A list of the most recent deficiencies for Apple Rehab West Haven. 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 | 2023-12-07 | 2024-02-05 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-12-07 | 2024-02-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-07 | 2024-02-05 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-07 | 2024-02-05 | 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 | 2023-12-07 | 2024-02-05 | 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 | 2023-12-07 | 2024-02-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-07 | 2024-02-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-07 | 2024-02-05 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-12-07 | 2024-02-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-07 | 2024-02-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-07 | 2024-02-05 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-12-07 | 2024-02-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-07 | 2024-02-05 | 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 | 2023-12-07 | 2024-02-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-07 | 2024-02-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-07 | 2024-02-05 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-12-07 | 2024-02-05 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-12-07 | 2024-02-05 | 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 | 2023-12-07 | 2024-02-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-07 | 2024-02-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-07 | 2024-02-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-07 | 2024-02-05 | 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 | 2023-12-07 | 2024-02-05 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-12-07 | 2024-02-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-02 | 2023-12-14 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-28 | 2023-12-13 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-11-28 | 2023-12-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-28 | 2023-12-13 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-11-28 | 2023-12-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-28 | 2023-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-28 | 2023-12-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-28 | 2023-12-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-11-28 | 2023-12-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-28 | 2023-12-13 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2023-11-28 | 2023-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-28 | 2023-12-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-28 | 2023-12-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-10 | 2023-08-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-10 | 2023-08-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-25 | 2023-06-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-25 | 2023-06-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-25 | 2023-06-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-25 | 2023-06-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-23 | 2022-10-01 | Y |
| 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 | 2022-06-08 | 2022-07-21 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-06-08 | 2022-07-21 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-08 | 2022-07-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-22 | 2022-03-24 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-10-20 | 2021-12-30 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-10-20 | 2021-12-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-20 | 2021-12-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-10-20 | 2021-12-30 | 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 | 2021-10-20 | 2021-12-30 | N |
| Provide or obtain dental services for each resident. | Health | 2021-10-20 | 2021-12-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-20 | 2021-12-30 | Y |
| 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 | 2021-10-20 | 2021-12-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-20 | 2021-12-30 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-10-12 | 2021-12-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-10-12 | 2021-12-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-12 | 2021-12-01 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-05-29 | 2019-07-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-29 | 2019-07-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-24 | 2019-07-05 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-05-24 | 2019-07-05 | 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 | 2019-05-24 | 2019-07-05 | 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 | 2019-05-24 | 2019-07-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-24 | 2019-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-24 | 2019-07-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-24 | 2019-07-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-05-24 | 2019-07-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-05-24 | 2019-07-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-24 | 2019-07-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-24 | 2019-06-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-24 | 2019-06-25 | N |
