Apple Rehab Clipper

Nursing Home, Memory Care, Respite Care & Skilled Nursing · Westerly, RI

CMS overall rating

161 Post Road, Westerly, RI 02891 View map

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Apple Rehab Clipper accepts Medicare, Medicaid, and private pay.

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Apple Rehab Clipper accepts Medicare, Medicaid, and private pay.

Overview of Apple Rehab Clipper

Operating for three decades in the community, Apple Rehab Clipper is a 60-bed skilled nursing and rehabilitation facility in Westerly, Rhode Island. It takes Medicare, Medicaid, and private pay, giving families numerous ways to fund short-term rehabilitation and longer-term care needs. Administrator Suzan Miller leads the home’s daily operations. At 70 percent occupancy, averaging a stay length of 65 days, it balances a consistent census with the flow of post-acute patients moving through the facility

The facility’s strength is its rehabilitation specialty. The team offers comprehensive short-term rehab and respite services, with focused programs in cardio/pulmonary care, orthopedic rehabilitation, stroke recovery, and post-surgical recovery. For occupants with complex medical needs, Apple Rehab Clipper provides specialized support in tracheostomy and TPN care, IV therapy, diabetes management, pain management, and Parkinson’s care. An on-site outpatient therapy program caters to residents and community referrals, extending the facility’s reach beyond its walls. Nursing support totals around 3 hours 36 minutes per resident day, with registered nurses providing about 1 hour 5 minutes of direct care. Nurse aides contribute 1 hour 52 minutes, and licensed practical nurses round out the team. This staffing structure supports the clinical intensity required for post-acute and complex-care residents. The home’s location on Post Road reflects a more car-dependent area, with a Walk Score of 19, so most errands necessitate a car. For visiting family members, driving is a practical way to reach the facility and explore the surrounding community. The trade-off is a calmer, less densely developed setting that fits residents and families seeking a quieter environment away from busy commercial corridors.

State inspections have noted the facility’s dedication to upholding compliance standards. Inspectors have assessed the home’s performance across multiple areas, and it has shown the ability to address and correct identified concerns.

For families exploring Apple Rehab Clipper for their loved one who needs post-acute care or rehabilitation, touring will give a real feel for the team, the facility layout, and how the programs match personal recovery needs.

Facility Direct Line (401) 322-8081

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 36m per day

vs avg

3 of 6 metrics below state avg

Standout metric Physical Therapist is +53% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	1h 5m per day	▲ 40% State avg: 46m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	15m per day	▼ 47% State avg: 29m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 52m per day	▼ 25% State avg: 2h 28m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 52m per day	▼ 13% State avg: 3h 18m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	5m per day	▲ 53% State avg: 3m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	50m per day	▲ 48% State avg: 34m per day · National avg: 28m per day

Capacity and availability

65 days

60-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

30 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 19 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

70%

Lower than the Rhode Island average: 83.7%

Occupied beds

42 / 60

Average occupied beds in Rhode Island homes 95 beds

Facility TypeNursing Facility

StatusActive

IssuanceMarch 4, 1996

License NumberLTC00696

CMS Certification Number415120

Owner NameAdministrator Suzan Miller

Rehabilitation Services

Respite Care

Short-Term Rehab

Fax(401) 322-0910

Since 2022 · 4 years of data 45 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Rhode Island state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Rhode Island state average

Overall vs. RI average

Latest Inspection July 1, 2025 Plan Of Correction

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	RI Average	vs. RI Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	45	34	This facility has 32% more total deficiencies than a typical Rhode Island assisted living residence (45 vs. RI avg 34).↑ 32% worse
Deficiencies per year Average deficiencies per year since 2022.	11.3	8.5	This facility has 33% more deficiencies per year than a typical Rhode Island assisted living residence (11.3 vs. RI avg 8.5).↑ 33% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

July 1, 2025 off-site audit found all deficiencies from May 8, 2025 survey corrected and the facility in compliance with all regulations surveyed.
May 8, 2025 recertification survey cited 12 deficiencies including pressure ulcer treatment, nutrition, medication labeling, food safety, employee immunization, and multiple life safety code violations.
June 26, 2024 revisit found ongoing non-compliance with sprinkler system installation per NFPA 101 and NFPA 13 standards despite most other deficiencies corrected.

