Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Apple Rehab Avon during CMS and state inspections, most recent first.
A resident with significant medical and mental health needs was subjected to verbal abuse by a housekeeper, who used profanity and derogatory language during an argument about room cleaning. The incident was witnessed by the Director of Maintenance and confirmed through facility documentation and staff interviews, constituting a failure to protect the resident from verbal mistreatment as required by facility policy.
A housekeeper was observed using profane and derogatory language towards a resident with significant medical needs. Despite facility policy requiring immediate removal of staff pending investigation after an abuse allegation, the employee was not suspended or taken off the schedule right away. The incident was reported to administration the following day, and only then was a suspension initiated.
A resident with multiple health conditions was subjected to verbal abuse by a housekeeper, who used profanity during an argument. The Director of Maintenance witnessed the incident but delayed reporting it to the Administrator, and the State Agency was not notified within the required timeframe. Facility policy requiring immediate reporting and prompt State Agency notification was not followed.
A resident with a surgical wound experienced a lapse in wound vac function, leading to an alternate dressing being applied based on a verbal order from an APRN. The nurse failed to document this verbal order in the EMR and did not ensure timely documentation of the wound care provided, resulting in incomplete and inaccurate medical records.
A resident with a history of dysphagia and cognitive deficits was served food without the required 1:1 supervision, as ordered by the physician and facility policy. Staff left a dessert at the bedside and did not remain present, leading to the resident experiencing difficulty breathing and requiring emergency transfer for aspiration. Interviews confirmed that the mandated supervision was not provided at the time of the incident.
A resident with borderline personality and PTSD reported being recorded by a supervisor, which was not timely reported to the State Agency as required by facility policy. The DON did not consider the grievance as an abuse allegation, leading to a deficiency in reporting procedures.
Verbal Abuse of Resident by Housekeeper
Penalty
Summary
A deficiency occurred when a resident with major depression, end stage kidney disease, and heart failure, who was alert and oriented but required extensive assistance for bed mobility, was subjected to verbal mistreatment by a staff member. The resident's care plan indicated a need for two staff during care and interventions for hoarding and treatment refusals. Despite these interventions, a housekeeper engaged in an argument with the resident, during which the housekeeper used profanity and derogatory language directed at the resident. This incident was witnessed by the Director of Maintenance, who observed the housekeeper calling the resident a derogatory term during a dispute about the placement of a bedside table. The facility's abuse policy strictly prohibits any kind of abuse or mistreatment, including verbal abuse defined as the use of derogatory or threatening language towards a resident. The incident was documented in facility records and confirmed through interviews with staff, including the Director of Maintenance and the DON, both of whom acknowledged that the language used constituted verbal abuse. The housekeeper later admitted in her employee file that she may have used the derogatory term when addressing the resident. The failure to prevent this verbal mistreatment resulted in a deficiency related to protecting residents from all types of abuse.
Failure to Immediately Remove Employee After Verbal Abuse Incident
Penalty
Summary
A deficiency occurred when a staff member, specifically a housekeeper, was observed using inappropriate and profane language towards a resident who had diagnoses including major depression, end stage kidney disease, and heart failure. The resident was alert and oriented, requiring extensive assistance for bed mobility, and had a care plan that included interventions for staff attendance during care. The incident involved the housekeeper engaging in an argument with the resident, during which the housekeeper used derogatory language. This was witnessed by the Director of Maintenance, who did not immediately suspend the housekeeper and was unclear about the required disciplinary action. Despite facility policy requiring immediate removal of an employee from the schedule pending investigation after an allegation of abuse, the housekeeper was not suspended or removed from the schedule immediately following the incident. The Director of Maintenance reported the incident to the Administrator the next day, and a suspension was put in place only after this notification. Documentation confirmed the housekeeper admitted to using inappropriate language, and both the DON and Administrator acknowledged that the incident constituted verbal abuse and that policy was not followed regarding immediate suspension.
