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Brentwood Health Center

4000 Post Road, Warwick, RI 02886 · For profit - Limited Liability company · 96 certified beds · (401) 884-8020 Medicare & Medicaid certified

Call the home — (401) 884-8020 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0609) — cited Apr 20262 actual-harm citations
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 2 actual-harm citations
  • a high number of inspection citations overall (35) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its independent health-inspection rating is low (2/5)
  • its facility-reported quality-measure rating is low (2/5)
  • about 19% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
3520 Post Rd · (401) 435-5644 · Call to confirm hours
Pharmacy
3844 Post Rd · (401) 284-4505 · Call to confirm hours
Grocery
2574 W Shore Rd · (401) 737-5860 · Call to confirm hours
Park
(401) 739-7300 · Typically dawn to dusk
Place of worship

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

Overall quality measures 2 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 3 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased22.3%19.6%15.4%worse
Long-stay residents who lose too much weight6.6%5.1%5.4%worse
Long-stay residents with a catheter left in their bladder1.1%0.9%0.9%worse
Long-stay residents with a urinary tract infection2.2%2.5%2.0%worse
Long-stay residents with depressive symptoms0.4%17.2%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.5%3.6%3.3%better
Long-stay residents whose ability to walk worsened19.4%16.8%16.1%worse
Long-stay residents on antianxiety or hypnotic medication13.3%16.7%18.9%better
Long-stay residents given the seasonal flu vaccine96.1%95.2%95.3%typical
Long-stay residents with pressure ulcers6.1%4.2%4.7%worse
Long-stay residents with worsening bladder/bowel control28.9%22.3%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table19.8%22.8%17.1%worse
Short-stay residents who newly got an antipsychotic medication1.3%2.0%1.4%typical
Short-stay residents given the seasonal flu vaccine29.0%78.2%79.4%worse
Short-stay residents rehospitalized after admission29.7%24.3%22.6%worse
Short-stay residents with an outpatient ER visit17.5%14.6%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.241.591.67worse
Long-stay outpatient ER visits per 1,000 resident days1.861.681.80typical

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

64.3% 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 157 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

64.3%U.S. median 51.5%
Got home and stayed home
13.0%U.S. median 10.7%
Went back to hospital
56.6%U.S. median 56.6%
Met the expected recovery
0.44U.S. median 0.31
Therapy hours / resident / day
0.22hours / resident / day
Physical therapy
0.21hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Met the expected recovery: 56.6% 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 53 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 0.44 therapist hours per resident per day in 2026Q1 — more than 74% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF64.3%CMS range 56.2–71.751.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF13.0%CMS range 9.4–17.010.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge56.6%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge52.8%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge54.7%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified95.2%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge88.4%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.2%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization5.7%CMS range 2.6–9.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.671.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.65
RN hours/ resident / day
0.52
LPN hours/ resident / day
2.35
Aide hours/ resident / day
3.52
Total nurse hours/ resident / day
0.45
RN hoursweekends
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 96 beds and averages 84.9 residents a day — about 88% occupied, or roughly 11 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 3.52 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.65 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.35 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 3.28 hrs/resident/day on weekends vs 3.62 on weekdays — 9% thinner on weekends. RN hours go from 0.72 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

7
deficiencies at the latest standard inspection (2025-07-25)
10
at the previous standard inspection (2024-07-11)

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.

ABCDEFGHIJKL

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.

35 citations, most serious first. The 12 most serious are shown; the remaining 23 are one tap away and print in full.

