nursing home in Middletown, CT

Apple Rehab Middletown

600 Highland Ave, Middletown, CT 06457 · (860) 347-3315

★★★★★3
Average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★4
  • Quality measures★★★★★5

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Apple Rehab Middletown at a glance

Apple Rehab Middletown is a 70-bed for-profit nursing home in Middletown, Connecticut (Lower Ct River Vly County).

CMS gives it 3 out of 5 stars on its overall star rating, close to the Connecticut average of 3.

Residents receive about 3.3 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.7 hours.

Its most recent standard health inspection (October 7, 2024) found 24 health citations. The Connecticut average is 13.

It has not received a federal fine in the past three years.

Nursing staff turnover is 37.5% per year (state average 37.4%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
70
Certified for
Medicare and Medicaid
Chain / affiliated entity
Apple Rehab
Medicare-certified since
February 26, 1969
Resident/family council
Resident
County
Lower Ct River Vly County
CMS Certification Number
075089

Ratings

MeasureThis facilityConnecticut avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)3 / 53 / 53 / 5Average
Health inspection rating ⓘ (higher is better)2 / 52.7 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)4 / 53.2 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)5 / 53.6 / 53.6 / 5Better
Long-stay quality rating (higher is better)4 / 53.4 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)5 / 53.7 / 53.3 / 5Better

Staffing

This facility3.27 hrsConnecticut average3.73 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Connecticut and U.S. averages
MeasureThis facilityConnecticut avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.27 hrs3.73 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.54 hrs0.69 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.00 hrs2.22 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.04 hrs3.37 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)37.5%37.4%45.8%Better
Registered nurse turnover (yearly) (lower is better)40%38.6%42.9%Better
Administrators who left in the past year (lower is better)101Worse

Inspections

This facility24Connecticut average13U.S. average9
Health citations in the most recent inspection: this facility vs. Connecticut and U.S. averages
MeasureThis facilityConnecticut avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)24139Worse
Citations from complaint investigations (latest cycle) (lower is better)933Worse
Weighted health inspection score ⓘ (lower is better)10180.880.6Worse

Penalties

This facility0Connecticut average1U.S. average1
Fines in the past 3 years: this facility vs. Connecticut and U.S. averages
MeasureThis facilityConnecticut avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$23,730$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityConnecticut avg.U.S. avg.vs. U.S.
Certified beds70118107
Average residents per day6610386
Occupancy94.1%88.3%80.9%

Long-stay residents

This facility1.8%Connecticut average3.5%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Connecticut and U.S. averages
MeasureThis facilityConnecticut avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)1.8%3.5%3.2%Better
Long-stay residents with pressure ulcers (lower is better)4.4%4%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)12.2%17.8%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0.5%1.5%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)1.8%0.7%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)15.9%18%13.9%Worse
Long-stay residents whose walking worsened (lower is better)12.2%16.4%14.1%Better
Long-stay residents who lose too much weight (lower is better)4.9%6.5%5.2%Better
Long-stay residents with depressive symptoms (lower is better)10.5%22.3%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)18.7%17.6%19.5%Average
Long-stay residents with new or worse incontinence (lower is better)18%24.7%19%Better
Long-stay residents given a flu vaccine (higher is better)96.5%93.5%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)84.9%88.6%93.6%Worse

Short-stay residents

This facility3.5%Connecticut average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Connecticut and U.S. averages
MeasureThis facilityConnecticut avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)3.5%1.5%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)42.6%69.7%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)27.2%71.8%82%Worse

Inspection citations

State inspectors cited this home for 55 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.

