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Home / Connecticut / Shelton

Apple Rehab Shelton Lakes

5 Lake Road, Shelton, CT 06484 · Greater Bridgeport County · (203) 924-2635

106 certified beds, about 100 residents a day · For profit - Corporation · Medicare and Medicaid since 1982

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
1 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 075300 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 9, 2024, inspectors cited 7 health deficiencies (the Connecticut average is 13.4, the national average 9.2).

None of its 50 health citations since November 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.53 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.

34.4% 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.

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 50 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
35D
12E
0F
Potential for minimal harm
0A
3B
0C
May 20, 2026Complaint inspection · 2 citations
  1. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #1) reviewed for discharge, the facility failed to maintain resident privacy when they discharged a resident with his/her roommate's medication labeled with the resident name and drug name.
  2. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #1) reviewed for discharge, the facility failed to ensure the resident medications were reviewed prior to discharge to ensure the correct medications were sent with the resident upon discharge to the community to prevent a medication error.
December 10, 2025Complaint inspection · 1 citation
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 31, 2025
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for one resident (Resident #1) reviewed for ADLs, the facility failed to ensure a resident that required assistance with showers was offered or provided showers at least once a week in accordance with the plan of care.
September 2, 2025Complaint inspection · 1 citation
  1. D
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    F553 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 14, 2025
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #2) reviewed for change in condition, the facility failed to facilitate the inclusion of the resident and/or resident representative in the development and implementation of his or her person-centered plan of care.
December 9, 2024Standard inspection, Complaint inspection · 10 citations
  1. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 28, 2024 · disputed by the home (informal dispute resolution)
    Inspectors wroteBased on observations of the environment, review of facility policy and interviews, the facility failed to maintain a safe, clean homelike environment.
  2. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 28, 2024
    Inspectors wroteBased on clinical record review and staff interviews for 1 sampled resident (Resident #23) reviewed for edema, the facility failed to consistently conduct weights according to physician orders.
  3. E
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 28, 2024
    Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for 5 of 5 sampled residents (Residents #16, #18, #23, #76 and #83) reviewed for quality of care, the facility failed to ensure residents receive proper treatement to maintain adequate hearing.
  4. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 28, 2024
    Inspectors wroteBased on observations, review of facility policy and staff interviews, the facility failed to ensure Intravenous Therapy (IV) supplies located in the medication storage room and the central supply were stored and labeled appropriately and the facility failed to ensure supplies were not expired. The facility also failed to ensure left over resident supplies were returned to the pharmacy after therapy completion, discharge, or transfer from facility.
  5. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 28, 2024
    Inspectors wroteBased on observations of the kitchen steam table during the noon meal, review of facility policy and staff interviews, the facility failed to ensure dietary staff served food in a sanitary manner and the facility failed to ensure that food items were labeled with a date and dented cans in the dry storage room were removed.
  6. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 28, 2024
    Inspectors wroteBased on observations, clinical record reviews, facility documentation, facility policy and interviews for of 2 of 4 sampled residents (Resident #28 and Resident #32) reviewed for urinary catheter/urinary tract infection, the facility failed to ensure infection control standards were implemented in the management of a urinary catheter device and for 2 of 2 resident reviewed for Infection Control ( Resident # 71 and # 153), the facility failed to post signage to alert staff of the need for Personal Protective Equipment and ensure supplies were readily available for residents with infectious and consistently track/monitor residents with infections and for 1 of 3 residents (Resident # 2) reviewed for pressure ulcer, the facility failed to follow appropriate infection control practices.
  7. E
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 28, 2024 · disputed by the home (informal dispute resolution)
    Inspectors wroteBased on observation, review of facility documents and staff interviews, the facility failed to ensure the call bell system on the rehabilitation wing was functioning properly and relayed calls directly to the centralized nursing station.
  8. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 28, 2024 · disputed by the home (informal dispute resolution)
    Inspectors wroteBased on clinical record reviews, observations, facility documentation, facility policy and interviews for 2 of 3 sampled residents (Resident #28 and Resident #32) reviewed for resident rights, the facility failed to ensure a resident(s) with a urinary collection device was treated in a dignified manner.
  9. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 28, 2024
    Inspectors wroteBased on clinical record reviews, review of facility policy, and interviews for 1 of 1 resident reviewed for Hospice/ End of Life ( Resident #154), the facility failed to ensure the care plan was revised when the resident elected Hospice/ End of Life services.
  10. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 28, 2024
    Inspectors wroteBased on review of the clinical record, review of facility policy and staff interviews for 1 of 3 residents ( Resident #13) reviewed for Nutrition, the facility failed to ensure re-weights were obtained when the resident was noted with a 5-pound discrepancy in accordance to facility policy.