  • Actual harm · G2026-04-21 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 interviews, the facility failed to provide necessary treatment and services, consistent with professional standards of practice, to promote wound healing and prevent pressure ulcers for 1 of 1 resident reviewed, Resident ID #3. Specifically, the resident was left on a bedpan for an undetermined length of time, resulting in prolonged, unrelieved pressure and the worsening of an existing pressure ulcer, as well as the development of a new pressure ulcer. Findings are as follows:Record review of a community reported complaint submitted to the Rhode Island Department of Health on 4/6/2026, states in part, .This patient.was left on the bedpan and was injured.Record review revealed the resident was admitted to the facility in March of 2026 with a diagnosis including, but not limited to, an unstageable pressure ulcer (an unstageable pressure ulcer is a full thickness wound which is caused by prolonged pressure over a bony prominence, where the depth 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · H2023-05-22 · 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 record review and staff interview, it has been determined that the facility failed to ensure residents maintain acceptable parameters of nutritional status, such as usual body weight or protein levels for 4 of 10 residents reviewed for nutrition, Resident ID#s 12, 65, 72, and 74. Findings are as follows: Record review of the State Operations Manual Appendix PP-Guidance to Surveyors for Long Term Care Facilities, revised on 2/3/2023, reveals a weight loss of 5% in 1 month, 7.5% in 3 months, and 10% in 6 months is significant weight loss. Additionally, greater than 5% in 1 month, greater than 7.5% in 3 months, and greater than 10% in 6 months is severe weight loss. Review of the facility's policy and procedure undated and untitled, provided to surveyors on 5/22/2023, states in part, .Goal Resident will not have a significant weight loss. Policy and Procedure: 1. Resident will be weighted on admission and at least monthly. 2. Provider and /family/responsible party will be notified re [relative to] significant weight loss. 3. Dietician consult on admission, quarterly and as…

    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 · D2026-04-21 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    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 ensure that all alleged violations involving neglect are reported immediately, but not later than 2 hours to the State Survey Agency in accordance with State law for 1 of 1 resident reviewed related to being left on a bedpan for an undetermined length of time, which resulted in worsening of and the development of a new pressure ulcer, Resident ID #3.Findings are as follows:Record review of a community reported complaint submitted to the Rhode Island Department of Health on 4/6/2026, states in part, .This patient.was left on the bedpan and was injured.Review of the facility policy titled. Abuse prohibition states in part, .Neglect = failure to provide goods and/or services necessary to avoid physical harm.Any instance of actual or suspected.neglect.including injuries of unknown origins including bruises, skin tears, or lacerations must be reported immediately to the DNS (Director of Nursing Services).The Department of Health.will be…

    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
  • Potential for harm · D2025-11-19 · 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

    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 ensure that each resident receives necessary respiratory care and services in accordance with professional standards of practice relative to a Bilevel Positive Airway Pressure device (BiPAP-a type of ventilator that assists with breathing and delivers two levels of air pressure, a higher pressure for inhalation and lower pressure for exhalation) for 1 of 1 resident reviewed, Resident ID #1.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 Resident ID #1 was readmitted to the facility on [DATE] with a diagnosis including, but not limited to, chronic respiratory failure with hypoxia (a serious condition characterized by the inability to effectively exchange…

    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 · Fcited before2025-07-25 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    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 store, prepare, distribute and serve food in accordance with professional standards for food service safety relative to the main kitchen and for one of two kitchenettes.Findings are as follows:1. The Rhode Island Food Code 2022 Edition 4-601.11 states in part, .nonfood contact surfaces of equipment shall be kept from an accumulation of dust, dirt, food residue and other debris.During surveyor observations of the main kitchen on 7/22/2025 at 8:50 AM and 7/24/2025 at 10:57 AM revealed the following:-the walls behind the dish machine, stove and worktables were observed to have an accumulation of food spills/splatters -Formica topped food carts were observed to have chips in the corners of the carts -the gaskets of the ice chest had an accumulation of a black substance2. The Rhode Island Food Code 2022 Edition 4-602.11 states in part, .equipment of the food contact surfaces.shall be cleaned at any time during the operation when contamination may have occurred.During a…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-25 · 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

    Based on record review and staff interview, it has been determined that the facility failed to immediately inform the resident's physician of his/her change of condition, which resulted in the transfer of the resident to an acute care hospital for 1 of 4 residents reviewed, Resident ID #8.Findings are as follows:Record review of a facility reported incident submitted to the Rhode Island Department of Health on 7/20/2025 states in part, .Incident of unknown origin.facility informed.about an injury of fractured ribs and lacerated spleen.Family and MD [medical doctor] all aware. Investigation to be completed.Record review of a community reported complaint submitted to the Rhode Island Department of Health on 7/25/2025 alleges in part, that the resident arrived at the hospital after a suspected unwitnessed fall. S/he had bruising on left flank, a grade 4 splenic laceration (classified as a severe injury involving significant vascular injury and active bleeding), and displaced fractures of the left 10th and 11th ribs.Record review of a facility policy dated 10/17/2023 titled 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-07-25 · 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 record review and staff interview, it has been determined that the facility failed to ensure that services provided by the facility meet professional standards of quality relative to following physician's orders for 1 of 4 residents reviewed related to oxygen utilization, for 1 of 1 resident reviewed relative to orthostatic blood pressure (measurements of blood pressure taken while a patient is in different positions), Resident ID #8, and for 3 of 7 residents reviewed relative to weight discrepancies, Resident ID #s 16, 29, and 75.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.1. Record review of a facility reported incident submitted to the Rhode Island Department of Health on 7/20/2025 states in part, .Incident of unknown origin.facility informed.about an injury of fractured ribs and lacerated spleen.Family and MD [medical doctor] all aware.…

