Apple Rehab Middletown

Nursing Home · Middletown, CT

CMS overall rating 3/5 For profit - Corporation

CMS certification number075089

Contact & location

600 Highland Ave
Middletown, CT 06457
Lower Ct River Vly County
Phone
(860) 347-3315
ZIP code
06457 – all care providers

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Facility details

Certified beds
70
Residents per day
65.9 (94% occupied)
Ownership
For profit - Corporation
Legal name
Highview Health Care Center INC
Chain
Apple Rehab (20 facilities, avg 2.3★)
Medicare certified since
February 26, 1969
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 3.0
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.2
Quality measures★★★★★ 5/5
State avg 3.6
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.27 (state 3.73 · U.S. 3.86)
Registered nurses (RN)
0.54 (state 0.69 · U.S. 0.69)
Licensed practical nurses
0.74 (state 0.82 · U.S. 0.86)
Nurse aides
2.00 (state 2.22 · U.S. 2.32)
Weekend total
3.04 (state 3.37 · U.S. 3.42)
Nursing staff turnover
37.5 (state 37.4 · U.S. 45.8)%
RN turnover
40.0 (state 38.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
October 7, 2024
Health deficiencies (last cycle)
24.0 (state 13.4 · U.S. 9.3)
From complaints
9
Citations on record (3 years)
57 health · 8 fire safety · includes actual harm
DateCitationSeverityStatus
2026-06-10 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Deficient, Provider has no plan of correction
2026-06-10 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Deficient, Provider has no plan of correction
2026-06-10 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Deficient, Provider has no plan of correction
2026-05-13 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-24
2026-05-13 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-24
2026-05-13 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-24
2026-05-13 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-24
2026-05-13 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
F0711 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-24
2024-12-11 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-22
2024-11-13 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-10
2024-10-07 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-10-07 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-10-07 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-10-07 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-10-07 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-10-07 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-10-07 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-10-07 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-10-07 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-10-07 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-10-07 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-10-07 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-10-07 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-10-07 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-10-07 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2024-11-18
2024-10-07 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2024-11-18
2024-10-07 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
F0661 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-10-07 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-10-07 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-10-07 Ensure that the resident and his/her doctor meet face-to-face at all required visits.
F0712 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-05-22 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Corrected 2024-06-11
2024-03-26 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-14
2023-11-10 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Corrected 2023-12-22
2023-10-05 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-16
2023-10-05 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-16
2023-10-05 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-16
2023-08-30 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-11
2023-08-30 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-11
2022-05-10 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.
F0578 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-06-23
2022-05-10 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-06-23
2022-05-10 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-23
2022-05-10 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-23
2022-05-10 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-23
2022-05-10 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-23
2022-05-10 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-23
2022-05-10 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-23
2022-05-10 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-23
2022-05-10 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-23
2022-05-10 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-23
2022-05-10 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-23

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Foley, Brian (individual)5%+ Direct Ownership Interest · 100%
Foley, Brian (individual)Corporate Director · NOT APPLICABLE
Vess, Ryan (individual)Corporate Director · NOT APPLICABLE
Vess, Ryan (individual)Corporate Officer · NOT APPLICABLE
Vess, Ryan (individual)Operational/managerial Control · NOT APPLICABLE
Singh, Devika (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Apple Rehab Middletown?

Apple Rehab Middletown has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Connecticut.

How many beds does Apple Rehab Middletown have?

It has 70 certified beds and cares for about 66 residents per day.

Has Apple Rehab Middletown been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Apple Rehab Middletown?

It is part of Apple Rehab and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Apple Rehab Middletown?

(860) 347-3315. The facility is located at 600 Highland Ave, Middletown, CT 06457.

Other nursing homes in Middletown

Compare all nursing homes in Middletown, CT →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.