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Apple Rehab Uncasville

5 Richard Brown Drive, Uncasville, CT 06382 · Southeastern Ct County · (860) 848-8466

130 certified beds, about 115 residents a day · For profit - Corporation · Medicare and Medicaid since 2004

Last standard inspection more than 2 years ago 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 075438 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 14, 2024, inspectors cited 9 health deficiencies (the Connecticut average is 13.4, the national average 9.2).

Of 38 health citations since July 2019, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $16,065 in the last three years; the largest was $16,065, and the latest is dated February 5, 2024.

Nurses and nurse aides worked 3.18 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.

35.2% 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 38 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
24D
7E
0F
Potential for minimal harm
0A
4B
1C
December 16, 2025Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) February 6, 2026
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for 1 of 2 residents (Resident #120) reviewed for dignity, the facility failed to provide care in a dignified manner when the resident needed to use the bathroom and the nurse aide told the resident to urinate in the diaper.
June 3, 2025Complaint inspection · 1 citation
  1. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · 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) July 14, 2025
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for two (2) of four (4) residents (Resident #1 and #2) reviewed for medication administration, the facility failed to ensure licensed nursing staff observed the residents consume prescribed medications prepared by the licensed nursing staff prior to exiting the room.
February 10, 2025Complaint inspection · 2 citations
  1. 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) March 3, 2025
    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 falls, the facility failed to follow physician's orders to have two-half siderails and padded siderails on the bed .
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) March 3, 2025
    Inspectors wroteBased on review of the clinical record, facility policy and interviews for one (1) of three (3) residents (Resident #1) reviewed for nursing documentation, the facility failed to ensure a complete and accurate medical record for a resident when staff documented that side rail and side rail padding interventions were in place that were identified to not be in place per physician's orders.
January 22, 2025Complaint inspection · 2 citations
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · 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) March 3, 2025
    Inspectors wroteBased on clinical record reviews, review of facility documentation, and interviews for one (1) of three (3) sampled residents (Resident #4) who were reviewed for an omission of medications, the facility failed to ensure medications were administered in accordance with the physician's order.
  2. C
    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
    F836 · Administration · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) March 3, 2025
    Inspectors wroteBased on observations, review of facility documentation, and interviews for 7 out of a census of 111 residents who were sampled for identification bracelets, the facility failed to ensure the residents wore an identification bracelet or other form of visible identification.
September 16, 2024Complaint inspection · 1 citation
  1. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 2, 2024
    Inspectors wroteBased on clinical record reviews, facility documentation, facility policies and interviews for one (1) of three (3) sampled residents (Resident #1) who were reviewed for an allegation of misappropriation of a resident's personal property, the facility failed to ensure a resident's medication was not removed from the facility by a licensed nurse.
March 14, 2024Standard inspection · 9 citations
  1. G
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) March 15, 2024
    Inspectors wroteBased on clinical record review, review of facility documentation, review of facility policy and interviews for one sampled resident (Resident #236) reviewed for pain, the facility failed to administer pain medication for a resident whose pain level was assessed at a severe level of pain.
  2. 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) April 24, 2024
    Inspectors wroteBased on review of facility documentation, review of facility policies, and interviews, the facility failed to review the infection prevention control program policies and procedures at least annually, failed to provide documentation that the Infection Control Surveillance and Safety rounds were conducted on a quarterly basis, and failed to provide documentation that monthly infection reports or analysis of infection trends within the facility were completed, along with quarterly reports in 2022 and 2023 .
  3. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on review of facility documentation, review of facility policy and interviews, the facility failed to ensure that a review of the antibiotic stewardship program including antibiotic usage, and audit tool results were presented at the quarterly medical staff meetings.
  4. E
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    F882 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on facility documentation, review of facility policy, and interviews the facility failed to have a consistent designated Infection Preventionist (IP) with the required specialized training in infection control, that was responsible for the facility's Infection Control Program in 2022 and 2023.
