Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 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 Coccomo during CMS and state inspections, most recent first.
A resident who sustained a femur fracture from a fall and was readmitted after surgery did not have their care plan or care card promptly updated to reflect new physician and therapy orders for non-weight bearing status and mechanical lift transfers with two staff. Staff interviews revealed confusion about the resident's current transfer status, and the facility's policy requiring timely updates to care plans was not followed.
Multiple observations revealed persistent issues with cleanliness and maintenance, including soiled floors, peeling paint, leaking sinks, broken tiles, and non-functioning lights across several units. Residents expressed dissatisfaction with the facility's condition and lack of completed repairs. Staff interviews highlighted inadequate training, missing maintenance records, and housekeeping staffing shortages, with supervisors unable to confirm recent cleaning. The facility could not provide a maintenance policy when requested.
A resident receiving IV antibiotics for osteomyelitis did not receive the full prescribed dose on three occasions because nursing staff failed to flush the IV line after medication administration, resulting in a significant portion of the medication remaining in the tubing and being discarded. This occurred despite facility policy requiring safe and accurate medication administration.
A resident reported a grievance about a broken television remote, but the facility did not act to replace it. Observations found that three residents had remotes with missing pieces or taped parts, and interviews confirmed they had reported the issue to staff without resolution. The Regional Director of Maintenance was unaware of the problem and could not verify if it had been addressed.
A resident with dementia and impaired decision-making left the facility alone despite an order requiring accompaniment, and staff were unaware of the resident's absence for over six hours. Multiple staff failed to follow the missing resident policy, including not conducting an overhead alert, not searching outside, and not notifying police. The resident was later found by law enforcement after a vehicle accident and exposure to cold, resulting in an Immediate Jeopardy finding.
A resident with cognitive impairment was subjected to verbal abuse by an LPN, who made derogatory remarks about the resident's alleged drug use and criminal behavior during a loud argument at the nurse's station. Several nursing assistants witnessed the incident but did not immediately report it, resulting in a delay in facility response. The facility's policies prohibit such mistreatment, but the resident was not protected from verbal abuse.
A resident with cognitive impairment was subjected to inappropriate and derogatory comments by an LPN during a loud argument, which was witnessed by multiple nursing assistants. The staff did not immediately report the incident to supervisors, and there was a significant delay in notifying the DON and submitting the required report to the state agency, contrary to facility policy.
A resident with chronic wounds and diabetes repeatedly refused wound care treatments, a therapeutic beverage, and prescribed offloading boots. Despite these refusals being documented in clinical records, the care plan was not updated to address or manage the resident's refusals, contrary to facility policy and expectations confirmed by the DON.
A resident with chronic wounds and diabetes did not receive a low air-loss mattress as ordered by a wound consultant, due to the facility's failure to obtain the necessary physician order and to maintain the specialized mattress in place. Staff replaced the low air-loss mattress with a standard one after it broke, despite having additional mattresses available, and did not promptly restore the required pressure relief device.
A resident with dementia and a history of alcohol abuse left the facility unaccompanied, contrary to LOA orders, and was later involved in a motor vehicle accident. The facility did not perform an elopement risk assessment upon the resident's return, and when an assessment was eventually completed, it inaccurately indicated no history of elopement, despite the recent unauthorized absence.
Failure to Update Care Plan After Resident Readmission with New Transfer Needs
Penalty
Summary
The facility failed to revise the Resident Care Plan (RCP) for a resident upon readmission after the resident sustained a facility-acquired right femur fracture due to a fall. The resident, who had diagnoses including COPD, depression, and benign paroxysmal vertigo, was previously identified as a fall risk and had interventions in place such as calling for assistance when dizzy and using a call bell. After the fall, which occurred when the resident missed the wheelchair while attempting to sit, the RCP was updated to include use of a gait belt and instructing the resident to feel for wheelchair arms before sitting. However, following the resident's return from the hospital after surgery, new physician and therapy orders specified non-weight bearing status and transfer with a mechanical lift and assistance of two staff, but these changes were not reflected in the RCP or the Resident Care Card (RCC) in a timely manner. Staff interviews revealed confusion regarding the resident's current transfer status, with some staff relying on outdated RCC information and awaiting clarification before providing care. The facility's care planning policy required that care plans and care cards be updated as needed to reflect changes in the resident's status, but this was not done promptly after the resident's readmission and change in transfer needs. The deficiency was identified through clinical record review, facility documentation, and staff interviews, which confirmed that the care plan and RCC did not direct staff to the updated transfer requirements following the resident's injury and hospital stay.
