Connecticut › Lower Ct River Vly County › Old Saybrook
Apple Rehab Saybrook
1775 Boston Post Rd, Old Saybrook, CT 06475
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.
Certified for 120 beds, Apple Rehab Saybrook serves Old Saybrook in Lower Ct River Vly County, Connecticut and has taken Medicare and Medicaid residents since 1967.
CMS gives it 3 of 5 stars overall, equal to the Connecticut median; the health inspection rating is 3, staffing 3 and quality measures 2.
Inspectors recorded 49 health deficiencies across the three most recent survey cycles (14, 19, 16 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 40.8 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 3.1 hours per resident per day (0.7 RN), close to the Connecticut median of 3.7; nursing staff turnover is 30.8%.
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 | 49 | 36 | 35 | 28.7 |
| Citations per 100 beds | 40.8 | 40.8 | 29.2 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.6 | 3.7 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.6 | 0.7 |
| Nursing staff turnover | 30.8% | 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: 9 Jan 2025, 28 Jul 2022.
Severity mix: G ×1 D ×22 E ×19 F ×1 B ×6
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 |
|---|---|---|---|---|---|
| 7 Jan 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 | 16 Feb 2026 |
| 7 Jan 2026 | 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 | Complaint investigation | 16 Feb 2026 |
| 7 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 16 Feb 2026 |
| 7 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 16 Feb 2026 |
| 7 Jan 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 16 Feb 2026 |
| 22 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 22 Aug 2025 |
| 22 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 22 Aug 2025 |
| 22 Jul 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 22 Aug 2025 |
| 23 Jan 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Complaint investigation | 14 Apr 2025 |
| 23 Jan 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation (under dispute review) | 14 Apr 2025 |
| 9 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 13 Feb 2025 |
| 9 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 13 Feb 2025 |
| 9 Jan 2025 | F0687 | Provide appropriate foot care. | E | Standard survey | 13 Feb 2025 |
| 9 Jan 2025 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 13 Feb 2025 |
| 9 Jan 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 13 Feb 2025 |
| 9 Jan 2025 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 13 Feb 2025 |
| 9 Jan 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | B | Standard survey | 13 Feb 2025 |
| 9 Jan 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | B | Standard survey | 13 Feb 2025 |
| 9 Jan 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Standard survey | 13 Feb 2025 |
| 2 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 14 Dec 2023 |
| 2 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 14 Dec 2023 |
| 28 Jul 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 8 Sep 2022 |
| 28 Jul 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 8 Sep 2022 |
| 28 Jul 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 8 Sep 2022 |
| 28 Jul 2022 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Standard survey | 21 Sep 2022 |
| 28 Jul 2022 | F0885 | Report COVID19 data to residents and families. | E | Standard survey | 8 Sep 2022 |
| 28 Jul 2022 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 22 Aug 2022 |
| 28 Jul 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. | D | Standard survey | 22 Aug 2022 |
| 28 Jul 2022 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 8 Sep 2022 |
| 28 Jul 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 8 Sep 2022 |
| 28 Jul 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 8 Sep 2022 |
| 28 Jul 2022 | 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 | 8 Sep 2022 |
| 28 Jul 2022 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 8 Sep 2022 |
| 28 Jul 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Standard survey | 22 Aug 2022 |
| 28 Jul 2022 | F0880 | Provide and implement an infection prevention and control program. | B | Standard survey | 8 Sep 2022 |
| 31 Oct 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 29 Nov 2019 |
| 31 Oct 2019 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 12 Dec 2019 |
| 31 Oct 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 12 Dec 2019 |
| 31 Oct 2019 | F0685 | Assist a resident in gaining access to vision and hearing services. | E | Standard survey | 12 Dec 2019 |
| 31 Oct 2019 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 12 Dec 2019 |
| 31 Oct 2019 | F0791 | Provide or obtain dental services for each resident. | E | Standard survey | 12 Dec 2019 |
| 31 Oct 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 | 12 Dec 2019 |
| 31 Oct 2019 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Dec 2019 |
| 31 Oct 2019 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 12 Dec 2019 |
| 31 Oct 2019 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 12 Dec 2019 |
| 31 Oct 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 12 Dec 2019 |
| 31 Oct 2019 | F0688 | 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. | D | Standard survey | 12 Dec 2019 |
| 31 Oct 2019 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 12 Dec 2019 |
| 31 Oct 2019 | 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 | 12 Dec 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 30.8%, RNs 33.3%; 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 | 19.9% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.7% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.8% | 1.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.3% | 3.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.5% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.1% | 15.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.0% | 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: Saybrook 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 Middletown | Middletown | 70 | 3 | 2 | 4 | 57 | 81.4 | — | 10 Jun 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 Saybrook been cited for?
49 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 Saybrook been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Apple Rehab Saybrook compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Connecticut median of 3.7 and a national average of 3.9.
Who operates Apple Rehab Saybrook?
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 Saybrook last inspected?
The most recent survey or investigation in the CMS record is dated 7 Jan 2026; the most recent standard health survey was 9 Jan 2025.
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.