SNF

Apple Rehab Clipper

CCN: 415120 · Westerly, RI 02891 · Washington County

Overview

Address
161 Post Road, Westerly, RI 02891
Phone
4013228081
Certified beds
60
Avg daily residents
41 (69% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1996-02-26
Setting
Urban
3 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 2/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 1/5
Short-Stay Quality Measures ★★★★★ 4/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.52 3.57 3.80 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 1.25 0.62 1.35 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.25 0.79 0.27 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.02 2.15 2.18 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.50 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.07 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.13
hrs / resident / day
RN (weekend)
0.99
hrs / resident / day
Total nurse (adjusted, weekend)
3.38
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
45.3%
annual
RN turnover
23.1%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.27
higher acuity than avg
Case-Mix Index Ratio
0.92
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-05-08 9 6 3 64 1 64
Cycle 2/3 (prior) 2024-05-23 11 9 2 112 1 112
Total weighted health score
76.0
lower is better

Deficiencies (25)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

2 A/B/C No actual harm — minor
21 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-07-08 2025-08-06
0710 Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. E 2025-07-08 2025-08-06
0760 Ensure that residents are free from significant medication errors. E 2025-07-08 2025-08-06
0567 Honor the resident's right to manage his or her financial affairs. B 2025-05-08 2025-06-21
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-05-08 2025-06-21
0692 Provide enough food/fluids to maintain a resident's health. D 2025-05-08 2025-06-21
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2025-05-08 2025-06-21
0803 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F 2025-05-08 2025-06-21
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-05-08 2025-06-21
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-05-23 2024-06-22
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-05-23 2024-06-22
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. E 2024-05-23 2024-06-22
0692 Provide enough food/fluids to maintain a resident's health. H 2024-05-23 2024-06-06
0730 Observe each nurse aide's job performance and give regular training. F 2024-05-23 2024-06-22
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2024-05-23 2024-06-22
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2024-05-23 2024-06-22
0880 Provide and implement an infection prevention and control program. D 2024-05-23 2024-06-22
0944 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. C 2024-05-23 2024-06-22
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2023-11-17 2023-12-17
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. E 2023-11-17 2023-12-17
0638 Assure that each resident’s assessment is updated at least once every 3 months. E 2023-04-06 2023-05-16
0710 Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. E 2023-04-06 2023-05-16
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2023-04-06 2023-05-16
0803 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. D 2023-04-06 2023-05-16
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2023-04-06 2023-05-16

Penalties (2)

Fines issued
2
last 3 years
Total fines
$238,831
Date Type Fine amount
2023-11-17 Fine $62,720
2024-05-23 Fine $176,111

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 6.6% Medicaid 70.2% Other 23.2%

Operating performance

Operating Margin
-4.9%
Total Margin
-4.8%
Occupancy Rate
80.7%
Cost per Resident Day
$36

Revenue & costs

Net Patient Revenue
$5.7M
Total Costs
$641K
Net Income
-$272K

Balance sheet

Total Assets
$728K
Total Liabilities
$477K
Fund Balance
$251K
Current Ratio
1.35

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: APPLE REHAB

Chain ID
39
Facilities in chain
20
Legal business name
THE CLIPPER HOME INC
Chain-average star ratings (for peer context)
Overall
2.1
Health
2.2
Staffing
2.7
QM
2.5

Owner / manager organizations (1)

Organization Role Association
ORIX REAL ESTATE CAPITAL LLC 5% OR GREATER MORTGAGE INTEREST since 01/01/2021

Owner / manager individuals (6)

Name Role Association
FOLEY, BRIAN 5% OR GREATER DIRECT OWNERSHIP INTEREST since 05/02/1994
VESS, RYAN OPERATIONAL/MANAGERIAL CONTROL since 03/15/2013
FOLEY, BRIAN CORPORATE DIRECTOR since 05/02/1994
VESS, RYAN CORPORATE DIRECTOR since 03/15/2013
VESS, RYAN CORPORATE OFFICER since 03/15/2013
SINGH, DEVIKA W-2 MANAGING EMPLOYEE since 09/10/2018

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $36 metrics.cost_per_resident_day
Cost Report Current Ratio 1.35 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 70.2% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 6.6% metrics.medicare_day_share
Cost Report Net Income ($) $-271,590 metrics.net_income
Cost Report Net Patient Revenue ($) $5,709,245 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 80.7% metrics.occupancy_rate
Cost Report Operating Margin (%) -4.9% metrics.operating_margin
Cost Report Total Assets ($) $728,187 metrics.total_assets
Cost Report Total Costs ($) $640,667 metrics.total_costs
Cost Report Total Fund Balances ($) $251,079 metrics.fund_balance
Cost Report Total Liabilities ($) $477,108 metrics.total_liabilities
Cost Report Total Margin (%) -4.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.26758 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.18281 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 1.35239 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.80279 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.37824 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 41.4 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.79276 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.15454 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.62487 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.57217 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.14849 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.2 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.1 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 2.5 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.7 Chain Average Staffing Rating
Provider Information Chain ID 39 Chain ID
Provider Information Chain Name APPLE REHAB Chain Name
Provider Information City/Town Westerly City/Town
Provider Information CMS Certification Number (CCN) 415120 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Washington County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1996-02-26 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 41.3508 Latitude
Provider Information Legal Business Name THE CLIPPER HOME INC Legal Business Name
Provider Information Location 161 Post Road,Westerly,RI,02891 Location
Provider Information Long-Stay QM Rating 1 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -71.782 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 60 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 20 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.26546 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.91857 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 161 Post Road Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Apple Rehab Clipper Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 050 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 2 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 64 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 3 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 6 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-05-08 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 64 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 9 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 9 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-05-23 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 112 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 2 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 112 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 11 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.98669 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 23.1 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.49882 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.24757 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.01956 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.07220 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 1.25125 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.51838 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 4 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State RI State
Provider Information Telephone Number 4013228081 Telephone Number
Provider Information Total Amount of Fines in Dollars 238831.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.12558 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 45.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 76.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 02891 ZIP Code