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on observations, review of facility documentation review of facility policy and interviews for one sampled resident (Resident #286) who had an indwelling urethral catheter, the facility failed to develop a comprehensive care plan to address the specific type of catheter, how often the catheter should be changed, the size of the balloon to be used with the catheter, and the general care of the catheter as it relates to the resident.
  6. 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) April 24, 2024
    Inspectors wroteBased on observation, clinical record review, review of facility documentation, review of facility policy and interviews for one sampled resident (Resident #236) with a recent history of smoking, the facility failed to administer a nicotine patch for a newly admitted resident.
  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) April 24, 2024
    Inspectors wroteBased on observations, review of facility documentation, review of facility policy and interviews for one sampled resident (Resident #286) reviewed for accidents, The facility failed to ensure that the resident was transferred safely via mechanical lift.
  8. 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) April 25, 2024
    Inspectors wroteBased on review of facility documentation, review of policy and interviews, the facility failed to notify the Long-Term Care Ombudsman's office of discharges and transfers within a timely manner.
  9. 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) April 24, 2024
    Inspectors wroteBased on review of facility documentation, review of facility policy, and interviews for three nurse aides (NA #1, 2, & 3) and failed to complete the background check for LPN #5, the facility failed to complete annual performance reviews.
February 5, 2024Complaint inspection · 3 citations
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · 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) March 18, 2024
    Inspectors wroteBased on clinical record reviews, facility documentation, policy, and interviews for three of three sampled residents (Residents #1, #2 and #3) who were reviewed for an allegation of neglect, the facility failed to ensure a Registered Nurse assessment was conducted after incontinent care had been delayed.
  2. 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) March 18, 2024
    Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for three of three sampled residents (Residents #1, #2 and #3) who were reviewed for an allegation of neglect, the facility failed to check and provide incontinent care during the 7AM-3PM shift in accordance with facility policy.
  3. B
    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 minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 18, 2024
    Inspectors wroteBased on clinical record reviews, facility documentation, policy, and interviews for three of three sampled residents (Residents #1, #2, and #3) who were incontinent of bowel and bladder and dependent on staff for personal hygiene, the facility failed to document in the clinical record when the resident had received incontinent care.
December 1, 2023Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) December 25, 2023
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for two (2) of two (2) residents, (Resident #1 and #2) reviewed for abuse, the facility failed to ensure conserved residents unable to provide consent were free from sexual abuse.
December 7, 2021Standard inspection · 4 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) February 25, 2022
    Inspectors wroteBased on review of the clinical record, review of facility documentation, review of facility policy, and interviews for one of three sampled residents (Resident #183) reviewed for skin integrity, the facility failed to ensure weekly skin assessments were completed with the findings documented on the weekly body audit form according to physician's orders.
  2. E
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 25, 2022
    Inspectors wroteBased on observation, review of facility documentation and interviews, the facility failed to ensure the Director of Nurses did not serve in the role of charge nurse when the average daily census was greater than sixty.
  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 · Corrected (the home has a date of correction) February 25, 2022
    Inspectors wroteBased on clinical record review, review of facility documentation, review of facility policy and staff interviews for one of two sampled residents (Resident #52) reviewed for accidents and one of two sampled residents (Resident #180) reviewed for accident hazards (smoking on facility grounds), the facility failed to ensure the mechanical lift sling (Hoyer pad) was inspected and maintained to prevent a strap on the sling from breaking resulting in an injury and failed to ensure that the resident's limbs were supported during a transfer to prevent an injury and failed to ensure that smoking was addressed through the completion of a smoking assessment.
  4. D
    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, isolated · Corrected (the home has a date of correction) February 25, 2022
    Inspectors wroteBased on observation, review of the clinical record, review of facility documentation, review of facility policy, and interviews for one of two sampled residents (Resident #51) reviewed for respiratory care, the facility failed to ensure oxygen and nebulizer tubing and masks were changed with documentation to indicate that it was changed as ordered.
July 25, 2019Standard inspection · 14 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) August 27, 2019
