Home / Connecticut / West Haven
Apple Rehab West Haven
308 Savin Avenue, West Haven, CT 06516 · South Central Ct County · (203) 932-6411
90 certified beds, about 83 residents a day · For profit - Corporation · Medicare and Medicaid since 1994
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 075403 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 20, 2025, inspectors cited 18 health deficiencies (the Connecticut average is 13.4, the national average 9.2).
Of 65 health citations since October 2021, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $26,685 in the last three years; the largest was $26,685, and the latest is dated August 20, 2025.
Nurses and nurse aides worked 3.47 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.
24.7% 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.
710/21
111/23
2512/23
104/24
104/24
108/24
109/24
202/25
304/25
1808/25
309/25
111/25
104/26
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 65 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
50D
12E
1F
Potential for minimal harm
0A
1B
0C
April 28, 2026Complaint inspection · 1 citation
- E Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on clinical record review, facility documentation review, and interviews for three of three residents (Resident #1, #4 and #5) reviewed for quality of care, the facility failed to ensure the physician/designee orders were reviewed and renewed at least once every 60 days.
November 17, 2025Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of the clinical record, facility documentation and facility policy, and interviews for one of two residents (Resident #1) reviewed for accidents, the facility failed to ensure the resident was assessed timely upon readmission for special needs and adaptive devices for a resident with a known history of requiring a specialized drinking cup. The failure resulted in a second-degree burn measuring seventeen (17) centimeters (cm) by nine-point-five (9.5) cm.
September 17, 2025Complaint inspection · 3 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 (Resident #1) reviewed for medication administration, the facility failed to notify a provider when an antibiotic used to treat a Urinary Tract Infection was omitted five (5) times for various reasons.
- D Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
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 admission orders, the facility failed to ensure an appointment was scheduled with an outside specialty provider per admission orders.
- D 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 policy and interviews for one (1) of three (3) residents (Resident #1) reviewed for a change in condition, the facility failed to ensure a complete and accurate clinical record to include medical care provided prior to a transfer to the hospital.
August 20, 2025Standard inspection, Complaint inspection · 18 citations
- F Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteNumber of residents sampled:0Number of residents cited:0Based on observations, reviews of facility documents, and staff interviews, the facility failed to ensure that staff responsible for maintaining water temperatures were knowledgeable regarding acceptable hot water temperature ranges to ensure residents were free from potential burns. The facility failed to ensure water temperatures were monitored in residents' rooms / bathrooms prevent potential scalding of residents.
- E Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Inspectors wroteBased on clinical record review and staff interviews for 1 of 3 employee files reviewed for Nurse Aide (NA # 8), the facility failed to conduct a thorough investigation on the history of prospective staff, including required background checks, prior to the hire date.
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interviews, clinical records and policy review for 1 of 1 resident (Resident #17) reviewed for edema, the facility failed to obtain weekly weights per physician's order and for 1 of 2 residents (Resident #8) reviewed for medication administration the facility failed to ensure a resident's medication was made available and for 3 of 3 residents (Resident #1, Resident #31, Resident #38) reviewed for physician orders, the facility failed to ensure medications were administered timely and in accordance to physician orders and 1 of 5 residents reviewed for Unnecessary Medication (Resident # 29), facility failed to ensure that medications were administered per physician's orders.
- E Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on review of the clinical record reviews, resident interviews, review of facility policy and staff interviews for 4 of 10 residents (Resident # 13, # 39, # 45 and # 81), the facility failed to ensure meals were served within 14 hours.
- 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 of the kitchen, review of policy and staff interviews, the facility failed to ensure staff obtained ice in a sanitary manner in the kitchenette where the ice machine was not operational and the facility failed to ensure items in the kitchen were dated and labeled, dented cans were discarded, temperatures were consistently taken/ documented, and cleaning schedules were signed off on.
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on clinical record reviews, review of facility policy and staff interviews for 2 of 5 residents (Resident #21 and Resident #29) reviewed for unnecessary medications, the facility failed to obtain consent from the resident's representative for psychotropic medications and informed the resident's representative in advance of risk and benefits of psychotropic medication usage.