Failure to Maintain Clean, Safe, and Homelike Environment
Penalty
Summary
The facility failed to ensure and maintain a clean, comfortable, and homelike environment for its residents, as evidenced by multiple observations across several units. Surveyors noted soiled floors, peeling paint, leaking or non-functional sinks and faucets, stained sinks, closet doors off hinges and stained, broken or missing shower room floor tiles, dark substances covering shower room floor edges, and non-functioning bathroom lights. These deficiencies were observed in resident rooms, shower rooms, hallways, and nurses' stations on units 100, 200, and 300. Residents reported dissatisfaction with the facility's appearance and lack of repairs, stating that maintenance projects were started but not completed, and that requests for repairs had not resulted in visible improvements. Interviews with staff revealed further issues contributing to the deficiency. The Director of Maintenance, who had been in the role for four months, reported a lack of training and absence of maintenance logs or records from the previous director. The Director of Housekeeping/Laundry indicated staffing shortages and challenges in maintaining cleanliness, with cleaning schedules not consistently followed. The Interim Administrator acknowledged responsibility for the facility's condition and stated that the new Director of Maintenance and Corporate Project Manager were assessing repair needs. Additional observations confirmed ongoing cleanliness and maintenance issues, with staff unable to verify when cleaning last occurred and supervisors acknowledging the inadequacy of current cleaning efforts. The facility was unable to provide a policy for building maintenance when requested.
Failure to Ensure Complete IV Antibiotic Administration Due to Lack of Line Flushing
Penalty
Summary
The facility failed to ensure the safe and appropriate administration of intravenous (IV) antibiotics for a resident diagnosed with bilateral ankle osteomyelitis. Specifically, the facility did not secure or implement an order to flush the IV line after administering ceftriaxone, resulting in incomplete delivery of the prescribed medication. Review of the clinical records and medication administration records showed that, for three consecutive days, there was no order or documentation to flush the IV tubing after the antibiotic was given, and the tubing containing residual medication was discarded. This led to the resident not receiving the full dosage of antibiotics as prescribed. Interviews with the resident, the DON, and the pharmacist confirmed that the issue was brought to the attention of facility leadership after the resident and their responsible party noticed the problem. The pharmacist calculated that approximately 24% of the medication was not administered each day due to the lack of flushing, totaling a significant amount of missed medication over the three days. Facility policy required medications to be administered safely and accurately according to physician orders and protocols, which was not followed in this instance.
Failure to Address Resident Grievances Regarding Broken Television Remotes
Penalty
Summary
A deficiency was identified when a resident reported that their television remote control was in disrepair, but the facility failed to act on the grievance and did not replace the remote control. During a tour of the resident units, it was observed that three residents had television remote controls with missing pieces or that had been taped together. Interviews with these residents revealed that they had reported the broken or incomplete remote controls to several staff members, but were told the controls were still working and that no replacements were available. The Regional Director of Maintenance was unaware of the issue, could not locate the maintenance logbook to verify if the problem had been addressed, and was unable to explain why the remotes had not been replaced.
Failure to Supervise and Respond to Missing Resident Results in Immediate Jeopardy
Penalty
Summary
The facility failed to ensure timely staff supervision and appropriate response when a resident with dementia, impaired memory, and a history of substance abuse was identified as missing. The resident, who was assessed as not having the capacity to meet minimal basic needs in the community, left the premises alone despite an order requiring accompaniment by a responsible party for leave of absence. Staff were unaware of the resident's whereabouts for over six hours, during which time the resident accessed their own vehicle and left the facility unaccompanied. Multiple staff members, including the receptionist, social worker, and nursing staff, did not follow the facility's missing resident policy. The receptionist allowed the resident to go to their car alone and did not ensure their return or notify others when the resident did not come back. When the social worker and nursing supervisor realized the resident was missing, they searched only inside the facility, did not call a code overhead to alert all staff, did not search the outside grounds, and did not notify the police. The DON was present in the building during the search but also did not ensure that the required steps were taken according to policy before leaving for the day. The facility's own policy required immediate overhead paging, a thorough search of both inside and outside the facility, and prompt notification of law enforcement when a resident's whereabouts were unknown. These steps were not followed, and the resident was ultimately found by police after being involved in a motor vehicle accident and being rescued from an icy pond. The failures in supervision, timely action, and adherence to policy resulted in a finding of Immediate Jeopardy.
Failure to Protect Resident from Verbal Abuse by LPN
Penalty
Summary
A deficiency occurred when a resident with moderately impaired cognition and a history of attention and concentration deficit was subjected to verbal mistreatment by an LPN. The resident, who required assistance with activities of daily living and had a care plan addressing ineffective coping and accusatory behaviors, was involved in a loud argument with the LPN at the nurse's station. During this exchange, the LPN made derogatory and inappropriate remarks about the resident's alleged drug use and criminal behavior, including calling the resident a 'crack head' and making further disparaging comments in front of other staff and residents. Multiple nursing assistants witnessed the incident but did not immediately report it to their supervisor. One nursing assistant later informed a family member about the event, which led to the incident being reported to facility management. The supervisor and DON were subsequently notified, and the facility began an investigation into the allegations. The investigation confirmed that the LPN had made inappropriate remarks to the resident. The facility's policies strictly prohibited abuse or mistreatment of any kind, including verbal abuse defined as the use of disparaging or derogatory language toward residents. Despite these policies, the incident occurred and was not promptly reported by staff who witnessed it, contributing to the deficiency in protecting the resident from verbal mistreatment.
