34 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
West Haven, CT
1-star overall rating with 1-star inspections with $26,685 in total fines with 21 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
308 Savin Avenue, West Haven, CT
(203) 932-6411
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
90
Certified beds
Average residents
82
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Apple Rehab
Operator or chain grouping
Approved since
1994-02-15
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
0.46
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.90
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
1.98
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
3.35
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.37
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
2.97
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.37
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
3.34
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
27%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
10,739
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
19.28
Composite VBP score used to determine payment impact.
Payment multiplier
0.9821
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 19.85% · Performance 22.25% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.64% · Performance 7.94% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.12
Baseline 48.53% · Performance 34.57% · Measure score 7.12 · Achievement 7.12 · Improvement 5.40
Adjusted total nurse staffing
0.59
Baseline 3.12 hours · Performance 3.25 hours · Measure score 0.59 · Achievement 0.59 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.2% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 81 · Observed rate 7.41% · Lower 95% interval 6.51% |
| Discharge to community | 48.78% |
50.57%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 61 · Observed rate 39.34% · Lower 95% interval 34.86% |
| Medicare spending per beneficiary | 0.86 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.62% |
95.27%
2.4 pts better
|
Numerator 41 · Denominator 42 |
| Falls with major injury | 2.38% |
0.77%
1.6 pts worse
|
Numerator 1 · Denominator 42 |
| Discharge self-care score | 37.04% |
53.69%
16.6 pts worse
|
Numerator 10 · Denominator 27 |
| Discharge mobility score | 33.33% |
50.94%
17.6 pts worse
|
Numerator 9 · Denominator 27 |
| Pressure ulcers or injuries, new or worsened | 9.52% |
2.29%
7.2 pts worse
|
Numerator 4 · Denominator 42 · Adjusted rate 9.45% |
| Healthcare-associated infections requiring hospitalization | 7.94% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 44 · Observed rate 13.64% · Lower 95% interval 4.34% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 128 |
| Staff flu vaccination coverage | 13.33% |
42%
28.7 pts worse
|
Numerator 16 · Denominator 120 |
| Discharge function score | 40.74% |
56.45%
15.7 pts worse
|
Numerator 11 · Denominator 27 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 36.36% |
25.2%
11.2 pts better
|
Numerator 8 · Denominator 22 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 71.8% |
87.5%
15.7 pts worse
|
93.4%
21.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 59.2% · Q2 76.1% · Q3 78.7% · Q4 72.7% · 4Q avg 71.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 85.5% |
93.5%
8 pts worse
|
95.5%
10 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 85.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.4% |
3.4%
1 pts worse
|
3.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 4.2% · Q3 5.3% · Q4 5.2% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.1% |
17.1%
14 pts better
|
11.4%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 6.2% · Q3 3.0% · Q4 0.0% · 4Q avg 3.1% |
| Percentage of long-stay residents who lose too much weight | 8.7% |
6.4%
2.3 pts worse
|
5.4%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 3.1% · Q3 15.5% · Q4 13.9% · 4Q avg 8.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.8% |
17.3%
8.5 pts better
|
19.6%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 11.6% · Q3 7.0% · Q4 5.6% · 4Q avg 8.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.8% |
19.4%
4.4 pts worse
|
16.7%
7.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.8% · Q2 23.4% · Q3 25.0% · Q4 17.0% · 4Q avg 23.8% · 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 | 24.9% |
18.1%
6.8 pts worse
|
16.3%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q3 19.3% · Q4 29.5% · 4Q avg 24.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.0% |
18.4%
1.6 pts worse
|
14.9%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 26.6% · Q3 14.3% · Q4 19.4% · 4Q avg 20.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
0.9%
0.6 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 1.9% · Q4 2.2% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.1% |
1.7%
1.4 pts worse
|
1.7%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 4.5% · Q3 2.7% · Q4 3.9% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.4% |
24.8%
3.6 pts worse
|
19.8%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 22.7% · Q3 27.5% · Q4 41.0% · 4Q avg 28.4% |
| Percentage of long-stay residents with pressure ulcers | 5.8% |
4.4%
1.4 pts worse
|
5.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 6.2% · Q3 8.6% · Q4 6.4% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 25.5% |
70.5%
45 pts worse
|
81.7%
56.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 23.3% · Q3 21.1% · Q4 29.5% · 4Q avg 25.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 21.7% |
11.1%
10.6 pts worse
|
12.0%
9.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 22.2% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.5%
0.7 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.8% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 36.0% |
69.7%
33.7 pts worse
|
79.7%
43.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 36.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.3% |
25.0%
7.7 pts better
|
23.9%
6.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.3% · Observed 18.5% · Expected 25.4% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (7 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (10 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-12-13
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-12-13
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-12-13
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-12-13
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-12-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-13
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-12-13
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-12-13
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-12-13
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 2023-12-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-12-13
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2021-12-01
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-12-01
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2021-12-01
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2019-07-15
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-07-15
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-05
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-11-28
Health
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Corrected 2025-11-28
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-11-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-26
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-09-26
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2025-09-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-26
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 2025-09-26
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-09-26
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2025-09-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-26
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-09-26
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-09-26
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-26
Health
Respond appropriately to all alleged violations.
Corrected 2025-09-26
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-09-26
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-09-26
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-26
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-26
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-09-26
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-26
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-26
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-09-26
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-09-26
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 2025-09-26
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-09-26
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-26
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-09-26
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-09-26
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-09-26
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-05-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-28
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-11-30
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 2024-09-06
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-05-20
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-15
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-02-05
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 2024-02-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-05
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-05
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-02-05
Health
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2024-02-05
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-05
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-02-05
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-02-05
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-02-05
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-02-05
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-05
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-02-05
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-05
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-05
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-02-05
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-05
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 2024-02-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-05
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-02-05
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-02-05
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 2024-02-05
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-02-05
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-02-05
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-12-14
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-08-23
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-08-23
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-06-06
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-06-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-06-06
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-06-06
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2021-12-30
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2021-12-30
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2021-12-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-12-30
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2021-12-30
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 2021-12-30
Health
Provide or obtain dental services for each resident.
Corrected 2021-12-30
Penalties and ownership
Fine · fine $26,685
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
West Haven, CT
2-star overall rating with 2-star inspections with 15 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Orange, CT
5-star overall rating with 5-star inspections with 5 recent health deficiencies
New Haven, CT
1-star overall rating with 1-star inspections with Special Focus status with $250,575 in total fines with 39 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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