Nursing home
Apple Rehab Middletown
600 Highland Ave, Middletown, CT 06457 · Map
For profit - Corporation · Part of Apple Rehab (20 facilities) · 70 certified beds
Apple Rehab Middletown is a Medicare-certified nursing home in Middletown, Connecticut. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.26 hours per resident per day, below the Connecticut average of 3.83. Its most recent inspection on Oct 7, 2024 cited 16 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Apple Rehab Middletown compares
This facility vs. the Connecticut and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Connecticut avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.26 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.57 | 0.70 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.02 | 2.28 | 2.34 | below avg |
| Nursing staff turnover | 43.5% | 37.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 16.0 | 12.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Apple Rehab Middletown
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Dec 11, 2024 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 13, 2024 · Full report (PDF) - Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Oct 7, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 7, 2024 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Oct 7, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies · Oct 7, 2024 · Full report (PDF) - Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Oct 7, 2024 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Oct 7, 2024 · Full report (PDF) - Potential for harm
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · Oct 7, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Oct 7, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Oct 7, 2024 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Oct 7, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 600 Highland Ave
Middletown, CT 06457 - CMS certification #
- 075089
- Ownership
- For profit - Corporation
- Certified beds
- 70
- Avg residents/day
- 64.5
- Provider type
- Medicare and Medicaid
- First certified
- 1969-02-26
- Chain
- Apple Rehab (20 facilities)
- Setting
- Urban
Part of Apple Rehab
Apple Rehab operates 20 nursing facilities across the United States. View all Apple Rehab facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Apple Rehab Middletown using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2002
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jul 13, 2002 to May 8, 2004. Violations found: Overtime. Back wages: $75 owed to 3 employees. Civil money penalties assessed: $165. DOL marked the employer as a repeat violator. Employer as DOL recorded it: High View (Apple Health Care). Case 1378907.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Middlesex Hospital, Middletown. 0.5 miles away, straight line. CMS overall hospital rating: 3 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Water's Edge Center For Health & Rehab, Middletown. 1.3 miles away, straight line.
- Nearest home health agency office
- Middlesex Health Care At Home And Hospice Program, Middletown. 1.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Stop & Shop Pharmacy. 1.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 06457 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Pdi Middlesex Dialysis Center, Middletown, 1.4 miles away, straight line (CMS rating 3 of 5 stars)
Fmc Central Ct Dialysis Center, Meriden, 5.8 miles away, straight line (CMS rating 3 of 5 stars)
Wallingford Dialysis Care LLC, Wallingford, 9.3 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 14 Medicare hospices tell CMS they serve ZIP code 06457.
Middlesex Health Care At Home & Hospice Program, office in Middletown, 1.5 miles away, straight line (CMS family survey rating 3 of 5 stars)
Enhabit Hospice, office in Rocky Hill, 9.3 miles away, straight line
Franciscan Family Care Center,, office in Meriden, 10.2 miles away, straight line - Nearest geriatric medicine practice
- Hdc Care Solutions LLC, Middletown. 0.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective February 6, 2013), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | Nothing on record | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Apple Rehab Middletown a good nursing home?
CMS gives Apple Rehab Middletown an overall rating of 2 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Apple Rehab Middletown staffed?
Apple Rehab Middletown reports 3.26 total nurse hours per resident per day, compared with the Connecticut average of 3.83.
Has Apple Rehab Middletown had inspection problems?
Its most recent CMS inspection cited 16 deficiencies.
How many beds does Apple Rehab Middletown have?
Apple Rehab Middletown is certified for 70 beds.