Silver Hill Hospital

Assessed 2026-10-01

Headline basis: Public evidenceThe headline number is the public score, not the extended score., LROAS 1.0.0, edition 2026-10-01

Public-evidence total: 54

The sum of the ten criterion scores, from 10 to 100, using evidence anyone can check, including the clinic's own pages as self-declared statements. For the licence element of C2 only, it can also use an authority ruling held in our sealed evidence room. It is the only number used for the rank.

ConfidenceHow well the evidence supports the score.: medium. ProvisionalA check was still open when the edition closed, for example a register lookup or a video not yet received, or evidence under embargo.: C10.

C1 Client separation and occupancy · 2

The FAQ states that most rooms are designed as doubles, and the DBT-S house has single and double bedrooms with shared common areas plus skills groups and daily process groups, so shared bedrooms are the default and group work is core in every residential track. That occupancy model places the clinic in band 2 regardless of any client number. The private-room supplement on the rate card buys a private bedroom inside a shared house, not sole occupancy of a residence, so no uplift applies. No capacity deduction applies: the FAQ line on single rooms in two of six programmes and the rate card's three all-private houses describe room types, not capacity figures.

ConfidenceHow well the evidence supports the score.: low

Sources (3 cited items):

• Silver Hill Hospital: The FAQ states that while most rooms are designed as doubles, two of six programmes provide single occupancy rooms, and that private rooms can be made available at an additional cost.
• Silver Hill Hospital: The rate card prices private room supplements per programme, at USD 118,272 for 28 days on two tracks, USD 140,000 for 35 adolescent days and USD 176,400 for 42 neuropsychiatric days, and states that all rooms at three named houses are private accommodations.
• Silver Hill Hospital: The DBT-S house has both single and double bedrooms with shared common areas, with at least four individual sessions a week plus seven or more skills groups and daily process groups.

C2 Clinical governance and medical cover · 9

The Connecticut Department of Public Health register lists Silver Hill Hospital, Inc. as a Hospital for Psychiatric Disabilities, licence H0006, active until 30 June 2027, with separate active residential mental health and substance abuse licences for Silver Hill Therapeutic Services, LLC. The President and Medical Director is a physician, the Lodge publishes psychiatrist cover nights and weekends, withdrawal is delivered on the hospital's own inpatient units, the hospital licence covers the setting, The Joint Commission lists the organisation as accredited under Hospital and Behavioral Health Care programmes, and a psychosis and mood programme is published. Licensing, a medical lead and five further elements give band 9. Band 10 would need a published non-psychiatric physician service, which is absent.

ConfidenceHow well the evidence supports the score.: high

Known gapsFacts the assessment needed but could not establish.:

• The linked Joint Commission provider page returned HTTP 403 on direct fetch; the accreditation reading rests on the accreditor's downloadable listing and a search index.

Sources (4 cited items):

• elicense.ct.gov: The Connecticut eLicense public lookup uses a POST search form whose results are not citable by URL, so the register page itself is not retrievable; the state's published licence API carries the record.
• jointcommission.org: The Joint Commission provider record 2957 shows Silver Hill Hospital as accredited, partially verified via a search index because the direct fetch returned HTTP 403.
• Silver Hill Hospital: The hospital states it is licensed by the State of Connecticut as a hospital for the mentally ill, accredited by The Joint Commission under the Hospital Accreditation Program, the Behavioral Health Program and the Opioid Treatment Program, and certified by the Centers for Medicare and Medicaid Services for Medicare only.
• data.ct.gov: Facility licence: the Connecticut published licence API confirmed Silver Hill Hospital Inc. as a hospital for psychiatric disabilities, active and current, expiring 30 June 2027, at the New Canaan campus address, with the residential mental health and substance abuse licences also active.

