Apple Rehab West Haven

In the surveyor’s words

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

• Immediate jeopardy, widespreadF689Aug 20, 2025

  Number of residents sampled:0Number of residents cited:0 Based on observations, reviews of facility documents, and staff interviews, the facility failed to ensure that staff responsible for maintaining water temperatures were knowledgeable regarding acceptable hot water temperature ranges to ensure residents were free from potential burns. The facility failed to ensure water temperatures were monitored in residents' rooms / bathrooms prevent potential scalding of residents resulting in a finding of Immediate Jeopardy. The findings include: An observation on 8/7/2025 at 9:00 AM of the water temperature checked at the bathroom faucet shared by Residents #1 and #31 rooms initially read 130 degrees Fahrenheit(F) (Normal Range 110 to 120) then dropped down to 128 degrees F. […]

• Actual harm, isolatedF600Oct 20, 2021

  Based on clinical record reviews, facility documentation, facility policy, and interviews for two of three residents (Resident # 6 ) reviewed for abuse, the facility failed to ensure a resident with known psychosocial behaviors was free from physical mistreatment which resulted in injury following an alleged staff to resident incident and for ( Resident # 123) the facility failed to ensure the resident was free from verbal and physical abuse. The findings included: 1.Resident #6 was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The annual Minimum Data Set (MDS) assessment dated [DATE] identified Resident #6 was without cognitive impairment and was independent with locomotion on and off the unit with the utilization of a wheelchair. […]

• No harm, potential for more than minimal, widespreadF835Aug 20, 2025

  Based on a review of the facility water management program, review of policy and interviews, the facility failed to ensure a policy and procedure for monitoring water temperatures to ensure temperatures are in acceptable ranges and process to follow with temperatures are out of range. The findings included: An observation on 8/7/2025 at 9:00 AM during checking water temperature in the bathroom faucet shared by Residents #1 and #31 initially read 130 degrees Fahrenheit(F) then down to 128 degrees F. The administrator on the unit was asked to observe the temperature reading, finding the water temperature at the resident sink to be 128/127 degrees F and it felt hot to touch. After surveyor inquiry, the Administrator indicated s/he would inform Maintenance Director #1 immediately. […]

• No harm, potential for more than minimal, patternF711Apr 28, 2026

  Based on clinical record review, facility documentation review, and interviews for three of three residents (Resident #1, #4 and #5) reviewed for quality of care, the facility failed to ensure the physician/designee orders were reviewed and renewed at least once every 60 days. The findings included: Resident #1's diagnoses included dementia, and delusional disorders. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified that Resident #1 had a Brief Interview for Mental Status (BIMS) score of twelve out of fifteen, indicative of moderate cognitive impairment and required assistance with ADLs and ambulated independently. The Resident Care Plan (RCP) dated 12/18/2025 identified and alteration in ADL function. Interventions directed to assist as needed. […]

• No harm, potential for more than minimal, patternF606Aug 20, 2025

  Based on clinical record review and staff interviews for 1 of 3 employee files reviewed for Nurse Aide (NA # 8), the facility failed to conduct a thorough investigation on the history of prospective staff, including required background checks, prior to the hire date. The findings include: On 8/14/2025 at 12:55 PM, an interview and review of employee files with the Human Resources Director identified NA#8 was hired on 4/12/2024. She was certified as a nursing aide since 3/07/2023. Although NA#8's employee file contained signed employee consents for background checks, the file did not contain documentation of a completed state or federal background check, including fingerprint-based screening through the Applicant Background Check Management System (ABCMS). […]