    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 · D2025-07-25 · 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 provide the necessary treatment and care in accordance with professional standards of practice relative to obtaining orthostatic vital signs per a physician's order, identifying a change in a resident's condition and physician notification, for 1 of 1 resident reviewed for hospitalization, Resident ID #8. 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 that the orders are in error or would harm the clients. According to Jensen's Fourth Edition, Nursing Health Assessment, page 118 states, Orthostatic vital signs are measured in patients to assess for a drop in BP [blood pressure].with position changes .Some medications can have the adverse effect causing orthostatic hypotension.Assess BP.with the patient [lying], sitting, and standing.waiting 1-2 minutes after each position change to assess 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 before2025-07-25 · 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

    Based on record review and staff interview, it has been determined that the facility failed to provide the appropriate treatment and services for 1 of 1 resident reviewed for constipation, Resident ID #8.Findings are as follows:Review of the facility policy titled, Bowel function management, states in part, It is the policy of this facility to manage each resident's bowel function in order to promote regular, voluntary, controlled bowel evacuation of normal consistency. Normal bowel function involves passage of soft, formed stools in adequate volumes without straining .Every resident's bowel function is to be monitored every day on every shift.The charge nurse is responsible to monitor the resident's bowel activity daily.Interventions to promote adequate bowel function: 1. Determine the resident's bowel function by regular review of the bowel documentation .Assess the success of the .interventions .Record review revealed the resident was readmitted to the facility in June of 2025 with a diagnosis including, but not limited to, sepsis (a systemic infection that can cause tissue…

    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 before2025-07-25 · 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

    Based on record review and staff interview, it has been determined that the facility failed to ensure that staff were competent to provide nursing and related services to assure resident safety to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident, as the facility staff were unable to identify a change in condition, administer oxygen in the setting of hypoxia (low blood oxygen level), document accurately, and administering medications as ordered for one of four residents reviewed, Resident ID #8. Findings are as follows:1.Record review revealed Resident #8 was re-admitted to the facility in June of 2025 with a diagnosis including, but not limited to, sepsis (a systemic infection that can lead to tissue damage, organ failure and possible death). Record review revealed a physician's order dated 1/28/2025 to administer oxygen at 1-4 liters per minute via nasal cannula (a medical device that provides supplemental oxygen therapy to people who have lower oxygen levels) as needed for shortness of breath or hypoxia (low blood oxygen…

    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 · D2025-07-25 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on surveyor observation and staff interview, it has been determined that the facility failed to maintain a sanitary and comfortable environment relative to food trays being left in the hallways on one of two nursing units after meal hours with partially consumed meals. Findings are as follows:During surveyor observations of the first-floor nursing unit, the following was revealed:7/22/2025 at 11:30 AM, four food trays uncovered from the breakfast meal with partially consumed food 7/22/2025 at 3:45 PM, two food trays uncovered from the lunch meal with partially consumed food 7/23/2025 at 11:30 AM, four trays uncovered from the breakfast meal with partially consumed food 7/24/2025 11:00 AM, three trays uncovered from the breakfast meal with partially consumed food7/24/2025 at 4:00 PM, four trays uncovered from the lunch meal with partially consumed foodDuring a surveyor interview on 7/25/2025 at 11:40 AM with the Director of Food Service, he acknowledged that the food trucks were left uncovered in the hallway after meal hours and contained partially consumed food on the trays.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-04-18 · 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 implement a comprehensive person-centered care plan for 4 of 4 residents reviewed relative to pain medication administration, Resident ID #s 1, 2, 3, and 4. Findings are as follows: Review of a community reported complaint submitted to the Rhode Island Department of Health on 4/14/2025 alleged that Resident ID #1 was not receiving his/her pain medications from staff even though s/he complained of an 8 out 10 pain level. 1. Record review revealed Resident ID #1 was admitted to the facility in December of 2021 with diagnoses including, but are not limited to, left lower limb cellulitis (a bacterial skin infection), acute respiratory failure and emphysema (a chronic lung disease that damage the lungs' air sacs making the breathing difficult). Record review of the resident's significant change status Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 14 out of 15,…

