Connecticut › Lower Ct River Vly County › Middletown
Apple Rehab Middletown
600 Highland Ave, Middletown, CT 06457
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Apple Rehab Middletown is a For-profit, corporation nursing home in Middletown, Connecticut, certified for 70 beds and caring for about 66 residents a day.
CMS gives it 3 of 5 stars overall, equal to the Connecticut median; the health inspection rating is 2, staffing 4 and quality measures 5.
Inspectors recorded 57 health deficiencies across the three most recent survey cycles (24, 20, 13 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 81.4 per 100 beds, more than the state median of 29.2.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.3 hours per resident per day (0.5 RN), close to the Connecticut median of 3.7; nursing staff turnover is 37.5%.
Compared with county, state and nation
| Measure | This facility | Lower Ct River Vly Co. median | Connecticut median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 57 | 36 | 35 | 28.7 |
| Citations per 100 beds | 81.4 | 40.8 | 29.2 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.6 | 3.7 | 3.9 |
| RN hours per resident day | 0.5 | 0.7 | 0.6 | 0.7 |
| Nursing staff turnover | 37.5% | 38.5% | 35.9% | 45.8% |
| Fines listed | $0 | $10,358 | $8,021 | — |
County and state figures are medians across facilities (17 in the county, 191 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Connecticut average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 Oct 2024, 10 May 2022.
Severity mix: G ×1 D ×44 E ×8 B ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 10 Jun 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 10 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 10 Jun 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 13 May 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 24 Jun 2026 |
| 13 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 24 Jun 2026 |
| 13 May 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 24 Jun 2026 |
| 13 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 24 Jun 2026 |
| 13 May 2026 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Complaint investigation | 24 Jun 2026 |
| 11 Dec 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 22 Jan 2025 |
| 13 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 10 Dec 2024 |
| 7 Oct 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | Standard survey | 18 Nov 2024 |
| 7 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 18 Nov 2024 |
| 7 Oct 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 18 Nov 2024 |
| 7 Oct 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 18 Nov 2024 |
| 7 Oct 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 18 Nov 2024 |
| 7 Oct 2024 | F0578 | 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. | D | Standard survey | 18 Nov 2024 |
| 7 Oct 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 18 Nov 2024 |
| 7 Oct 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 18 Nov 2024 |
| 7 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 18 Nov 2024 |
| 7 Oct 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 18 Nov 2024 |
| 7 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 18 Nov 2024 |
| 7 Oct 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 18 Nov 2024 |
| 7 Oct 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 18 Nov 2024 |
| 7 Oct 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 18 Nov 2024 |
| 7 Oct 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard survey | 18 Nov 2024 |
| 7 Oct 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Standard survey | 18 Nov 2024 |
| 7 Oct 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint investigation | 18 Nov 2024 |
| 7 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 18 Nov 2024 |
| 7 Oct 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 18 Nov 2024 |
| 7 Oct 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Complaint investigation | 18 Nov 2024 |
| 22 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | B | Complaint investigation | 11 Jun 2024 |
| 26 Mar 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 14 May 2024 |
| 10 Nov 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Complaint investigation | 22 Dec 2023 |
| 5 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 Nov 2023 |
| 5 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 16 Nov 2023 |
| 5 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 16 Nov 2023 |
| 30 Aug 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 11 Oct 2023 |
| 30 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 11 Oct 2023 |
| 10 May 2022 | F0578 | 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. | E | Standard survey | 23 Jun 2022 |
| 10 May 2022 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 23 Jun 2022 |
| 10 May 2022 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 23 Jun 2022 |
| 10 May 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 23 Jun 2022 |
| 10 May 2022 | F0584 | 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. | D | Standard survey | 23 Jun 2022 |
| 10 May 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 23 Jun 2022 |
| 10 May 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 23 Jun 2022 |
| 10 May 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 23 Jun 2022 |
| 10 May 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 23 Jun 2022 |
| 10 May 2022 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 23 Jun 2022 |
| 10 May 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 23 Jun 2022 |
| 10 May 2022 | F0761 | 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. | D | Standard survey | 23 Jun 2022 |
| 10 May 2022 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Standard survey | 23 Jun 2022 |
| 10 May 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 23 Jun 2022 |
| 15 Aug 2019 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | G | Standard survey | 26 Sep 2019 |
| 15 Aug 2019 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 26 Sep 2019 |
| 15 Aug 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 26 Sep 2019 |
| 15 Aug 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 26 Sep 2019 |
| 15 Aug 2019 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 26 Sep 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Connecticut average. Turnover: nursing staff 37.5%, RNs 40.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Connecticut median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.9% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.8% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 1.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 3.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.5% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.2% | 15.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.4% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.2% | 17.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Highview Health Care Center Inc. Chain: Apple Rehab (20 facilities).
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Lower Ct River Vly County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Chestelm Health and Rehabilitation Center | Moodus | 76 | 5 | 5 | 5 | 13 | 17.1 | — | 13 Aug 2025 |
| Essex Meadows Health Center | Essex | 45 | 5 | 4 | 5 | 17 | 37.8 | — | 21 Nov 2025 |
| Portland Care & Rehab Centre, Inc | Portland | 65 | 5 | 4 | 4 | 11 | 16.9 | $10K | 10 Mar 2026 |
| Complete Care At Meriden | Meriden | 115 | 4 | 3 | 2 | 41 | 35.7 | $9K | 17 Feb 2026 |
| Apple Rehab Saybrook | Old Saybrook | 120 | 3 | 3 | 3 | 49 | 40.8 | — | 7 Jan 2026 |
| Gladeview Health Care Center | Old Saybrook | 132 | 3 | 3 | 4 | 40 | 30.3 | — | 20 Nov 2025 |
| Silver Springs Care Centerabuse icon | Meriden | 158 | 3 | 2 | 2 | 36 | 22.8 | $24K | 30 Apr 2026 |
| Twin Maples Healthcare, Inc | Durham | 44 | 3 | 3 | 4 | 27 | 61.4 | $25K | 19 Feb 2026 |
All 17 facilities in Lower Ct River Vly County
Questions and answers
How many deficiencies has Apple Rehab Middletown been cited for?
57 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Connecticut median is 35 per facility.
Has Apple Rehab Middletown been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Apple Rehab Middletown compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Connecticut median of 3.7 and a national average of 3.9.
Who operates Apple Rehab Middletown?
It is part of the Apple Rehab chain. Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Apple Rehab Middletown last inspected?
The most recent survey or investigation in the CMS record is dated 10 Jun 2026; the most recent standard health survey was 7 Oct 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.