APPLE REHAB ROCKY HILL
The information listed below provides an in-depth look into the type and quality of care offered at Apple Rehab Rocky Hill. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
APPLE REHAB ROCKY HILL
45 ELM STREET
ROCKY HILL, CT 06067
(860) 529-8661
45 ELM STREET
ROCKY HILL, CT 06067
(860) 529-8661
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
73%Number of Residents and Certified Beds
- Residents: 88
- Certified Beds: 120
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Both Resident and Family Counseling Services
- This Facility is Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Apple Rehab Rocky Hill. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 5.4% |
| ADL Index Range: 6-10 | 34.9% |
| ADL Index Range: 0-5 | 25.9% |
| Total Percent: | 66.3% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 4.2% |
| ADL Index Range: 6-10 | 7.6% |
| ADL Index Range: 0-5 | 14.6% |
| Total Percent: | 26.4% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 6-10 | 2.3% |
| ADL Index Range: 0-5 | 0.2% |
| Total Percent: | 2.5% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 6-10 | 1.6% |
| ADL Index Range: 0-5 | 1.5% |
| Total Percent: | 3.2% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 6-10 - No Signs of depression | 0.4% |
| ADL Index Range: 2-5 - No Signs of depression | 0.9% |
| Total Percent: | 1.3% |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
| ADL Index Range: 11-14 - Less restorative nursing | 0.3% |
| Total Percent: | 0.3% |
Rating Details For Apple Rehab Rocky Hill
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 39 Minutes | 1 Hour and 17 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 7 Minutes | 46 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 38 Minutes | 2 Hours and 32 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 46 Minutes | 2 Hours and 3 Minutes |
| Total Nurse Hours | 4 Hours and 24 Minutes | 4 Hours and 35 Minutes |
Quality of Care - 
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Connecticut are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Connecticut Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 70% | 85% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 75% | 88% |
Long-Term Stay Deficiencies
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 10% | 9% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 10% | 8% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 5% | 11% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 10% | 3% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 4% | 7% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 21% | 15% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 55% | 52% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 1% | 2% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 3% | 4% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 11% | 12% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 3% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 36% | 79% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 39% | 78% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Pressure Sores | 7% | 12% |
| Percent of Short-Stay Residents Who Have Delirium | - | 2% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 19% | 19% |
Health Inspection Details - 
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 12/14/2010.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
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Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
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Set Up or Keep a Group of People to Review and Ensure Quality.
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Follow All Laws and Professional Standards.
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Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Mistreatment
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
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Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Nutrition and Dietary
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
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At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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Make Sure That Residents Are Safe from Serious Medication Errors.
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1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
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Quality Care
Give Professional Services That Follow Each Resident's Written Care Plan.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Each Residents' Abilities to Take Care of Themselves Does Not Lessen, Unless a Change Cannot Be Avoided.
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Make Sure That Each Resident's Nutritional Needs Were Met.
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Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
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Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
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Give Professional Services That Meet a Professional Standard of Quality.
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Make Sure That Each Resident's Nutritional Needs Were Met.
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Develop/Implement Required Procedures for the Administration of Immunizations.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
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Make Sure That Each Resident's Nutritional Needs Were Met.
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Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
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Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
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Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
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Resident Rights
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
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Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
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Let the Appropriate People See and Talk to Each Resident.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Apple Rehab Rocky Hill, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Administration
Keep Accurate and Appropriate Medical Records.
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Nutrition and Dietary
Provide a Tasty and Well-Balanced Diet That Meets the Nutritional Needs of Each Resident.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
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Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
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Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
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Resident Rights
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
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Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Apple Rehab Rocky Hill had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 12/10/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Source: Medicare Nursing Home Compare; Department of Public Health of Connecticut - Division of Health Systems Regulation - Retrieved 2011
