Apple Rehab Middletown

In the surveyor’s words

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

• Actual harm, isolatedF692Jun 8, 2026

  Based on observations, review of the clinical record, facility policy and interviews for 3 of 6 sampled residents (Resident #'s 8, 18, and 62) reviewed for nutrition, the facility failed to complete nutritional assessments within the required time allotted parameters and additionally, for Resident #18 and Resident #62 failed to prevent a significant weight loss. The findings include: 1. Resident #18's diagnoses included type 2 diabetes, pressure ulcer of sacral region, and muscle weakness. The facility Nursing admission assessment dated [DATE] at 8:55 PM identified Resident #18 weighed 177 pounds, had adequate nutrition and hydration, and was at mild risk for skin breakdown with Moisture Associated Skin Damage (MASD) to the coccyx. […]

• No harm, potential for more than minimal, patternF921Jun 8, 2026

  Based on observations, interviews and review of facility policy for 3 of 3 units, the facility failed to provide a clean and homelike environment by ensuring bathroom fans were clean. The findings include:Observation of 20 out of 29 resident bathrooms on 6/1/26 at 10:15 AM identified ceiling vents exhibited a significant buildup of dust/debris . Observation and interview with the Director of Maintenance 6/2/26 at 11:10 am with the Director of Maintenance, identified a significant buildup of dust on the ceiling vents in 20 out of 29 resident bathrooms. The Director of Maintenance indicated that the bathroom vents are cleaned a couple times per year and that it was his responsibility. […]

• No harm, potential for more than minimal, patternF554Oct 7, 2024

  Based on clinical record reviews, observation, facility policy and interviews for 2 of 4 sampled residents (Resident #17 and Resident #52) reviewed for self-medication administration, the facility failed to ensure a medication self-administration assessment were completed according to policy for a resident receiving medication assisted therapy. The findings include: 1. Resident #17's diagnoses included opioids use and psychoactive substance abuse. The Self Administration of Medications assessment dated [DATE] identified Resident #17 wished to self-administer medications, was alert, oriented, able to name medication, dose, side effects, was physically able to open medications as packaged and drink water independently. […]

• No harm, potential for more than minimal, patternF684Oct 7, 2024

  Based on observations, clinical record reviews , facility policy and staff interviews for 1 resident reviewed for hospitalization ( Resident #6), the facility failed to ensure medication was available for the resident and for 3 of 3 residents reviewed for bathing( Residents #26, 27 and #52), the facility failed to ensure staff consistently provided evidence of the provision of showers, and for 1 resident ( Resident #215), reviewed for admission nursing assessment, the facility failed to ensure a body audit was completed on admission to ensure treatment orders were followed as prescribed by the physician and for 1 of 6 sampled residents (Resident #415) reviewed for medication administration, the facility failed to initiate a new treatment order per physician and for 1 of 2 residents (… […]

• No harm, potential for more than minimal, patternF925Oct 7, 2024

  Based on observations, review of facility documentation, and staff interviews, the facility failed to maintain the dry food storage to ensure the area was free from insects and failed to follow recommendations their pest control program. The findings include: The facility pest control log identified a service report by an outside pest control company dated 6/22/24 indicating one fly light was installed in the kitchen storage area. The service report also indicated, under a sanitation/housekeeping section, that bananas needed to be covered. A Pest Control Service Report dated 7/26/2024 indicated fruit flies were noted by a food cart in the hallway and that recommendations were to remove the carts from the hallway. […]