Apple Rehab Guilford
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 211 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- High RN turnover (54%)
Bottom 25% in CT · Below recommended RN staffing · Worst in APPLE REHAB chain · No penalties on record · Abuse citation
What this means for your family
This facility offers an excellent rehabilitation program and a clean, modern environment that many families appreciate. However, because of recurring reports regarding weekend staffing levels and inconsistent hygiene, we strongly recommend visiting during off-hours and asking specifically about their protocols for monitoring residents with dementia.
Google Reviews
Google Reviews
211 reviews on Google“Apple Rehab Guilford (formerly Madison House/The Willows) receives polarized feedback, with many families praising the facility's cleanliness, modern aesthetic, and the dedication of specific nursing and therapy staff. However, significant concerns persist regarding inconsistent care quality, particularly on weekends, as well as reports of neglect, poor communication, and issues with personal item management for residents with memory impairments.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy teams
- Clean, modern, and well-maintained facility
- Many staff members described as kind and attentive
- Responsive management for specific family concerns
Concerns
- Inconsistent staffing and care quality on weekends (mentioned by 5 reviewers)
- Poor communication and difficulty reaching staff by phone (mentioned by 4 reviewers)
- Neglect or poor hygiene for residents (soiled diapers, lack of showers) (mentioned by 5 reviewers)
- Loss or theft of personal belongings (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 175 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed that your management team is very active in responding to online feedback; how do you use that family input to improve daily operations?
- 2Given that some families have expressed concerns regarding weekend staffing levels, what steps are you taking to ensure consistent care quality and attention on Saturdays and Sundays?
- 3I understand that maintaining hygiene and personal care is a top priority; what is your specific process for monitoring and ensuring that residents receive timely assistance with daily needs like showers and clothing changes?
- 4Communication is very important to us; what is the best way for us to reach the nursing team directly if we have a question about a medication change or a health update?
- 5Since therapy services are highlighted as a major strength here, how do you integrate those physical and occupational therapy goals into the resident's routine outside of their scheduled sessions?
- 6What protocols do you have in place to help residents keep track of their personal belongings and ensure their items are secure?
Personalized based on this facility's data
Key Review Excerpts
“The rehabilitation department ( PT/OT/Speech ) was absolutely wonderful. Avy and team were always kind and professional - and understood my aunt's special needs due to her memory issues.”
“My only (hopefully constructive) criticism is about the overflow from the dementia area - my mom kept her door closed because of the frequent shouts of 'help!' from nearby rooms, sometimes male voices screaming quite loudly, quite late into the evening.”
“My other laid in soiled diapers for many hours. I visited almost every day and the same garbage would be on the floor for almost an entire week. They were supposed to do rehab for an hour every day but it was more like 15 minutes a few time a week”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
9
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents whose walking got worse
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints about abuse protection and care issues, with recent violations in November 2024 for failing to protect residents from abuse and properly report incidents. The facility shows recurring problems across resident rights, abuse protection, and care quality, with the same issues appearing repeatedly across multiple years despite reported corrections. While all deficiencies show correction dates, the pattern of repeated violations in critical safety areas warrants careful consideration before placement.
Nov 18, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Feb 25, 2025Routine21
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
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.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies
Have exits that are accessible at all times.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Sep 13, 2024Complaint6
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Aug 15, 2024Complaint1
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Oct 19, 2022Routine16
Resident Rights Deficiencies
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.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Jan 2, 2020Routine8
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Ownership & Operations
Who Operates This Facility
Apple Rehab Guilford
for profit
Chain Affiliation
Apple Rehab
20 facilities nationwide
Chain avg rating: 2.1/5 · Rank 20 of 20 (Worst)
Ownership & Management
Owners
Foley, Brian
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
211 reviews from families & visitors
Official Website
Visit autumnlakehealthcare.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.