November 6, 2024Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 27, 2024
    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 accidents, the facility failed to ensure appropriate interventions were implemented for a resident at risk for falls when the resident made multiple attempts to get up from the chair without assistance which resulted in a fall.
May 6, 2024Complaint inspection · 3 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 17, 2024
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for one (1) of two (2) residents, (Resident #2), reviewed for medication administration, the facility failed to notify the physician when medications were unavailable for administration.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 17, 2024
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for one (1) of two (2) residents, (Resident #2), reviewed medication administration, the facility failed to ensure medications were administered in accordance with physician orders, and for one (1) of four (4) residents, (Resident #3), reviewed for elopement the facility failed to accurately complete an elopement risk assessment, obtain a physician's order for an elopement safety device, and to monitor an elopement safety device in accordance with facility policy.
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 17, 2024
    Inspectors wroteBased on clinical record review, observations, facility documentation, facility policy, and interviews for one (1) of three (3) residents, (Resident #3), reviewed for elopement, the facility failed to prevent a resident with a history of wandering from leaving the facility unattended.
September 15, 2022Standard inspection · 17 citations
  1. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 7, 2022
    Inspectors wroteBased on observations, review of clinical records, facility documentation, facility policy, and interviews for 3 of 3 residents (Resident #31, #75, and #198) reviewed for Medication Administration, the facility failed to ensure medication were given in a timely manner per physician ' s orders.
  2. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 7, 2022
    Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy, and interviews for 3 residents (Residents #2, #31, and #75) reviewed for respiratory care and for (Resident #31 and #75), the facility failed to change the resident's oxygen tubing, nebulizer tubing, and nebulizer mask within accordance to facility policy, and failed to obtain a physician's order for oxygen and nebulizer care and for (Resident #2), the facility failed to obtain a physician's order prior to administering oxygen therapy.
  3. E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 7, 2022
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 resident reviewed for specialized treatment (Resident #67), the facility failed to ensure fluid intake and output was consistently monitored for a resident on a fluid restriction who received specialized services.
  4. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 7, 2022
    Inspectors wroteBased on review of facility documentation, facility assessment, and interviews, the facility failed to ensure that staffing levels were adequate for (95) residents on 4 units within accordance with the plan of care.
  5. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 7, 2022
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 5 residents (Resident #63) reviewed for unnecessary medications, the facility failed to respond to pharmacy irregularities.
  6. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 resident (Resident #67) reviewed for abuse, the facility failed to ensure a resident was free from verbal mistreatment.
  7. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 2 residents (Resident #5) reviewed for abuse, the facility failed to report an allegation of verbal mistreatment to the overseeing state agency within required time frames.
  8. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022
    Inspectors wroteBased on clinical record review, review of facility documentation, review of facility policy and interviews for one of three residents, (Resident #40), reviewed for accidents, the facility failed to ensure care was provided safely after a fall with injury and for one of four sampled residents (Resident #41) who required assistance with meal set-up or supervision, the facility failed to ensure the resident was not able to access the meal tray prior to being provided with set up assistance.
  9. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022
    Inspectors wroteBased on review of the clinical record, observation, facility policy, and interviews for 1 resident (Resident #73) reviewed for urinary catheter or UTI, the facility failed to ensure a urinary catheter tubing was free of obstruction to facilitate the resident's urine flow.
  10. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022
    Inspectors wroteBased on clinical record review, review of facility policy and interviews for 1 resident, (Resident #27) reviewed for pressure wounds, the facility failed to complete weekly weights as ordered and to have the dietician address a significant weight loss timely.
  11. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022
    Inspectors wroteBased on clinical record review, review of facility documentation, facility policy review and interview for one resident (Resident #348) reviewed for Intravenous (IV) therapy, the facility failed to ensure the parenteral fluid was administered consistently with professional standard of practice.
  12. D
    Ensure that the resident and his/her doctor meet face-to-face at all required visits.
    F712 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022
    Inspectors wroteBased on clinical record review, review of policy and staff interviews for1 resident, (Resident #80) reviewed for rehabilitation services, the facility failed to ensure the resident was evaluated by a physician every 60 days.
  13. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022
    Inspectors wroteBased on observations, review of clinical records, facility policy, and interviews for 2 of 3 Residents (Resident #31 and #75) reviewed for Medication Administration, the facility to ensure medications were administered within accordance to physician ' s orders and professional standards to ensure the facility had a medication error rate less than 5%.
  14. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022
    Inspectors wroteBased on observation, review of the clinical record, facility, facility policy and interviews for 1 of 2 medication carts, the facility failed to ensure that insulins vials were labeled with residents name and dated when opened and inhalers were dated when opened.
