Home / Connecticut / Old Saybrook
Apple Rehab Saybrook
1775 Boston Post Rd, Old Saybrook, CT 06475 · Lower Ct River Vly County · (860) 399-6216
120 certified beds, about 63 residents a day · For profit - Corporation · Medicare and Medicaid since 1967
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 075070 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 9, 2025, inspectors cited 9 health deficiencies (the Connecticut average is 13.4, the national average 9.2).
Of 49 health citations since October 2019, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.12 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.68 of those hours.
30.8% of nursing staff left within the year CMS measured (Connecticut average 37.4%).
CMS links it to Apple Rehab, an affiliated group of 20 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1410/19
1407/22
211/23
901/25
201/25
307/25
501/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 49 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
22D
19E
1F
Potential for minimal harm
0A
6B
0C
January 7, 2026Complaint inspection · 5 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for one (1) of three (3) sampled residents (Residents #1) who exhibited behavioral symptoms, the facility failed to notify the provider of medication omissions when the antianxiety medication was not available therefore six (6) doses were omitted.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for one (1) of three (3) sampled residents (Resident #1) who had behavioral symptoms of restlessness and impulsiveness, the facility failed to ensure the plan of care was reviewed and revised to address the addition of an anti-psychotic medication when the medication was ordered.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for one (1) of three (3) sampled residents (Resident #1) who had a history of falls, the facility failed to ensure a Registered Nurse (RN) assessment was completed after three (3) of seven (7) falls and failed to ensure the resident was kept in place and not moved prior to the RN assessment.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for one (1) of three (3) sampled residents (Residents #1) who were reviewed for falls, the facility failed to ensure the resident was properly positioned in the tilt-in-space wheelchair and was not tilted back greater than forty-five (45) degrees which resulted in the resident getting out of the wheelchair unassisted and falling.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for one (1) of three (3) sampled residents (Resident #1) who were reviewed for the use of anti-psychotic medication, the facility failed to ensure targeted behavior monitoring was put into place upon the initiation of an anti-psychotic medication.
July 22, 2025Complaint inspection · 3 citations
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for one (1) of four (4) residents (Resident #2) reviewed for abuse, the facility failed to ensure the resident was free from mistreatment.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for one (1) of four (4) residents (Resident #2) reviewed for abuse, the facility failed to ensure staff acted on a report of a verbal threat timely, and failed to ensure the State Agency was notified timely after the facility was aware of an allegation.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for one (1) of four (4) residents (Resident #2) reviewed for abuse, the facility failed to ensure a verbal threat/allegation of mistreatment was investigated timely in accordance with facility policy.
January 23, 2025Complaint inspection · 2 citations
- E Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased 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.
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased 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.
January 9, 2025Standard inspection · 9 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased 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.
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observations, review of clinical records, review of facility documentation, review of facility policy/procedures and interviews for two sampled residents (Resident #24 and Resident #55) observed with medications at the bedside, the facility failed to ensure medications were administered as ordered and for one of three sampled residents (Resident #50) reviewed for choices, the facility failed to ensure medications were administered according to prescribed times.
- E Provide appropriate foot care.
Inspectors wroteBased on observations, clinical record review, review of facility documentation, review of facility policy, and interviews for one sampled resident (Resident #53) reviewed for foot care, the facility failed to ensure the resident was seen by a podiatrist.
- E Implement a program that monitors antibiotic use.
Inspectors wroteBased on review of facility documentation, facility policy and interviews, during a review of the facility antibiotic stewardship program, the facility failed to ensure that the facility's antibiotic surveillance tracking report of antibiotic use, patterns and resistant trends was completed and reviewed at the quarterly medical staff meetings for a multidisciplinary collaboration.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on review of clinical records, review of facility policy, review of facility documentation, and interviews for two of five sampled residents (Resident #20, and Resident #55) reviewed for immunizations, the facility failed to offer and/or assess for pneumococcal immunizations upon admission and when offered the pneumococcal vaccine the facility failed to administer the vaccine as requested.
- B Ensure each resident receives an accurate assessment.
Inspectors wroteBased on review of the clinical records, review of facility policy, and interviews for two sampled residents (Resident #5, and #17) who had annual MDS assessments, the facility failed to ensure the assessments were completed.