- 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 review, observations, facility policy review and staff interviews for the only resident reviewed for accidents (Resident #17) and 1 of 2 residents (Resident #17) reviewed for Activities of Daily Living, the facility failed to ensure staff updated the resident care plan after a fall and revise the care plan to reflect the resident's oral care needs and preferences and for 1 of 3 residents ( Resident #82) reviewed for respiratory care, the facility failed to revise and update care plan to reflect oxygen use and interventions.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, review, policy review and interview for 1 of 5 residents (Resident #17) reviewed for unnecessary medications, the facility failed to transcribe physician's order.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, review of the clinical record, facility policy and interviews for 2 of 6 residents reviewed for abuse, the facility failed to ensure Resident #29 was provided care in a timely manner.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observation, review of the clinical record, facility policy and interviews for 2 of 6 residents reviewed for abuse, the facility failed to ensure Resident #35 received audiology follow up for missing hearing aids. (sensory device).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on clinical record reviews, observations, facility policy and interviews for 1 of 3residents reviewed for respiratory care (Resident # 82), the facility failed to ensure the resident had current physician's order for oxygen therapy and for 1 of 3 residents reviewed for respiratory care (Resident #59), the facility failed to ensure that licensed staff appropriately evaluated a resident's oxygen as per professional standards during a potentially urgent medical situation.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteNumber of residents sampled for unnecessary medications: 5Number of residents cited: 1 Based on observation, review of the clinical record, facility documentation, facility policy and interviews for 1 of 5 residents (Resident #21) reviewed for unnecessary medications, the facility failed to ensure physician was aware of a pharmacy consultant's recommendation for laboratory monitoring.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, interviews and facility policy for 2 out of 32 opportunities observed during medication administration for 2 out of 5 Residents (#8 and #54) resulting in a 7. % medication error rate, the facility failed to ensure residents were free from significant medication errors due to no medication available for use and utilizing expired over-the-counter medication.
- 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 observations, review of policy and staff interviews for 2 of 2 medication storage carts (Unit 2 [NAME] and Unit 3 East), reviewed for medication storage, the facility failed to label open medications and discard expired medications appropriately, and for 4 of 4 medication storage carts ( Unit 2 East and [NAME] Wings) reviewed for medication storage, the facility failed to appropriately complete the controlled substance shift-to-shift reconciliation sign off sheet.
- D Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on record review and staff interview, the facility failed to ensure the Quality Assessment and Assurance (QAA) Committee included required participants during scheduled meetings, as evidenced by missing signatures from key committee members on multiple dates.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, review of the clinical record, facility documentation, facility policy and interview for 1 of 2 residents (Resident #21) reviewed for pressure ulcers, the facility failed to ensure staff followed infection prevention and control practices during a wound dressing change for a resident with a pressure ulcer and the facility failed to ensure staff handled dirty linen in a sanitary manner in a shower area for 2 consecutive days, failed to ensure staff appropriately stored dirty linen bags in the laundry, failed to maintain clean wall fans and ceiling exhaust fans blowing toward clean linen areas, failed to maintain an adequate emergency linen supply, failed to maintain a clean, usable and easily accessible wash sink on the dirty side of the laundry, and failed to maintain a clean wash sink area with a wall surround on the clean side of the laundry and for the only [...]
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on review of the clinical records, Review of the facility Infection Control Program, facility policy and interviews for 4 out of 5 residents reviewed for immunizations (Residents # 9, #63 # 67 #79), the facility failed to provide vaccines timely after consent was given and the staff failed to follow up with the responsible party of residents to offer vaccinations.
- B Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on review of facility employee education training records and staff interview for 5 of 5 training records reviewed (NA#9, NA#10, NA#11, NA#12, and NA#13), the facility failed to ensure that nurse aides received at least 12 hours of in-service training annually.
April 1, 2025Complaint inspection · 3 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 review of the clinical record, facility documentation, facility policy and interviews for one (1) of three (3) residents (Resident #1) reviewed for medication and treatment administration, the facility failed to notify a provider of medication and treatment omissions following an abdominal burn that the resident sustained in the facility.
- 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 one (1) of three (3) residents (Resident #1) reviewed for medication and treatment administration, the facility failed to ensure that medications and treatments were administered per physician's orders.
- D 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 one (1) of three (3) residents (Resident #1) reviewed for medication and treatment administration, the facility failed to ensure complete and accurate documentation of a resident record when medications and treatments were not signed off when administered/completed.
February 26, 2025Complaint inspection · 2 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record reviews, facility documentation, facility policies and interviews for one (1) of three (3) sampled residents (Resident #1) who required emergency services and transfer to the hospital, the facility failed to conduct an complete and accurate assessment at the time the resident was noted to have a change in condition.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record reviews, facility documentation, facility policies and interviews for one (1) of three (3) sampled residents (Resident #1) who had a change in condition and required transfer to the hospital, the facility failed to monitor and implement interventions until Emergency Medical Services arrived and failed to give a thorough hand off report.
