Nursing homeActive
Apple Rehab Clipper
161 Post Road, Westerly, RI 02891401322808160 certified beds · 47 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
24
● 2● 20● 2
Penalties · 3 yrs
$238,831
2 fines
Last survey
2026-05-29
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Rhode Island Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-29 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2025-07-08 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2025-05-08 | Standard | 150 | CMS-2567 (Care Compare) | — |
| 2024-05-23 | Standard | 171 | CMS-2567 (Care Compare) | — |
| 2023-11-17 | Complaint | 011 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Rhode Island Department of 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.
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-26Record 415120-20260529-F552
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-26Record 415120-20260529-F655
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 2026-06-26Record 415120-20260529-F658
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-26Record 415120-20260529-F880
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 2025-08-06Record 415120-20250708-F658
F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-06Record 415120-20250708-F710
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-06Record 415120-20250708-F760
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-21Record 415120-20250508-F686
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-21Record 415120-20250508-F692
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 2025-06-21Record 415120-20250508-F761
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-06-21Record 415120-20250508-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-06-21Record 415120-20250508-F812
F567Honor the resident's right to manage his or her financial affairs.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2025-06-21Record 415120-20250508-F567
F692Provide enough food/fluids to maintain a resident's health.Scope/severity HHarm
Care planning
Pattern; actual harm that is not immediate jeopardy.Corrected 2024-06-06Record 415120-20240523-F692
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-22Record 415120-20240523-F656
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 2024-06-22Record 415120-20240523-F658
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-22Record 415120-20240523-F690
F730Observe each nurse aide's job performance and give regular training.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-06-22Record 415120-20240523-F730
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-22Record 415120-20240523-F756
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 2024-06-22Record 415120-20240523-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-22Record 415120-20240523-F880
F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2024-06-22Record 415120-20240523-F944
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-12-17Record 415120-20231117-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-17Record 415120-20231117-F609
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-05-23 | Civil money penalty | $176,111 | CMS · Penalties |
| 2023-11-17 | Civil money penalty | $62,720 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.04
Facility
Rhode Island
National
Rhode Island 0.76 · National 0.69
Total nurse hours per resident day3.16
Facility
Rhode Island
National
Rhode Island 3.71 · National 3.86
Weekend total nurse hours2.92
Facility
Rhode Island
National
Rhode Island 3.34 · National 3.42
Total nursing staff turnover42%
Facility
Rhode Island
National
Rhode Island 41% · National 46%
Registered nurse turnover31%
Facility
Rhode Island
National
Rhode Island 38% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Rhode Island | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.5% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.2% | 3.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 10.7% | 22.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.5% | 2.5% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 17.4% | 19.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.6% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 26.0% | 16.7% | 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 | — | — |
| Orix Real Estate Capital LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Singh, Devika Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Vess, Ryan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Vess, Ryan Individual | CORPORATE DIRECTOR | 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 Rhode Island.
No county cost figures on file for Washington.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Royal of Westerly Nursing Center Westerly | 2.6 mi | 2026-02-19 | 1161 |
| Westerly Health Center Westerly | 3.5 mi | 2026-06-01 | 0221 |
| Avalon Health Care Center At Stoneridge Mystic | 8.9 mi | 2025-03-04 | 041 |
| Pendleton Rehabilitation And Nursing Center Mystic | 8.9 mi | 2025-11-18 | 2120 |
| Apple Rehab Mystic Mystic | 9.4 mi | 2026-05-08 | 0221 |
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 |