- B Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on review of the clinical record, review of facility policy, and interviews for one sample resident (Resident #53) reviewed for foot care, the facility failed to ensure the care plan was comprehensive and did not indicate resolved problems.
- B Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on review of facility documentation, review of facility policy and interviews for 2 of 3 nurses' aides reviewed (NA #4 & NA #9) the facility failed to ensure annual performance reviews were completed, the
- B Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of clinical records, review of facility documentation, review of facility policy and interviews for two of five sampled residents (Resident #20 and Resident #53) reviewed for immunizations, the facility failed to ensure the resident's completed and signed vaccination consent forms were included in the medical records.
November 2, 2023Complaint inspection · 2 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for one (1) of three (3) residents,(Resident #1), reviewed for allegations of neglect, the facility failed to report of an allegation of neglect timely.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 3 of 3 residents (Resident #1, #2 and #3) reviewed for incontinence, the facility failed to complete Braden scales per facility policy.
July 28, 2022Standard inspection · 14 citations
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews, review of facility documentation, and facility policy during a review of the environment, the facility failed to ensure fire and egress door alarms were audible and responded to timely, and the facility failed to ensure the environment was safe, secure and free from potential access to hazardous materials and equipment.
- E Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on clinical record review, review of facility policy, and interviews, for 1 of 5 residents (Resident #8) reviewed for unnecessary medications, the facility failed to ensure that fluid intake was monitored for a resident on a fluid restriction and that daily weights were obtained per the physician's order, and for 1 of 3 residents (Resident #50) reviewed for nutrition, the facility failed to ensure a reweight was obtained for a 5 pound weight change.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews, and facility policy review, the facility failed to ensure that the cooking appliances, including the stove hood, flat top grill and ovens in the food preparation area, were clean and free of debris and failed to ensure clean beverage distribution during a mealtime.
- E Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteBased on interviews during a review of the infection control task, the facility failed to identify at least one person who is designated as responsible for the facility's Infection Prevention and Control Program.
- E Report COVID19 data to residents and families.
Inspectors wroteBased on review of facility documentation and interviews during a review of the Infection Prevention Program, the facility failed to notify residents, their representatives, and families of a COVID-19 outbreak per the requirement.
- D Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on review of the clinical record and interviews for one of three residents (Resident #35) reviewed for abuse, the facility failed to ensure a personal property inventory was completed upon admission.
- D 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.
Inspectors wroteBased on review of the clinical record, interviews, and review of facility policy for three of seven residents reviewed for advance directives (Resident #20, #35, and #50) the facility failed to ensure advance directive education, consents, and orders were appropriately addressed.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased upon record review, review of facility policy, review of facility documentation, and interviews, for one of three residents reviewed for abuse (Resident #55) the facility failed to notify the State health agency of an injury of unknown origin within the required time frame.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, and interviews for the only sampled resident (Resident #25) reviewed for positioning, for the only sampled resident (Resident #48) reviewed for pressure ulcers, and for the only sampled resident (Resident #54) reviewed for abnormal vital signs, the facility failed to ensure implementation of practitioner's orders for Resident #25 and Resident #54 and failed to ensure weekly body audit assessments were completed for Resident #48.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on clinical record review, and interview for the only sampled resident (Resident #54) reviewed for oxygen therapy, the facility failed to ensure that the resident's oxygen tubing was changed timely per the physician's order and facility policy.
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on clinical record review, observations, and interviews for one of two units reviewed for dining, for Resident #29, the facility failed to accommodate a food preference.
- D Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteResident #13 FTag Initiation Based on review of the clinical record, facility policy, observations, and interviews for one of two units reviewed for dining, for Resident #13, the facility failed to provide the required adaptive dining equipment.
- B Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on clinical record review, observation, facility policy review, and interviews for one sampled resident (Resident #48) reviewed for pressure ulcers, the facility failed to ensure the clinical record was complete and accurate to include documentation related to skin integrity.
- B Provide and implement an infection prevention and control program.
Inspectors wroteBased on clinical record review, observation, facility policy review, and interviews for one sampled resident (Resident # 48) reviewed for pressure ulcers, the facility failed to ensure appropriate hand hygiene practices were maintained while providing wound/dressing care.
