Elmwood Nursing and Rehabilitation 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.

47.7% 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 35 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.53 therapist hours per resident per day in 2026Q1 — more than 83% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 35% 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 70 beds and averages 65.4 residents a day — about 93% occupied, or roughly 5 beds typically open. It runs fairly full. 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 3.33 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.73 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.30 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 2.93 hrs/resident/day on weekends vs 3.49 on weekdays — 16% thinner on weekends. RN hours go from 0.85 to 0.43 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 28% is below the national median of 45%. 1 administrator has left in the past year.

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.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

• Potential for harm · D2026-04-17 · tag F0656 — failed to write and follow a full care plan — isolated
  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 surveyor observation, clinical record review, and staff interview, it has been determined the facility failed to provide care in accordance with a resident's plan of care to prevent falls for one of three residents reviewed, Resident ID #1, who sustained a fall with injury requiring hospitalization.Findings are as follows: Record review of a facility reported incident that was received by the Rhode Island Department of Health on 3/31/2026, alleged that while a Nursing Assistant (NA) was providing care to Resident ID #1 in bed, the resident rolled towards the NA and out of the bed, causing both the NA and resident to fall to the floor. The resident was assessed and a hematoma (a closed wound involving localized bleeding outside of the blood vessels) was immediately noted to his/her right temple. The resident was emergently transported to the hospital for further evaluation, where s/he was admitted with diagnoses including, fall, right frontal hematoma (localized bleeding to the right forehead region),…

  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 · E2026-01-14 · tag F0552 — pattern
  Ensure that residents are fully informed and understand their health status, care and treatments.
  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 inform the resident's appointed representative, in advance, of the care to be furnished by the physician or other provider, of the risks and benefits of proposed care or treatment alternatives relative to the ordering and administration of an antipsychotic medication for 1 of 1 resident reviewed, for the use of Zyprexa (an atypical antipsychotic medication), Resident ID #2.Findings are as follows:Review of the facility policy titled, Medication Administration Safety, Psychotropic Medications and New Medication Orders dated 4/28/2025 states in part, .Any and all psychotropic medications require resident or representative consent. Consent must include their awareness of the medication(s) ordered, the side effects to include black box warnings when applicable, and the risk/benefit.consent is necessary prior to administration of these medications medications.If/When a new medication is ordered, this signals a change in resident condition 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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-14 · tag F0658 — failed to meet professional standards of care — isolated
  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 ensure that residents receive treatment and care in accordance with professional standards of practice relative to following physician's orders for a neurology consult and psychiatric services for 1 of 1 resident reviewed, Resident ID #2.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 the resident was readmitted to the facility in October of 2025 with diagnoses including, but not limited to, encephalopathy (a term used to describe any disorder or disease that affects the brain leading to dysfunction. Brain dysfunction can appear as confusion, memory loss and personality changes) and cardiac arrest (heart attack).1a. Record review revealed a physician's order dated 10/6/2025, for a neurology consult related to recent shock (an acute medical…

  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 · F2025-09-05 · tag F0941 — widespread
  Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
  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 provide the mandatory effective communication training for 7 of 7 direct care staff members, Staff K, L, M, N, O, P, and Q regarding Resident ID #63 who only speaks Cantonese (a traditional variety of Chinese language originating from the city of [NAME]). Findings are as follows:During a surveyor interview on 9/2/2025 at approximately 10:20 AM with Resident ID #63, s/he was unable to communicate in English.Review of a Quarterly Minimum Data Set assessment dated [DATE] revealed that his/her preferred language is Chinese.Record review of his/her care plan revealed that s/he does not speak the dominant language of the facility and speaks Cantonese.Record review of the employee education records failed to reveal evidence that effective communication trainings were completed for the following staff members in order to successfully communicate with Resident ID #63:-Staff K, Licensed Practical…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-09-05 · 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 ensure that residents receive treatment and care in accordance with professional standards of practice, relative to the utilization of a heel offloading device for 1 of 2 residents reviewed, Resident ID #3.Findings are as follows:According to Mosby's 4th Edition, Fundamentals of Nursing, page 314 states, 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 the resident was readmitted to the facility in January of 2025 with diagnoses including, but not limited to, cerebral palsy and contractures of the right and left lower legs.Record review revealed a physician's order dated 8/26/2024 to offload the resident's right heel and ankle when in bed, as tolerated, with an ankle offloading device.Surveyor observations revealed that the resident's right heel was not offloaded, and his/her heel was lying directly 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-09-05 · tag F0675 — failed to support quality of life — pattern
  Honor each resident's preferences, choices, values and beliefs.
  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, representative and staff interview, it has been determined that the facility failed to ensure that the care and services provided are person-centered, and honor and support each resident's preferences, choices, values and beliefs for 1 of 1 resident reviewed who is unable to speak or understand the English language, Resident ID #63.Findings are as follows:Record review revealed the resident was admitted to the facility in February of 2005 with diagnoses including, but not limited to, Alzheimer's disease.During a surveyor interview on 9/2/2025 at approximately 10:20 AM with the resident, s/he was unable to communicate in English.Review of a Quarterly Minimum Data Set assessment dated [DATE] revealed that his/her preferred language is Chinese.Record review of his/her care plan revealed that s/he does not speak the dominant language of the facility and speaks Cantonese (a traditional variety of Chinese language originating from the city of [NAME]) with an intervention…

