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Apple Rehab Rocky Hill

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About Apple Rehab Rocky Hill

General Information

Legal Business NameElm Hill Nursing Center, Inc.
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 2, 1971 (46 years)
Capacity120
Residents92
Percent Occupied77%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Apple Rehab Rocky Hill

Apple Rehab Rocky Hill
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Connecticut Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

May 12, 2016 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$18,900 fine
GFewActual HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
GFewActual HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaint+InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmComplaint+InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
ESomePotential for HarmComplaint+InspectionProvide care by qualified persons according to each resident's written plan of care.
ESomePotential for HarmComplaint+InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
ESomePotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
CManyPotential for Minimal HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmComplaint+InspectionProvide or obtain dental services for each resident.
DFewPotential for HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaint+InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaint+InspectionKeep clinical record information safe.
DFewPotential for HarmComplaint+InspectionHelp the resident in making transportation arrangements to and from radiology services.
DFewPotential for HarmComplaint+InspectionTry to resolve each resident's complaints quickly.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth Inspection1) Hire only people with 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.
DFewPotential for HarmComplaint+InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionProtect each resident from all abuse, physical punishment, and involuntary separation from others.
DFewPotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
BSomePotential for Minimal HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.

April 10, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
ESomePotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth Inspection1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth Inspection1) Hire only people with 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.
DFewPotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.

February 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave enough outside ventilation via a window or mechanical ventilation, or both.
ESomePotential for HarmComplaintKeep all essential equipment working safely.
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaintEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

November 13, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
BSomePotential for Minimal HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.

July 3, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaint+InspectionTry to resolve each resident's complaints quickly.
DFewPotential for HarmHealth InspectionKeep clinical record information safe.
DFewPotential for HarmComplaint+InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Apple Rehab Rocky Hill require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 10min
2hr 35min
ReportedExpected
CNA
55min
40min
ReportedExpected
LPN
30min
1hr 5min
ReportedExpected
RN
3hr 40min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 50min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

93.2%
93.5%
93.5%
93.5%
94.8%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.3%
100.0%
97.4%
98.6%
94.7%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
60.0%
-
45.9%
Q4 2015Q1 2016Q2 2016Q3 2016CT
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
21.1%
20.6%
20.0%
25.4%
21.8%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents who received an antianxiety or hypnotic medication
25.6%
20.6%
21.7%
30.2%
19.2%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents whose ability to move independently worsened
12.7%
12.9%
14.9%
17.9%
16.5%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents who received an antipsychotic medication
18.0%
20.0%
25.0%
32.7%
16.1%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents whose need for help with daily activities has increased
17.0%
12.5%
15.3%
0.0%
5.5%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents who self-report moderate to severe pain
9.5%
8.3%
11.5%
10.4%
6.8%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents who lose too much weight
1.5%
0.0%
1.5%
5.0%
4.2%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of high risk long-stay residents with pressure ulcers
1.4%
1.4%
0.0%
0.0%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents who have depressive symptoms
1.4%
2.7%
2.6%
2.9%
3.3%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents with a urinary tract infection
4.0%
4.1%
5.1%
5.6%
3.4%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents experiencing one or more falls with major injury
1.4%
1.3%
1.1%
1.2%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents with a catheter inserted and left in their bladder
4.0%
1.4%
1.3%
0.0%
0.3%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

69.3%
76.1%
69.0%
71.5%
80.6%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.9%
78.6%
78.6%
78.6%
80.2%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
67.6%
76.9%
78.7%
72.7%
66.4%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of short-stay residents who made improvements in function
16.9%
25.6%
22.6%
7.8%
15.5%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of short-stay residents who self-report moderate to severe pain
1.4%
2.9%
3.8%
2.0%
1.5%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of short-stay residents who newly received an antipsychotic medication
2.7%
2.9%
1.6%
1.2%
0.9%
Q4 2015Q1 2016Q2 2016Q3 2016CT
Percentage of short-stay residents with pressure ulcers that are new or worsened