A list of the most recent deficiencies for Apple Rehab Middletown. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-05 | 2023-11-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-05 | 2023-11-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-05 | 2023-11-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-30 | 2023-10-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-30 | 2023-10-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-21 | 2023-04-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-21 | 2023-04-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-21 | 2023-04-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-21 | 2023-04-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-21 | 2023-04-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-28 | 2023-01-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-28 | 2023-01-09 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-05-10 | 2022-06-23 | 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 | 2022-05-10 | 2022-06-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-10 | 2022-06-23 | N |
| 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. | Health | 2022-05-10 | 2022-06-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-10 | 2022-06-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-10 | 2022-06-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-10 | 2022-06-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-10 | 2022-06-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-10 | 2022-06-23 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-05-10 | 2022-06-23 | 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 | 2022-05-10 | 2022-06-23 | 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 | 2022-05-10 | 2022-06-23 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-05-10 | 2022-06-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-10 | 2022-06-23 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-05-04 | 2022-06-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-04 | 2022-06-16 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-05-04 | 2022-06-16 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-09-27 | 2021-11-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-27 | 2021-11-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-27 | 2021-11-08 | 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 | 2021-09-27 | 2021-11-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-27 | 2021-11-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-27 | 2021-11-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-27 | 2021-10-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-12 | 2021-05-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-12 | 2021-05-26 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-08-15 | 2019-09-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-15 | 2019-09-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-15 | 2019-09-26 | 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 | 2019-08-15 | 2019-09-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-15 | 2019-09-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-06-25 | 2018-08-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-06-25 | 2018-08-06 | 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 | 2018-06-25 | 2018-08-06 | 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 | 2018-06-25 | 2018-08-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-25 | 2018-08-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-25 | 2018-08-06 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-06-21 | 2018-08-06 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-06-21 | 2018-08-06 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-06-21 | 2018-08-06 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-06-21 | 2018-08-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-06-21 | 2018-08-06 | 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 | 2018-06-21 | 2018-08-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-06-21 | 2018-08-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-21 | 2018-08-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-06-21 | 2018-08-06 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2018-06-21 | 2018-08-06 | N |