September 30, 2024Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #1) reviewed for abuse and neglect, the facility failed ensure the resident was free from misappropriation.
August 5, 2024Complaint inspection · 1 citation
- 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.
Inspectors wroteBased on clinical record reviews, facility documentation, facility policy, and interviews for one (1) of two (2) sampled residents (Resident #2) who had indwelling urinary catheters, the facility failed to ensure the resident attended scheduled outpatient urology appointments and maintain accurate documentation in the clinical record of when the appointments were canceled, missed or rescheduled.
April 26, 2024Complaint inspection · 1 citation
- D Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on clinical record reviews, facility documentation, facility policies and interviews for one of three sampled residents (Resident #2) who required social service assistance, the facility Social Worker failed to maintain the resident's dignity and respect during a verbal altercation with the resident.
April 9, 2024Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #1) reviewed for abuse the facility failed to ensure that resident was free from mistreatment.
December 7, 2023Standard inspection, Complaint inspection · 25 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 1 resident (Resident #24) reviewed for non-pressure skin condition, the facility failed to notify the physician and the resident representative when significant changes occurred, and for 1 of 2 residents (Resident #26) reviewed for pressure ulcers, the facility failed to notify the physician and the resident representative when Resident #26 developed 2 new pressure ulcers, and for 1 residents (Resident #52) reviewed for nutrition, the facility failed to notify resident representative of a weight loss and new orders, and for 1 of 2 residents (Resident #42) reviewed for hospitalization, the facility failed to notify the physician when the resident began to have hallucinations, and for 1 of 12 residents (Resident #69) reviewed for quality of care, the facility failed to notify the physician [...]
- 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.
Inspectors wroteBased on observation and interview, the facility failed to maintain a home like environment.
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, review of the clinical record, facility documentation, facility policy and interviews for 1 of 5 residents (Resident 59) reviewed for unnecessary medications, the facility failed to monitor blood pressure and pulse according to the physician ordered parameters, and for 1 resident (Resident 86) reviewed for accidents, the facility failed to complete neurological vital signs, according to their policy, after 2 unwitnessed falls, and for 1 resident (Resident #24) reviewed for edema, the facility failed to follow the physician's orders for ted stockings, failed to complete a comprehensive RN assessment timely, and failed to follow the physician's order for weights, and for 1 of 2 residents (Resident #26) reviewed for pressure ulcers, the facility failed to follow the policy for weekly body audits and failed to have a complete a comprehensive assessment of 2 new [...]
- 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 policy and interviews, the facility failed to maintain a clean and sanitary kitchen environment.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy, and interviews the facility stored clean supplies on the dirty linen carts, failed to ensure that the staff maintained appropriate infection control precautions related to Covid 19 antigen testing, failed to ensure infection surveillance monitoring was completed per facility policy, failed to ensure that environmental rounds were completed at least quarterly per facility policy, failed to have an established infection control committee, failed to report Covid 19 outbreaks to the state agency, and failed to maintain mechanisms of tracking Covid-19 outbreaks reported to the state agency.
- E Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interview for 3 of 5 residents (Resident #26, 46, and 80) reviewed for immunizations, the facility failed to ensure that the resident and/or resident representative was educated on and offered Covid 19 vaccinations.
- E Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Inspectors wroteBased on review of facility documentation, and interviews the facility failed develop, implement, and maintain an effective training program for all staff.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, review of the clinical record, facility policy, and interviews for the 1 resident (Resident #53) reviewed for activities of daily living, the facility failed to promote dignity while dining.
- D Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 resident (Resident #67) reviewed for care planning, the facility failed to invite the resident to participate in the quarterly care plan meetings.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on review of the clinical record, facility documentation and interview for 1 of 3 residents (Resident #22), who was discharged from the facility with Medicare A days remaining, the facility failed to provide the required Notice of Medicare Non-Coverage (NOMNC) to the resident upon his/her discharge.
- D Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 2 residents (Resident #20) reviewed for communication, the facility failed to follow up on the resident's complaint of lost hearing aids.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on review of the clinical record, facility policy, and interviews for 1 of 5 residents (Resident #80) reviewed for preadmission screening and resident review (PASARR), the facility failed to ensure a Level 1 PASARR screening was completed prior to admission to the facility.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, review of the clinical record, facility policy, and interviews for the only sampled resident (Resident #53) reviewed for rehabilitation and restorative services, the facility failed to develop a comprehensive care plan that included interventions for refusals of care and refusals of specialized rehabilitation services and for 1 of 3 residents (Resident #54) reviewed for pressure ulcers, the facility failed to develop a comprehensive care plan following the onset of a new pressure ulcer.