DateCitationSeverityStatus
June 10, 2026
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected July 20, 2026
June 10, 2026
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected July 20, 2026
June 10, 2026
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected July 20, 2026
May 13, 2026
Complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services Deficiencies · Tag F0711
D
Potential harm, isolated
Corrected June 24, 2026
May 13, 2026
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected June 24, 2026
May 13, 2026
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected June 24, 2026
May 13, 2026
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected June 24, 2026
May 13, 2026
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected June 24, 2026
December 11, 2024
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected January 22, 2025
November 13, 2024
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected December 10, 2024
October 7, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected December 31, 2024
October 7, 2024
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
E
Potential harm, pattern
Corrected December 31, 2024
October 7, 2024
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected November 15, 2024
October 7, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
D
Potential harm, isolated
Corrected December 31, 2024
October 7, 2024
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
D
Potential harm, isolated
Corrected December 31, 2024
October 7, 2024
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
E
Potential harm, pattern
Corrected November 18, 2024
October 7, 2024
Standard
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Tag F0925
E
Potential harm, pattern
Corrected November 18, 2024
October 7, 2024
Standard
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Tag F0554
E
Potential harm, pattern
Corrected November 18, 2024
October 7, 2024
Standard
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Tag F0565
D
Potential harm, isolated
Corrected November 18, 2024
October 7, 2024
Standard
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
D
Potential harm, isolated
Corrected November 18, 2024
October 7, 2024
Complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies · Tag F0712
D
Potential harm, isolated
Corrected November 18, 2024
October 7, 2024
Complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
D
Potential harm, isolated
Corrected November 18, 2024
October 7, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected November 18, 2024
October 7, 2024
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected November 18, 2024
October 7, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected November 18, 2024
October 7, 2024
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected November 18, 2024
October 7, 2024
Complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · Tag F0661
D
Potential harm, isolated
Corrected November 18, 2024
October 7, 2024
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected November 18, 2024
October 7, 2024
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected November 18, 2024
October 7, 2024
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected November 18, 2024
October 7, 2024
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected November 18, 2024
October 7, 2024
Standard
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.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected November 18, 2024
October 7, 2024
Standard
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected November 18, 2024
October 7, 2024
Standard
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0640
B
No harm, pattern
Corrected November 18, 2024
October 7, 2024
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
B
No harm, pattern
Corrected November 18, 2024
May 22, 2024
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
B
No harm, pattern
Corrected June 11, 2024
March 26, 2024
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected May 14, 2024
November 10, 2023
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
B
No harm, pattern
Corrected December 22, 2023
October 5, 2023
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected November 16, 2023
October 5, 2023
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected November 16, 2023
October 5, 2023
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected November 16, 2023
May 10, 2022
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
E
Potential harm, pattern
Corrected June 16, 2022
May 10, 2022
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
D
Potential harm, isolated
Corrected June 16, 2022
May 10, 2022
Fire safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0927
D
Potential harm, isolated
Corrected June 16, 2022
May 10, 2022
Standard
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.
Resident Rights Deficiencies · Tag F0578
E
Potential harm, pattern
Corrected June 23, 2022
May 10, 2022
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
E
Potential harm, pattern
Corrected June 23, 2022
May 10, 2022
Standard
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Tag F0730
D
Potential harm, isolated
Corrected June 23, 2022
May 10, 2022
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected June 23, 2022
May 10, 2022
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected June 23, 2022
May 10, 2022
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected June 23, 2022
May 10, 2022
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected June 23, 2022
May 10, 2022
Standard
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected June 23, 2022
May 10, 2022
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected June 23, 2022
May 10, 2022
Standard
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Tag F0561
D
Potential harm, isolated
Corrected June 23, 2022
May 10, 2022
Standard
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Tag F0835
D
Potential harm, isolated
Corrected June 23, 2022
May 10, 2022
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected June 23, 2022
May 10, 2022
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected June 23, 2022
May 10, 2022
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected June 23, 2022
August 15, 2019
Standard
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604
G
Actual harm, isolated
Corrected September 26, 2019
August 15, 2019
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
E
Potential harm, pattern
Corrected September 26, 2019
August 15, 2019
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected September 26, 2019
August 15, 2019
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected September 26, 2019
August 15, 2019
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected September 26, 2019

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
FOLEY, BRIAN
Individual
5% or greater direct ownership interest100%12/29/1986
FOLEY, BRIAN
Individual
corporate directorNOT APPLICABLE12/29/1986
VESS, RYAN
Individual
corporate directorNOT APPLICABLE03/15/2013
VESS, RYAN
Individual
corporate officerNOT APPLICABLE03/15/2013
VESS, RYAN
Individual
operational/managerial controlNOT APPLICABLE03/15/2013
SINGH, DEVIKA
Individual
w-2 managing employeeNOT APPLICABLE09/10/2018

Other nursing homes near Apple Rehab Middletown

  1. Water's Edge Center for Health & Rehabilitation

    111 Church Street, Middletown, CT 06457 · 1.3 mi

    For-profit · 150 beds · Part of National Health Care Associates

    • Abuse citation
    ★★★★★3Average
  2. Wadsworth Glen Health Care and Rehabilitation Cent

    30 Boston Rd, Middletown, CT 06457 · 1.6 mi

    For-profit · 102 beds · Part of Athena Healthcare Systems

    • Abuse citation
    ★★★★★1Much below average
  3. Portland Care & Rehab Centre, INC

    333 Main St, Portland, CT 06480 · 3.1 mi

    For-profit · 65 beds

    • CMS high performer
    ★★★★★5Much above average
  4. Pilgrim Manor

    52 Missionary Rd, Cromwell, CT 06416 · 4.4 mi

    Non-profit · 60 beds · Part of Covenant Living

    ★★★★★5Much above average
  5. Autumn Lake Healthcare at Cromwell

    385 Main Street, Cromwell, CT 06416 · 4.4 mi

    For-profit · 175 beds · Part of Autumn Lake Healthcare

    ★★★★★4Above average
  6. Apple Rehab Coccomo

    33 Cone Ave, Meriden, CT 06450 · 5.1 mi

    For-profit · 100 beds · Part of Apple Rehab

    ★★★★★1Much below average

All nursing homes in Middletown, CT · Compare side by side

Frequently asked questions

What is Apple Rehab Middletown's rating?

Apple Rehab Middletown has 3 out of 5 stars on the CMS overall star rating. The average for Connecticut nursing homes is 3 stars.

How many inspection citations did Apple Rehab Middletown receive?

Its most recent standard health inspection found 24 citations, compared with a Connecticut average of 13. Every citation is listed on this page with its severity.

Does Apple Rehab Middletown accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Apple Rehab Middletown?

It is for profit - corporation and part of Apple Rehab. The ownership section on this page lists the owners and managers reported to CMS.

Where is Apple Rehab Middletown and how do I contact it?

Apple Rehab Middletown is at 600 Highland Ave, Middletown, CT 06457. Phone: (860) 347-3315.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.