    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
Show the remaining 23 citations
  • Potential for harm · Dcited before2025-04-18 · 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

    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 meet professional standards of quality related to following physician's orders for 1 of 4 residents reviewed for pain and anxiety medication administration, and for 1 of 3 residents reviewed for the use of an air mattress, Resident ID #1. 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 . Review of a facility policy titled Medication Administration Safety Program states in part, .It is the policy of this facility that residents shall receive medications in a safe and timely manner and in accordance with established regulations and guidelines . 1. Review of a community reported complaint submitted to the Rhode Island Department of Health on 4/14/2025 alleged that Resident ID #1 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-10-10 · 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, it has been determined that the facility failed to meet professional standards of quality for 2 of 3 residents reviewed for physician's orders, Resident ID #s 1 and 2. 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 physician's orders unless they believe the orders are in error or would harm the clients. Record review of a community reported complaint submitted to the Rhode Island Department of Health on 10/7/2024 alleges that the resident's .calves were often banged up from bad transfers . 1. Record review revealed Resident ID #1 was admitted to the facility in January of 2023 with diagnoses including, but are not limited to, malnutrition, left upper arm, left ribs, and left upper leg fractures. Record review revealed a physician's order dated 6/30/2024 to complete a weekly skin evaluation and document the findings under observations. Record review of the July, August and September 2024 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-10 · 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

    Based on record review and staff interview, it has been determined that the facility failed to ensure that nursing staff have the appropriate competencies and skills sets to provide nursing and related services to assure resident safety to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident, as determined by resident assessments and individual plans of care and considering the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment as required for 2 of 5 staff reviewed, Nursing Assistants (NA), Staff A and B. Findings are as follows: Record review of the facility assessment states staff training and education on mechanical lifts will be completed on orientation and annually. Record review failed to reveal evidence of competencies and skills sets for safe patient handling on orientation relative to transfers with a mechanical lift for the following staff: - NA, Staff A with a hire date of 8/21/2024 - NA, Staff B with a hire date of 8/30/2024 During a surveyor interview on…