    Inspectors wroteBased on observations, clinical record review, review of facility documentation, review of facility policy, and interviews for 1 of 2 sampled residents reviewed for falls (Resident #107), the facility failed to ensure two staff were utilized during a transfer that resulted in an injury, and/or for 1 resident reviewed for smoking (Resident #53), the facility failed to properly complete a quarterly and/or yearly smoking assessment per facility policy and/or for 1 of 1 sampled resident with behaviors of opening the medication cart (Resident #409), the facility failed to ensure medication was secured.
  2. 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) September 5, 2019
    Inspectors wroteBased on observations, clinical record review, review of facility documentation, review of facility policy, and interviews related to sufficient staffing (Resident #65, Resident #66 and Resident #160) the facility failed to ensure there was adequate staffing to provide timely care for assistance to the bathroom, medication administration and meals in the dining room.
  3. 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) September 5, 2019
    Inspectors wroteBased on observation, review of facility documentation, facility policy and interviews the facility failed to ensure appropriate food temperatures were maintained when serving from a portable steam table.
  4. 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 5, 2019
    Inspectors wroteBased on review of the clinical record, interviews and review of facility policy for 2 of 3 residents reviewed for Advanced Directives (Resident #9 and Resident #46), the facility failed to ensure the change in code status was reflected on the physician orders (Resident #9) and/or failed to review advanced directives with the resident and/or resident's representative following a re-admission from the hospital (Resident #46).
  5. 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) September 5, 2019
    Inspectors wroteBased on observations, review of facility documentation and interviews for 1 resident reviewed for environmental concerns (Resident #160), the facility failed to ensure a homelike environment.
  6. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 5, 2019
    Inspectors wroteBased on review of the clinical record, interviews and review of facility policy for 1 resident reviewed for infections (Resident #86), the facility failed to obtain an Advanced Practice Registered Nurse (APRN) and/or physician's order prior to writing and/or instituting a verbal order according to professional standards.
  7. 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) September 5, 2019
    Inspectors wroteBased on observations, clinical record review, review of facility documentation, review of facility policy, and interviews for 1 of 1 sampled resident reviewed for incontinence (Resident #65), the facility failed to ensure Resident #65 was assisted to the bathroom in a timely manner.
  8. 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) September 5, 2019
    Inspectors wroteBased on observations, clinical record review, review of facility documentation, review of facility policy, and interviews for 1 of 4 sampled residents (Resident #458) reviewed for Activities of Daily Living (ADL's), the facility failed to ensure placement of adaptive equipment as per physician orders.
  9. 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) September 5, 2019
    Inspectors wroteBased on observations, review of the clinical record and staff interviews for 1 of 3 residents reviewed for nutrition (Resident #13), the facility failed to ensure Resident #13 was provided a lunch meal.
  10. D
    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, isolated · Corrected (the home has a date of correction) September 5, 2019
    Inspectors wroteBased on review of the clinical record and interviews for 1 sampled resident reviewed for respiratory care (Resident #81), the facility failed to ensure respiratory care equipment was stored in a sanitary manner.
  11. 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) September 5, 2019
    Inspectors wroteBased on observation, facility policy, and interviews regarding medication storage and labeling, the facility failed to accurately label and provide safe administration of medications.
  12. D
    Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
    F777 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 5, 2019
    Inspectors wroteBased on clinical record review, review of facility documentation, interviews and review of facility policy for Infection Control, the facility failed to ensure laboratory results were in the clinical record and/or reported to the physician/Advanced Practice Registered Nurse (APRN) in a timely manner (Resident #86).
  13. 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) September 5, 2019
    Inspectors wroteBased on observations, clinical record review, review of facility documentation, interviews and review of facility policy for Infection Control, the facility failed to store a bedpan in a sanitary manner (Resident #66) and/or report/treat a Multi Drug Resistant Organism (MDRO) in a timely manner (Resident #86) and/or failed to ensure the fingernails of direct care staff were short and trim.
  14. B
    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 minimal harm, pattern · Corrected (the home has a date of correction) September 5, 2019
    Inspectors wroteBased on clinical record review, review of facility documentation, review of facility policy, and interviews for 1 of 1 sampled resident reviewed for incontinence (Resident #65), the facility failed to complete a quarterly and/or significant change bladder assessment.

