Apple Rehab Cromwell

In the surveyor’s words

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

• Actual harm, isolatedF689Jan 6, 2025

  Based on clinical record reviews, facility documentation, facility policies and interviews for one (1) of three (3) sampled residents (Resident #1) who was dependent on staff for personal hygiene and incontinent care, the facility failed to follow the physician's orders for two (2) staff to assist the resident when being turned from side to side during care which resulted in a fall off the bed and the resident sustaining a laceration to the head. The findings include: Resident #1's diagnoses included hemiplegia and hemiparesis affecting the right side after a stroke, atrial fibrillation, morbid obesity, aphasia, and anxiety. […]

• Actual harm, isolatedF689Apr 9, 2024

  Based on observation, clinical record review, review of facility policy, and interview for the only sampled resident (Resident #71) reviewed for a death record, the facility failed to ensure that liquids were not accessible to a resident who was on aspiration (choking) precautions. The findings include: Resident #71's diagnoses included cerebrovascular accident (stroke) with left sided paralysis, Barrett's esophagus (narrowed esophagus), and dysphagia (difficulty swallowing). The Nursing Admission assessment dated [DATE] identified Resident #71 was cognitively impaired, dependent on staff for eating, and required the assistance of 2 staff for bed mobility and transfers. […]

• Actual harm, isolatedF689Jan 10, 2022

  Based on review of the clinical, review of facility documentation, review of facility policy and interviews for one sampled resident (Resident #1) reviewed for accidents, the facility failed to provide adequate supervision during the provision of personal care resulting in fall with injuries. The findings include: Resident #1's diagnoses include dementia, [CONDITION(S)], anxiety disorder, depression, [CONDITION(S)], [CONDITION(S)] and spinal stenosis. A quarterly MDS assessment dated [DATE] identified Resident #1 had severe cognitive impairment, required extensive assistance of one for bed mobility, dressing, toilet use and personal hygiene. The assessment further identified that the resident had not history of falls in the past three months. […]

• Actual harm, isolatedF689Oct 18, 2021

  Based on clinical record reviews, review of facility documentation and interviews for one sampled resident (Resident #1) who was reviewed for a self-inflicted injury, the facility failed to ensure a sharp tool was secured and not easily accessible to a resident to prevent an injury. The findings include: Resident #1's diagnoses included [CONDITION(S)] of left upper limb, depression and heart failure. A physician's order dated 9/18/21 directed to monitor Resident #1 for [CONDITION(S)] behaviors which included itching, picking at skin, restlessness, hitting, stealing, delusions, hallucinations, [CONDITION(S)], aggression and refusing care. […]

• No harm, potential for more than minimal, patternF880Dec 4, 2025

  Based on observations, interviews, review of clinical records, facility documentation, and facility policy for 3 of 5 sampled residents (Resident #11, #48, and #71) reviewed for infection control practices, the facility failed to ensure appropriate Personal Protective Equipment (PPE) was worn, and during a review of the water management plan, failed to follow consultant recommendations following positive Legionella testing. The findings include: 1. Resident #11's diagnosis included moderate dementia with mood disturbance, weakness, and pressure ulcer of sacral region stage 3. […]