Show Inspection Reports

Inspections since 2023

Total health inspections 6

State average N/A

Last Health inspection on Jul 2025

Total health citations

State average N/A

Citations per inspection

5.17

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

20 of 31 citations resulted from standard inspections; and 11 of 31 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

4 critical citations State average: N/A

2 serious citations State average: N/A

23 moderate citations State average: N/A

2 minor citations State average: N/A

Citations history (last 3 years)

Nursing Services moderate citation Jul 08, 2025

Corrected

Pharmacy moderate citation Jul 08, 2025

Corrected

Care Planning moderate citation Jul 08, 2025

Corrected

Nutrition moderate citation May 08, 2025

Corrected

Total staff 71

Employees 67

Contractors 4

Staff to resident ratio 1.69 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 28

Average shift 6.7 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 17,176

Nursing staff breakdown

7.3 hours

7.6 hours

6.9 hours

Contractor staffing

486 contractor hours this quarter

Medical Director: 2 Administrator: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	26	0	26	7,797	92	100%	6.9
Registered Nurse	12	0	12	3,856	92	100%	7.3
Licensed Practical Nurse	3	0	3	659	59	64%	7.6
Physical Therapy Assistant	3	0	3	528	74	80%	6.5
Other Social Services Staff	1	0	1	469	62	67%	7.6
RN Director of Nursing	1	0	1	459	63	68%	7.3
Mental Health Service Worker	1	0	1	445	61	66%	7.3
Administrator	0	1	1	435	58	63%	7.5
Nurse Practitioner	1	0	1	428	57	62%	7.5
Clinical Nurse Specialist	1	0	1	409	54	59%	7.6
Physical Therapy Aide	1	0	1	339	63	68%	5.4
Respiratory Therapy Technician	6	0	6	334	68	74%	3.9
Nurse Aide in Training	2	0	2	315	36	39%	7.5
Speech Language Pathologist	3	0	3	258	56	61%	4.6
Qualified Social Worker	3	0	3	165	51	55%	3.1
Other Dietary Services Staff	2	0	2	134	29	32%	4.6
Occupational Therapy Aide	1	0	1	98	13	14%	7.5
Medical Director	0	2	2	39	16	17%	2.4
Occupational Therapy Assistant	0	1	1	12	3	3%	4

26 Certified Nursing Assistant

% of Days 100%

12 Registered Nurse

% of Days 100%

3 Licensed Practical Nurse

% of Days 64%

3 Physical Therapy Assistant

% of Days 80%

1 Other Social Services Staff

% of Days 67%

1 RN Director of Nursing

% of Days 68%

1 Mental Health Service Worker

% of Days 66%

1 Administrator

% of Days 63%

1 Nurse Practitioner

% of Days 62%

1 Clinical Nurse Specialist

% of Days 59%

1 Physical Therapy Aide

% of Days 68%

6 Respiratory Therapy Technician

% of Days 74%

2 Nurse Aide in Training

% of Days 39%

3 Speech Language Pathologist

% of Days 61%

3 Qualified Social Worker

% of Days 55%

2 Other Dietary Services Staff

% of Days 32%

1 Occupational Therapy Aide

% of Days 14%

2 Medical Director

% of Days 17%

1 Occupational Therapy Assistant

% of Days 3%

View All Staffing Data

Total fines amount $261K

176% higher than State average

State average: $94K

Number of fines 3

6% more fines than State average

State average: 2.8

Payment Denials 0

100% fewer payment denials than State average

State average: 0.4

Fines amount comparison

This facility $261K

State average $94K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty May 23, 2024

