12 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
11 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Guilford, CT
1-star overall rating with 2-star inspections with abuse icon flag with 12 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
10 Boston Post Rd, Guilford, CT
(203) 453-3725
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
90
Certified beds
Average residents
78
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Apple Rehab
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
20 facilities
Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.51
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.88
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
1.91
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
3.31
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.39
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
2.98
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.36
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.52
CMS adjusted RN staffing hours
Adjusted total hours
3.40
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
54%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
8,006
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.07
Composite VBP score used to determine payment impact.
Payment multiplier
0.9848
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.77
Baseline 18.77% · Performance 20.15% · Measure score 2.77 · Achievement 2.77 · Improvement 0
Healthcare-associated infections
3.12
Baseline 5.39% · Performance 6.90% · Measure score 3.12 · Achievement 3.12 · Improvement 0
Total nurse turnover
5.33
Baseline 36.77% · Performance 41.89% · Measure score 5.33 · Achievement 5.33 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.24 hours · Performance 3.01 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.6% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 102 · Observed rate 6.86% · Lower 95% interval 6.55% |
| Discharge to community | 49.61% |
50.57%
1 pts worse
|
No Different than the National Rate · Eligible stays 92 · Observed rate 41.3% · Lower 95% interval 41.11% |
| Medicare spending per beneficiary | 0.86 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.56% |
95.27%
2.3 pts better
|
Numerator 40 · Denominator 41 |
| Falls with major injury | 4.88% |
0.77%
4.1 pts worse
|
Numerator 2 · Denominator 41 |
| Discharge self-care score | 45.16% |
53.69%
8.5 pts worse
|
Numerator 14 · Denominator 31 |
| Discharge mobility score | 51.61% |
50.94%
0.7 pts better
|
Numerator 16 · Denominator 31 |
| Pressure ulcers or injuries, new or worsened | 9.76% |
2.29%
7.5 pts worse
|
Numerator 4 · Denominator 41 · Adjusted rate 9.2% |
| Healthcare-associated infections requiring hospitalization | 6.9% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 37 · Observed rate 5.41% · Lower 95% interval 3.33% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 133 |
| Staff flu vaccination coverage | 29.29% |
42%
12.7 pts worse
|
Numerator 41 · Denominator 140 |
| Discharge function score | 51.61% |
56.45%
4.8 pts worse
|
Numerator 16 · Denominator 31 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 22 · Denominator 22 |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 82.9% |
87.5%
4.6 pts worse
|
93.4%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 77.8% · Q2 79.7% · Q3 85.7% · Q4 88.6% · 4Q avg 82.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 82.9% |
93.5%
10.6 pts worse
|
95.5%
12.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 82.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.8% |
3.4%
3.4 pts worse
|
3.3%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 7.2% · Q3 5.7% · Q4 7.1% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.6% |
17.1%
11.5 pts better
|
11.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 0.0% · Q3 10.9% · Q4 6.5% · 4Q avg 5.6% |
| Percentage of long-stay residents who lose too much weight | 4.5% |
6.4%
1.9 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 3.3% · Q3 1.7% · Q4 3.4% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.6% |
17.3%
1.7 pts better
|
19.6%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 14.5% · Q3 17.7% · Q4 15.0% · 4Q avg 15.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.2% |
19.4%
5.8 pts worse
|
16.7%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 27.8% · Q3 26.4% · Q4 23.4% · 4Q avg 25.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 25.8% |
18.1%
7.7 pts worse
|
16.3%
9.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.4% · Q2 28.5% · Q3 31.1% · Q4 23.1% · 4Q avg 25.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.9% |
18.4%
5.5 pts worse
|
14.9%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 18.3% · Q3 25.9% · Q4 22.8% · 4Q avg 23.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.9%
0.6 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
1.7%
0.1 pts worse
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.5% |
24.8%
3.7 pts worse
|
19.8%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.4% · Q2 40.4% · Q3 30.0% · Q4 19.6% · 4Q avg 28.5% |
| Percentage of long-stay residents with pressure ulcers | 5.1% |
4.4%
0.7 pts worse
|
5.1%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 5.6% · Q3 3.7% · Q4 8.6% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 43.3% |
70.5%
27.2 pts worse
|
81.7%
38.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 50.9% · Q2 44.3% · Q3 43.0% · Q4 38.5% · 4Q avg 43.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.3% |
11.1%
2.2 pts worse
|
12.0%
1.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.3% · Observed 13.6% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.5%
0.5 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 53.7% |
69.7%
16 pts worse
|
79.7%
26 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 53.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.4% |
25.0%
2.4 pts worse
|
23.9%
3.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.4% · Observed 27.3% · Expected 23.7% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
11 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Resident Rights (5 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
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.
Corrected 2025-04-04
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-04-04
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-04-04
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-04-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-04
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-04-04
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-04-04
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-04-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-04
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2025-04-04
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-12-28
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-12-28
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-12-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-12-28
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-11-28
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-11-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-08
Health
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.
Corrected 2025-04-08
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-04-08
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-04-08
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-08
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-04-08
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-04-08
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-08
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2025-04-08
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-25
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-10-25
Health
Respond appropriately to all alleged violations.
Corrected 2024-10-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-25
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-10-25
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-25
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-09-26
Health
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.
Corrected 2022-12-31
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-11-30
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2022-11-30
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2022-11-30
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-11-30
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-11-30
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2022-11-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-11-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-11-30
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2022-11-30
Health
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.
Corrected 2022-11-30
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-11-30
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2020-02-13
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2020-02-13
Health
Respond appropriately to all alleged violations.
Corrected 2020-02-13
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-02-13
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2020-02-13
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-02-13
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2020-02-13
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2020-02-13
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Nearby options
Madison, CT
3-star overall rating with 2-star inspections with $15,593 in total fines with 12 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Guilford, CT
4-star overall rating with 3-star inspections with $8,824 in total fines with 14 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
North Branford, CT
5-star overall rating with 4-star inspections with 5 recent health deficiencies
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