October 31, 2019Standard inspection · 14 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on a review of clinical records, review of facility documentation, and interviews, for one of three sampled residents (Resident #64) who were reviewed for falls, the facility failed to ensure that the resident was provided with adequate assistance during ambulation in accordance with the plan of care and sustained a fall resulting in a fracture.
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on review of facility documentation, facility policy and interviews, the facility failed to act promptly, including providing a resolution, to concerns and grievances raised during the resident council meetings.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews, for 6 of 7 residents (Resident #8, 25, 30, 38, 41, and 56) who were dependent on staff for care, the facility failed to follow the plan of care regarding ADL's.
- E Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on review of the clinical record, facility documentation, and interviews for 1 of 2 residents (Resident #8) reviewed for vision and audiology, the facility failed to provide routine vision, audiology, and podiatry services.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews, for 6 of 7 residents (Resident #8, 25, 30, 38, 41, and 56) who were dependent on staff for care, the facility failed to ensure sufficient staff to meet the needs of the residents according to the plan of care.
- E Provide or obtain dental services for each resident.
Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy and interview for 2 (Resident #4 and 8) reviewed for dental services, the facility failed to ensure dental services were provided in a timely manner.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, review of facility documentation, facility policies and staff interviews, the facility failed to store food and/or remove expired food items according to professional standards.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and review of facility documentation and interview with the Director of Maintenance the facility failed to ensure that a water management plan was in place to Reduce Legionella Risk in the Healthcare Facility Water Systems to Prevent Cases and Outbreaks of Legionnaires' Disease (LD) as required by 42 CFR §483.80 for skilled nursing facilities. On 10/29/19 at 10:30 AM, the surveyor was provided with documentation by the Director of Maintenance to indicate the facility had a comprehensive water management plan in place as required. However, the facility failed to follow recommendations made in the plan to eliminate identified dead ends in the water system. The facility also did not supply documentation that the water was ran in the identified areas in the water system. [...]
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for 2 of 5 residents (Resident #46 and 58) reviewed for immunizations, the facility failed to ensure that the residents pneumococcal vaccination history was complete and that pneumococcal vaccinations were offered and administered per facility policy.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy, and interviews for 1 resident (Resident #278) reviewed for rehabilitation, the facility failed to ensure a functional maintenance program was followed according to the plan of care.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, review of the clinical record, facility documentation, and interviews for 1 resident (Resident #279) reviewed for respiratory care, the facility failed to ensure a newly admitted resident was assessed and monitored by nursing and by the physician for 2 days after admission, and failed to document care according to physician's orders. Hospital documentation dated 10/27/19 identified that Resident #279 had been admitted to the hospital for 7 days with a respiratory infection. Resident #279 was admitted to the facility on [DATE] with diagnoses that included acute on chronic respiratory failure with hypoxia. An APRN order dated 10/27/19 directed to check the resident's bowel sounds each shift, to check vital signs every shift for 3 days, to obtain an admission height and weight, and to monitor intake and output for 72 hours. [...]
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observation, review of the clinical record, facility documentation, and interviews for 1 resident (Resident #2) reviewed for range of motion, the facility failed to provide care according to professional standards to re-evaluate a splint, used to treat a contracture, after the resident's continuous refusals.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and staff interviews for 1 resident (Resident #61) reviewed for medication errors, the facility failed to ensure a resident was free from a significant medication error.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, review of the clinical record and staff interviews for 1 resident (Resident #328), reviewed for medication storage, the facility failed to ensure a medication was stored in an appropriate container with approved labeling according to current acceptable professional standards.
Fire safety inspections
23 fire safety citations on file: 8 on January 9, 2025, 11 on July 28, 2022, 4 on October 31, 2019.
Every fire safety citation23 citations
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Establish staff and initial training requirements.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Provide a written emergency evacuation plan.
- D Have simulated fire drills held at unexpected times.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Ensure proper usage of power strips and extension cords.
- F Establish staff and initial training requirements.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Properly provide smoke detection systems in areas open to corridors.
- F Provide a written emergency evacuation plan.
