Apple Rehab Avon

In the surveyor’s words

From the most serious findings on record at Apple Rehab Avon, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF755Nov 25, 2025

  Based on observation, review of facility documentation, facility policy and interviews for bi-monthly narcotic audits, the facility failed to maintain and keep records of bi-monthly narcotic audits. The findings include: Based on observation, review of facility documentation, facility policy and interviews for bi-monthly narcotic audits, the facility failed to maintain and keep records of bi-monthly narcotic audits. The findings include: During the onsite review of the medication storage room on 9/25/25 at 12:29 PM, the most recent documented bi-monthly narcotic audit log was dated September 1, 2025. Observation of the bi-monthly narcotic audit logs identified the months for April 2025, May 2025, June 2025, July 2025, and August 2025 were not available. […]

• No harm, potential for more than minimal, patternF812Nov 25, 2025

  Based on tour of the Dietary Department, staff interview and review of facility policy, the facility failed to ensure proper hair covers were worn while in the kitchen, they also failed to ensure items in the kitchen were consistently dated and labeled. The findings include: The tour of the Dietary Department on 9/22/25 at 9:24 AM with the Director of Dietary identified the following:a. The Dietary Manager was observed with a full beard, standing over the food preparation area that contained a tray of uncovered ham, and carrots with no beard covering on to cover his beard. […]

• No harm, potential for more than minimal, patternF655Feb 27, 2024

  Based on review of the clinical record, facility documentation, facility policy, and interviews for 4 of 4 residents (Resident #20, #36, #202, and #302) reviewed for accidents, the facility failed to ensure the baseline care plan was completed in a timely manner. The findings include: 1. Resident # 20 was admitted to the facility on [DATE] with diagnoses which included spinal stenosis, chronic pain syndrome, and diabetes type 2. The admission MDS assessment dated [DATE] identified Resident #20 had intact cognition, spinal stenosis, lumbar region with neurogenic claudication, and polyneuropathy. […]

• No harm, potential for more than minimal, patternF657Feb 27, 2024

  47457 Based on review of the clinical record, facility documentation, facility policy, and interviews for 3 of 3 residents (Resident #25, #39 and Resident #202) reviewed for care planning,the facility failed to ensure quarterly care plan meetings were conducted, the facility failed to update the care plan reflecting the resident's preferences for provision of care and accusatory behaviors and the facility failed to revise the comprehensive care plan after falls. The findings include: 1. Resident #25 was admitted to the facility on [DATE] with diagnoses which included COPD, atrial fibrillation, and hypertension. […]

• No harm, potential for more than minimal, patternF678Feb 27, 2024

  Based on review of facility documentation, facility policy, and interviews, the facility failed to ensure all licensed nurses( 27 ) were certified and had up to date Cardiopulmonary Resuscitation (CPR) cards. The findings include: Review of the facility licensed nurses identified there is a total of 27 licensed nurses on staff (16 Registered Nurses and 11 Licensed Practical Nurses). Review of the CPR binder for licensed nurses identified 19 licensed nurses failed to have valid and up to date CPR cards. […]