$176K

Civil Money Penalty Nov 17, 2023

$63K

Last updated: Jan 2026

High-risk clinical events score 15.3

48% worse than State average

State average: 10.3

Functional decline score 25.7

27% worse than State average

State average: 20.2

Long-stay resident measures

Significantly below average State avg: 3.2

Need for Help with Daily Activities Increased 25.2%

29% worse than State average

State average: 19.5%

Walking Ability Worsened 30.1%

66% worse than State average

State average: 18.2%

Low Risk Residents with Bowel/Bladder Incontinence 21.7%

5% better than State average

State average: 22.9%

Falls with Major Injury 3.5%

6% better than State average

State average: 3.7%

High Risk Residents with Pressure Ulcers 11.6%

145% worse than State average

State average: 4.7%

Urinary Tract Infection 3.5%

54% worse than State average

State average: 2.3%

Lost Too Much Weight 6.0%

12% worse than State average

State average: 5.4%

Depressive Symptoms 11.9%

12% better than State average

State average: 13.5%

Antipsychotic Use 23.6%

10% worse than State average

State average: 21.5%

Pneumococcal Vaccine 95.2%

In line with State average

State average: 93.1%

Influenza Vaccine 94.9%

In line with State average

State average: 95.3%

Short-stay resident measures

Above average State avg: 2.4

Pneumococcal Vaccine 68.7%

10% worse than State average

State average: 76.2%

Antipsychotic medication increase 0.8%

63% better than State average

State average: 2.0%

Influenza Vaccine 59.7%

24% worse than State average

State average: 78.2%

Re-hospitalized after SNF stay 24.9%

In line with State average

State average: 25.1%

Emergency department visits 19.0%

20% worse than State average

State average: 15.8%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 62.8%

17% better than State average

State average: 53.7%

Successful return to home or community 70.2%

39% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

25% of new residents, usually for short-term rehab.

Typical stay 17 days

Private pay

64% of new residents, often for short stays.

Typical stay 24 days

Medicaid

11% of new residents, often for long-term daily care.

Typical stay 1 years

Total residents 42

Medicare

14.3% of residents

Medicaid

33.3% of residents

Private pay or other

52.4% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Apple Rehab Clipper from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 80.7% ↓ 5.3pp vs 2022

Net Patient Income -$278.3K ↑ ~$115.7K vs 2022

Payroll Costs $3.9M ↑ ~$113.4K vs 2022

Operating Margin -4.9% ↑ 2.1pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	89.3%	91.6%	91.6%	90.1%	85.2%	84.4%	84.7%	81.8%	78.1%	69.0%	76.9%	86.0%	80.7%
Beds	60	60	60	60	60	60	60	60	60	60	60	60	60
Net Income	$58,324	$312,962	$173,613	$127,118	$99,209	$3,629	$274,079	$225,682	$58,048	$869,600	-$122,644	-$184,627	-$271,590
Gross Revenue	$6,399,366	$6,776,603	$7,044,440	$7,427,853	$6,682,160	$6,536,238	$6,548,230	$6,535,744	$6,328,117	$6,150,100	$6,099,346	$6,867,667	$6,966,982
Operating Expenses	$5,433,501	$5,194,358	$5,154,036	$5,256,096	$5,128,025	$5,248,652	$5,267,962	$5,052,527	$5,147,333	$4,958,550	$5,369,575	$6,027,378	$5,987,589
Net Patient Income	$52,187	$312,002	$173,365	$125,282	$98,426	$1,654	$222,770	$222,310	$57,688	$341,024	-$535,210	-$394,063	-$278,344
Net Patient Revenue	$5,485,688	$5,506,360	$5,327,401	$5,381,378	$5,226,451	$5,250,306	$5,490,732	$5,274,837	$5,205,021	$5,299,574	$4,834,365	$5,633,315	$5,709,245
Payroll Costs	$2,819,700	$2,758,918	$2,784,066	$2,674,970	$2,697,887	$2,930,575	$3,334,074	$3,089,931	$3,339,408	$3,070,896	$3,346,777	$3,771,556	$3,885,003
Operating Margin %	1.0%	5.7%	3.3%	2.3%	1.9%	0.0%	4.1%	4.2%	1.1%	6.4%	-11.1%	-7.0%	-4.9%
Medicare %	15.6%	11.5%	9.5%	11.6%	11.9%	8.5%	8.7%	8.4%	18.7%	12.3%	8.8%	8.1%	6.6%
Medicaid %	49.8%	61.4%	63.8%	69.7%	66.8%	68.2%	56.2%	66.9%	55.9%	60.8%	62.5%	64.2%	70.2%
Private %	34.6%	27.1%	26.6%	18.7%	21.4%	23.3%	35.2%	24.7%	25.4%	26.9%	28.7%	27.6%	23.2%
Net Patient Revenue/Day	$281	$274	$265	$273	$280	$283	$296	$294	$304	$350	$287	$299	$323
Cost/Day	$278	$258	$257	$266	$275	$283	$284	$282	$301	$327	$319	$320	$339
Avg Length of Stay	72.2 days	82.5 days	85.8 days	72.6 days	90.2 days	95.5 days	88.4 days	70.5 days	52.0 days	128.5 days	75.5 days	72.4 days	64.5 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$5.7M