    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 · F2024-07-11 · tag F0730 — widespread
    Observe each nurse aide's job performance and give regular training.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and staff interview, it has been determined that the facility failed to complete an annual performance review for every nursing assistant (NA), at least once every 12 months, for 5 of 5 NA personnel records reviewed, Staff G, H, I, J, and K. Findings are as follows: Record review of the personnel files failed to reveal evidence that an annual performance evaluation was completed for the following NAs: -Staff G, - Date of hire 2/12/2005 -Staff H, - Date of hire 1/16/2023 -Staff I, - Date of hire 3/21/2022 -Staff J, -Date of hire 9/5/2017 -Staff K, - Date of hire 8/22/2016 During a surveyor interview with the Director of Nursing Services on 7/10/2024 at 2:09 PM she was unable to provide evidence of a completed performance evaluation within the last 12 months for the above-mentioned employees.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-07-11 · tag F0809 — failed to serve meals on a reasonable schedule — widespread
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, resident, and staff interview, it has been determined that the facility failed to ensure that nourishing snacks were offered to residents at bedtime, for 5 of 9 residents interviewed for bedtime snacks, Resident ID #s 2, 3, 5, 18, and 36. Findings are as follows: According to the State Operations Manual for Long Term Care regarding Frequency of Meals, it states in part, There must be no more than 14 hours between a substantial evening meal and breakfast the following day, except when a nourishing snack is served at bedtime . During the resident council meeting held on 7/10/2024 at 11:00 AM, 5 out of 9 resident council members who were in attendance indicated that bedtime snacks are not offered. Additionally, they indicated they would enjoy being offered bedtime snacks. During a surveyor interview on 7/11/2024 at 9:45 AM with the Administrator, he indicated that they start serving breakfast at 8:00 AM and supper starts at approximately 5:00 PM. Additionally, he acknowledged that there are more than 14 hours between the evening meal and the breakfast meal 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-07-11 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    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 prepare, store, and distribute food according to professional standards of food service safety, relative to the main kitchen and 2 of 3 nourishment areas observed. Findings are as follows: 1.Review of the Rhode Island Food Code, 2018 Edition, section 3-501.17 states in part, .(B) .refrigerated, ready-to-eat time/temperature control for safety food .shall be clearly marked, at the time the original container is opened in a food establishment .and: (1) the day the original container is opened in the food establishment shall be counted as Day 1; and (2) The day or date marked by the food establishment may not exceed a manufacturer's use-by date . a)During a surveyor observation in the presence of the Food Service Director (FSD) on 7/9/2024 at approximately 7:45 AM during the initial tour of the kitchen, of a large refrigerator located in the main cooking space, revealed the following: A pan of what appeared to be pasta salad covered in plastic wrap, not labeled, or…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-07-11 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespread
    Have a plan that describes the process for conducting QAPI and QAA activities.
    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 implement and maintain an effective, comprehensive, data-driven, Quality Assurance and Performance Improvement (QAPI) program that focuses on indicators of the outcomes of care and quality of life. Findings are as follows: Review of the QAPI binders on 7/11/2024 at 10:00 AM in the presence of the facility Administrator revealed the following: Review of the August 2023, December 2023, and March 2024 QAPI meeting revealed evidence of QAPI plans created for areas identified as concerns. However, there was no evidence of implementation or maintenance of the plan, including tracking and measuring performance, and establishing goals and thresholds for performance measurement. Review of the June 2024 QAPI meeting revealed evidence of identifying concerns which would aid in the establishment of QAPI plans. However, it failed to reveal completed QAPI plans related to the identified concerns, or evidence of implementation or maintenance of the plan, including tracking, measuring performance, 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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-07-11 · tag F0880 — failed to prevent and control infections — widespread
    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 due to utilizing Personal Protective Equipment (PPE) according to professional standards and properly disinfecting hands to prevent the transmission of potential pathogens (bacteria, virus or microorganisms that may cause disease) prior to providing care for 1 of 1 resident observed for Activities of Daily Living, Resident ID #281. Additionally, the facility failed to utilize appropriate precautions to reduce the transmission of multidrug-resistant organisms [MDROs-bacteria that are resistant to two or more classes of antibiotics] for 2 of 4 residents reviewed, Resident ID #s 32 and 48. Furthermore, the facility failed to handle, store, and transport linens appropriately, utilizing standard precautions. Findings are as follows: The Centers for Disease Control and Prevention (CDC) publication titled Guideline for Hand Hygiene in Health-Care…

    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 · E2024-07-11 · tag F0698 — failed to provide proper dialysis care — pattern
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    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 who required dialysis (a procedure to remove waste products and excess fluids from the blood when the kidney stops working properly) receive such services, consistent with professional standards of practice for 2 of 2 residents reviewed who receive dialysis treatments, Resident ID #s 40 and 9. Findings are as follows: According to the facility policy titled, Dialysis Patients; Care of states in part, .Care of the dialysis patient/resident will include .7. The thrill [vibration felt of blood flow] and bruit [audible vascular sound associated with turbulent blood flow], when applicable, will be checked every shift and/or per MD [medical doctor] order and recorded in the medical record . 1. Record review revealed Resident ID #40 was admitted to the facility in June of 2024 with diagnoses including, but not limited to, end stage renal disease and dependence on renal dialysis. Further record review revealed the resident receives outpatient…

    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 before2024-07-11 · 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

    Based on surveyor observation and staff interview, it has been determined that the facility failed to store drugs and biologicals in accordance with currently accepted professional principles for 3 of 4 medication carts observed. Findings are as follows: 1. During a surveyor observation of the Upper Unit medication cart on 7/11/2024 at approximately 11:00 AM revealed the following: -Arnuity Ellipta (used for wheezing or shortness of breath) 100 mcg (micrograms)/actuation inhaler, opened and not dated. Manufacturer instructions states in part, .expires 6 weeks after you have opened the lid of the tray . 2. During a surveyor observation of the North Unit medication cart on 7/11/2024 at approximately 11:30 AM revealed the following: -Insulin Glargine Pen 100 Units/milliliters (ML), opened and not dated. Manufacturer instructions states in part, .Discard 28 days after opening . 3. During a surveyor observation of the East Unit medication cart on 7/11/2024 at approximately 1:30 PM revealed the following: -Insulin Glargine 100 Units/ML vial, unopened. Manufacturer instructions states in…

