Federal inspection record · CMS data as of October 1, 2026

Hewitt Health & Rehabilitation Center, Inc

45 Maltby Street, Shelton, CT · (203) 924-4671

CMS overall rating

1 of 5

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Certified beds
206
Residents per day
112
Ownership
For-Profit
Chain
Apple Rehab
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 1, 1967

1

How this home got 1 star

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Connecticut.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Connecticut homes

Hewitt Health & Rehabilitation Center, Inc carries 86 inspection points. That is fewer than 36% of Connecticut's 190 rated homes.

5★4★3★2★1★+6 homes above 192.505102550100inspection points → fewer is better on the leftThis home · 86 pts · 2★

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

57 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 38 4 pts
E 11 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 6 0 pts
C 0 0 pts

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.

Harm and immediate-jeopardy citations (1)

  1. G

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

    July 1, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected August 12, 2024

Everything else, by area of care

Resident Rights13E
  1. 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.

    July 6, 2026 · Complaint · F578 · Corrected August 14, 2026

  2. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    January 2, 2026 · Complaint · F580 · Corrected January 30, 2026

  3. E

    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.

    May 19, 2025 · Standard · F578 · Corrected July 11, 2025

  4. E

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    May 19, 2025 · Standard · F580 · Corrected July 11, 2025

  5. D

    Prepare residents for a safe transfer or discharge from the nursing home.

    December 20, 2023 · Complaint · F624 · Corrected December 22, 2023

  6. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    January 24, 2023 · Standard · F550 · Corrected March 7, 2023

  7. 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.

    January 24, 2023 · Standard · F584 · Corrected March 7, 2023

  8. D

    Reasonably accommodate the needs and preferences of each resident.

    January 24, 2023 · Standard · F558 · Corrected March 7, 2023

  9. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    January 24, 2023 · Standard · F561 · Corrected March 7, 2023

  10. 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.

    January 24, 2023 · Standard · F578 · Corrected March 7, 2023

  11. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    January 24, 2023 · Standard · F580 · Corrected March 7, 2023

  12. 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.

    January 24, 2023 · Standard · F622 · Corrected March 7, 2023

  13. B

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    January 24, 2023 · Standard · F576 · Corrected March 7, 2023

Quality of Life and Care13E
  1. E

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

    May 19, 2025 · Standard · F689 · Corrected July 11, 2025

  2. D

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

    May 19, 2025 · Standard · F677 · Corrected July 11, 2025

  3. D

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

    May 19, 2025 · Standard · F684 · Corrected July 11, 2025

  4. D

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

    May 19, 2025 · Standard · F686 · Corrected July 11, 2025

  5. D

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

    December 5, 2024 · Complaint · F689 · Corrected January 8, 2025

  6. E

    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.

    January 24, 2023 · Standard · F693 · Corrected March 7, 2023

  7. D

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

    January 24, 2023 · Standard · F684 · Corrected March 7, 2023

  8. D

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

    January 24, 2023 · Standard · F692 · Corrected March 7, 2023

  9. D

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

    February 21, 2020 · Standard · F677 · Corrected April 2, 2020

  10. D

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

    February 21, 2020 · Standard · F684 · Corrected April 2, 2020

  11. D

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

    February 21, 2020 · Standard · F689 · Corrected April 2, 2020

  12. D

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

    February 21, 2020 · Standard · F692 · Corrected April 2, 2020

  13. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    February 21, 2020 · Standard · F744 · Corrected April 2, 2020

Resident Assessment and Care Planning8E
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    July 6, 2026 · Complaint · F656 · Corrected August 14, 2026

  2. D

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

    May 19, 2025 · Standard · F658 · Corrected July 11, 2025

  3. B

    Assess the resident when there is a significant change in condition

    May 19, 2025 · Standard · F637 · Corrected July 11, 2025

  4. B

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    May 19, 2025 · Standard · F657 · Corrected July 11, 2025

  5. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    February 15, 2024 · Complaint · F656 · Corrected March 29, 2024

  6. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    January 24, 2023 · Standard · F656 · Corrected March 7, 2023

  7. D

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

    January 24, 2023 · Standard · F658 · Corrected March 7, 2023

  8. E

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

    February 21, 2020 · Standard · F644 · Corrected April 2, 2020

Pharmacy Service7E
  1. D

    Ensure medication error rates are not 5 percent or greater.

    May 19, 2025 · Standard · F759 · Corrected July 11, 2025

  2. B

    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.

    May 19, 2025 · Standard · F761 · Corrected July 11, 2025

  3. D

    Ensure that residents are free from significant medication errors.

    December 5, 2024 · Complaint · F760 · Corrected January 8, 2025

  4. E

    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.

    January 24, 2023 · Standard · F761 · Corrected March 7, 2023

  5. D

    Ensure medication error rates are not 5 percent or greater.

    February 21, 2020 · Standard · F759 · Corrected April 2, 2020

  6. D

    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.

