See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Apple Rehab Middletown

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

600 Highland Ave, Middletown, CT 0645770 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 34 Google reviews

5
4
3
2
1
Apple Rehab Middletown Nursing Home in Middletown, CT — Street View
Street View

Watch Apple Rehab Middletown

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (16 vs median 12)

Below average in CT · Below recommended RN staffing · No penalties on record

Source: Medicare data

What this means for your family

While the physical therapy department is frequently praised for its effectiveness, the facility suffers from significant, recurring issues with understaffing and administrative responsiveness. Families should be prepared to be highly involved in daily advocacy for their loved one's care and should carefully inspect the facility's cleanliness and communication protocols before committing.

Google Reviews

Google Reviews

34 reviews on Google
Apple Rehab Middletown receives highly polarized feedback, with some residents praising the physical therapy team while many others report severe neglect and administrative failures. Families frequently cite concerns regarding chronic understaffing, poor communication, and a lack of basic hygiene or compassionate care for their loved ones.

Quality Themes

Tap a score for details
Food3.0Staff3.0Clean2.0Activities2.0Meds2.0Memory3.0Comms1.0ValueN/A

Strengths

  • Effective physical and occupational therapy
  • Some dedicated, caring individual staff members
  • Professional rehab therapy management

Concerns

  • Chronic understaffing leading to delayed response times (mentioned by 9 reviewers)
  • Poor communication and dismissive attitude from management (mentioned by 6 reviewers)
  • Theft or loss of personal belongings (mentioned by 3 reviewers)
  • Inadequate hygiene and lack of basic patient care (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

2345.0'17(1)3.42.0'19(1)1.02.3'23(3)2.93.7'25(9)2.0'26(3)

Distribution · 40 analyzed

5
16
4
2
3
1
2
6
1
15

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given that physical and occupational therapy are noted as strengths here, how do you ensure that progress made in therapy is consistently supported by the nursing staff during daily routines?
  • 2With recent feedback regarding response times, could you walk me through the current process for how residents signal for assistance and how you monitor that those calls are answered promptly?
  • 3I noticed a high number of state violations this year; what specific changes or quality improvement initiatives has the facility implemented to address these findings and improve the overall care environment?
  • 4How does your management team approach communication with families, and what is the best way for us to receive regular updates regarding our loved one’s care and well-being?
  • 5To ensure peace of mind regarding personal belongings, what security protocols or inventory systems do you have in place to prevent items from being misplaced?
  • 6Could you describe the current daily activity schedule and how you encourage participation for residents who may need extra motivation to engage with others?

Personalized based on this facility's data


Key Review Excerpts

I spent 7 weeks here in short term rehab and was impressed by many star employees, including the APRN Christina, psychologist Lewis, nurse Cici and amazing therapy team, including OT Danielle and manager of rehab therapy Carol Ann.

Rehab patient · 2025★★★★★

The nurse manager told me 'I don't run the plane I only work here' when I brought concerns to her. I was horrified when I walked in to see my dad in a horrible state!

Long-term resident's family · 2024☆☆☆☆

The CNA’s are wonderful for the most part and do a great job! However , management is awful!! Don’t even bother complaining to them because they will assure you that they will try to resolve your issue and it gets swept under the rug.

Family member · 2024☆☆☆☆
Source: 34 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.54hrs
71%
Registered nurses for medical care
Total Nursing
3.32hrs
81%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

6

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility10.0%
Better than Avg
Here
10.0%
US
12.1%
CT
19.7%
Lower ct river vly
12.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility13.2%
Better than Avg
Here
13.2%
US
14.4%
CT
18.2%
Lower ct river vly
22.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility13.5%
Better than Avg
Here
13.5%
US
15.3%
CT
17.4%
Lower ct river vly
21.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility17.9%
Better than Avg
Here
17.9%
US
19.4%
CT
24.9%
Lower ct river vly
25.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility86.2%
Worse than Avg
Here
86.2%
US
93.4%
CT
88.0%
Lower ct river vly
88.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility15.8%
Better than Avg
Here
15.8%
US
19.5%
CT
17.4%
Lower ct river vly
16.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility36.2%
Worse than Avg
Here
36.2%
US
81.8%
CT
71.0%
Lower ct river vly
63.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility42.6%
Worse than Avg
Here
42.6%
US
79.7%
CT
69.7%
Lower ct river vly
64.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.0%
Worse than Avg
Here
4.0%
US
1.6%
CT
1.5%
Lower ct river vly
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies
Above state avg (12.8)
15 complaint-triggered

This facility shows concerning patterns with 62 deficiencies across 11 surveys, including 20 complaint-triggered violations where families reported problems. The most frequent issues involve resident rights violations, care planning failures, and medical record management problems. Recent complaints through December 2024 suggest ongoing concerns with resident dignity and abuse reporting, though the facility has corrected all cited deficiencies.

Dec 11, 2024Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Nov 13, 2024Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Oct 7, 2024Routine
20
0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0554Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0925Potential for harm · PatternCorrected

Environmental Deficiencies

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

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0565Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0578Potential for harm · IsolatedCorrected

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.

0580Potential for harm · IsolatedCorrected

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.

0600Potential for harm · IsolatedCorrected

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.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0640Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0842Minimal · PatternCorrected

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.

Oct 7, 2024Complaint
5
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0661Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0712Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

May 22, 2024Complaint
1
0658Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

Mar 26, 2024Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Apple Rehab Middletown

Organization Type

for profit

Chain Affiliation

Chain Name

Apple Rehab

Chain Size

20 facilities nationwide

Chain avg rating: 2.1/5 · Rank 8 of 20

Ownership & Management

Owners

Foley, Brian

Owner

100%

Key personnel

Singh, DevikaW-2 Managing EmployeeFoley, BrianOfficer / DirectorVess, RyanOfficer / DirectorVess, RyanOfficer / DirectorVess, RyanManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call