C3 Diagnostic depth on admission · 5

Three diagnostic elements are published: a pre-admission clinical suitability review tied to a deposit refund, assessment by a psychiatrist and a social worker with appointments within 48 hours, and a psychiatric evaluation, diagnosis and treatment plan on residential admission. Psychological testing is not a listed specialist diagnostic and adds no element. The rate card's exclusion of non-routine laboratory tests implies routine laboratory work but is not a published laboratory panel on or near admission, so it does not count. Three elements give band 5; a fourth element would be needed for band 6.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• The element reading for this criterion is not published as a list; the band is explained in the reasoning.

Sources (3 cited items):

• Silver Hill Hospital: The residential deposit policy states the deposit is held or refunded where admission is not clinically successful, as verified by the interventionist and admission clinical staff, with a USD 250 administrative fee for cases that are not clinically successful for admission and a rescheduling period agreed by the admission clinical director.
• Silver Hill Hospital: The assessment programme provides assessment by a psychiatrist and a social worker with personalised referral information for next steps, and appointments within 48 hours.
• Silver Hill Hospital: Residential clients receive a thorough psychiatric evaluation, diagnosis and treatment plan.

C4 Clinical intensity · 4

The DBT-S track publishes at least four individual sessions a week plus seven or more skills groups and daily process groups; the Triumph trauma track publishes individual therapy three times weekly plus a weekly psychiatric appointment. The clinical team is pooled, one programme team per house, and more than half of scheduled clinical hours are delivered in groups. That intensity gives band 4. The group-share cap at band 6 applies but has no effect at band 4, and round-the-clock nursing does not count as a dedicated clinician per residence.

ConfidenceHow well the evidence supports the score.: medium

Sources (3 cited items):

• Silver Hill Hospital: The DBT-S programme publishes at least four individual sessions per week plus seven or more skills groups each week and daily process groups, a team of psychiatrist, therapists, peer recovery mentors and residential counselors with nursing support around the clock, and a 30-day minimum stay.
• Silver Hill Hospital: The Triumph programme publishes three times weekly individual therapy, weekly psychiatric appointments and daily group programming, with a six-week minimum and twelve weeks recommended.
• Silver Hill Hospital: Adult residential stays run a minimum of 30 days with the option to extend.

C5 Continuity and aftercare · 8

Discharge planning begins on day one with the client and family, programme pages describe preliminary discharge plans and coordination with outpatient teams, and the rate card prices Care Navigation Support Services (three-month minimum) and an intensive outpatient programme delivered by the hospital's own clinicians. Seven aftercare elements are met, giving band 8. Psychiatric follow-up by the hospital itself and six months or more of structured contact are not published, so the band above is not reached.

ConfidenceHow well the evidence supports the score.: medium

Sources (7 cited items):

• Silver Hill Hospital: The hospital states that clinical staff work with the client and family from day one to create a plan for life after discharge, which may include further residential treatment, intensive outpatient treatment or appointments with the client's own physicians and therapists.
• Silver Hill Hospital: On the Triumph programme the treatment team works with the client, the family and the outpatient team to arrange optimal next steps.
• Silver Hill Hospital: The DBT-S programme develops a preliminary discharge plan covering personal goals, family goals, symptoms and anticipated supports.
• Silver Hill Hospital: Programme described by the clinic: Care Navigation Support Services
• Silver Hill Hospital: Price published by the clinic: Care Navigation Support Services, Level 1, ten hours a month
• Silver Hill Hospital: Programme described by the clinic: Intensive Outpatient Program
• Silver Hill Hospital: Price published by the clinic: Intensive Outpatient Program, 24 sessions

C6 Admission integrity and commercial conduct · 6

A sweep of the hospital's domains found no self-ranking pages ranking other clinics, no paid recognition presented as independent press or award, and no text addressed to AI systems (/llms.txt returned HTTP 404). Two positive signals count: a dated rate card with whole-programme prices per track, and a refund position tied to clinical suitability rather than to the sale. A clean sweep with two positive signals gives band 6. No referral-fee position is published, so a further signal is missing.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• A Hall of Fame Behavioral Health footer badge is recorded but its nature is not established; it is not presented as accreditation or press and is not scored.

