Apple Rehab Middletown
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 34 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.
- 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
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 detailsStrengths
- 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
Distribution · 40 analyzed
How They Respond to Reviews
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.”
“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!”
“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.”
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
10
measures
6
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
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
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, 2024Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nov 13, 2024Complaint1
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, 2024Routine20
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
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.
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 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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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, 2024Complaint5
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.
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
May 22, 2024Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Mar 26, 2024Complaint1
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
Apple Rehab Middletown
for profit
Chain Affiliation
Apple Rehab
20 facilities nationwide
Chain avg rating: 2.1/5 · Rank 8 of 20
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
34 reviews from families & visitors
Official Website
Visit apple-rehab.com
Medicare data downloads
Original nursing home datasets
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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.
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