HILL - Prospect Street, R-606 - ICF (Watertown) OAK HILL - Robert Edwards - ICF (Granby) OAK HILL - Simsbury - ICF (Simsbury) OAK HILL - West Meath Lane - ICF (Farmington) Orange Health Care Center (Orange) Paradigm of Norwalk (Norwalk) Parkville Care Center (Hartford) Parkway Pavilion Health and Rehabilitation Center (Enfield) Pathfinders Association, Inc - Bellview Drive - ICF (Derby) Pathfinders Association, Inc - Newman House - ICF (Derby) Pathfinders Association, Inc. - Franklin Avenue - ICF (Derby) Pendleton Health & Rehab. Center (Mystic) Pierce Memorial Baptist Nursing & Rehab Center (Brooklyn) Pilgrim Manor (Cromwell) Pomperaug Woods Health Center (Southbury) Portland Care and Rehab. Center, Inc. (Portland) Regency House Nursing and Rehabilitation Center (Wallingford) River Glen Health Care Center (Southbury) Riverside Health and Rehabilitation Center (East Hartford) Riverview Lodge (Deep River) RMS/Coppermill ICF (Wethersfield) Saint John Paul II Center (Danbury) Saint Joseph's Living Center (Windham) Saint Joseph's Residence (Enfield) Salmon Brook Rehab and Nursing (Glastonbury) Seabury Health Center (Bloomfield) Seven Hills Academy at Groton (Groton) Sgt. John L. Levithow Healthcare Center (Rocky Hill) Shady Knoll Health Center, Inc (Seymour) Sharon Health Care Center (Sharon) Sheriden Woods Health Care Center (Bristol) Silver Springs (Meriden) Silver Springs Care Center (Meriden) Skyview Rehab and Nursing (Wallingford) Southbury Training School (Southbury) Southington Care Center (Southington) Southport Center for Nursing & Rehabilitation LLC (Southport) Southport Center for Nursing and Rehabilitation (Southport) Spaulding Rehabilitation Hospital (Boston) St. Francis Hospital (Hartford) St. Joseph's Center (Trumbull) St. Mary Home, Inc. (West Hartford) St. Mary's Hospital (Waterbury) St. Vincent's Medical Center (Bridgeport) (Bridgeport) St. Vincent's Medical Center, Behavioral Health Service, Westport Campus (Westport) Stamford Hospital (Stamford) Suffield House, The (Suffield) The Albert J Solnit Childrens Center (Middletown) The Crossings East (New London) The Farview of Fairfield (Southport) The Grand at Chittenango (Chittenango) The Guilford House, LLC (Guilford) The Pines at Bristol Center for Health & Rehabilitation (Bristol) The Reservior (West Hartford) The Summit at Plantsville (Plantsville) The Villa at Stamford (Stamford) The Watermark at 3030 Park (Bridgeport) The Watermark at East Hill (Southbury) The Willows (Woodbridge) Thornfield Hall Inc. - ICF (Thompson) Timberyln Heights Nursing and Rehabilitation (Great Barrington) Torrington Center for Nursing & Rehabilitation LLC (Torrington) Torrington Family Respiste Center (Torrington) Touchpoints at Bloomfield (Bloomfield) Touchpoints at Bloomfield (Bloomfield) Touchpoints at Manchester (Manchester) Touchpoints Rehab at Chestnut (East Windsor) Trinity Hill Care Center, LLC (Hartford) Trinity Terraces (Watertown) Twin Maples Healthcare, Inc. (Durham) UCONN Health (Farmington) UConn John Dempsy Hospital (Farmington) UMass Memorial Medical Center (Worchester) Unihealth Post-Acute Care (Moncks Corner) Valerie Manor (Torrington) Vanderman Place - JACC Healthcare Center of Windham LLC (Williamantic) Vernon Rehabilitation and Healthcare Center (Vernon) Veteran’s Home and Hospital (Rocky Hill) Vibra Nursing and Rehab of Western MA (Springfield) Villa Maria Nursing & Rehabilitation Inc. (Plainfield) Village Crest Center for Health & Rehabilitation (New Milford) Village Green of Bristol (Bristol) Wadsworth Glen Health Care & Rehab Ctr (Middletown) Water's Edge Center for Health & Rehab. (Middletown) Waterbury Center for Nursing & Rehabilitation LLC (Waterbury) Waterbury Gardens Nursing and Rehab (Waterbury) Waterbury Hospital (Waterbury) Waveny Life Care Network (New Canaan) West Hartford Health & Rehab. Center (West Hartford) West Haven Center for Nursing & Rehabilitation LLC (West Haven) Westside Care Center (Manchester) Westview Healthcare Center (Dayville) Whispering Pines Health and Rehab (East Haven) Whiting Forensic Hospital (Middletown) Whitney Center (Hamden) Whitney Rehabilitation Care Center (Hamden) Whole Life, Inc. - High Steet - ICF (Coventry) Whole Life, Inc. - ICF (Tolland) Wilton Meadows Health Care Center (Wilton) Windham Hospital (Willimantic) Windsor Health and Rehab Center (Windsor) Windsor Health and Rehabilitation Center, LLC (Windosr) Woodlake at Tolland (Tolland) Yale Health Center Inpatient Care Facility (New Haven) Yale New Haven Hospital Rehab and Wellness Center (Milford) Yale-New Haven Hospital (New Haven) York Correctional Institution (Niantic) - Other (Enter Below) -

Date admitted to current facility:   (optional)

Admitted to facility from:   (optional)

What caused the applicant to go into the nursing home, hospital, or other facility?


Disclaimer: To be eligible for MFP, at the time of transition (return to the community) applicants must reside in an institution for 60 days in order to be considered eligible for MFP, but the MFP application can be submitted prior to the applicant fulfilling the 60 day requirement.  MFP can assist individuals who have not met the 60 day timeline.