  15. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022
    Inspectors wroteBased on clinical record reviews, review of facility policy and interview for 2 residents (Resident #2 and # 73), the facility failed to ensure the resident's medical record was complete.
  16. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022
    Inspectors wroteBased on observations, facility documentation, facility policy, and interviews, reviewed for infection control, the facility failed to ensure staff followed the facility employee handbook regarding hand/nail hygiene.
  17. B
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) October 7, 2022
    Inspectors wroteBased on clinical record reviews, facility documentation, facility policy, and interviews for 3 residents (Residents #18, #73, and #87) reviewed for hospitalization, the facility failed to ensure the Office of the State Long-Term Care Ombudsman was notified when the resident was transferred and admitted to the hospital.
November 21, 2019Standard inspection · 15 citations
  1. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2020
    Inspectors wroteBased on observations, review of facility policy, and interviews, for seven of fifteen sampled resident rooms (Resident #'s 15, 40, 46, 60, 63, 69, and 83) reviewed for the environment, the facility failed to ensure appropriate storage of resident care equipment.
  2. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2020
    Inspectors wroteBased on clinical record review, review of facility documentation, review of facility policy, and interviews, for two of five sampled residents (Resident #64 and Resident #91) reviewed for Preadmission Screening and Resident Review (PASRR), the facility failed to ensure completion of PASRR recommendations.
  3. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2020
    Inspectors wroteBased on observation, review of the clinical record, interviews, and review of facility policy, for one of eight residents reviewed for Dining, (Resident #303), the facility failed to provide supervision with meals as ordered.
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2020
    Inspectors wroteBased on observation, interviews, review of the clinical record, and review of facility documentation, for one sampled resident, (Resident #301), reviewed for Choices, the facility failed to ensure medication was administered as ordered and in a timely manner.
  5. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2020
    Inspectors wroteBased on clinical record review, review of facility documentation, review of facility policy, and interviews, for one sampled resident (Resident #89) reviewed for vision, the facility failed to ensure a recommendation for a follow up ophthalmology appointment was scheduled.
  6. 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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2020
    Inspectors wroteBased on observations, clinical record review, review of facility documentation, review of facility policy, and interviews, for one sampled resident (Resident #46) reviewed for limited Range of Motion (ROM), the facility failed to ensure placement of a hand splint.
  7. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2020
    Inspectors wroteBased on observation, review of the clinical record, interviews, and review of facility documentation, for one of two residents reviewed for accidents, (Resident #303), the facility failed to ensure the resident was transferred per physician's orders.
  8. D
    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
    F711 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2020
    Inspectors wroteBased on observation, interviews, review of the clinical record, and review of facility policy, for two of four residents observed for Medication Administration, (Resident #54 and Resident #64), the facility failed to ensure physician's orders were signed.
  9. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2020
    Inspectors wroteBased on observations, clinical record review, review of facility documentation, review of facility policy, and interviews, for two of six sampled residents (Resident #35 and Resident #71) reviewed for unnecessary medication, documentation was lacking to reflect the pharmacist reviewed or made recommendations regarding behavior monitoring for residents taking anti-psychotic medications.
  10. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2020
    Inspectors wroteBased on observations, clinical record review, review of facility documentation, review of facility policy, and interviews, for 3 of 6 sampled resident (Resident #35, Resident #71 and Resident #302) reviewed for unnecessary medications, the facility failed to implement behavioral monitoring with the use of an antipsychotic.
  11. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2020
    Inspectors wroteBased on observations, clinical record review, review of facility documentation, review of facility policy, and interviews, for two of six sampled residents (Resident #56 and Resident #69) reviewed for medication administration, the facility failed to ensure that medications were administered according to physician's orders and professional standards. The facility failed to ensure a medication error rate less than 5%.
  12. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2020
    Inspectors wroteBased on observation, interviews, review of the clinical record, and review of facility policy, for one of two medication carts reviewed, the facility failed to ensure a nasal spray medication was labeled.
  13. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2020
    Inspectors wroteBased on observations, clinical record review, review of facility documentation, review of facility policy, and interviews, for one sampled resident (Resident #10) reviewed for the environment, the facility failed to ensure a comfortable, homelike environment.
  14. B
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) January 2, 2020
    Inspectors wroteBased on observations, clinical record review, review of facility documentation, review of facility policy, and interviews, for two of two sampled resident (Resident #62 and Resident #96 ) reviewed for resident assessments, the facility failed to accurately code the Minimum Data Set (MDS) to reflect the resident's status.
  15. B
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) January 2, 2020
    Inspectors wroteBased on review of facility documentation and interviews, for five of six Nurse Aides (NA) reviewed for sufficient competent nursing staff, (NA #3, #4, #5, #6, and #7), the facility failed to ensure a performance evaluation was completed at least once every 12 months.

