Bayview Rehabilitation and Healthcare Center

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.

60.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 207 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 66.1% 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 118 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 0.23 therapist hours per resident per day in 2026Q1 — more than 29% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 28% 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 120 beds and averages 116.7 residents a day — about 97% occupied, or roughly 3 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 3.29 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.53 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.24 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 2.94 hrs/resident/day on weekends vs 3.43 on weekdays — 14% thinner on weekends. RN hours go from 0.64 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% 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 fewer than at the previous inspection — improving. 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.

32 citations, most serious first. The 15 most serious are shown; the remaining 17 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-03-20 · 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 staff interviews, the facility failed to ensure that 1 of 1 residents reviewed was free from significant medication errors. Specifically, on 3/12/2026 at approximately 8:45 PM, a Certified Medication Technician administered clozapine 150 mg and melatonin 3 mg prescribed for another resident to Resident #1 without verifying identity, in violation of facility policy. As a direct result, the resident required emergency transfer and hospitalization due to altered responsiveness, hypothermia, aspiration pneumonia, and tachycardia, subsequently transitioned to comfort care, and expired on 3/18/2026. This system failure created immediate jeopardy, resulting in actual harm, including death.Findings are as follows:Review of a facility reported incident submitted to the Rhode Island Department of Health on 3/16/2026, revealed that at approximately 8:45 PM on 3/12/2026, Certified Medication Technician (CMT), Staff A, administered another resident's medications to Resident ID #1. Resident…

  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 · Past Non-Compliance
• Immediate jeopardy · Kcited before2024-08-22 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to maintain an infection prevention and control program to help prevent the transmission of communicable diseases and infections relative to Covid-19, for 1 of 2 units observed, the Country Unit, affecting Resident ID #s 2, 6, 11, 14, 15, 19, 26, 28, 30, 38, 42, 44, 46, 47, 49, 54, 55, 58, 64, 65, 67, 80, 82, 84, 87, 88, 92, 97, 104, and 109, as the facility failed to have cleaning and disinfecting wipes effective at killing Covid-19 readily accessible to staff and was using Micro-Kill+ Disinfecting, Deodorizing Cleaning Wipes with Alcohol, which are ineffective at killing Covid-19, to clean and disinfect multi-use resident equipment. Further, the facility failed to maintain an infection prevention and control program to help prevent the transmission of communicable diseases and infections relative to Enhanced Barrier Precautions (EBP), for failing to place a resident on enhanced barrier precautions (EBP) and staff who failed to don the required Personal Protective…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2026-03-20 · 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 clinical record review and staff interview, the facility failed to have sufficient nursing staff with the necessary competencies and skills to provide the required nursing and related services. Specifically, the facility failed to assure that all persons administering medications conducted and documented 4 out of 4 quarterly evaluations per state requirements for 1 of 1 Certified Medication Technician (CMT) reviewed, Staff A, who administered medications erroneously to Resident ID #1. The resident was transferred to the hospital due to the medication errors and later expired. Findings are as follows:Record review of a facility reported incident submitted to the Rhode Island Department of Health on [DATE], revealed that at approximately 8:45 PM on [DATE], Certified Medication Technician (CMT), Staff A, administered another resident's medication to Resident ID #1. Resident ID #1 was transferred to the hospital on [DATE] and was admitted with pneumonia after s/he was noted with decreased responsiveness and…

  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
• Actual harm · Gcited before2024-08-22 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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, record review, and staff interview, it has been determined that the facility failed to protect the residents' right to be free from abuse for 1 of 1 resident reviewed for abuse, Resident ID #46. Findings are as follows: Review of a facility policy titled, Abuse, Neglect, Exploitation and Misappropriation Prevention Program, dated October of 2022 states in part, .Residents have the right to be free from abuse .This includes but is not limited to .physical abuse .Protect residents from abuse .by anyone including .other residents . Review of a facility reported incident submitted to the Rhode Island Department of Health on 5/8/2024 alleges that Resident ID #42 approached Resident ID #46, began yelling at him/her and hit his/her left arm several times which resulted in a skin tear. Record review revealed that the victim, Resident ID #46, was admitted to the facility in November of 2023 with a diagnoses including, but not limited to, dementia. Review of a Quarterly Minimum Data Set…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-08-22 · tag F0740 — failed to provide behavioral / mental-health care — isolated
  Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
  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 each resident receives and is provided the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, or psychosocial well-being, for 1 of 3 residents reviewed for behaviors, Resident ID #66. Findings are as follows: Record review revealed the resident was readmitted to the facility in April of 2024 with diagnoses including, but not limited to, bipolar disorder and schizophrenia. Review of the resident's care plan revealed a focus area initiated on 2/24/2024, for the use of anti-psychotic medications related to his/her diagnosis of schizophrenia. Interventions include, but are not limited to, administer anti-psychotic medication as ordered. Record review revealed a physicians order dated 7/11/2024 for Risperdal (Risperidone, an antipsychotic medication), 50 milligrams (mg), with instructions to inject intramuscularly (IM), one time a day, every 14 days. Review of the August 2024 Medication Administration Record (MAR) 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-12-01 · 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 record review and staff interview, the facility failed to ensure that services provided meet professional standards of quality relative to following physician's orders for 1 of 1 resident reviewed with an order for Midodrine (a medication prescribed to increase a person's blood pressure) and an order for a wound treatment, Resident ID #1.Findings are as follows:Mosby's 4th Edition, Fundamentals of Nursing, page 314 states, The physician is responsible for directing medical treatment. Nurses are obligated to follow physicians' orders unless they believe the orders are in error or would harm the clients.Record review revealed the resident was admitted to the facility in November of 2025 with a diagnosis including, but not limited to, hypotension (low blood pressure). 1. Record review of the provider's progress note dated 11/18/2025 at 11:53 PM, states in part, .Orders: midodrine 5mg [milligrams] PO [by mouth] TID [three times daily] prn [as needed] for systolic [the top number of a blood pressure reading] < 100 or diastolic [the bottom number of a blood pressure reading] < 60…

