Guilford, CT

Apple Rehab Guilford

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

Compare this facility

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

Facility snapshot

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

Hours and turnover

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

Value-based purchasing

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

How the VBP score is built

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

Medicare quality reporting measures

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

Resident outcomes and process scores

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

Recent inspection cycles

Cycle 1 Health 2025-02-25 · Fire 2025-02-25

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

11 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 2 Health 2022-10-19 · Fire 2022-10-19

19 health deficiencies

Top issue: Resident Rights (5 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2020-01-02 · Fire 2020-01-02

8 health deficiencies

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 citations

D · Potential for more than minimal harm 2025-02-25

K223 · Egress Deficiencies

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

D · Potential for more than minimal harm 2025-02-25

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-04-04

D · Potential for more than minimal harm 2025-02-25

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-04-04

D · Potential for more than minimal harm 2025-02-25

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-04-04

D · Potential for more than minimal harm 2025-02-25

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-04-04

D · Potential for more than minimal harm 2025-02-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-04

D · Potential for more than minimal harm 2025-02-25

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-04-04

D · Potential for more than minimal harm 2025-02-25

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-04

D · Potential for more than minimal harm 2025-02-25

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-04-04

D · Potential for more than minimal harm 2025-02-25

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-04

D · Potential for more than minimal harm 2025-02-25

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2025-04-04

D · Potential for more than minimal harm 2022-10-19

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-12-28

D · Potential for more than minimal harm 2022-10-19

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-12-28

D · Potential for more than minimal harm 2022-10-19

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2022-12-28

D · Potential for more than minimal harm 2022-10-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-12-28

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-18

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

D · Potential for more than minimal harm 2025-11-18

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-11-28

E · Potential for more than minimal harm 2025-02-25

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-04-08

E · Potential for more than minimal harm 2025-02-25

F812 · Nutrition and Dietary Deficiencies

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

D · Potential for more than minimal harm 2025-02-25

F578 · Resident Rights Deficiencies

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

D · Potential for more than minimal harm 2025-02-25

F580 · Resident Rights Deficiencies

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

D · Potential for more than minimal harm 2025-02-25

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-04-08

D · Potential for more than minimal harm 2025-02-25

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-04-08

D · Potential for more than minimal harm 2025-02-25

F688 · Quality of Life and Care Deficiencies

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

D · Potential for more than minimal harm 2025-02-25

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-04-08

D · Potential for more than minimal harm 2025-02-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-08

B · Minimal harm 2025-02-25

F625 · Resident Rights Deficiencies

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

D · Potential for more than minimal harm 2024-09-13

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

D · Potential for more than minimal harm 2024-09-13

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-09-13

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-09-13

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-09-13

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-09-13

F842 · Resident Assessment and Care Planning Deficiencies

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

D · Potential for more than minimal harm 2024-08-15

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-09-26

E · Potential for more than minimal harm 2022-10-19

F584 · Resident Rights Deficiencies

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

D · Potential for more than minimal harm 2022-10-19

F580 · Resident Rights Deficiencies

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

D · Potential for more than minimal harm 2022-10-19

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

D · Potential for more than minimal harm 2022-10-19

F622 · Resident Rights Deficiencies

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

D · Potential for more than minimal harm 2022-10-19

F625 · Resident Rights Deficiencies

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

D · Potential for more than minimal harm 2022-10-19

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2022-11-30

D · Potential for more than minimal harm 2022-10-19

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2022-11-30

D · Potential for more than minimal harm 2022-10-19

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-11-30

D · Potential for more than minimal harm 2022-10-19

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-11-30

D · Potential for more than minimal harm 2022-10-19

F725 · Nursing and Physician Services Deficiencies

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

D · Potential for more than minimal harm 2022-10-19

F726 · Nursing and Physician Services Deficiencies

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

B · Minimal harm 2022-10-19

F623 · Resident Rights Deficiencies

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

D · Potential for more than minimal harm 2020-01-02

F580 · Resident Rights Deficiencies

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

D · Potential for more than minimal harm 2020-01-02

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2020-02-13

D · Potential for more than minimal harm 2020-01-02

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2020-02-13

D · Potential for more than minimal harm 2020-01-02

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2020-02-13

D · Potential for more than minimal harm 2020-01-02

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2020-02-13

D · Potential for more than minimal harm 2020-01-02

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2020-02-13

D · Potential for more than minimal harm 2020-01-02

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2020-02-13

D · Potential for more than minimal harm 2020-01-02

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2020-02-13

Penalties and ownership

What sits behind the stars

Ownership

Foley, Brian

5% Or Greater Direct Ownership Interest · Individual

100% 20 facilities 1984-09-28
Singh, Devika

W-2 Managing Employee · Individual

0% 18 facilities 2018-09-10
Vess, Ryan

Operational/Managerial Control · Individual

0% 20 facilities 2013-03-15
Vess, Ryan

Corporate Director · Individual

0% 20 facilities 2013-03-15
Vess, Ryan

Corporate Officer · Individual

0% 20 facilities 2013-03-15

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