Apple Rehab Saybrook

1775 Boston Post Rd · Old Saybrook, CT · 06475 · 8603996216

120 certified beds For profit - Corporation Chain: Apple Rehab

  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 46
Serious harm & abuse 20% 94
Staffing 20% 71
Federal penalties 15% 100
Trend 10% 63
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.373.48 min · 4.1 strong
RN hours / resident-day0.750.55–0.75
Weekend hours / resident-day2.97≈ weekday level
Nursing turnover / year29%median 45%
Fines (3-yr window)none

Inspection citations (50 in the current record)

  • Potential for harm · D January 7, 2026 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected February 16, 2026 · Resident Rights

  • Potential for harm · D January 7, 2026 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 16, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 7, 2026 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected February 16, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 7, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 16, 2026 · Quality of Life and Care

  • Potential for harm · D January 7, 2026 · found via complaint

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected February 16, 2026 · Pharmacy Service

  • Potential for harm · D July 22, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected August 22, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 22, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected August 22, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 22, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected August 22, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E January 23, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected April 14, 2025 · Resident Rights

  • Potential for harm · E January 23, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected April 14, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E January 9, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected February 13, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E January 9, 2025

    Provide appropriate foot care.

    Corrected February 13, 2025 · Quality of Life and Care

  • Potential for harm · F January 9, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 13, 2025 · Infection Control

  • Potential for harm · E January 9, 2025

    Implement a program that monitors antibiotic use.

    Corrected February 13, 2025 · Infection Control

  • Potential for harm · E January 9, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected February 13, 2025 · Infection Control

  • No harm found · B January 9, 2025

    Ensure each resident receives an accurate assessment.

    Corrected February 13, 2025 · Resident Assessment and Care Planning

  • No harm found · B January 9, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 13, 2025 · Resident Assessment and Care Planning

  • No harm found · B January 9, 2025

    Observe each nurse aide's job performance and give regular training.

    Corrected February 13, 2025 · Nursing and Physician Services

  • No harm found · B January 9, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected February 13, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 2, 2023 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected December 14, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 2, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 14, 2023 · Quality of Life and Care

  • Potential for harm · D June 1, 2023 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 13, 2023 · Resident Rights

  • Potential for harm · D July 28, 2022

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected August 22, 2022 · Resident Rights

  • Potential for harm · D July 28, 2022

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected August 22, 2022 · Resident Rights

  • Potential for harm · D July 28, 2022

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected September 8, 2022 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 075070 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.