- F Have simulated fire drills held at unexpected times.
- F Meet requirements for the installation and maintenance of electrical systems.
- E Install corridor and hallway doors that block smoke.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Provide properly protected cooking facilities.
- D Install an approved automatic sprinkler system.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Connecticut | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.12 | 3.73 | 3.86 |
| Registered nurses | 0.68 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.84 | 3.37 | 3.42 |
| Nurse aides | 2.07 | ||
| Licensed practical nurses | 0.38 | ||
| Nursing staff turnover (share who left in a year) | 30.8% | 37.4% | 45.8% |
| Registered nurse turnover | 33.3% | 38.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.57 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.24 on weekdays and 2.84 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.06 in April to June 2025 to 3.12 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.12 | 0.68 | 3.24 | 2.84 | 0.4% | 0 of 90 | 63 |
| Oct to Dec 2025 | 3.37 | 0.75 | 3.52 | 2.97 | 0.4% | 0 of 92 | 61 |
| Jul to Sep 2025 | 3.02 | 0.71 | 3.16 | 2.67 | 1.4% | 0 of 92 | 63 |
| Apr to Jun 2025 | 3.06 | 0.81 | 3.17 | 2.80 | 0.0% | 0 of 91 | 63 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Connecticut, Jan to Mar 2026 | 3.66 | 0.61 | 3.80 | 3.31 | 6.0% | 1.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Connecticut | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.9 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.7 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.8 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.3 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.5 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.1 | 16.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.0 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.0 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.1 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.8 | 10.8 | 12.0 |
Owners and operators
Legal business name: SAYBROOK HEALTH CARE CENTER, INC.. CMS links this home to Apple Rehab, a group of 20 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Foley, Brian | 5% or greater direct ownership interest | Individual | 100% | 09/09/2009 |
| Singh, Devika | W-2 managing employee | Individual | 09/10/2018 | |
| Foley, Brian | Corporate director | Individual | 09/09/2009 | |
| Vess, Ryan | Corporate director | Individual | 03/15/2013 | |
| Vess, Ryan | Corporate officer | Individual | 03/15/2013 | |
| Vess, Ryan | Operational/managerial control | Individual | 03/15/2013 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 14 problems in this area, most recently on January 7, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on January 7, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 8 problems in this area, most recently on January 9, 2025: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on January 7, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.84 hours per resident per day, below the Connecticut average of 3.37.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Gladeview Health Care Center Old Saybrook, 1.2 mi · 3 of 5 stars · 40 citations
- Essex Meadows Health Center Essex, 3 mi · 5 of 5 stars · 17 citations
- Bride Brook Rehabilitation & Nursing Center Niantic, 7 mi · 5 of 5 stars · 11 citations
- Aaron Manor Nursing & Rehabilitation Chester, 8.6 mi · 2 of 5 stars · 34 citations
- Civita Care Bayview Waterford, 11.1 mi · 1 of 5 stars · 44 citations
- Peconic Landing at Southhold Greenport, 12.5 mi · 5 of 5 stars · 8 citations
- Chestelm Health and Rehabilitation Center Moodus, 13.3 mi · 5 of 5 stars · 13 citations
- New London Sub-Acute and Nursing Waterford, 13.3 mi · 1 of 5 stars · 82 citations
Connecticut contacts for a concern about a nursing home
These are the official offices in Connecticut. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Connecticut Department of Public Health, Facility Licensing and Investigations Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Connecticut Long Term Care Ombudsman Program, 860-424-5200. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Connecticut DPH Nursing Home Site, survey findings by facility, where Connecticut publishes its own records on licensed homes.
Common questions
- What is Apple Rehab Saybrook's Medicare star rating?
- CMS rates Apple Rehab Saybrook 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Apple Rehab Saybrook get at its last inspection?
- 9 health deficiencies at the standard inspection on January 9, 2025. The Connecticut average is 13.4.
- Has Apple Rehab Saybrook been fined?
- CMS lists no fines in the last three years.
- Does Apple Rehab Saybrook accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Apple Rehab Saybrook?
- CMS lists 6 owners and managers, and links the home to Apple Rehab. Legal business name: SAYBROOK HEALTH CARE CENTER, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.