Fire safety inspections

3 fire safety citations on file: 3 on September 15, 2022.

Every fire safety citation3 citations
  1. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 15, 2022 · Corrected (the home has a date of correction)
  2. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · September 15, 2022 · Corrected (the home has a date of correction)
  3. D
    Provide properly protected cooking facilities.
    K 324 · September 15, 2022 · Corrected (the home has a date of correction)

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.

MeasureThis homeConnecticutUnited States
All nursing staff (RN, LPN and aides)3.533.733.86
Registered nurses0.540.690.69
All nursing staff on weekends3.263.373.42
Nurse aides2.12
Licensed practical nurses0.87
Nursing staff turnover (share who left in a year)34.4%37.4%45.8%
Registered nurse turnover47.4%38.6%42.9%
Administrators who left1

CMS expects 3.96 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 3.64 on weekdays and 3.26 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.42 in April to June 2025 to 3.53 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.530.543.643.26 0.0%0 of 90100
Oct to Dec 20253.470.533.613.12 0.0%0 of 92100
Jul to Sep 20253.210.483.352.88 0.0%0 of 92101
Apr to Jun 20253.420.543.533.15 0.0%0 of 91100
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Connecticut, Jan to Mar 20263.660.613.803.316.0%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.

MeasureThis homeConnecticutUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
17.817.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.60.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.41.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.63.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.41.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
19.016.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.14.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
21.017.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
32.624.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.810.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.62.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.61.51.8

Owners and operators

Legal business name: SHELTON LAKES HEALTH CARE CENTER INC. CMS links this home to Apple Rehab, a group of 20 nursing homes averaging 2.4 stars overall.

NameRoleTypeShareSince
Foley, Brian5% or greater direct ownership interestIndividual100%11/01/2004
Foley, Brian5% or greater mortgage interestIndividual11/01/2004
Singh, DevikaW-2 managing employeeIndividual09/10/2018
Vess, RyanCorporate directorIndividual03/15/2013
Foley, BrianCorporate officerIndividual11/04/2004
Vess, RyanCorporate officerIndividual03/15/2013
Vess, RyanOperational/managerial controlIndividual03/15/2013

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 19 problems in this area, most recently on December 10, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on May 20, 2026: "Keep residents' personal and medical records private and confidential."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 8 problems in this area, most recently on December 9, 2024: "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."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on December 9, 2024: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.26 hours per resident per day, below the Connecticut average of 3.37.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Apple Rehab Shelton Lakes's Medicare star rating?
CMS rates Apple Rehab Shelton Lakes 2 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Apple Rehab Shelton Lakes get at its last inspection?
7 health deficiencies at the standard inspection on December 9, 2024. The Connecticut average is 13.4.
Has Apple Rehab Shelton Lakes been fined?
CMS lists no fines in the last three years.
Does Apple Rehab Shelton Lakes 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 Shelton Lakes?
CMS lists 7 owners and managers, and links the home to Apple Rehab. Legal business name: SHELTON LAKES HEALTH CARE CENTER INC.

Sources

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