Apple Rehab Colchester

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Aug 8, 2024

  Based on clinical record review, facility documentation review, facility policy review, and interviews, for 4 of 18 residents (Residents 4, 1, 21 and 23) who alleged rough care was provided by staff and alleged incontinent care was not provided timely, the Facility failed to protect the residents' right to be free from abuse and/or neglect. The failures resulted in a finding of Immediate Jeopardy. Cross reference F610 1. Resident #4's diagnoses included spinal stenosis (narrowing of the space around the spinal cord) and anxiety disorder. The quarterly MDS assessment dated [DATE] identified Resident #4 had severe cognitive impairment. […]

• Immediate jeopardy, isolatedF609Aug 8, 2024

  Based on clinical record review, facility documentation review, facility policy review, and interviews for five (5) of twenty-three residents (Resident #1, 4, 11, 5, and 2), reviewed for abuse and/or neglect, the facility failed to ensure allegations of abuse were reported immediately to the State Agency as required (within 2 hours if resulted in serious bodily injury or not later that 24 hours if no bodily injury). The findings include: 1. Resident #1's diagnoses included chronic kidney disease. The annual MDS assessment dated [DATE] identified Resident #1 was alert and oriented, required moderate assistance for transfers and toileting, and Resident #1 was frequently incontinent of bowel and bladder. […]

• Immediate jeopardy, isolatedF610Aug 8, 2024

  Based on record review, and interviews for twelve of twenty-three residents (Residents #13, 14, 15, 12, 11, 1, 7, 10, 4, 9, 2, and 5) reviewed for allegations of abuse, the facility failed to provide evidence that allegations of abuse and/or neglect were thoroughly investigated and failed to ensure an accused staff member was immediately suspended pending investigation to ensure all residents were protected from potential abuse in accordance with facility policy. The failures resulted in a finding of Immediate Jeopardy. The findings include: 1. Resident #13's diagnoses included convulsions (rapid, involuntary muscle contractions and relaxations resulting in uncontrolled shaking and limb movement), weakness, and anxiety. […]

• Actual harm, isolatedF689May 6, 2025

  Based on clinical record reviews, facility documentation, facility policy, and interviews for one (1) of three (3) sampled residents (Resident #1) who were reviewed for falls, the facility failed to ensure Resident #1's bed was in the lowest position prior to leaving the room to minimize or prevent an injury. The findings include: Resident #1's diagnoses included cerebellar ataxia (loss of muscle coordination) and a history of falls. The Resident Care Plan dated 3/25/25 identified Resident #1 had a history of falls. […]

• Actual harm, isolatedF686May 16, 2023

  Based on clinical record reviews, observations, review of facility's documentation and interviews for two of four sampled resident (Resident #14 & #46) with facility acquired pressure ulcers, the facility failed to ensure interventions were consistently implemented to prevent the development and subsequent treatment of a pressure ulcer/injury by ensuring the residents' heels were off loaded per the plan of care and physician's orders. The findings include: 1. Resident #14's diagnoses included Alzheimer's disease, heart failure, disorders of plasma- protein metabolism, contracture (shortening and hardening of muscles and tendons or tissue leading to deformity or rigidity of joints) to right hip and knee, contracture to left hip and knee and poly-osteoarthritis. […]