11 health deficiencies
Top issue: Infection Control (3 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Uncasville, CT
2-star overall rating with 2-star inspections with $16,065 in total fines with 11 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
5 Richard Brown Drive, Uncasville, CT
(860) 848-8466
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
130
Certified beds
Average residents
114
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Apple Rehab
Operator or chain grouping
Approved since
2004-12-30
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
0.52
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.61
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
1.92
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
3.04
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.12
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
2.80
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
3.11
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
10,035
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.65
Composite VBP score used to determine payment impact.
Payment multiplier
0.9827
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.74
Baseline 19.45% · Performance 20.62% · Measure score 1.74 · Achievement 1.74 · Improvement 0
Healthcare-associated infections
0
Baseline 7.14% · Performance 8.08% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.50
Baseline 55.93% · Performance 45.30% · Measure score 4.50 · Achievement 4.50 · Improvement 2.92
Adjusted total nurse staffing
2.42
Baseline 2.66 hours · Performance 3.57 hours · Measure score 2.42 · Achievement 1.72 · Improvement 2.42
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.38% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 90 · Observed rate 7.78% · Lower 95% interval 6.33% |
| Discharge to community | 55.44% |
50.57%
4.9 pts better
|
No Different than the National Rate · Eligible stays 61 · Observed rate 47.54% · Lower 95% interval 39.38% |
| Medicare spending per beneficiary | 0.86 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.53% |
95.27%
3.3 pts better
|
Numerator 67 · Denominator 68 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 68 |
| Discharge self-care score | 54.35% |
53.69%
0.7 pts better
|
Numerator 25 · Denominator 46 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 23 · Denominator 46 |
| Pressure ulcers or injuries, new or worsened | 2.99% |
2.29%
0.7 pts worse
|
Numerator 2 · Denominator 67 · Adjusted rate 3.17% |
| Healthcare-associated infections requiring hospitalization | 8.08% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 60 · Observed rate 13.33% · Lower 95% interval 5.08% |
| Staff COVID-19 vaccination coverage | 0.63% |
8.2%
7.6 pts worse
|
Numerator 1 · Denominator 158 |
| Staff flu vaccination coverage | 10.06% |
42%
31.9 pts worse
|
Numerator 16 · Denominator 159 |
| Discharge function score | 58.7% |
56.45%
2.2 pts better
|
Numerator 27 · Denominator 46 |
| Transfer of health information to provider | 95.83% |
95.95%
0.1 pts worse
|
Numerator 23 · Denominator 24 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 22 · Denominator 22 |
| Resident COVID-19 vaccinations up to date | 21.43% |
25.2%
3.8 pts worse
|
Numerator 6 · Denominator 28 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
2.1
0.5 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.8 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
1.5
0.9 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.4 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 65.5% |
87.5%
22 pts worse
|
93.4%
27.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 55.3% · Q2 54.7% · Q3 76.3% · Q4 74.7% · 4Q avg 65.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 68.3% |
93.5%
25.2 pts worse
|
95.5%
27.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 68.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% |
3.4%
0.8 pts worse
|
3.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 4.2% · Q3 4.1% · Q4 6.1% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 12.0% |
17.1%
5.1 pts better
|
11.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 15.1% · Q3 11.6% · Q4 12.2% · 4Q avg 12.0% |
| Percentage of long-stay residents who lose too much weight | 7.3% |
6.4%
0.9 pts worse
|
5.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 6.9% · Q3 6.8% · Q4 5.4% · 4Q avg 7.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.2% |
17.3%
2.9 pts worse
|
19.6%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 23.1% · Q3 19.1% · Q4 19.4% · 4Q avg 20.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.5% |
19.4%
3.1 pts worse
|
16.7%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 16.4% · Q3 27.4% · Q4 23.9% · 4Q avg 22.5% · 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 | 11.8% |
18.1%
6.3 pts better
|
16.3%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.9% · Q2 16.6% · Q3 7.8% · Q4 4.0% · 4Q avg 11.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.1% |
18.4%
3.3 pts better
|
14.9%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 21.0% · Q3 12.5% · Q4 9.5% · 4Q avg 15.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.9%
0.4 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.7%
1.2 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 1.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.6% |
24.8%
4.2 pts better
|
19.8%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 28.7% · Q3 16.5% · Q4 16.5% · 4Q avg 20.6% |
| Percentage of long-stay residents with pressure ulcers | 3.1% |
4.4%
1.3 pts better
|
5.1%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.2% · Q3 4.5% · Q4 4.6% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 19.9% |
70.5%
50.6 pts worse
|
81.7%
61.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 17.5% · Q3 15.3% · Q4 28.6% · 4Q avg 19.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.7% |
11.1%
1.6 pts worse
|
12.0%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.7% · Observed 14.9% · Expected 13.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.6% |
1.5%
1.1 pts worse
|
1.6%
1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.3% · Q3 2.0% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 15.5% |
69.7%
54.2 pts worse
|
79.7%
64.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 15.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.4% |
25.0%
1.6 pts better
|
23.9%
0.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.4% · Observed 27.7% · Expected 28.1% · Used in QM five-star |
Survey summary
Top issue: Infection Control (3 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-04-23
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-04-23
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 2024-04-23
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-04-23
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2024-04-23
Fire Safety
Ensure proper storage of liquid oxygen.
Corrected 2024-04-23
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-01-28
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-01-28
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 2022-01-28
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-01-28
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 2022-01-28
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2022-01-28
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-01-28
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2019-08-31
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-08-31
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2019-08-31
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-08-19
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-02-06
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-07-14
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-03
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-03-03
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-03
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2025-03-03
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-10-02
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-03-15
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-24
Health
Implement a program that monitors antibiotic use.
Corrected 2024-04-24
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-04-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-24
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-04-25
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-04-24
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-18
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-18
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-12-25
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-09-19
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 2023-09-19
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2023-09-19
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-09-19
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-06-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-04-20
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2023-04-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-02-25
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2022-02-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-02-25
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-02-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-08-27
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 2019-09-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-09-05
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 2019-09-05
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 2019-09-05
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-09-05
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-09-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-09-05
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2019-09-05
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-09-05
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 2019-09-05
Health
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected 2019-09-05
Health
Provide and implement an infection prevention and control program.
Corrected 2019-09-05
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2019-09-05
Penalties and ownership
Fine · fine $16,065
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
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