Sources (4 cited items):

• Silver Hill Hospital: The rate card revised 17 March 2025 carries per-programme residential prices, including USD 59,136 for 28 days on the DBT-S track, USD 87,360 for 28 days on the Steward track and USD 226,800 for the 84-day Triumph programme.
• Silver Hill Hospital: The deposit policy sets a USD 250 administrative fee and a USD 4,750 refund for all cases that are not clinically successful for admission, including interventions.
• Silver Hill Hospital: The assessment programme provides personalised referral information for next steps.
• clinic and group domains, web search: Search of clinic and group domains, web search. Scope: domains checked silverhillhospital.org (homepage, /for-clinicians/best-rehabs-in-ny/, /for-clinicians/best-rehabs-in-nj/, /llms.txt HTTP 404, /ai-instructions/ HTTP 404), thestewardhouse.org, freedominstitute.org (now redirecting to Silver Hill New York), silverhillnewyork.org; searches run.... Result: sweep recorded; outcome per the C6 V elements.

C7 Transparency toward the client · 6

Six transparency elements are met: inclusions and exclusions, deposit and refund terms, extension daily rates and early-departure fees on the dated rate card, a named covered entity and contracting entity with the campus address, a complaints route naming the federal Office for Civil Rights, and a stated regulatory status. The site states the licence category without a licence number or register link, no retention period is published, the regulator's inspection documents are not linked by the hospital, and ownership is not matched to a corporate register record. Six elements give band 7, and one point is deducted because a superseded 2018 deposit policy still hosted on the domain gives different fees and early-departure terms, giving band 6.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• The superseded 2018 deposit policy is not linked as its own evidence item.

Sources (3 cited items):

• Silver Hill Hospital: The rate card lists exclusions from the base cost, deposit and refund terms, a USD 400 payment plan fee, daily rates per programme, USD 2,520 for additional inpatient days, early voluntary discharge fees and a USD 5,520 trauma track, revised 17 March 2025.
• Silver Hill Hospital: The privacy notice names the covered entity, gives the campus address and a privacy officer telephone number, and routes complaints to the health information management department or to the federal Office for Civil Rights.
• Silver Hill Hospital: The hospital publishes that it is an independent, not-for-profit psychiatric hospital founded in 1931, with its federal tax identification number, its Connecticut licence category and its Medicare-only certification.

C8 Track record and regulator standing · 2

The federal statement of deficiencies for the survey concluded on 2 September 2025, on the Connecticut register, finds that the hospital failed to provide adequate supervision to prevent self-harm, that a client attempted suicide as a result and later died, and that Immediate Jeopardy was identified; it was removed on 31 July 2025 and a plan of correction was accepted on 6 November 2025. A final finding that supervision failures contributed to a client's death, within five years, places the clinic in band 2. Earlier surveys in 2017, 2019 and 2020 cited unmet Conditions of Participation without stating that failures contributed to a death, and they do not change the band. Litigation and reported allegations without a final adverse finding are recorded, not scored.

ConfidenceHow well the evidence supports the score.: high

Known gapsFacts the assessment needed but could not establish.:

• The 2017 and 2020 surveys are read from a third-party republication of the federal text because the CMS original returned HTTP 403.
• The Connecticut judicial docket for a reported 2019 wrongful-death suit, reported as settled in 2024, was not retrieved; a settlement is not a finding.
• The element reading for this criterion is not published as a list; the band is explained in the reasoning.