- 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 review of the clinical record, facility policy, and interviews for the only sampled resident (Resident #53 and 67) reviewed for activities of daily living, the facility failed to conduct quarterly resident care conferences and/or invite the resident to attend the meetings.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 3 residents (Resident #451) reviewed for accidents, the facility failed to administer medications according to professional standards of practice to prevent a medication error, and as a result, a medication that the resident had an allergy to was administered.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 resident (Resident #20) reviewed for communication, the facility failed to assist the resident to replace hearing aids when they were lost. The findings. Resident #20 was admitted to the facility with diagnoses that included mild cognitive impairment and hearing impairment. The quarterly MDS dated [DATE] identified Resident #20 had moderately impaired cognition, moderately impaired hearing and did not have hearing aids Additionally, the resident required extensive assistance with care. The care plan dated 3/20/23 identified the resident was hearing impaired. Interventions included to offer audiology consultation as needed and gain his/her attention before attempting to communicate to resident. [...]
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy, and interviews for 3 residents (Resident #26, 49 and 54) reviewed for pressure ulcer, the facility failed to follow the policy for Braden Scale assessments, failed to have treatments in place for a new pressure ulcer, failed to follow the air mattress manufacturer's recommendations, failed to complete weekly wound assessments by a registered nurse including wound documentation, failed to complete weekly body audits, failed to accurately complete weekly body audits, and failed to implement appropriate preventative measure.
- 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, facility policy and interviews for 1 resident, (Resident #46) reviewed for range of motion, the facility failed to complete nail care on a resident with contracted hands to keep nails short.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 7 of 7 residents (Resident #9, 27, 48, 50, 51, 61, and #66) reviewed for accidents, the facility failed to provide supervision of the residents during the fire drill, and for 1 of 9 residents (Resident #29) reviewed for accidents, the facility failed to ensure that 1:1 supervision was provided to a resident with an identified aspiration risk, and for the only sampled resident (Resident #53) reviewed for activities of daily living, the facility failed to ensure medications were not left unsecured in the resident's room.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 2 of 2 residents (Resident #52 and 53) reviewed for nutrition, for Resident #52, the facility failed to do weights per policy and physician order and for Resident #53 the facility failed to ensure the meals received were in accordance with the ordered therapeutic diet.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy and interview for 1 resident (Resident #69) reviewed for enteral feeding, the facility failed to ensure the resident received care and services to prevent complications (infection).
- D 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.
Inspectors wroteBased on review of facility documentation, and interviews, the facility failed to ensure that the DNS did not serve as the RN supervisor.
- 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.
Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interview, for 1 of 5 residents (Resident #80) reviewed for unnecessary medications, the facility failed to identify and monitor target behaviors for a resident receiving an antipsychotic medication since admission, over 8 months.
- D 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 4 of 5 residents (Resident #26, 45, 46, and 80) reviewed for immunizations, the facility failed to ensure that the resident and/or resident representative was educated on, or offered influenza and/or pneumococcal vaccinations.
- D 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 policy, and interviews for the 1 resident (Resident #53) reviewed for activities of daily living, the facility failed to provide a dependent resident with weekly showers.
November 2, 2023Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on clinical record review, facility documentation review, facility policy review and interviews for one of three Residents (Resident #1) reviewed for abuse, the facility failed to ensure the residents were free from mistreatment, and failed to ensure alternate access to a visitor was offered.
October 20, 2021Standard inspection · 7 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on clinical record reviews, facility documentation, facility policy, and interviews for two of three residents (Resident # 6 ) reviewed for abuse, the facility failed to ensure a resident with known psychosocial behaviors was free from physical mistreatment which resulted in injury following an alleged staff to resident incident and for ( Resident # 123) the facility failed to ensure the resident was free from verbal and physical abuse.
- 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 review of the clinical record, facility documentation, facility policy, and interviews for one of three residents (Resident # 6) reviewed for abuse, the facility failed to review and revise the resident's care plan after and allegation of abuse regarding staff to resident.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on review of the clinical record, observations, review of facility policy and interviews for one of two residents (Resident #1) reviewed for vision and hearing, the facility failed to ensure the resident received and maintained assistive devices to maintain hearing abilities.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of the clinical record, facility policy and interviews for one resident (Resident #46) reviewed for accidents, the facility failed to follow physician's order for the resident's transfer status to prevent a potential accident.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on review of the clinical record, observations, facility policy, and interviews for one resident (Resident #272) reviewed for pain management, the facility failed to ensure the resident received treatment and care in accordance with professional standards of practice related to pain management and in accordance with the physician's orders.
