Apple Rehab Farmington Valley

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Mar 8, 2023

  Based on tour of the Dietary Department and staff interview, the facility failed to ensure the kitchen and equipment was maintained in a sanitary manner. The findings include: Tour of the Dietary Department on 3/1/23 at 10:30 AM with the Dietary Manager identified the following: a. The window sill above the 3 bay pot sink was noted to have a heavy accumulation of black crumb like material. The 2 water faucets of the 3 bay sink were in the off position, but dripping water. b. The wall tile below the airconditioner was noted with a heavy accumulation of dirt, drip marks, and grime. c. The kitchen floor was covered with debris, the tile coving perimeter around the entire kitchen was noted with a heavy accumulation of dust, grime and debris. d. […]

• No harm, potential for more than minimal, patternF606Jun 3, 2025

  Based on facility documentation, facility policy and interviews for 4 of 5 employee files (Registered Nurse (RN) #4, RN #5, Nurse Aide (NA) #1 and NA #5) reviewed, the facility failed to ensure pre-employment references were obtained per facility policy. The findings include: 1. RN #4's date of hire was 5/8/25. No pre-employment references were identified in the employee's personnel file. Although requested, the facility could not provide pre-employment references for RN #4. 2. RN #5's date of hire was 11/1/23. No pre-employment references were identified in the employee's personnel file. Although requested, the facility could not provide pre-employment references for RN #5. 3. NA #1's date of hire was 12/2/24. […]

• No harm, potential for more than minimal, patternF812Jun 3, 2025

  Based on the tour of the Nourishment Rooms and staff interviews, the facility failed to ensure 1of 2 ice machines (West Wing) were clean and sanitary. The findings included: On 6/2/25 at 9:50 AM a tour of the Nourishment Rooms with the Dietary Director identified that the ice machine in the [NAME] Wing nourishment room was unclean, and had a black substance around the drain spout, around the drip tray and along the front side of the machine. On 6/2/25 at 10:05 AM an interview with the Maintenance Director identified a company provided services to clean the ice machine on the [NAME] Wing which was last serviced in April 2025. […]

• No harm, potential for more than minimal, patternF804Nov 14, 2024

  Based on clinical record reviews, facility documentation, facility policies and interviews for one (1) of three (3) sampled residents (Resident #1) who were reviewed for accidents, the facility failed to monitor the temperature of a hot water source prior to serving the resident a hot beverage resulting in the resident sustaining second degree burns after spilling the hot beverage on him/herself. The finding includes: Resident #1's diagnoses included dementia and type 2 diabetes mellitus. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #1 had a BIMS of ten (10) indicating some memory recall deficits and was independent with eating after set-up. […]

• No harm, potential for more than minimal, patternF726Sep 5, 2023

  Based on review of facility documentation, facility policy, and interviews for four (4) of four (4) staff (RN #1, LPN #1, LPN #2 and LPN #3) reviewed for competencies, the facility failed to complete and document new hires completed orientation checklist and competencies. The findings include: 1. RN #1 was hired to the facility on [DATE] and was currently in orientation. Review of RN #1's employee file failed to identify an orientation checklist and competencies in process. 2. LPN #1 was hired to the facility on [DATE] and was currently off orientation and working independently. Review of LPN #1's employee file failed to identify a completed orientation checklist and competencies. […]