Riverview Healthcare Community

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

49.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 108 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 70.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 79 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.16 therapist hours per resident per day in 2026Q1 — more than 13% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 190 beds and averages 180.5 residents a day — about 95% occupied, or roughly 10 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.57 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.39 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.33 hrs/resident/day on weekends vs 3.67 on weekdays — 9% thinner on weekends. RN hours go from 0.55 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

30 citations, most serious first. The 13 most serious are shown; the remaining 17 are one tap away and print in full.

• Immediate jeopardy · Jcited beforedisputed · IDR2026-06-17 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and resident and staff interviews, the facility failed to ensure residents were free from significant medication errors for 1 of 1 resident reviewed. The facility failed to ensure Resident ID #1's identity was verified prior to medication administration, resulting in Resident ID #1 allegedly receiving insulin prescribed for Resident ID #3. The facility's failure to follow medication administration practices, including verifying the resident's identity prior to medication administration, placed Resident ID #1 at risk for serious injury, serious impairment, serious harm or death. Findings are as follows:Record review of a community reported complaint received by the Rhode Island Department of Health on 6/11/2026 alleges that Resident ID #1 was administered 10 units of insulin by the nurse and that the nurse also attempted to administer two other medications not prescribed to him/her, and she did not verify his/her name prior to administering the insulin injection. Furthermore, the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-11-28 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, resident representative and staff interview, the facility failed to ensure that accurate and appropriate information was communicated to the receiving health care provider during an emergent discharge for Resident ID #1. When Resident ID #1 experienced a change in condition requiring emergency transfer to an acute care facility, Licensed Practical Nurse (LPN), Staff A, incorrectly identified the resident. As a result, Resident ID #1 was transferred with another resident's identifiers and medical record, placing Resident ID #1 at risk for delayed and/or inappropriate treatment.Findings are as follows:Review of a community reported complaint submitted to the Rhode Island Department of Health on 11/24/2025, alleges that Resident ID #1 was sent to the hospital on [DATE] with Resident ID #2's medical record.Record review revealed Resident ID #1 was admitted to the facility in June of 2023, with diagnoses including, but not limited to, chronic obstructive pulmonary disease and congestive heart…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Kcited before2024-05-08 · tag F0760 — failed to prevent significant medication errors — pattern
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview, it has been determined that the facility failed to ensure that residents are free of any significant medication errors for 7 of 8 residents reviewed receiving Coumadin (an anticoagulant medication that is used to prevent harmful blood clots from forming or growing larger), Resident ID #s 1, 4, 5, 6, 7, 8 and 9. Findings are as follows: 1. Record review revealed Resident ID #1 was admitted to the facility in March of 2024 with diagnoses including, but not limited to, atrial fibrillation (an irregular heartbeat often causing blood to flow inadequately through the heart) and long-term use of anticoagulants. Record review revealed a physician's order dated 3/27/2024 for Coumadin 0.5 mg [milligrams] by mouth at bedtime for treating/preventing blood clots. Give with 1 mg tablet to equal 1.5 mg. Record review of a laboratory report dated 4/8/2024 indicated the resident's INR (international normalized ratio-a blood test that measures how long it takes for your blood to clot and the results are used when dosing Coumadin) was elevated with a result…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-02 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and staff interview, the facility failed to adhere to professional standards of practice by not following physician's orders for 1 of 3 residents reviewed Resident ID #17, related to medications requiring blood pressure monitoring parameters. Findings are as follows:According to Mosby's 4th Edition, Fundamentals of Nursing, page 314 states in part, .The physician is responsible for directing medical treatment, Nurses are obligated to follow physician's orders unless they believe the orders are in error or would harm the clients.Record review revealed that the resident was admitted to the facility in February of 2017 with diagnoses including, but not limited to, hypertensive heart disease, and congestive heart failure.Review of physician's orders revealed the following:Amlodipine 5 milligrams (mg), a medication prescribed to treat hypertension, to be administered in the morning at 6:00 AM, with instructions to monitor blood pressure prior to administration. This order was initiated on 7/16/2025.Spironolactone 25 mg, a potassium-sparing diuretic…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-02 · tag F0692 — failed to prevent malnutrition and dehydration — pattern
