Apple Rehab Middletown
600 Highland Ave · Middletown, CT · 06457 · 8603473315
70 certified beds For profit - Corporation Chain: Apple Rehab
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.32 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.54 | 0.55–0.75 |
| Weekend hours / resident-day | 3.07 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (49 in the current record)
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Potential for harm · D December 11, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 22, 2025 · Resident Rights
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Potential for harm · D November 13, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 7, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected November 18, 2024 · Resident Rights
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Potential for harm · D October 7, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected November 18, 2024 · Resident Rights
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Potential for harm · D October 7, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected November 18, 2024 · Resident Rights
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Potential for harm · D October 7, 2024
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 November 18, 2024 · Resident Rights
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Potential for harm · D October 7, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 18, 2024 · Resident Rights
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Potential for harm · D October 7, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 7, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 7, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 18, 2024 · Quality of Life and Care
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Potential for harm · D October 7, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 18, 2024 · Quality of Life and Care
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Potential for harm · D October 7, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected November 18, 2024 · Quality of Life and Care
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Potential for harm · D October 7, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 18, 2024 · Quality of Life and Care
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Potential for harm · D October 7, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected November 18, 2024 · Nutrition and Dietary
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Potential for harm · E October 7, 2024
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected November 18, 2024 · Environmental
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Potential for harm · D October 7, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 7, 2024 · found via complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected November 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 7, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 18, 2024 · Quality of Life and Care
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Potential for harm · D October 7, 2024 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected November 18, 2024 · Quality of Life and Care
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Potential for harm · D October 7, 2024 · found via complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected November 18, 2024 · Nursing and Physician Services
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No harm found · B October 7, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected November 18, 2024 · Resident Assessment and Care Planning
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No harm found · B October 7, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 18, 2024 · Resident Assessment and Care Planning
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No harm found · B May 22, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 26, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 14, 2024 · Resident Rights
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No harm found · B November 10, 2023 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 22, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 075089 · certified since February 26, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.