The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
Nursing home report
Apple Rehab Guilford
GUILFORD, CT · Medicare-certified · 90 beds
Needs attention
Abuse citationFor-profitChain member
1 of 5 overall
Apple Rehab Guilford has a 1-star overall rating, with 1-star staffing and 2-star health inspection and quality scores. Reported nurse staffing is 3.24 hours per resident per day, below the 4.1 federal benchmark, and there is a recent abuse citation; no fines were reported in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2366 hrs/resident/day
Quality measures
Last inspection: November 18, 2025Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2366.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 0.86
- Nurse aides
- 1.89
- Weekend nursing
- 2.84
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 58%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
26.4%28.3%Worsening
Residents with a fall causing major injury
7.2%9%Worsening
Residents with pressure ulcers (bedsores)
5.6%2.1%Improving
Residents with a urinary tract infection
0%1.5%Worsening
Residents who lost too much weight
3.3%6.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.3%24.1%Worsening
Residents whose ability to walk got worse
28.5%24.7%Improving
Long-stay residents on antianxiety or sleep medication
14.5%13.3%Improving
Short-stay residents newly given an antipsychotic
2.3%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
40.4%24.5%Improving
Residents with depressive symptoms
0%11.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—82.9%—
Long-stay residents given the pneumonia vaccine
79.7%91%Improving
Short-stay residents given the seasonal flu vaccine
—53.7%—
Short-stay residents given the pneumonia vaccine
44.3%33%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited October 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to protect residents from abuse and neglect by others. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: D
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of APPLE REHAB · 20 homes · 2.2 stars avg
- Occupancy
- 78.2 residents on an average day (87% of 90 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 59 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.