Federal inspection record · CMS data as of October 1, 2026
Apple Rehab Guilford
10 Boston Post Rd, Guilford, CT · (203) 453-3725
- Cited for abuse (CMS abuse icon)
- Certified beds
- 90
- Residents per day
- 72
- Ownership
- For-Profit
- Chain
- Apple Rehab
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Connecticut.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Connecticut homes
Apple Rehab Guilford carries 58 inspection points. That is fewer than 61% of Connecticut's 190 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Connecticut: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–29 pts
- 4★ 29–53 pts
- 3★ 53–79 pts
- 2★ 79–116.75 pts
- 1★ over 116.75 pts
Bars show every rated home in Connecticut by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
39 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care10E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights9E
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- B
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.
- E
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
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.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation8D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning5D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Plan the resident's discharge to meet the resident's goals and needs.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nursing and Physician Services2D
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
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.
Pharmacy Service2D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure medication error rates are not 5 percent or greater.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-02-25
12 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2022-10-19
12 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2020-01-02
15 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.5 pts better | 91.6% | 89.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine13.4 pts worse | 80.3% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury5.5 pts worse | 9.1% | 3.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms12.7 pts better | 12.3% | 25.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts worse | 6.5% | 6.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.2 pts better | 13.8% | 18.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.3 pts worse | 22.0% | 17.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10.4 pts worse | 25.2% | 14.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.4 pts worse | 24.1% | 17.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.2% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts worse | 2.3% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.4 pts better | 22.6% | 24.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts worse | 4.2% | 3.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine33 pts worse | 39.5% | 72.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3 pts better | 7.4% | 10.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine33.3 pts worse | 39.7% | 73.0% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.7 pts better | 16.8% | 23.5% | 23.4% |
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Who owns and runs it
5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Foley, Brian | 5% Or Greater Direct Ownership Interest · Individual | 100% | 20 facilities |
| Singh, Devika | W-2 Managing Employee · Individual | 0% | 18 facilities |
| Vess, Ryan | Corporate Director · Individual | 0% | 20 facilities |
| Vess, Ryan | Corporate Officer · Individual | 0% | 20 facilities |
| Vess, Ryan | Operational/Managerial Control · Individual | 0% | 20 facilities |
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Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress4D
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Have exits that are accessible at all times.
- D
Install emergency lighting that can last at least 1 1/2 hours.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke4D
- D
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems4D
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous2D
- D
Have simulated fire drills held at unexpected times.
- D
Provide a written emergency evacuation plan.
Services1D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
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Evergreen Woods
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