Apple Rehab Uncasville

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

55.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 61 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 62.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 32 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.24 therapist hours per resident per day in 2026Q1 — more than 32% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 130 beds and averages 115.1 residents a day — about 89% occupied, or roughly 15 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.18 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.551 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.95 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.86 hrs/resident/day on weekends vs 3.31 on weekdays — 14% thinner on weekends. RN hours go from 0.66 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 35% is below the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

42 citations, most serious first. The 14 most serious are shown; the remaining 28 are one tap away and print in full.

• Actual harm · G2024-03-14 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, review of facility documentation, review of facility policy and interviews for one sampled resident (Resident #236) reviewed for pain, the facility failed to administer pain medication for a resident whose pain level was assessed at a severe level of pain. The findings include: Resident #236's diagnoses included cellulitis of left leg, cellulitis of right leg, Type 2 diabetes mellitus with diabetic chronic kidney disease. The care plan dated 3/9/24 identified Resident #236 was at risk for pain/discomfort and noted that pain may impact mobility, mood (anxiety, depression), behaviors, sleep, ADL functioning, and relationships with others. Care plan interventions directed medication(s) as ordered, skilled assessment of pain symptoms: location, type, duration, frequency, intensity, factors that exacerbate and relieve pain. admission physician's orders dated 3/9/24 directed to assess pain every shift using the pain of scale 010 0: no pain 1-2: mild pain 3-4: minimal pain 5-6: moderate…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Icited before2023-08-08 · tag F0600 — failed to protect residents from abuse and neglect — widespread
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a review of clinical records, facility documentation, observations, interviews, and policy reviews, the facility failed to ensure adequsate staffing levels to protect the residents' right to be free from neglect for thirty (31) residents who required assistance with turning, repositioning, transfers and incontinent care, (Resident #1, 2, 3,4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, and 31). The findings include: a. Resident #1 had diagnoses that included mild cognitive impairment and brain cancer. A quarterly Minimum Data Set assessment (MDS) dated [DATE] identified that the resident had severe cognitive impairment, required total dependence with Activities of Daily Living (ADSL's), including bed mobility, was at risk for pressure ulcers, and was always incontinent of bowel and bladder. A care plan dated 7/10/23 identified that the resident needed staff assistance with ADL's with an intervention to receive incontinent care per facility policy. A…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Icited before2023-08-08 · tag F0725 — failed to have enough nursing staff — widespread
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a review of clinical records, facility documentation, observations, interviews, and policy reviews, for thirty (31) residents who required assistance with turning, repositioning, transfers and incontinent care, (Resident #1, 2, 3,4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, and 31), the facility failed to ensure adequate staffing levels to meet the needs of the residents. The findings include: a. Resident #1 had diagnoses that included mild cognitive impairment and brain cancer. A quarterly Minimum Data Set assessment (MDS) dated [DATE] identified that the resident had severe cognitive impairment, required total dependence with Activities of Daily Living (ADSL's), including bed mobility, was at risk for pressure ulcers, and was always incontinent of bowel and bladder. A care plan dated 7/10/23 identified that the resident needed staff assistance with ADL's with an intervention to receive incontinent care per facility policy. A physician's order dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2019-07-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, clinical record review, review of facility documentation, review of facility policy, and interviews for 1 of 2 sampled residents reviewed for falls (Resident #107), the facility failed to ensure two staff were utilized during a transfer that resulted in an injury, and/or for 1 resident reviewed for smoking (Resident #53), the facility failed to properly complete a quarterly and/or yearly smoking assessment per facility policy and/or for 1 of 1 sampled resident with behaviors of opening the medication cart (Resident #409), the facility failed to ensure medication was secured. The findings include: 1. Resident #107's diagnoses included transient cerebral ischemic attack, cerebrovascular disease and left sided hemiparesis and hemiplegia. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #107 was without cognitive impairment and required the extensive assistance of two staff with transfers. a. The Resident Care Plan (RCP) dated 10/15/18 identified a risk for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-16 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation, facility policy and interviews for 1 of 2 residents (Resident #120) reviewed for dignity, the facility failed to provide care in a dignified manner when the resident needed to use the bathroom and the nurse aide told the resident to urinate in the diaper. The findings include:Resident #120's diagnoses included bradycardia (slow heart rate), pacemaker placement and high blood pressure. A physician's order dated 6/17/25 directed: may transfer the resident with assist of one with a rolling walker.The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #120 was cognitively intact, required the assistance of one with a walker for toileting and transfers.The investigation (accident and incident report) dated 6/25/25, identified NA #2 instructed Resident #120 to urinate in the diaper, if the resident couldn't wait for assistance.A facility One to One Inservice Record indicated NA #2 was in-serviced regarding using the phrase diaper…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-03 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation, facility policy and interviews for two (2) of four (4) residents (Resident #1 and #2) reviewed for medication administration, the facility failed to ensure licensed nursing staff observed the residents consume prescribed medications prepared by the licensed nursing staff prior to exiting the room. The findings include: 1. Resident #2 's diagnoses included adult failure to thrive, anemia (when the blood doesn't have enough healthy red blood cells and hemoglobin to carry oxygen all throughout the body) and atrial fibrillation (irregular heartbeat). The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #2 had intact cognition (Brief Interview for Mental Status (BIMS) score of 14), required setup assistance for eating and supervision assistance for bed mobility and transfers. The Resident Care Plan (RCP) dated 3/13/25 identified Resident #2 was at risk for pain and discomfort which may impact mobility, mood, behaviors, sleep,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-10 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation, facility policy and interviews for one (1) of three (3) residents (Resident #1) reviewed for falls, the facility failed to follow physician's orders to have two-half siderails and padded siderails on the bed . The findings include: Resident #1's diagnoses included Alzheimer's disease with late onset (a type of dementia that affects memory, thinking and behavior), dementia with behavioral disturbances, age-related cataract (clouding of the normally clear lens of the eye that can cause blurry vision), bilateral sensorineural hearing loss (permanent hearing loss caused by damage to the inner ear or the nerve from the ear to the brain) and difficulty in walking. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #1 had a Staff Assessment for Mental Status conducted identifying long and short-term memory problems and was able to recall staff names and faces only indicative of moderately impaired cognition and required staff…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-10 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility policy and interviews for one (1) of three (3) residents (Resident #1) reviewed for nursing documentation, the facility failed to ensure a complete and accurate medical record for a resident when staff documented that side rail and side rail padding interventions were in place that were identified to not be in place per physician's orders. The findings include: Resident #1's diagnoses included Alzheimer's disease with late onset (a type of dementia that affects memory, thinking and behavior), dementia with behavioral disturbances, age-related cataract (clouding of the normally clear lens of the eye that can cause blurry vision), bilateral sensorineural hearing loss (permanent hearing loss caused by damage to the inner ear or the nerve from the ear to the brain) and difficulty in walking. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #1 had a Staff Assessment for Mental Status conducted identifying long and short-term memory…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-22 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, review of facility documentation, and interviews for one (1) of three (3) sampled residents (Resident #4) who were reviewed for an omission of medications, the facility failed to ensure medications were administered in accordance with the physician's order. The findings include: Resident #4's diagnoses included cerebral vascular infarction (a stroke), congestive heart failure, hypertension, and depression. The annual Minimum Data Set assessment dated [DATE] identified Resident #4 had memory recall deficits, rarely or never made decisions regarding tasks of daily life, was dependent on staff for activities of daily living, and had a feeding tube, gastrostomy tube (G-tube), for nutritional approaches. The Resident Care Plan dated 12/21/24 identified cardiovascular disease, at risk for a heart attack, chest pain, or stroke and depression. Interventions directed to administer medications as prescribed. Physician orders dated 1/2/25 directed to administer a medication to treat high…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-16 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, facility documentation, facility policies and interviews for one (1) of three (3) sampled residents (Resident #1) who were reviewed for an allegation of misappropriation of a resident's personal property, the facility failed to ensure a resident's medication was not removed from the facility by a licensed nurse. The findings include: Resident #1's diagnoses included cellulitis of the right and left lower limbs, anxiety, peripheral neuropathy, type 2 diabetes mellitus, and end stage renal disease. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #1 made reasonable and consistent decisions regarding tasks of daily life. The Resident Care Plan dated 3/28/24 identified Resident #1 took medications to help manage pain from the bilateral leg wounds. Interventions directed to administer medications as ordered, activity as tolerated, monitor pain level with pain scale, and monitor for adverse effects of the medications. A physician's order dated 3/10/24…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-03-14 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of facility documentation, review of facility policies, and interviews, the facility failed to review the infection prevention control program policies and procedures at least annually, failed to provide documentation that the Infection Control Surveillance and Safety rounds were conducted on a quarterly basis, and failed to provide documentation that monthly infection reports or analysis of infection trends within the facility were completed, along with quarterly reports in 2022 and 2023 . The findings include: 1. Review of the facility's Infection Control Program Policies and Procedure manual for the past two years with the DNS (former IP and currently oversees the IP program) on 3/12/24 at 12:19 PM identified that the policies and procedures manual was reviewed on 7/18/23, and 1/1/24, but failed to provide any documentation that the Infection Control Program Policies and Procedure manual was reviewed in 2022. Interview with the DNS on 3/12/24 at 12:19 PM identified that the policy and procedures manual should be reviewed annually, and it's the responsibility of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-03-14 · tag F0881 — failed to use antibiotics responsibly — pattern
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of facility documentation, review of facility policy and interviews, the facility failed to ensure that a review of the antibiotic stewardship program including antibiotic usage, and audit tool results were presented at the quarterly medical staff meetings. The findings include: Review of the antibiotic stewardship program for the past two years with the DNS former IP and currently oversees the IP program) on 3/12/24 at 12:19 PM failed to identify any documentation related to monthly review of the antibiotic stewardship program for the period of January 2023 to June 2023. The facility also failed to provide documentation that a quarterly review of antibiotic usage for 2022 and 2023 was presented at the quarterly medical staff meeting. A review of the Review of the Medical Staff Meeting agendas for all the quarters in 2022 and 2023, the documentation provided by the facility failed to identify any topics related to infection control and antibiotic usage/antibiotic stewardship program within the facility that was presented at the Medical Staff Meeting by the Infection…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-03-14 · tag F0882 — pattern
  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility documentation, review of facility policy, and interviews the facility failed to have a consistent designated Infection Preventionist (IP) with the required specialized training in infection control, that was responsible for the facility's Infection Control Program in 2022 and 2023. The findings include: Interview with the DNS on 3/12/24 at 12:19 PM identified that she was the Infection Preventionist at the facility starting in July of 2023 until December of 2023. The DNS further added that her role was changed to DNS on December 22, 2023, and that she currently oversees the program until the newly hired nurse for the Infection Preventionist position completes the required specialize training. Interview with Human Resources on 3/13/24 at 10:19AM identified and provided a total of 3 nurses who worked in the position of an IP prior to the DNS in the years of 2022 and 2023. Human Resources identified RN #8 with a date of hire of 5/16/23 and termed on 5/26/23, RN #9 with a date of hire of 12/6/21 and termed on 4/25/2022, and RN #10 with a date of hire of 7/19/22 and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-14 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, review of facility documentation review of facility policy and interviews for one sampled resident (Resident #286) who had an indwelling urethral catheter, the facility failed to develop a comprehensive care plan to address the specific type of catheter, how often the catheter should be changed, the size of the balloon to be used with the catheter, and the general care of the catheter as it relates to the resident. The findings included: Resident #286 was admitted to the facility on [DATE]. Resident diagnoses included Type II diabetes mellitus with diabetic polyneuropathy, above the knee right side amputation, neuromuscular dysfunction of the bladder, and renal dialysis. The quarterly Minimum data set (MDS) assessment dated [DATE] identified Resident #286 had intact cognitive status, had an indwelling Foley catheter, and was dependent on staff for mobility, transfers, and personal care. The care plan dated 3/6/2024 identified Resident #286 required staff assistance with activities of daily…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$16,065 in federal fines across 1 penalty.

• $16,065 — penalty dated 2024-02-05

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to APPLE REHAB — 20 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 6 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 79% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.5M paid to related parties — landlords or management companies under common ownership — equal to about 13% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in CT