Apple Rehab Saybrook

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Jan 9, 2025

  Based on review of facility documentation, review of facility policies and procedures, and interviews, the facility failed to ensure that the infection prevention control program policies and procedures were reviewed annually, the facility failed to ensure that environmental rounds were conducted/completed quarterly, the facility failed to ensure Infection Control Surveillance data collection reports, analysis of infection trends within the facility were completed monthly, along with quarterly reports, and the facility failed to ensure documentation of quarterly water management plan meetings were conducted. The findings include: 1. […]

• No harm, potential for more than minimal, patternF572Jul 17, 2026

  Based on observations, interviews, and reviews of the clinical record and policy for 7 of 13 sampled residents (Resident #12, #17, #20, #31, #35, #49, and #56) reviewed during a Resident Council meeting, the facility failed to notify residents of their rights upon admission to the facility. The findings include:Resident #12's diagnoses included mild cognitive disorder, major depressive disorder, and anxiety. A Brief Interview of Mental Status dated 5/14/26 for Resident #12 identified a score of 14 indicating he/she was cognitively intact. Resident #17's diagnoses included atrial fibrillation, hypothyroidism, and anxiety disorder. A Brief Interview of Mental Status dated 6/16/26 for Resident #17 identified a score of 15 indicating he/she was cognitively intact. […]

• No harm, potential for more than minimal, patternF584Jul 17, 2026

  Based on observations, review of the clinical record, facility documentation, facility policy and interviews for 2 of 2 sampled residents (Resident #24 and 32) observed during the initial facility tour, for residents on the East Unit dining room observed during dining, and for 11 of 16 rooms observed for the environment, the facility failed to provide a homelike environment. The findings include:1. Resident #24's diagnoses included non-traumatic brain dysfunction and Alzheimer's disease.The quarterly Minimum Data Set assessment dated [DATE] identified Resident #24 had a Brief Interview for Mental Status score of 0 indicating severe cognitive impairment and was dependent on staff for all activities of daily living including bed mobility, transfers, eating, incontinent care, oral hygiene,… […]

• No harm, potential for more than minimal, patternF580Jan 23, 2025

  Based on review of the clinical record, facility documentation, facility policy and interviews for three (3) of three (3) residents (Residents #1, #2 and #3) reviewed for medication administration, the facility failed to notify the Nurse Practitioner (NP) timely of medication omissions. The findings include: 1. Resident #3 was admitted to the facility on [DATE] with diagnoses including a fracture of the left femur and hypothyroidism. The Resident Care Plan (RCP) dated 1/8/25 identified that Resident #3 required staff assistance with Activities of Daily Living (ADLs) related to impaired mobility with interventions included to provide staff assistance as needed. […]

• No harm, potential for more than minimal, patternF842Jan 23, 2025

  Based on review of the clinical record, facility documentation, facility policy and interviews for three (3) of three (3) residents (Residents #8, #9 and #10) reviewed for showering, the facility failed to ensure Nurse Aide (NA) documentation was complete in the clinical record and for Resident #7 failed to retain medical records within the facility per policy. The findings include: 1. Resident #8's diagnoses included dementia with behavioral disturbances, urinary tract infection and anxiety disorder. The annual Minimum Data Set (MDS) assessment dated [DATE] identified Resident #8 had a Brief Mental Interview for Mental Status (BIMS) of four (4) indicative of severely impaired cognition and was dependent on staff for showering/bathing. […]