MyLivingChoice

Noble Horizons

17 Cobble Rd

4(15 ratings)

Noble Horizons, photo 11 / 5

Quick Facts

Total units
91
Medicare rating
1 of 5

CMS Care Compare

Ownership
Non profit, Corporation
Certified beds
91
Ownership model
Non-profit continuum of care community
Campus size
110-acre wooded campus with trails and gardens
Fitness perk
Full-time personal trainer included at no extra cost
Housing range
Cottages, hotel-style apartments, and private rooms on one campus

What Families Think

Most reviewers describe Noble Horizons as a caring, attentive community where staff go out of their way for residents and rehab outcomes have been strong, especially in skilled nursing and short-term rehab. One reviewer felt the facility's quality has slipped from its earlier reputation, but the majority of feedback is positive across multiple levels of care used by the same families over generations.

The Good

  • Staff described as kind, attentive, and patient
  • Successful short-term rehab outcomes reported by families
  • Staff arranged safe transportation for a resident's family visit
  • Fitness center with a full-time personal trainer included
  • Second-generation families have used multiple levels of care here

The Bad

  • One report of declining care quality compared to the facility's past reputation

AI-generated from reviews and community data.

Noble Horizons is a senior living community in Salisbury, Connecticut offering Independent Living and Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Outdoor Patio and Gardening Club. Families rate it 4.0 out of 5 across 15 reviews.

About Noble Horizons

Noble Horizons is a non-profit continuum of care senior living community in Salisbury, Connecticut, offering independent living, intermediate care, skilled nursing, short-term rehabilitation, and outpatient rehabilitation services. The community has maintained its operations for over 50 years across the tri-state region of Connecticut, New York, and Massachusetts.

The 110-acre wooded campus in Northwest Connecticut's Litchfield County provides a pastoral setting with walking trails, flower and sculpture gardens. Residents can choose from cottages, residential hotel-style apartments called the Cobble, or private rooms overlooking manicured courtyards. Skilled nursing care is available for those requiring 24-hour medical attention, while rehabilitation services include physical, occupational, and speech therapy for recovery from surgery, illness, or accident.

Noble Horizons emphasizes a whole-health approach that treats the body while nurturing the mind and soul. The community hosts over 100 on-campus programs annually, featuring art exhibits, concerts, hands-on activities like painting and gardening, and cultural programs. Residents also travel off-campus to area restaurants, live performance venues, parks, and botanical gardens.

Wellness amenities include a fitness center with a full-time personal trainer at no extra cost and complimentary exercise classes. The dining program is customized to individual preferences, with the food services team willing to prepare favorite family recipes. In-house caring and experienced therapists provide individualized therapeutic programs centered on optimizing independence, choices, and possibility.

Types of Care at Noble Horizons

Independent LivingSkilled Nursing / Long Term Care

Amenities

Room Amenities

  • Cable or Satellite TV
  • Emergency Call System
  • Private Bathroom
  • Private Rooms
  • Wheelchair Accessible
  • Wi-Fi / High-Speed Internet

Meals & Dining

  • Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
  • Restaurant style Dining Room

Community Amenities

  • 24-Hour Staff
  • Chapel / Religious Services
  • Fitness Center
  • Gathering / Activity Spaces
  • Housekeeping
  • Laundry Service
  • Medication Management
  • On-Site Nurse (RN)
  • Outdoor Patio
  • Salon / Barber
  • Security
  • Transportation Services
  • Walking Paths

Activities

  • Arts and Crafts
  • Birthday / Holiday Parties
  • Day Trips and Outings
  • Gardening Club
  • Live Performances
  • Religious Services
  • Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)

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Help Me Choose

Reviews of Noble Horizons

4overall · 15 ratings combined

4★ on Google (15)

Norman Deneault

May 2026

via Google

I had talked to nurse supervisor Rebekah fabulous to myself and my mom that had a stroke . My mom became angry because of the stroke she had previously before she got into Noble Horizons Rehab center but nurse supervisors Rebekah assured me that my mom will have the best care while she is there .