    February 21, 2020 · Standard · F761 · Corrected April 2, 2020

  7. B

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    February 21, 2020 · Standard · F755 · Corrected April 2, 2020

Freedom from Abuse, Neglect, and Exploitation6D
  1. D

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

    July 6, 2026 · Complaint · F609 · Corrected August 14, 2026

  2. D

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    May 19, 2025 · Standard · F605 · Corrected July 11, 2025

  3. D

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

    May 19, 2025 · Standard · F609 · Corrected July 11, 2025

  4. D

    Respond appropriately to all alleged violations.

    November 8, 2024 · Complaint · F610 · Corrected December 20, 2024

  5. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    January 24, 2023 · Standard · F600 · Corrected March 7, 2023

  6. D

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

    January 24, 2023 · Standard · F609 · Corrected March 7, 2023

Nursing and Physician Services3F
  1. F

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    May 19, 2025 · Standard · F725 · Corrected July 11, 2025

  2. E

    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.

    January 24, 2023 · Standard · F726 · Corrected March 7, 2023

  3. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    February 21, 2020 · Standard · F725 · Corrected April 2, 2020

Infection Control3E
  1. D

    Provide and implement an infection prevention and control program.

    May 19, 2025 · Standard · F880 · Corrected July 11, 2025

  2. E

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    January 24, 2023 · Standard · F883 · Corrected March 7, 2023

  3. D

    Provide and implement an infection prevention and control program.

    January 24, 2023 · Standard · F880 · Corrected March 7, 2023

Administration1D
  1. D

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    July 6, 2026 · Complaint · F835 · Corrected August 14, 2026

Environmental1D
  1. D

    Put firmly secured handrails on each side of hallways.

    January 24, 2023 · Standard · F924 · Corrected March 7, 2023

Nutrition and Dietary1B
  1. B

    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.

    January 24, 2023 · Standard · F809 · Corrected March 7, 2023

Inspection history

  1. 2025-05-19

    20 health deficiencies · 5 fire-safety deficiencies

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

  2. 2023-01-24

    24 health deficiencies · 4 fire-safety deficiencies

    Top issue: Resident Rights (8 deficiencies)

  3. 2020-02-21

    13 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

5

Fines and payment denials

$8,018 in federal fines on record over the past three years.

DatePenaltyAmount
2024-07-01Fine$8,018

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.4 pts worse80.7%89.1%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine13 pts worse80.7%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better2.8%3.6%3.2%
Percentage of long-stay residents who have depressive symptoms19.7 pts worse44.7%25.0%13.5%
Percentage of long-stay residents who lose too much weight5.5 pts worse11.9%6.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.6 pts worse19.6%18.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.7 pts worse19.4%17.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened5.2 pts better9.6%14.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.9 pts better13.8%17.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better0.1%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection1.7 pts worse3.1%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.5 pts better20.5%24.0%18.3%
Percentage of long-stay residents with pressure ulcers2.1 pts worse6.0%3.9%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine61.4 pts worse11.1%72.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit5.9 pts better4.5%10.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse1.6%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine53.7 pts worse19.3%73.0%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts worse27.2%23.5%23.4%

·

Who owns and runs it

6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Foley, Brian5% Or Greater Direct Ownership Interest · Individual100%20 facilities
Foley, BrianCorporate Director · Individual0%20 facilities
Singh, DevikaW-2 Managing Employee · Individual0%18 facilities
Vess, RyanCorporate Director · Individual0%20 facilities
Vess, RyanCorporate Officer · Individual0%20 facilities
Vess, RyanOperational/Managerial Control · Individual0%20 facilities

·

Fire safety

10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6D
  1. D

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

    May 19, 2025 · K345 · Corrected June 9, 2025

  2. D

    Properly provide smoke detection systems in areas open to corridors.

    May 19, 2025 · K347 · Corrected June 9, 2025

  3. D

    Inspect, test, and maintain automatic sprinkler systems.

    May 19, 2025 · K353 · Corrected June 9, 2025

  4. D

    Properly provide smoke detection systems in areas open to corridors.

    January 24, 2023 · K347 · Corrected February 22, 2023

  5. D

    Inspect, test, and maintain automatic sprinkler systems.

    January 24, 2023 · K353 · Corrected February 22, 2023

  6. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    February 21, 2020 · K321 · Corrected March 6, 2020

Miscellaneous2D
  1. D

    Provide a written emergency evacuation plan.

    December 29, 2025 · K711 · Not yet marked corrected

  2. D

    Have simulated fire drills held at unexpected times.

    January 24, 2023 · K712 · Corrected February 22, 2023

Gas, Vacuum, and Electrical Systems2D
  1. D

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

    May 19, 2025 · K918 · Corrected June 9, 2025

  2. D

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

    January 24, 2023 · K918 · Corrected February 22, 2023

·

Other homes nearby

  1. Apple Rehab Shelton Lakes

    Shelton, CT · Apple Rehab

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    —
    Fines
    $0
  2. Gardner Heights Health Care Center, Inc

    Shelton, CT · Apple Rehab

    Worst citation, 3 yrs
    F
    Nursing / resident / day
    —
    Fines
    $0
  3. Worst citation, 3 yrs
    G
    Nursing / resident / day
    4 h 18 min
    Fines
    $8,018