Net patient income

-$278.3K

For-profit Corporation

Net patient revenue

$5.7M

Net patient income

-$278.3K

Other income

$6.8K

Payroll costs

$3.9M 68% of net patient revenue

Other operating costs

$2.1M

Total costs

$6.0M

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (64% of admissions), and a typical private pay stay runs around 24 days.

Coverage residents most often arrive under.

Medicare 25%

Private pay 64%

Medicaid 11%

Coverage residents most often leave under.

Medicare 27%

Private pay 64%

Medicaid 9%

2.3 miles from city center Estimated distance in miles from Westerly's city center to Apple Rehab Clipper's address, calculated via Google Maps.

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The information below is reported by the Rhode Island Department of Health, Center for Health Facilities Regulation.


Royal of Westerly Nursing Center	NH HOS MC PC RC SNF	Westerly	-	66	-	19	-
Overlook Nursing and Rehabilitation Center	NH HOS MC PC RC SNF	Pascoag	-	100	-	53	Private Rooms
Apple Rehab Clipper	NH MC RC SNF	Westerly	-	60	-	19	-
Friendly Home	NH HOS MC SNF	Woonsocket (Rhodes Avenue)	-	126	A+	24	Private Rooms
Smithfield Woods	NH AL MC RC	Smithfield (Greenville)	-	140	-	37	Studio / 1 Bed

Nursing Home Explorer

Who is the owner of Apple Rehab Clipper?

Apple Rehab Clipper is legally operated by Suzan Miller, Administrator.

Is Apple Rehab Clipper in a walkable area?

Apple Rehab Clipper has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Apple Rehab Clipper?

According to RI state health department records, Apple Rehab Clipper's license number is LTC00696.

What is the occupancy rate at Apple Rehab Clipper?

Apple Rehab Clipper's occupancy is 70%.

Does Apple Rehab Clipper operate as a for-profit or non-profit?

Apple Rehab Clipper is registered as a for-profit in RI.

How many beds does Apple Rehab Clipper have?

Apple Rehab Clipper has 60 beds.

Are there photos of Apple Rehab Clipper?

Yes — there are 13 photos of Apple Rehab Clipper in the photo gallery on this page.

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Apple Rehab Clipper

Overview of Apple Rehab Clipper

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Contact Information

Amenities & Lifestyle

Contact Apple Rehab Clipper

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Rhode Island state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

26 Certified Nursing Assistant

12 Registered Nurse

3 Licensed Practical Nurse

3 Physical Therapy Assistant

1 Other Social Services Staff

1 RN Director of Nursing

1 Mental Health Service Worker

1 Administrator

1 Nurse Practitioner

1 Clinical Nurse Specialist

1 Physical Therapy Aide

6 Respiratory Therapy Technician

2 Nurse Aide in Training

3 Speech Language Pathologist

3 Qualified Social Worker

2 Other Dietary Services Staff

1 Occupational Therapy Aide

2 Medical Director

1 Occupational Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

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