APPLE REHAB CROMWELL

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 "Special Care Low". 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 Cromwell. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

Special Care Low

Clinically Complex

Reduced Physical Function

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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 09/03/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 05/30/2008 Correction Date: 07/07/2008
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 05/30/2008 Correction Date: 07/07/2008

Environmental

Keep All Essential Equipment Working Safely. Inspection Date: 05/30/2008 Correction Date: 07/07/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/23/2009 Correction Date: 08/04/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/03/2010 Correction Date: 10/15/2010

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 05/30/2008 Correction Date: 07/07/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 05/30/2008 Correction Date: 07/07/2008
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Inspection Date: 06/23/2009 Correction Date: 08/04/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 09/03/2010 Correction Date: 10/15/2010

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. Inspection Date: 09/03/2010 Correction Date: 10/15/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/03/2010 Correction Date: 10/15/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/30/2008 Correction Date: 08/26/2008
Make Sure That Each Residents' Abilities to Take Care of Themselves Does Not Lessen, Unless a Change Cannot Be Avoided. Inspection Date: 05/30/2008 Correction Date: 07/07/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 05/30/2008 Correction Date: 07/07/2008
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 09/03/2010 Correction Date: 10/15/2010
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 09/03/2010 Correction Date: 10/15/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 09/03/2010 Correction Date: 10/15/2010

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 06/23/2009 Correction Date: 08/04/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/03/2010 Correction Date: 10/15/2010
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. Inspection Date: 09/03/2010 Correction Date: 10/15/2010

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. Inspection Date: 09/03/2010 Correction Date: 10/15/2010

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

The table below lists incident reports by the nursing staff or administration for Apple Rehab Cromwell, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 12/01/2009 Correction Date: 01/12/2010

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. Complaint Filed: 12/01/2009 Correction Date: 01/12/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Complaint Filed: 05/30/2008 Correction Date: 08/26/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 06/23/2009 Correction Date: 08/04/2009

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 Cromwell 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 09/03/2010.

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 06/16/2009 Correction Date: 07/06/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/03/2010 Correction Date: 12/02/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 06/16/2009 Correction Date: 07/06/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 06/16/2009 Correction Date: 07/06/2009