A list of the most recent deficiencies for Apple Rehab Saybrook. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-01 | 2023-07-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-06 | 2023-05-21 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-04-06 | 2023-05-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-06 | 2023-05-21 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-04-06 | 2023-05-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-25 | 2022-10-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-25 | 2022-10-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-07-25 | 2022-10-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-25 | 2022-10-07 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-07-25 | 2022-10-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-25 | 2022-10-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-25 | 2022-10-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-07-25 | 2022-10-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-25 | 2022-10-07 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-07-25 | 2022-10-07 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-07-28 | 2022-09-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-28 | 2022-09-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-28 | 2022-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-28 | 2022-09-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-28 | 2022-09-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-28 | 2022-09-08 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-07-28 | 2022-09-08 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-07-28 | 2022-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-28 | 2022-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-28 | 2022-09-08 | N |
| Report COVID19 data to residents and families. | Health | 2022-07-28 | 2022-09-08 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-07-28 | 2022-08-22 | N |
| 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. | Health | 2022-07-28 | 2022-08-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-28 | 2022-08-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-22 | 2022-03-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-08-15 | 2021-09-26 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-08-15 | 2021-09-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-15 | 2021-09-26 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-08-15 | 2021-09-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-06 | 2021-06-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-06 | 2021-06-17 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-10-31 | 2019-12-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-10-31 | 2019-12-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-31 | 2019-12-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-31 | 2019-12-12 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-10-31 | 2019-12-12 | N |
| 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. | Health | 2019-10-31 | 2019-12-12 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-10-31 | 2019-12-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-10-31 | 2019-12-12 | N |
| Ensure 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. | Health | 2019-10-31 | 2019-12-12 | N |
| Provide or obtain dental services for each resident. | Health | 2019-10-31 | 2019-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-31 | 2019-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-31 | 2019-12-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-10-31 | 2019-12-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-31 | 2019-11-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-29 | 2019-11-26 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-10-29 | 2019-11-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-29 | 2019-11-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-29 | 2019-11-26 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-09-05 | 2018-11-01 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-09-05 | 2018-11-01 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-09-05 | 2018-11-01 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-09-05 | 2018-11-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-09-05 | 2018-11-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-09-05 | 2018-11-01 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-09-05 | 2018-11-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-09-05 | 2018-11-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-10 | 2018-10-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-10 | 2018-10-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-10 | 2018-10-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-09-10 | 2018-10-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-09-10 | 2018-10-22 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-09-10 | 2018-10-22 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-09-10 | 2018-10-22 | N |
| Ensure 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. | Health | 2018-09-10 | 2018-10-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-10 | 2018-10-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-10 | 2018-10-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-09-10 | 2018-10-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-10 | 2018-10-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-10 | 2018-09-10 | N |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2022-07-25 | Not Fixed | N |