- 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 of the facility medication storage of the Emergency Medication Box (Ebox), review of facility policy and interviews, the facility failed to ensure medications were labeled in accordance with professional standards.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on review of the clinical record, observations, review of facility policy and interviews for one resident (Resident #18) reviewed for dental, the facility failed to provide emergency dental services.
Fire safety inspections
19 fire safety citations on file: 4 on August 20, 2025, 12 on December 7, 2023, 3 on October 20, 2021.
Every fire safety citation19 citations
- 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.
- D Have an enclosure around a vertical opening shaft.
- D Meet other general requirements that are deficient.
- D Provide a written emergency evacuation plan.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Have an enclosure around a vertical opening shaft.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Properly provide smoke detection systems in areas open to corridors.
- D Install an approved automatic sprinkler system.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Meet other general requirements that are deficient.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 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.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure proper usage of power strips and extension cords.
- E Have an enclosure around a vertical opening shaft.
- D Install an approved automatic sprinkler system.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 20, 2025 | Fine | $26,685 |
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.
| Measure | This home | Connecticut | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.47 | 3.73 | 3.86 |
| Registered nurses | 0.46 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.09 | 3.37 | 3.42 |
| Nurse aides | 2.10 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | 24.7% | 37.4% | 45.8% |
| Registered nurse turnover | 12.5% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.90 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 3.62 on weekdays and 3.09 on weekends, 15% 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 3.55 in April to June 2025 to 3.47 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 | 3.47 | 0.46 | 3.62 | 3.09 | 0.0% | 0 of 90 | 83 |
| Oct to Dec 2025 | 3.51 | 0.44 | 3.66 | 3.11 | 0.0% | 0 of 92 | 81 |
| Jul to Sep 2025 | 3.35 | 0.46 | 3.50 | 2.97 | 0.1% | 0 of 92 | 82 |
| Apr to Jun 2025 | 3.55 | 0.42 | 3.69 | 3.18 | 0.0% | 0 of 91 | 82 |
| 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 | 18.9 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.1 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.7 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.3 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 26.5 | 16.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.8 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.4 | 17.8 | 15.4 |
Owners and operators
Legal business name: HARBOR VIEW MANOR, 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% | 01/22/1986 |
| Singh, Devika | W-2 managing employee | Individual | 09/10/2018 | |
| Foley, Brian | Corporate director | Individual | 01/22/1986 | |
| 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 22 problems in this area, most recently on November 17, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 10 problems in this area, most recently on September 17, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on September 17, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on August 20, 2025: "Not hire anyone with a finding of abuse, neglect, exploitation, or theft."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.09 hours per resident per day, below the Connecticut average of 3.37.
Other nursing homes nearby
- West Haven Center for Nursing & Rehabilitation West Haven, 1.8 mi · 2 of 5 stars · 59 citations
- Orange Health Care Center Orange, 2.5 mi · 5 of 5 stars · 19 citations
- Advanced Center for Nursing & Rehabilitation New Haven, 2.9 mi · 1 of 5 stars · 70 citations
- Grimes Center New Haven, 3.5 mi · 5 of 5 stars · 22 citations
- Whispering Pines Rehabilitation and Nursing Center East Haven, 4.5 mi · 4 of 5 stars · 34 citations
- Mary Wade Home New Haven, 4.8 mi · 1 of 5 stars · 51 citations
- Apple Rehab Laurel Woods East Haven, 4.9 mi · 2 of 5 stars · 45 citations
- Milford Health and Rehabilitation Center Milford, 4.9 mi · 5 of 5 stars · 21 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 West Haven's Medicare star rating?
- CMS rates Apple Rehab West Haven 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Apple Rehab West Haven get at its last inspection?
- 18 health deficiencies at the standard inspection on August 20, 2025. The Connecticut average is 13.4.
- Has Apple Rehab West Haven been fined?
- Yes. CMS lists 1 fine totaling $26,685 in the last three years.
- Does Apple Rehab West Haven 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 West Haven?
- CMS lists 6 owners and managers, and links the home to Apple Rehab. Legal business name: HARBOR VIEW MANOR, 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.