Monroe Bridge

Dec 2025

via Google

Once considered the premier rehab facility for the elderly, but now considered a normal waste of Medicare dollars

Christianne White

Jan 2021

via Google

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.

Cal

Dec 2020

via Google

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.

Nina Mathus

Dec 2020

via Google

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.

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Government Inspection History

6 inspection visits in the last three years, 66 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

Apr 23, 2026Health Complaint4 citations
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 4, 2026

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 4, 2026

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 4, 2026

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 4, 2026

Feb 27, 2026Fire Safety StandardHealth Standard26 citations
  • Provide and implement an infection prevention and control program.

    Severity K of L: immediate jeopardy, patternCorrected Apr 10, 2026

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity G of L: actual harm, isolatedCorrected Apr 10, 2026

  • Provide a written emergency evacuation plan.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 5, 2026

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2026

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2026

  • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2026

  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2026

  • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2026

  • Assure that each resident’s assessment is updated at least once every 3 months.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2026

  • Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2026

  • Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 5, 2026

  • Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 5, 2026

  • Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 5, 2026

  • Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 5, 2026

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2026

  • Observe each nurse aide's job performance and give regular training.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2026

  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2026

  • Implement a program that monitors antibiotic use.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2026

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2026

  • Respond appropriately to all alleged violations.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2026

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2026

  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2026

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2026

  • To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 5, 2026

  • Install corridor and hallway doors that block smoke.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 5, 2026

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2026

Jul 9, 2024Health Complaint1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Aug 16, 2024

Apr 24, 2024Health Complaint2 citations
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Jun 5, 2024

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 5, 2024

Mar 21, 2024Fire Safety StandardHealth Standard27 citations
  • 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.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 2, 2024

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 2, 2024

  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 2, 2024

  • Ensure that residents are free from significant medication errors.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 2, 2024

  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 2, 2024

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 2, 2024

  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 2, 2024

  • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 2, 2024

  • Assess the resident when there is a significant change in condition

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 2, 2024

  • Assure that each resident’s assessment is updated at least once every 3 months.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 2, 2024

  • Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 2, 2024

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 2, 2024

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 2, 2024

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 2, 2024

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 2, 2024

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 2, 2024

  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 2, 2024

  • Ensure medication error rates are not 5 percent or greater.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 2, 2024

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 2, 2024

  • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 2, 2024

  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 2, 2024

  • Meet other general requirements.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 26, 2024

  • Install corridor and hallway doors that block smoke.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 26, 2024

  • Provide a written emergency evacuation plan.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 26, 2024

  • Have generator or other power source capable of supplying service within 10 seconds.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 26, 2024

  • Ensure proper usage of power strips and extension cords.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 26, 2024

  • Post nurse staffing information every day.

    Severity C of L: potential for minimal harm, widespreadCorrected May 2, 2024

Oct 20, 2021Fire Safety StandardHealth Standard6 citations
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity G of L: actual harm, isolatedCorrected Nov 30, 2021

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 30, 2021

  • Have simulated fire drills held at unexpected times.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 12, 2022

  • Provide a written emergency evacuation plan.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 12, 2022

  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 30, 2021

  • Establish policies and procedures including evacuation.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 12, 2022

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does Noble Horizons offer?

Noble Horizons offers Independent Living and Skilled Nursing / Long Term Care.

Where is Noble Horizons located?

Noble Horizons is located at 17 Cobble Rd in Salisbury, Connecticut.

What do families say about Noble Horizons?

Most reviewers describe Noble Horizons as a caring, attentive community where staff go out of their way for residents and rehab outcomes have been strong, especially in skilled nursing and short-term rehab. One reviewer felt the facility's quality has slipped from its earlier reputation, but the majority of feedback is positive across multiple levels of care used by the same families over generations.

How did Noble Horizons do on recent health and safety inspections?

Noble Horizons had 6 government inspection visits in the last three years, with 66 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit Noble Horizons?

Submit the Request Information form on this page to connect with Noble Horizons and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

Work at Noble Horizons? Claim this listing to update photos, pricing, and details. It's free.

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