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Apple Rehab Middletown

Nursing Home Facility

600 Highland Ave, Middletown, CT 06457

Nursing Home Care Senior Living

Apple Rehab Middletown is a senior care community located in Middletown, CT. It provides nursing home care and senior living for older adults in the Middletown area. To learn more or schedule a tour, call (860) 347-3315.

Operated by Apple Rehab, which runs 18 communities in our directory.

Apple Rehab Middletown is licensed for 70 beds, about typical for the area, where senior care communities in Middletown average about 91 beds.

Federal reporting puts occupancy at about 94% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.

Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 4 stars for staffing against 2 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in October 2024 and recorded 24 deficiencies.

Residents receive about 3.3 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Communities in Middletown average about 2.3 hours. Nursing staff turnover over the past year was about 38%.

Medicare five-star ratings

  • Overall ★★★★★ 3/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 4/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 57 problems at Apple Rehab Middletown. 1 finding involved harm to a resident. 23 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Inspected May 2026, after a complaint. Corrected by June 24, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected May 2026, after a complaint. Corrected by June 24, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected May 2026, after a complaint. Corrected by June 24, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected May 2026, after a complaint. Corrected by June 24, 2026.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Inspected May 2026, after a complaint. Corrected by June 24, 2026.

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  • Could cause more than minimal harm, a pattern Resident Rights

    Allow residents to self-administer drugs if determined clinically appropriate.

    Inspected October 2024. Corrected by November 18, 2024.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected October 2024. Corrected by November 18, 2024.

  • Could cause more than minimal harm, a pattern Environmental

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Inspected October 2024. Corrected by November 18, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected October 2024. Corrected by November 18, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Inspected October 2024. Corrected by November 18, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected October 2024. Corrected by November 18, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Inspected October 2024. Corrected by November 18, 2024.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected October 2024. Corrected by November 18, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected October 2024, after a complaint. Corrected by November 18, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected October 2024. Corrected by November 18, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected October 2024. Corrected by November 18, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide enough food/fluids to maintain a resident's health.

    Inspected October 2024. Corrected by November 18, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected October 2024. Corrected by November 18, 2024.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Inspected October 2024. Corrected by November 18, 2024.

  • Minimal harm or the potential for it, a pattern Resident Assessment and Care Planning

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Inspected October 2024. Corrected by November 18, 2024.

  • Minimal harm or the potential for it, a pattern Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected October 2024. Corrected by November 18, 2024.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Apple Rehab Middletown offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 70
  • Occupancy 94%
  • Nursing hours per resident/day 3.3
  • Annual staff turnover 38%
  • Last health inspection October 2024

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