Failure to Timely Report and Notify State Agency of Verbal Abuse Allegation
Penalty
Summary
Staff failed to report an allegation of verbal abuse/mistreatment in a timely manner and did not ensure prompt notification to the State Agency as required by facility policy. A resident with major depression, end stage kidney disease, and heart failure, who was alert and oriented but required extensive assistance, was involved in an incident where a housekeeper used profanity and derogatory language during an argument. The Director of Maintenance (DM) witnessed the incident and did not immediately notify the Administrator, waiting until the following day due to the Administrator's unavailability. The facility's policy required immediate reporting of such incidents. Further review revealed that the State Agency was not notified of the incident until three days after it occurred and two days after it was reported to the Administrator, despite policy requiring notification within two hours of awareness. Documentation discrepancies were noted regarding the date of the incident, and interviews confirmed that both the DM and Administrator recognized the delay in reporting. The facility's abuse policy defined verbal abuse and outlined the requirement for immediate reporting and removal of the accused employee from the schedule pending investigation, which was not followed in this case.
Incomplete Documentation of Verbal Wound Care Orders and Treatment
Penalty
Summary
The facility failed to maintain a complete and accurate medical record for a resident who had undergone a panniculectomy and experienced wound dehiscence and infection. Although there was a physician order for wound vac dressing changes three times per week, on one occasion the wound vac stopped working and an alternate dressing was applied. The nurse documented the wound treatment as held and referenced nursing progress notes, but there was no corresponding physician order for the alternative dressing in the record for the period when the wound vac was unavailable. Interviews revealed that the nurse had received a verbal order from an APRN to apply a wet to dry dressing until the new wound vac arrived, but this verbal order was not documented in the electronic medical record as required by facility policy. Both the nurse and the APRN confirmed that verbal orders should be entered into the EMR, and the facility's policies direct that such orders be written down, verified, and properly documented. Additionally, documentation of the wound care provided was not completed in a timely manner, as required by the facility's nursing documentation policy.
Failure to Provide Required 1:1 Supervision During Meals Resulting in Choking Incident
Penalty
Summary
A deficiency occurred when staff failed to follow a physician's order requiring one-to-one (1:1) supervision during meals for a resident with multiple diagnoses, including bipolar disorder, diabetes mellitus, and mild oropharyngeal dysphagia following an anterior cervical discectomy and fusion. The resident's care plan and physician's order specified a dysphagia level 3 diet with thin liquids and mandated 1:1 supervision and assistance with feeding, including cues for small bites, small sips, and alternating solids with liquids. Despite these orders, staff delivered a piece of cake to the resident and left it on the overbed table without remaining present to provide the required supervision. Subsequently, the resident was found to be having difficulty breathing after consuming the dessert without supervision. Staff attempted abdominal thrusts and called emergency services, resulting in the resident's transfer to the hospital, where aspiration was diagnosed. Interviews with staff and the DON confirmed that the facility's policy and the physician's order for 1:1 supervision were not followed at the time of the incident, as staff were distributing meals and intended to provide supervision only after all trays had been delivered.
Failure to Timely Report Allegation of Abuse
Penalty
Summary
The facility failed to notify the State Agency in a timely manner regarding an allegation of abuse involving a resident. The resident, who was admitted with diagnoses including borderline personality and post-traumatic stress disorder, reported that a weekend supervisor recorded them on a cell phone, allegedly stating that the resident had psychological problems. This incident was documented in a grievance form. Despite the facility's policy requiring immediate investigation and notification to the State Agency within two hours of an abuse allegation, the Director of Nursing (DON) did not consider the grievance as an allegation of abuse and thus did not report it to the State Agency. The facility's policy on protecting resident privacy and prohibiting mental abuse clearly defines mental abuse to include actions by staff that demean a resident through recordings. The resident's care plan noted behaviors such as accusatory tendencies and poor impulse control, requiring staff to approach the resident calmly and avoid engagement if the resident escalates. The DON's failure to recognize the grievance as an abuse allegation and the subsequent delay in reporting to the State Agency constituted a deficiency in adhering to the facility's abuse policy.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Avon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avon Health Center | 0.2 mi | — | 0 | 0 |
| Countryside Manor Of Bristol | 4.7 mi | — | 0 | 0 |
| Cherry Brook Health Care Center | 4.9 mi | — | 5 | 0 |
| Autumn Lake Healthcare At West Hartford | 4.9 mi | — | 17 | 0 |
| Amberwoods Of Farmington | 5.2 mi | — | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.