| Apple Rehab Guilford | |
| 10 Boston Post Rd, Guilford, Connecticut 06437 | |
| (203) 453-3725 | |
| Name | Apple Rehab Guilford |
|---|---|
| Location | 10 Boston Post Rd, Guilford, Connecticut |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 90 |
| Occupancy Rate | 87.11% |
| Medicare ID (CCN) | 075144 |
| Legal Business Name | Fowler Nursing Center, Inc. |
| Ownership Type | For Profit - Corporation |
| Chain | Apple Rehab (20 nursing homes) |
| Chain Average Overall Rating | 2.3 out of 5 |
| NPI Number | 1942379177 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Fowler Nursing Center, Inc. |
| Address | 10 Boston Post Rd, Guilford, CT 06437 |
| Phone Number | 203-453-3725 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.2 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.48 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.86 | 0.86 |
| Nurse aide hours per resident per day | 1.87 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.88 | 3.42 |
| RN hours per resident per day on the weekend | 0.31 | 0.48 |
| Physical therapist hours per resident per day | 0.08 | 0.07 |
| Total nursing staff turnover | 43.9% | 45.8% |
| Registered nurse turnover | 56.3% | 42.9% |
| Number of administrators who have left the nursing home | 3 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | Yes |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Nov 18, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Nov 28, 2025 |
| Nov 18, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Nov 28, 2025 |
| Feb 25, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Apr 8, 2025 |
| Feb 25, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 8, 2025 |
| Feb 25, 2025 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2025 |
| Feb 25, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2025 |
| Feb 25, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2025 |
| Feb 25, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2025 |
| Feb 25, 2025 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2025 |
| Feb 25, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2025 |
| Feb 25, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2025 |
| Feb 25, 2025 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625, Resident Rights, Standard inspection | Minimal harm potential, pattern | Corrected by Apr 8, 2025 |
| Sep 13, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Oct 25, 2024 |
| Sep 13, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Oct 25, 2024 |
| Sep 13, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Oct 25, 2024 |
| Sep 13, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Oct 25, 2024 |
| Sep 13, 2024 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Oct 25, 2024 |
| Sep 13, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Oct 25, 2024 |
| Aug 15, 2024 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805, Nutrition and Dietary, Complaint inspection | Potential for harm, isolated | Corrected by Sep 26, 2024 |
| Oct 19, 2022 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Dec 31, 2022 |
| Oct 19, 2022 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2022 |
| Oct 19, 2022 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2022 |
| Oct 19, 2022 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. F0622, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2022 |
| Oct 19, 2022 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2022 |
| Oct 19, 2022 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2022 |
| Oct 19, 2022 | Plan the resident's discharge to meet the resident's goals and needs. F0660, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2022 |
| Oct 19, 2022 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2022 |
| Oct 19, 2022 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2022 |
| Oct 19, 2022 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2022 |
| Oct 19, 2022 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.22 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.49 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.74 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 10.49 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.06 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.28 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 38.2 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 28.18 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.35 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 82.89 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 53.66 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.42 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.62 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 24.1 | 15.38 |