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and staff interview, the facility failed to ensure the implementation of nutritional interventions to maintain acceptable parameters of nutritional status, including usual body weight, for 1 of 2 residents reviewed, Resident ID #8, who experienced significant weight loss. Findings are as follows:Record review revealed the resident was admitted to the facility in December of 2022 with diagnoses including, but not limited to, dementia, dysphagia (difficulty swallowing), anxiety and cancer of the right kidney.Record review of the resident weighed 147.0 pounds (lbs.) on 3/1/2026 and 121.8 lbs. on 3/30/2026 which indicates a 12.89% weight loss.Record review of a document titled Continuity of Care Consultation and Referral Form dated 3/10/2026 from an oncology consult revealed a recommendation for a high-protein dietary supplement.Record review of a progress note dated 3/18/2026 authored by Advanced Practice Registered Nurse, Staff G, revealed that she was referring the recommended high-protein dietary supplement to the dietician.Record review failed to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-02 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on surveyor observation, clinical record review, and staff interview, the facility failed to provide respiratory care consistent with professional standards of practice for 1 of 1 resident reviewed related to a CPAP machine (Continuous Positive Airway Pressure - a medical device used to treat sleep apnea by delivering a steady, continuous stream of pressurized air through a mask into the airway), Resident ID #6, and for 1 of 1 resident reviewed with a tracheostomy (a surgical procedure that creates a secure, airway through an opening in the neck, directly into the wind pipe), Resident ID #15.Findings are as follows: 1. Record review of a facility policy titled CPAP.Support states in part, .Specific cleaning instructions are obtained from the manufacturer/supplier of the [CPAP] device.Record review of the ResMed Air Sense 10 replacement guidelines revealed: .Mask cushions/pillows: Every month (sensitive to oil buildup).Mask Frame: Every 3 months.Headgear/straps: Every 6 months (or when elasticity is lost).Tubing: Every 3 months .Record review revealed Resident ID #6 was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-02 · tag F0760 — failed to prevent significant medication errors — pattern
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and staff interview, the facility failed to ensure that residents are free from significant medication errors for 1 of 2 residents reviewed who are receiving dialysis (a life-sustaining medical procedure used to filter waste, toxins, and excess fluids from the blood when the kidneys are no longer functioning), Resident ID #4.Findings are as follows:Record review of a facility policy titled Administering Medications dated April 2019, states in part, .Medications are administered in accordance with prescribed orders, including any required time frame.Record review revealed the resident was readmitted to the facility in January of 2026 with diagnoses including, but not limited to, end stage renal disease (when the kidneys are no longer able to function adequately) and gastritis (inflammation of the stomach lining).Record review revealed a physician's order dated 1/11/2026 reveals the resident is scheduled for outpatient dialysis every Monday, Wednesday, and Friday, with transportation pickup at 5:45 AM.Record review revealed a physician's order dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-02 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on surveyor observation, clinical record review, and staff interview, the facility failed to store and label drugs and biologicals in accordance with currently accepted professional principles for 4 of 5 medication carts and 2 of 3 medication supply rooms observed.Findings are as follows: Record review of the facility policy last revised February 2023, titled, Medication Labeling and Storage states in part, .The nursing staff is responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner .If the facility has discontinued, outdated, or deteriorated medications or biologicals, the dispensing pharmacy is contacted for instructions regarding returning or destroying these items .Medications requiring refrigeration are stored in a refrigerator . 1. During a surveyor observation on [DATE] at approximately 8:45 AM of the first floor East Wing, B side medication cart, in the presence of Registered Nurse (RN) Staff J, revealed the following: One Advair Diskus Aerosol…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-02 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on surveyor observations, clinical record review, and staff interviews, the facility failed to ensure that staff provided treatment and care in accordance with professional standards of practice for 1 of 2 residents reviewed, Resident ID #141, related to the assessment and monitoring of a blister and edema (swelling in the legs due to fluid buildup ) of the lower extremities. Findings are as follows:Record review revealed the resident was admitted to the facility in December of 2020 with diagnoses including, but not limited to, type 2 diabetes, hypertensive heart, and dementia.Record review of a Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed that the resident required total assistance with toileting hygiene, moderate assistance with upper and lower body dressing, and maximal assistance with applying and removing footwear. Record reviews of a care plan initiated on 3/15/2023 revealed a focus area for potential skin breakdown. Additionally, on 6/16/2025 a focus area was initiated to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-05 · tag F0725 — failed to have enough nursing staff — isolated
