Nursing homeActive
Apple Rehab Saybrook
1775 Boston Post Rd, Old Saybrook, CT 064758603996216120 certified beds · 63 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2019
Deficiencies
49
● 6● 42● 1
Penalties · 3 yrs
—
none on file
Last survey
2026-01-07
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 3
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Connecticut Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-01-07 | Complaint | 050 | CMS-2567 (Care Compare) | — |
| 2025-07-22 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2025-01-23 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-01-09 | Standard | 450 | CMS-2567 (Care Compare) | — |
| 2023-11-02 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2022-07-28 | Standard | 2120 | CMS-2567 (Care Compare) | — |
| 2019-10-31 | Standard | 0131 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Connecticut Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-16Record 075070-20260107-F580
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-16Record 075070-20260107-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-16Record 075070-20260107-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-16Record 075070-20260107-F689
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-16Record 075070-20260107-F757
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 075070-20250722-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 075070-20250722-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 075070-20250722-F610
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 075070-20250123-F580
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 075070-20250123-F842
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-13Record 075070-20250109-F658
F687Provide appropriate foot care.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-13Record 075070-20250109-F687
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-02-13Record 075070-20250109-F880
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-13Record 075070-20250109-F881
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-13Record 075070-20250109-F883
F641Ensure each resident receives an accurate assessment.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2025-02-13Record 075070-20250109-F641
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2025-02-13Record 075070-20250109-F657
F730Observe each nurse aide's job performance and give regular training.Scope/severity BPaperwork
Staffing
Pattern; potential for minimal harm.Corrected 2025-02-13Record 075070-20250109-F730
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2025-02-13Record 075070-20250109-F842
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-14Record 075070-20231102-F609
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-14Record 075070-20231102-F684
F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-08-22Record 075070-20220728-F557
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-08-22Record 075070-20220728-F578
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-08Record 075070-20220728-F609
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-08Record 075070-20220728-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-08Record 075070-20220728-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-08Record 075070-20220728-F692
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-08Record 075070-20220728-F695
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-08Record 075070-20220728-F806
F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-08Record 075070-20220728-F810
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-08Record 075070-20220728-F812
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-21Record 075070-20220728-F882
F885Report COVID19 data to residents and families.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-08Record 075070-20220728-F885
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2022-08-22Record 075070-20220728-F842
F880Provide and implement an infection prevention and control program.Scope/severity BPaperwork
Infection control
Pattern; potential for minimal harm.Corrected 2022-09-08Record 075070-20220728-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2019-11-29Record 075070-20191031-F689
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-12-12Record 075070-20191031-F565
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-12Record 075070-20191031-F676
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-12-12Record 075070-20191031-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-12Record 075070-20191031-F684
F685Assist a resident in gaining access to vision and hearing services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-12-12Record 075070-20191031-F685
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-12Record 075070-20191031-F688
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-12-12Record 075070-20191031-F725
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-12Record 075070-20191031-F760
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-12Record 075070-20191031-F761
F791Provide or obtain dental services for each resident.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-12-12Record 075070-20191031-F791
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-12-12Record 075070-20191031-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-12-12Record 075070-20191031-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-12-12Record 075070-20191031-F883
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.68
Facility
Connecticut
National
Connecticut 0.69 · National 0.69
Total nurse hours per resident day3.12
Facility
Connecticut
National
Connecticut 3.73 · National 3.86
Weekend total nurse hours2.84
Facility
Connecticut
National
Connecticut 3.37 · National 3.42
Total nursing staff turnover31%
Facility
Connecticut
National
Connecticut 37% · National 46%
Registered nurse turnover33%
Facility
Connecticut
National
Connecticut 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Connecticut | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.0% | 4.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.3% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 14.0% | 17.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.8% | 1.5% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 19.9% | 18.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.7% | 6.5% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 23.9% | 17.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Foley, Brian Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Vess, Ryan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Foley, Brian Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Singh, Devika Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Vess, Ryan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Vess, Ryan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Apple Rehab — 20 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Connecticut.
No county cost figures on file for Lower Ct River Vly.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Gladeview Health Care Center Old Saybrook | 1.2 mi | 2025-11-20 | 2190 |
| Essex Meadows Health Center Essex | 3.0 mi | 2025-11-21 | 090 |
| Bride Brook Rehabilitation & Nursing Center Niantic | 7.0 mi | 2025-04-23 | 040 |
| Aaron Manor Nursing & Rehabilitation Chester | 8.6 mi | 2025-03-11 | 2123 |
| Peconic Landing at Southhold Greenport | 12.5 mi | 2025-04-11 | 170 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |