Apple Rehab Rocky Hill
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
(Resident #1 would ask to have things reheated or NA #1 would get something fresh if needed). NA #1 stated Resident #1 was usually back on the unit by 8:00 PM and if he/she ate a meal in the dining room, Resident #1 would let NA #1 know that - she stated the NA in the dining room does not share that information with the unit. When she was notified at around 8:15 PM that Resident #1 had left the unit, she checked the tray, and it was still in the room untouched. Interview with LPN #1 on 12/31/2025 at 2:52 PM identified he was the regular charge nurse for Resident #1 and was assigned to care for Resident #1 on 12/27/2025 during the 3:00 to 11:00 PM shift. LPN #1 stated Resident #1 ambulated independently around
the facility, like to wear his/her coat when inside the facility, and he administered Resident #1's 5:00 PM medications and recalled seeing Resident #1 in his/her room between about 5:30 PM in bed wearing a jacket and the dinner tray was on the bedside table. Resident #1 had no complaints or reported concerns, and attended smoke breaks. LPN #1 stated NAs were responsible to pick up the dinner trays and document meal consumption, but stated Resident #1 ate when he/she wanted to and would bring his/her meal trays out of the room when finished because it was usually later in the shift. LPN #1 stated he was notified about 8:15 by the supervisor that Resident #1 was not in the building, and he was not aware prior to that time.
Interview and review of facility documentation with the DON on 12/31/2025 at 2:17 PM identified she was notified at 8:15 PM that RN #1 had received a call from the local police that Resident #1 had been found outside of the facility and had been transported to the hospital for evaluation. NA #3 had last seen Resident #1 in the lobby, fully dressed with shoes and a jacket at 5:40 PM. The DON stated although Resident #1 had dementia and was confused at times, she did not expect staff to be aware of Resident #1's location as he/she was not considered an elopement risk and he/she ambulated independently; she expected staff to monitor those as risk for elopement not someone who was independent. Resident #1's dining habits were such that he/she ate when he/she wanted to, often around 6:30 or 7:00 PM. RN #1 was busy after the 7:00 PM smoke break and the DON stated she did not expect RN #1 to check to see why Resident #1 did not attend the 7:00 PM smoke break as per his/her usual routine since he/she ambulated independently. NAs are expected to monitor food consumed at each meal and notify the nurse if the resident fails to eat a meal or has had a change in consumption. Interview failed to identify why the NA in the dining room did not communicate with the staff on the unit, and why Resident #1's whereabouts were not verified at least every two (2) hours as the video recorded Resident #1 left the facility at 5:36 PM and the facility was not aware of Resident #1's where abouts until the local police notified them at 8:15 PM (2 hours and 39 minutes).
Resident #1 was not monitored for meal consumption, was reported last seen in the lobby wearing a coat about 5:40 PM, and location was not monitored after video stamp recorded left the facility at 5:36 PM. Staff were unaware he/she had left the facility for 2 hours and 39 minutes until notified by police at 8:15 PM.
Although requested, the facility was unable to provide a policy in regard to routine monitoring of residents for safety.
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APPLE REHAB ROCKY HILL in ROCKY HILL, CT inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ROCKY HILL, CT, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from APPLE REHAB ROCKY HILL or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.