Failure to Timely Report Alleged Verbal Abuse and Notify State Agency
Penalty
Summary
Staff failed to report an allegation of verbal abuse involving a resident with cognitive impairment and behavioral issues in a timely manner. The incident occurred when an LPN made inappropriate and derogatory comments to the resident, including references to drug use and jail, during a loud argument at the nurse's station. Multiple nursing assistants witnessed the exchange but did not immediately report the incident to their supervisor as required by facility policy. The incident was eventually brought to the attention of supervisory staff after a family member inquired about what had happened. Statements were then collected from the involved staff, and the Director of Nursing (DON) was notified later that evening. The DON confirmed that the incident was not reported to her or to the state agency within the required timeframe after the facility became aware of the allegation. Facility policy mandates immediate reporting of any witnessed or known abuse to supervisory staff and prompt notification to the state health authority within two hours of awareness. In this case, there was a delay of over 24 hours from the time the facility first became aware of the incident to when it was reported to the state agency. Interviews with staff confirmed the delay in reporting and a lack of immediate action following the incident.
Failure to Revise Care Plan for Repeated Refusals of Wound Care
Penalty
Summary
The facility failed to ensure that the care plan for a resident with chronic wounds and diabetes was revised in a timely manner to address repeated refusals of wound care and related treatments. Clinical record and documentation reviews showed that the resident refused wound dressing changes on multiple occasions, declined a therapeutic beverage intended for wound healing several times, and refused to wear prescribed offloading boots. Despite these documented refusals, the resident's care plan did not include any interventions or strategies to address or manage the refusals of care, medications, or wound treatments. Interviews with the Director of Nursing (DON) confirmed that the expectation is for residents who repeatedly refuse care to have these behaviors addressed in their care plans, with appropriate interventions documented. The DON was unaware of the resident's repeated refusals and acknowledged that the care plan should have included this information. Review of facility policy also indicated that care plans should be comprehensive and individualized, guiding caregivers to assist residents in achieving their highest practical level of well-being.
Failure to Provide Ordered Pressure Relief Device for Wound Care
Penalty
Summary
A deficiency occurred when the facility failed to act in a timely manner on a wound consultant's order and did not ensure that a low air-loss mattress was maintained in place as directed for a resident with significant wounds. The resident had a history of a non-pressure chronic left foot ulcer, diabetes mellitus, and was identified as having an unstageable ulceration and a stage four ankle/Achilles ulcer. The wound consultant ordered pressure relief devices, including a low air-loss mattress, but the order was not obtained from the attending physician, and the specialized mattress was not provided as required. Observations and interviews revealed that the resident was found on a standard mattress rather than the prescribed low air-loss mattress. Staff confirmed that the low air-loss mattress had previously been in place but was replaced with a regular mattress after the device broke, and no immediate replacement was provided despite additional mattresses being available in supply. Facility documentation and policy review indicated a lack of adherence to wound care protocols and physician orders, contributing to the deficiency.
Failure to Complete and Accurately Document Elopement Risk Assessment After Unauthorized Absence
Penalty
Summary
The facility failed to perform an elopement risk assessment after a resident returned following an unauthorized absence and did not accurately complete an elopement risk assessment after the incident. The resident in question had diagnoses including metabolic encephalopathy, dementia, depression, anxiety disorder, and a history of alcohol abuse. The care plan identified impaired memory and decision-making skills, and the resident was noted to have a history of behaviors that could place them at risk for seeking unescorted exit. Despite this, the elopement risk assessment completed prior to the incident indicated the resident was not at risk for elopement. On the day of the incident, the resident left the facility premises alone, despite an order requiring accompaniment by a responsible party, and was later involved in a motor vehicle accident. The facility did not become aware of the resident's absence until several hours later, after being notified by police. Upon the resident's return, the facility did not complete an elopement risk assessment, as required by facility policy, because the hospitalization was less than 24 hours. When an assessment was eventually completed, it inaccurately documented that the resident had no history of elopement, despite the recent unauthorized absence.
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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 Meriden
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Connecticut Baptist Homes, Inc | 0.6 mi | — | 0 | 0 |
| Complete Care At Meriden | 1.8 mi | — | 0 | 0 |
| Meriden Health And Rehab | 2.6 mi | — | 4 | 0 |
| Bradley Home Infirmary/pavilion | 2.7 mi | — | 3 | 0 |
| Silver Springs Care Center | 2.8 mi | — | 4 | 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.