Sources (16 cited items):

• elicense.ct.gov: The federal statement of deficiencies for the survey concluded on 2 September 2025, combined with the state licensure renewal inspection, finds that the hospital failed to provide adequate supervision to prevent self-harm for one client reviewed, that the client attempted suicide as a result and later died, and that Immediate Jeopardy was identified. The Conditions of Participation on rights (482.13) and nursing services (482.23) were not met. Immediate Jeopardy was removed on 31 July 2025 and a plan of correction was accepted on 6 November 2025.
• elicense.ct.gov: The federal statement of deficiencies for the survey of 27 February 2019 records the Conditions of Participation on rights and on quality assessment as not met, with failures in monitoring checks, physician re-evaluation and suicide risk assessment, and a death documented. It does not state that the failures contributed to the death, and no Immediate Jeopardy appears.
• hospitalinspections.org: A republication of the federal survey text for the survey concluded on 8 June 2020 records the Conditions of Participation on rights and on the physical environment as not met, including ligature hazards and a safe-setting failure in the transitional living programme. Certification continued.
• hospitalinspections.org: A republication of the federal survey text for the survey of 29 June 2017 records the Condition of Participation on rights as not met, covering restraint and seclusion, informed consent and incomplete searches for harmful objects, with no death or serious harm stated.
• general web search: Search of a general web search engine. Scope: "Silver Hill Hospital" lawsuit settlement OR verdict OR fine. Result: record found: Federal hospital inspection record (CMS Form 2567 as republished by the Association of Health Care Journalists): a survey dated 8 June 2020 cited Silver Hill Hospital, Inc. for 4 health....
• general web search: Search of a general web search engine. Scope: "Silver Hill Hospital" wrongful death lawsuit settled 2024 New Canaan. Result: record found: Federal hospital inspection record (CMS Form 2567 as republished by the Association of Health Care Journalists): a survey dated 8 June 2020 cited Silver Hill Hospital, Inc. for 4 health....
• general web search: Search of a general web search engine. Scope: "Silver Hill Hospital" Department of Public Health investigation OR violation OR consent order. Result: record found: Federal hospital inspection record (CMS Form 2567 as republished by the Association of Health Care Journalists): a survey dated 8 June 2020 cited Silver Hill Hospital, Inc. for 4 health....
• general web search: Search of a general web search engine. Scope: Silver Hill Hospital state health department reopens investigation 2019. Result: record found: Federal hospital inspection record (CMS Form 2567 as republished by the Association of Health Care Journalists): a survey dated 8 June 2020 cited Silver Hill Hospital, Inc. for 4 health....
• general web search: Search of a general web search engine. Scope: "Silver Hill Hospital" consent order OR "statement of deficiencies" Connecticut DPH 2020. Result: record found: Federal hospital inspection record (CMS Form 2567 as republished by the Association of Health Care Journalists): a survey dated 8 June 2020 cited Silver Hill Hospital, Inc. for 4 health....
• general web search: Search of a general web search engine. Scope: "Silver Hill Hospital" 2025 incident police New Canaan. Result: record found: Federal hospital inspection record (CMS Form 2567 as republished by the Association of Health Care Journalists): a survey dated 8 June 2020 cited Silver Hill Hospital, Inc. for 4 health....
• CourtListener API type=r: Search of CourtListener API type=r. Scope: "Silver Hill Hospital" (52 results, 16 reviewed). Result: record found: Federal hospital inspection record (CMS Form 2567 as republished by the Association of Health Care Journalists): a survey dated 8 June 2020 cited Silver Hill Hospital, Inc. for 4 health....
• CourtListener API type=rd: Search of CourtListener API type=rd. Scope: docket_id 73222832 and 60323554. Result: record found: Federal hospital inspection record (CMS Form 2567 as republished by the Association of Health Care Journalists): a survey dated 8 June 2020 cited Silver Hill Hospital, Inc. for 4 health....
• hospitalinspections.org: Search of hospitalinspections.org. Scope: state/ct, hospital/074014, report-detail JCEY11, KU5E11, LGP711. Result: record found: Federal hospital inspection record (CMS Form 2567 as republished by the Association of Health Care Journalists): a survey dated 8 June 2020 cited Silver Hill Hospital, Inc. for 4 health....
• Direct page fetch: Direct fetch of the named page. Scope: archive.ada.gov/shillhos.htm. Result: record found: Federal hospital inspection record (CMS Form 2567 as republished by the Association of Health Care Journalists): a survey dated 8 June 2020 cited Silver Hill Hospital, Inc. for 4 health....
• press and news search: Search of press and news search. Scope: first-hand bylined reporting from inside the facility, last 5 years. Result: no record found.
• statutory regulator records: Search of statutory regulator records. Scope: inspection history and grades of this site. Result: no record found.