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on surveyor observation, and resident and staff interview, it has been determined that the facility failed to have sufficient nursing staff to assure resident safety and attain the highest practicable, physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care, relative to 2 of 2 residents reviewed on the One East Unit, Resident ID #s 4 and 5. Findings are as follows:Review of a community reported complaint submitted to the Rhode Island Department of Health on 9/20/2025 alleged that on 9/19/2025 on the 11:00 PM - 7:00 AM shift there was only one Nursing Assistant (NA) and one nurse working on the subacute (short term care) unit with 24 residents. The complaint further alleged that residents on the unit were fall risks, required 15-minute checks, and one to one supervision. Additionally, the complaint alleged that management was aware of the unsafe staffing.Review of the Facility Assessment, last reviewed on 9/19/2025 revealed in part,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-11-28 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview, the facility failed to implement a comprehensive person-centered care plan for each resident, to meet a resident's medical, nursing, mental and psychosocial needs that are identified in the comprehensive assessment for 2 of 3 residents reviewed for falls and for transferring and lifting needs, Resident ID #s 2 and 3.Findings are as follows:Review of a community reported complaint submitted to the Rhode Island Department of Health on 10/23/2025 alleged that patient safety is at risk and that patients fall frequently at the facility.Review of an undated facility policy titled Safe Patient Handling [SPH] - RI, states in part, In order to protect the safety and well-being of staff and residents, and to promote quality of care, this facility uses appropriate techniques and devices to lift patients.Nursing staff, in conjunction with the rehabilitation staff, shall assess individual residents' needs for transfer assistance on an ongoing basis. Staff will document resident transferring and lifting needs in the care plan.1. Record review revealed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-28 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, resident representative, and staff interviews, it has been determined that the facility failed to immediately consult with the resident's physician and inform the resident's representative when there was a change in condition for 1 of 3 residents reviewed, who was sent to the hospital and required emergency services, Resident ID #1.Findings are as follows:Review of a community reported complaint submitted to the Rhode Island Department of Health on 11/24/2025, alleges that Resident ID #1 was sent to the hospital on [DATE] with Resident ID #2's medical record.Record review revealed Resident ID #1 was admitted to the facility in June of 2023, with diagnoses including, but not limited to, chronic obstructive pulmonary disease and congestive heart failure (a chronic condition where the heart can't pump enough blood to meet the body's needs, leading to blood and fluid backing up in the body).Record review revealed Resident ID #2 was admitted to the facility in October of 2024, with diagnoses…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-28 · tag F0726 — failed to have competent, trained nursing staff — isolated
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to ensure that licensed nurses possessed the necessary competencies and skills to meet resident needs. When Resident ID #1 experienced a change in condition requiring emergency transfer to an acute care facility, Licensed Practical Nurse (LPN), Staff A, incorrectly identified the resident. Consequently, Resident ID #1 was transferred with another resident's identifiers and medical record, placing Resident ID #1 at risk for delayed and/or inappropriate treatment.Findings are as follows:Review of a facility policy titled, Acute Condition Changes-Clinical Protocol dated March 2018, states in part, .before contacting a physician about someone with an acute change of condition, the nursing staff will collect pertinent details to report to the physician: for example, the history of present illness and previous or recent test results for comparison. Phone calls to attending or on-call physicians should be made by an adequately prepared nurse who has…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

Fines & penalties

$80,101 in federal fines across 3 penalties.

• $16,355 — penalty dated 2026-06-17
• $15,129 — penalty dated 2025-11-28
• $48,617 — penalty dated 2024-04-15

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to MARQUIS HEALTH SERVICES — 87 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 24 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

10 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 72% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $2.3M paid to related parties — landlords or management companies under common ownership — equal to about 11% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in RI