  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 · D2025-12-01 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  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 ensure the resident's drug regimen was free from unnecessary medications for 1 of 1 resident reviewed receiving Metoprolol Tartrate (a medication prescribed to treat cardiac conditions and assists in lowering the blood pressure and heart rate), Resident ID #1.Findings are as follows:Record review revealed the resident was admitted to the facility in November of 2025 with diagnoses including, but not limited to, atrial fibrillation (an irregular and often rapid heart rhythm) and hypotension (low blood pressure).Record review of a nursing admission progress note dated 11/18/2025 revealed the resident's vital signs were obtained upon admission, and the highest blood pressure (BP) reading was 78/48 (normal blood pressure 120/80). The on-call provider was notified of his/her low blood pressure and parameters were ordered for the medication Metoprolol.Record review revealed a physician's order dated 11/18/2025 for Metoprolol Tartrate, give 12.5 milligrams (mg) by mouth twice daily, with parameters to hold the medication…

  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 · Dcited before2025-12-01 · 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

  Based on record review and staff interview, the facility failed to ensure that residents are free of any significant medication errors for 1 of 1 resident reviewed receiving Warfarin/Coumadin (an anticoagulant medication prescribed to treat and prevent harmful blood clots from forming or growing larger), Resident ID #3. Findings are as follows: Record review revealed the resident was admitted to the facility in November of 2025 with a diagnosis including, but not limited to, deep vein thrombosis (a blood clot that forms in the deep veins of the leg).Record review revealed a physician's order dated 11/7/2025 for Warfarin 3 milligrams (mg) by mouth, every evening, for treating/preventing blood clots until 11/13/2025.Record review revealed a physician's order dated 11/14/2025 for a PT/INR (a blood test that determines the continued dosing for Warfarin), one time on 11/14/2025.Record review revealed the PT/INR was obtained, as ordered, and resulted on 11/14/2025. Record review for 11/14/2025 failed to reveal evidence that the PT/INR results were reviewed or that the provider 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-09-11 · 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 surveyor observation, record review, and staff interview, it has been determined that the facility failed to meet professional standards of quality relative to following physician's orders for 2 of 2 residents with medications and treatments that were not signed off as administered, Resident ID #s 1 and 6, for 1 of 3 residents observed with a non-pressure related wound, Resident ID #6, and for 1 of 3 residents reviewed with an order for a nutritional supplement, Resident ID #90.Findings are as follows:According to Mosby's 3rd Edition, Basic Nursing, states in part, .after administering a drug, the nurse records it immediately on the appropriate record form .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.1. Record review revealed Resident ID #1 was readmitted to the facility in October of 2024 with diagnoses including, but not limited to, diabetes with foot…

  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 · D2025-09-11 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  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, record review, and staff interview, it has been determined that the facility failed to provide respiratory care consistent with professional standards of practice relative to 2 of 4 residents reviewed for oxygen use, Resident ID #s 11 and 46.Findings are as follows: According to Lippincott Nursing Procedure Ninth Edition 2023, page 621, states in part, .Verify the practitioner's order for the oxygen therapy, because oxygen is considered a medication or therapy and should be prescribed . 1. Record review revealed Resident ID #11 was admitted to the facility in November of 2024 with a diagnosis including, but not limited to, chronic obstructive pulmonary disease (a lung condition caused by damage to the airways that limits airflow). Record review revealed a physician's order dated 11/22/2024 for oxygen to be administered at 2 liters per minute (LPM), via nasal cannula (a flexible tubing used to deliver supplemental oxygen directly into the nostrils), every shift. Surveyor observations revealed the resident was receiving the incorrect LPM of oxygen on 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-11 · 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