  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 · E2025-09-05 · tag F0940 — failed to train staff — pattern
  Develop, implement, and/or maintain an effective training program for all new and existing staff members.
  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 develop, implement, and maintain an effective training program for all newly hired employees and annual training for existing employees consistent with their expected roles, relative to education involving abuse, infection control, dementia behavioral health management, trauma informed care and Quality Assurance and Performance Improvement (QAPI) per the facility assessment, for 5 of 7 staff members reviewed, Staff K, L, M, N, and O.Findings are as follows: Review of the Facility Assessment, last updated 1/5/2025, states in part, Education.Training/Competencies related to resident specific service.Yearly and as needed .In person in-services are used for our annual education and new hire through our Annual Education Binder.1. Record review revealed Licensed Practical Nurse, Staff K, was hired on 3/23/2018. Review of her training records failed to reveal evidence that she received or completed annual education regarding Trauma Informed Care.2. Record review revealed Certified 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-05 · 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

  Based on record review and staff interview, it has been determined that the facility failed to ensure that a resident receives treatment and care in accordance with professional standards of practice for 1 of 1 resident reviewed with recommendations from a urologist (a medical practitioner that specializes in the diagnosis and treatment of disorders of the urinary system), Resident ID #40.Findings are as follows:Record review revealed the resident was admitted to the facility in January of 2021 with a diagnosis including, but limited to, malignant neoplasm (a cancerous tumor) of the prostate.Record review of the After Visit Summary dated 8/4/2025 from the urologist revealed a recommendation to obtain a Prostate-Specific Antigen (PSA- a test that is used to measure the amount of protein produced by prostate cells and is utilized to monitor for prostate cancer).Review of the resident laboratory results failed to reveal evidence that the PSA was completed on or after 8/4/2025 or that the physician at the facility was contacted to write an order for the lab work.During a surveyor…

  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 · D2025-09-05 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  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 ensure each residents' medication regimen is free from a medication error rate of 5% or greater. Based on 28 opportunities for errors observed during the medication administration task, there were 2 errors resulting in an error rate of 7.14%, affecting Resident ID #s 2 and 64.Findings are as follows:Review of a facility policy titled, Medication Administration Safety Program (MASP)- Safety Guidelines last reviewed 1/2/2025, states in part, .It is the policy of this facility that resident[s] shall receive medications in a safe and timely manner and in accordance with established regulations and guidelines.1. Record review revealed Resident ID #64 has a physician's order dated 5/13/2025 to administer two doses of polyethylene glycol 3355 powder (MiraLAX - a medication prescribed for constipation) 17 grams (g) for a total dose of 34g once daily. Surveyor observation during the medication administration task on 9/4/2025 at 8:57 AM with Certified Medication Technician…

  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 · D2025-09-05 · 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 infections, relative to staff wearing the appropriate personal protective equipment (PPE) while handling soiled linen, for 1 of 1 staff member observed, Staff I.Findings are as follows:Review of the facility policy titled, Infection Control Guidelines for Housekeeping/Laundry, states in part, .All laundry will be handled as if it is potentially infectious and/or capable of transmitting infectious disease.Laundry workers will wear appropriate personal protective equipment when handling contaminated laundry to include at a minimum.gown or apron and face mask protection is to be available and used when there is a possibility of splashing body fluids into the mouth, nose, or eyes. During a surveyor observation on 9/5/2025 at approximately 11:40 AM, Laundry Aide, Staff I, was observed handling soiled personal clothing and linens in the soiled linen room,…

  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

“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

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 6 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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 $616K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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