C9 Environment, safety and nutrition · 5

Environment and safety counts five elements for band 6: grounds and a gym on a 44-acre campus, facilities and community programming, visiting arrangements, a hospital emergency department at Norwalk Hospital estimated at 14 minutes and 8.3 km by road, and a state register entry placing the licences at 208 Valley Road. Nutrition counts two elements for band 4, a dietitian and dietary accommodations, and no named nutrition professional is published, which caps nutrition at 5 without effect. C9 is the mean of 6 and 4, giving band 5. Published risk assessments and further safety elements are absent.

ConfidenceHow well the evidence supports the score.: high

Known gapsFacts the assessment needed but could not establish.:

• The 14-minute travel time is an estimate, not a clinic statement, and the hospital page does not show whether the emergency department takes psychiatric emergencies.

Sources (5 cited items):

• Silver Hill Hospital: The amenities page publishes a full gym, a full-court basketball and volleyball hall, a 44-acre campus with the Silvermine River, a pond, a waterfall, a wildflower garden, a walking path and a labyrinth, a dietitian, and kosher, gluten-free and vegetarian accommodations.
• Silver Hill Hospital: One of the houses runs in-house community programming and groups within the programme.
• Silver Hill Hospital: Visitors are welcome during regular visiting hours, with visitation policies and hours confirmed by the clinician in charge.
• northwell.edu: Leading Rehabs estimates the road journey from 208 Valley Road to the emergency department of Norwalk Hospital at 14 minutes (8.3 km); the hospital's page describes a general emergency department open around the clock. The hospital does not publish this travel time, and the page does not show whether the department takes psychiatric emergencies.
• elicense.ct.gov: The Connecticut Department of Public Health licence register places the hospital licence and the residential licences at 208 Valley Road, New Canaan.

C10 Clinical seniority and academic standing · 7

The Connecticut published licence API confirms the facility licence and, on the same register, 18 physicians, 7 psychologists, 1 registered nurse, 2 advanced practice registered nurses and 36 further registered clinicians; a university faculty page confirms the Director of Psychology as a professor of psychiatry. Relevant specialist governance and this depth give band 7 with all gate conditions met. The band rests on a margin of 0.01 index points, so the band above is not reached.

ProvisionalA check was still open when the edition closed, for example a register lookup or a video not yet received, or evidence under embargo.: Clinician register lookups for this criterion were still open at the edition cut-off (see known_gaps). The points count as assessed on the evidence available; the band may change when the lookups are completed, which is resolved in a later edition.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• About 20 board-certification and faculty lookups were not complete at publication; the C10 band may change when they are completed.
• One lookup returned a different title and two returned no match.

Sources (3 cited items):

• data.ct.gov: Facility licence: the Connecticut published licence API confirmed Silver Hill Hospital Inc. as a hospital for psychiatric disabilities, active and current, expiring 30 June 2027, at the New Canaan campus address, with the residential mental health and substance abuse licences also active.
• data.ct.gov: Register lookups on the same published licence API confirmed 18 physicians, 7 psychologists, 1 registered nurse, 2 advanced practice registered nurses and 36 social workers, counsellors, a marital and family therapist and an art therapist. One returned a different title and two returned no match.
• medicine.yale.edu: A university school of medicine faculty page, updated April 2025, confirms the hospital's Director of Psychology as a named professor of psychiatry and deputy dean for academic affairs.