Fire safety inspections

17 fire safety citations on file: 6 on March 14, 2024, 7 on December 7, 2021, 4 on July 25, 2019.

Every fire safety citation17 citations
  1. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · March 14, 2024 · Corrected (the home has a date of correction)
  2. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · March 14, 2024 · Corrected (the home has a date of correction)
  3. D
    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.
    K 222 · March 14, 2024 · Corrected (the home has a date of correction)
  4. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · March 14, 2024 · Corrected (the home has a date of correction)
  5. D
    Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
    K 700 · March 14, 2024 · Corrected (the home has a date of correction)
  6. D
    Ensure proper storage of liquid oxygen.
    K 930 · March 14, 2024 · Corrected (the home has a date of correction)
  7. F
    Establish staff and initial training requirements.
    E 37 · December 7, 2021 · Corrected (the home has a date of correction)
  8. F
    Provide a written emergency evacuation plan.
    K 711 · December 7, 2021 · Corrected (the home has a date of correction)
  9. 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.
    K 222 · December 7, 2021 · Corrected (the home has a date of correction)
  10. E
    Install corridor and hallway doors that block smoke.
    K 363 · December 7, 2021 · Corrected (the home has a date of correction)
  11. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · December 7, 2021 · Corrected (the home has a date of correction)
  12. D
    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
    K 342 · December 7, 2021 · Corrected (the home has a date of correction)
  13. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · December 7, 2021 · Corrected (the home has a date of correction)
  14. D
    Establish policies and procedures including evacuation.
    E 20 · July 25, 2019 · Corrected (the home has a date of correction)
  15. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · July 25, 2019 · Corrected (the home has a date of correction)
  16. D
    Provide a written emergency evacuation plan.
    K 711 · July 25, 2019 · Corrected (the home has a date of correction)
  17. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 25, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 5, 2024Fine $16,065

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)3.183.733.86
Registered nurses0.550.690.69
All nursing staff on weekends2.863.373.42
Nurse aides1.95
Licensed practical nurses0.68
Nursing staff turnover (share who left in a year)35.2%37.4%45.8%
Registered nurse turnover40.0%38.6%42.9%
Administrators who left1

CMS expects 3.71 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 3.31 on weekdays and 2.86 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.12 in April to June 2025 to 3.18 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.180.553.312.86 0.1%0 of 90115
Oct to Dec 20253.140.573.282.79 1.8%0 of 92112
Jul to Sep 20253.040.523.142.80 5.2%0 of 92114
Apr to Jun 20253.120.553.222.87 5.1%0 of 91110
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
15.817.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.40.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.01.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.23.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.11.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.416.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.04.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
24.717.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
26.624.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
17.810.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.42.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.91.51.8

Owners and operators

Legal business name: ORCHARD GROVE SPECIALTY CARE CENTER LLC. 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%07/23/2004
Singh, DevikaW-2 managing employeeIndividual09/10/2018
Foley, BrianCorporate directorIndividual07/23/2004
Vess, RyanCorporate directorIndividual03/15/2013
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 14 problems in this area, most recently on February 10, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on February 10, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  3. 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 December 16, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on March 14, 2024: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.86 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 Uncasville's Medicare star rating?
CMS rates Apple Rehab Uncasville 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 Uncasville get at its last inspection?
9 health deficiencies at the standard inspection on March 14, 2024. The Connecticut average is 13.4.
Has Apple Rehab Uncasville been fined?
Yes. CMS lists 1 fine totaling $16,065 in the last three years.
Does Apple Rehab Uncasville 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 Uncasville?
CMS lists 6 owners and managers, and links the home to Apple Rehab. Legal business name: ORCHARD GROVE SPECIALTY CARE CENTER LLC.

Sources

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