24 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (8 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
East Haven, CT
1-star overall rating with 1-star inspections with abuse icon flag with $82,047 in total fines with 24 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
451 North High Street, East Haven, CT
(203) 466-6850
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
111
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Apple Rehab
Operator or chain grouping
Approved since
1993-10-28
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
0.39
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.06
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
2.03
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
3.47
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
3.20
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.22
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.40
CMS adjusted RN staffing hours
Adjusted total hours
3.60
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
1,706
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
54.64
Composite VBP score used to determine payment impact.
Payment multiplier
1.0095
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.62
Baseline 20.16% · Performance 17.90% · Measure score 7.62 · Achievement 7.62 · Improvement 6.72
Healthcare-associated infections
6.02
Baseline 5.72% · Performance 6.04% · Measure score 6.02 · Achievement 6.02 · Improvement 0
Total nurse turnover
6.35
Baseline 51.58% · Performance 37.74% · Measure score 6.35 · Achievement 6.35 · Improvement 4.68
Adjusted total nurse staffing
1.86
Baseline 2.96 hours · Performance 3.61 hours · Measure score 1.86 · Achievement 1.86 · Improvement 1.80
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 103 · Observed rate 6.8% · Lower 95% interval 6.29% |
| Discharge to community | 73.58% |
50.57%
23 pts better
|
Better than the National Rate · Eligible stays 87 · Observed rate 64.37% · Lower 95% interval 62.73% |
| Medicare spending per beneficiary | 0.8 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 53 · Denominator 53 |
| Falls with major injury | 1.89% |
0.77%
1.1 pts worse
|
Numerator 1 · Denominator 53 |
| Discharge self-care score | 52% |
53.69%
1.7 pts worse
|
Numerator 13 · Denominator 25 |
| Discharge mobility score | 56% |
50.94%
5.1 pts better
|
Numerator 14 · Denominator 25 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 53 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.03% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 47 · Observed rate 4.26% · Lower 95% interval 3.39% |
| Staff COVID-19 vaccination coverage | 12.43% |
8.2%
4.2 pts better
|
Numerator 21 · Denominator 169 |
| Staff flu vaccination coverage | 25.2% |
42%
16.8 pts worse
|
Numerator 63 · Denominator 250 |
| Discharge function score | 44% |
56.45%
12.5 pts worse
|
Numerator 11 · Denominator 25 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · 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 17 · 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 | 95.6% |
87.5%
8.1 pts better
|
93.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 93.9% · Q2 96.9% · Q3 96.9% · Q4 94.7% · 4Q avg 95.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.1% |
93.5%
5.6 pts better
|
95.5%
3.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.1% |
3.4%
0.3 pts better
|
3.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 3.1% · Q3 4.2% · Q4 1.1% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.5% |
17.1%
8.6 pts better
|
11.4%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 14.5% · Q4 18.8% · 4Q avg 8.5% |
| Percentage of long-stay residents who lose too much weight | 6.1% |
6.4%
0.3 pts better
|
5.4%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 8.2% · Q3 4.5% · Q4 4.5% · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.8% |
17.3%
4.5 pts better
|
19.6%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 12.4% · Q3 11.1% · Q4 13.5% · 4Q avg 12.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.6% |
19.4%
3.2 pts worse
|
16.7%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 20.0% · Q3 23.9% · Q4 23.2% · 4Q avg 22.6% · 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 | 30.9% |
18.1%
12.8 pts worse
|
16.3%
14.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.2% · Q2 34.4% · Q3 32.1% · Q4 28.9% · 4Q avg 30.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.5% |
18.4%
7.1 pts worse
|
14.9%
10.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 16.0% · Q3 36.1% · Q4 28.4% · 4Q avg 25.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
0.9%
0.2 pts worse
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.5% · Q3 0.0% · Q4 0.9% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.6% |
1.7%
1.9 pts worse
|
1.7%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 6.2% · Q3 3.1% · Q4 3.2% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.0% |
24.8%
1.8 pts better
|
19.8%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 27.5% · Q3 28.1% · Q4 13.8% · 4Q avg 23.0% |
| Percentage of long-stay residents with pressure ulcers | 2.1% |
4.4%
2.3 pts better
|
5.1%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 1.0% · Q4 3.3% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 60.8% |
70.5%
9.7 pts worse
|
81.7%
20.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 56.2% · Q2 67.7% · Q3 62.2% · Q4 58.4% · 4Q avg 60.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 2.7% |
11.1%
8.4 pts better
|
12.0%
9.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 2.7% · Observed 2.9% · Expected 12.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.5%
1 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 61.9% |
69.7%
7.8 pts worse
|
79.7%
17.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 61.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 38.3% |
25.0%
13.3 pts worse
|
23.9%
14.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 38.3% · Observed 44.1% · Expected 27.5% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (8 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-03-22
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-03-22
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-03-22
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2024-03-22
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-03-22
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2020-03-24
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-03-24
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2018-12-19
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-15
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-05-12
Health
Respond appropriately to all alleged violations.
Corrected 2025-05-12
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-12
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-07
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-07
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-10
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-12
Health
Keep all essential equipment working safely.
Corrected 2024-05-31
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-04-25
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-04-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-25
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 2024-04-25
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-04-25
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-04-25
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-25
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-04-25
Health
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected 2024-04-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-25
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-04-25
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-25
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-04-25
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-04-25
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-04-25
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-04-25
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-04-25
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-04-25
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 2023-11-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-28
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-06-05
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-05-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-05-23
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-04-19
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-04-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-19
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-04-19
Health
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.
Corrected 2020-02-02
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2020-02-02
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2020-02-02
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2020-02-02
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2020-02-02
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2018-12-20
Penalties and ownership
Fine · fine $8,021
Fine
Fine · fine $56,534
Fine
Fine · fine $17,492
Fine
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Nearby options
New Haven, CT
1-star overall rating with 1-star inspections with abuse icon flag with $82,140 in total fines with 30 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
New Haven, CT
1-star overall rating with 1-star inspections with abuse icon flag with $20,144 in total fines with 20 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
East Haven, CT
4-star overall rating with 4-star inspections with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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