Home›Connecticut›Lower Ct River Vly County›APPLE REHAB MIDDLETOWN
C
Below Standard

APPLE REHAB MIDDLETOWN

600 HIGHLAND AVE · MIDDLETOWN, CT 06457

8603473315 · For profit - Corporation

70 beds64.5 residents104 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

APPLE REHAB MIDDLETOWN receives an overall staffing grade of C (Below Standard). With 3.2611 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5715 HPRD, below the recommended 0.75. It is 0.64 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.25% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2611 HPRD — needs 0.22 more hours per resident per day.
⚠️RN staffing (0.5715 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.2611hrs/resident/day▼ 0.64
CMS benchmark: 3.48
RN HPRD
0.5715hrs/resident/day▼ 0.11
Recommended: 0.75
Weekend Drop-off
12.25%
3.378 weekday → 2.9642 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0186hrs/resident/day
Direct care aides
LPN HPRD
0.671hrs/resident/day
Licensed practical nurses
Consistency
0.2699std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Lower Ct River Vly County Average-0.38 HPRD
3.65
03.26 HPRD
vs. Connecticut State Average-0.58 HPRD
3.84
03.26 HPRD
vs. National Average-0.64 HPRD
3.90
03.26 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
APPLE REHAB MIDDLETOWN ★
MIDDLETOWN · This facility
—
C
3.26110.5715★★☆☆☆
WATER'S EDGE CENTER FOR HEALTH & REHAB
MIDDLETOWN
1.3 mi
C
3.45840.4657★★☆☆☆
WADSWORTH GLEN HEALTH CARE AND REHABILITATION CENT
MIDDLETOWN
1.6 mi
C
3.58640.4984★★☆☆☆
PORTLAND CARE & REHAB CENTER
PORTLAND
3.1 mi
B
3.7850.852★★★★★
PILGRIM MANOR
CROMWELL
4.4 mi
B
3.96790.8172★★★★☆
AUTUMN LAKE HEALTHCARE AT CROMWELL
CROMWELL
4.4 mi
D
3.05220.2585★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

11
Inspections
54
Total Deficiencies
$0
Fines Assessed
Dec 11, 2024Health
1 deficiency cited
▼
Nov 13, 2024Health
1 deficiency cited
▼
Oct 7, 2024Health
20 deficiencies cited
▼
May 22, 2024Health
1 deficiency cited
▼
Mar 26, 2024Health
1 deficiency cited
▼
Nov 10, 2023Health
1 deficiency cited
▼
Oct 5, 2023Health
3 deficiencies cited
▼
Aug 30, 2023Health
2 deficiencies cited
▼
Mar 21, 2023Health
5 deficiencies cited
▼
May 10, 2022Health
14 deficiencies cited
▼
Aug 15, 2019Health
5 deficiencies cited· Includes actual harm
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.