  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 3 of 4 residents reviewed for insulin administration, Resident ID #s 1, 2, and 6. Findings are as follows:1a. Record review revealed Resident ID #1 was admitted to the facility in October of 2024 with a diagnosis including, but not limited to, type 2 diabetes mellitus. Record review revealed the following physician's orders: -8/7/2025, Insulin Glargine (a long-acting insulin) 100 units per milliliter (ml) pen injector, inject 18 units subcutaneously daily at bedtime (HS). -8/20/2025, Insulin Aspart (a rapid acting insulin) 100 units per ml, inject per the sliding scale (insulin that is administered according to parameters for a blood sugar reading) subcutaneously before meals and at HS.Record review of the September 2025 Medication Administration Record (MAR) revealed that the Insulin Glargine was not signed off as administered on 9/6/2025 at HS. Further review of the MAR failed to reveal evidence that the resident's…

  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 · Dcited before2025-09-11 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to maintain an infection prevention and control program to help prevent the transmission of communicable diseases and infection, relative to 1 of 2 residents observed during a wound dressing change, Resident ID #2.Findings are as follows:Review of a facility policy titled Wound Care states in part, .Steps in the procedure.pour liquid solutions directly on gauze sponges.Wash tissue around the wound that is usually covered by the dressing.remove dry gauze. Apply treatment as indicated .Record review revealed Resident ID #2 was admitted to the facility in July of 2025 with diagnoses including, but not limited to, cellulitis (a bacterial infection involving the skin) of left lower limb, and infection and inflammation to internal left knee prosthesis (an artificial device that replaces a missing body part).Record review of the wound care progress note dated 9/10/2025 revealed the following:-Deep tissue injury (DTI- pressure-induced damage to the underlying tissues occurring…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-23 · tag F0553 — failed to let residents help plan their care — isolated
  Allow resident to participate in the development and implementation of his or her person-centered plan of care.
  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 provide a resident the right to participate in the development and implementation of his or her person-centered plan of care and facilitate the inclusion of the resident and/or resident representative for 1 of 3 residents reviewed for care planning meetings, Resident ID #1. Findings are as follows: Record review of a community reported complaint submitted to the Rhode Island Department of Health on 10/17/2024 alleges in part, I have several concerns on the care [Resident ID #1] is receiving . During a surveyor interview on 10/22/2024 at 1:32 PM with the complainant, a family member of the resident, s/he revealed that s/he is very concerned that the facility has not had a care plan meeting for the resident since admission. Additionally, s/he indicated that the concerns in the complaint could have been discussed if the resident and family members were provided the opportunity to have a care plan meeting. Record review of the facility's policy titled, Care Planning-Interdisciplinary Team…

  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 · Dcited before2024-09-03 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  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, it has been determined that the facility failed to provide appropriate treatment and services for 1 of 3 residents reviewed for constipation, Resident ID #2. Findings are as follows: Review of a community reported complaint received by the Rhode Island Department of Health on 8/30/2024 alleged that a resident had recently been admitted to the hospital from the facility with a diagnosis of, but not limited to, fecal impaction (a large, hard mass of stool that is stuck in the rectum that can cause serious illness or death). Record review revealed Resident ID #2 was admitted to the facility in July of 2024 with diagnoses including, but not limited to, dehydration, urinary tract infection, and Parkinson's disease. Review of a Minimum Data Set assessment dated [DATE] revealed a Brief Interview for Mental Status score of 2 out of 15, indicating severely impaired cognition. Further review revealed the resident was incontinent of bowel and was dependent on staff for toileting.…

  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 before2024-08-22 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, it has been determined that the facility failed to develop and implement a comprehensive person-centered care plan for 1 of 2 residents reviewed relative to Post-traumatic stress disorder (PTSD, occurs in some individuals who have encountered a shocking, scary, or dangerous situation) Resident ID #49 and 1 of 1 resident reviewed for wandering, Resident ID #65. Findings are as follows: 1. Review of a facility provided policy titled, Wandering and Elopements states in part, .The facility will identify residents who are at risk of unsafe wandering and strive to prevent harm while maintaining the least restrictive environment for resident .If identified as a risk for wandering, elopement, or other safety issues, the resident's care plan will include strategies and interventions to maintain the resident's safety . Record review revealed that Resident ID #65 was readmitted to the facility in April of 2024 with diagnoses including, but not limited to, adjustment disorder and…

  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

“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.

Fines & penalties

$52,785 in federal fines across 2 penalties.

• $24,845 — penalty dated 2026-03-20
• $27,940 — penalty dated 2024-08-22

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 32 rows in the source record cover these 23 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.

13 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.

This home reported $1.2M paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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