    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 · D2024-07-11 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    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, record review, staff and resident interview, it has been determined that the facility failed to treat each resident with respect and dignity, and is cared for in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life relative to providing activities of daily living(ADL) for a resident whose primary language is not the dominant language of the facility, Resident ID #2. Findings are as follows: Record review revealed that Resident ID #281 was admitted to the facility on [DATE] with diagnoses including, but not limited to, malignant neoplasm (abnormal tissue growth characteristic of cancer), fracture of femur and right artificial hip joint. Review of a care plan dated 7/6/2024 revealed the resident is Spanish speaking with interventions that include, staff may assist with communication and pictures. Record review of the Minimum Data Set (MDS) completed on 7/10/2024 revealed a Brief Interview of Mental Status (BIMS) score of 15 indicating…

    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 · D2024-07-11 · 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 2 of 9 residents reviewed for medication administration, Resident ID #s 15 and 40. Findings are as follows: 1. Record review revealed Resident ID #15 was admitted to the facility in May of 2023 with diagnoses including, but not limited to, type 2 diabetes mellitus. During a surveyor interview with the resident's family member on 7/9/2024 at 2:10 PM, s/he revealed the resident did not receive his/her Tresiba Insulin as ordered one day last week from one of the agency nurses, Licensed Practical Nurse, Staff L. Further, s/he revealed Staff L told them she was unable to locate the insulin. Record review revealed a physician's order dated 5/29/2024 for Tresiba FlexTouch 100 unit per milliliter, 12 units subcutaneous once a day. Record review of the July 2024 Medication Administration Record (MAR) indicated the Tresiba Insulin was not administered on 7/3/2024. According to Staff L's documentation the medication was not…

    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 before2024-06-06 · 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 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 relative to following a physician's order for 1 of 3 residents reviewed, Resident ID #1. Findings are as follows: According to Mosby's 4th Edition, Fundamentals of Nursing page 314 which 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 of a community reported complaint submitted to The Rhode Island Department of Health on 5/30/2024 alleges in part, that the resident did not receive his/her medications on the second shift of 5/30/2024, as ordered. Record review revealed Resident ID #1 was admitted to the facility in May of 2023, with diagnoses including, but not limited to, adult failure to thrive and pressure ulcers (damage to an area of the skin caused by constant pressure on the area for a long time). Record review of a…

    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 · Dcited before2023-10-16 · tag F0761 — failed to label and store drugs safely — isolated
    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

    Based on surveyor observation, record review and staff interview, it has been determined that the facility failed to store all drugs and biologicals in locked compartments for 1 of 1 resident reviewed relative to medications left at the bedside, Resident ID #1. Findings are as follows: Record review of a community reported complaint received by the Department of Health on 10/13/2023 revealed in part, My Medications were wrong yet again this morning. I took a picture as proof of my complaint . According to Pharmacology, A Nursing Approach 2nd edition, Guidelines for Correct Administration of Medication directs the practitioner to stay with the client until the medication is taken. Record review revealed the following physician's orders: - Administer two tablets of gabapentin 100 mg (milligram) for a total dose of 200 mg orally twice daily. - Administer one tablet of folic acid 1 mg orally once a morning. - Administer one tablet of cyanocobalamin (vitamin B-12) 1,000 mcg (micrograms) orally once a morning. - Administer one tablet of Eliquis (blood thinner) 5 mg orally twice a day. -…

    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 before2023-10-05 · 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 record review and staff interview, it has been determined that the facility failed to ensure that services being provided meet professional standards of quality related to Nursing Assistants scope of practice for 1 of 3 residents reviewed for medication administration, Resident ID #1. Findings are as follows: Review of the facility policy titled Medication Administration General Guidelines states in part, .Medications are administered as prescribed in accordance with .good nursing principles and practices and only by persons legally authorized to do so . Review of the State of Rhode Island regulation 216-RICR-40-05-22.12.1. D. 1. A nursing assistant may only remind a patient to take medication, unless the nursing assistant is licensed with the Department as a medication aide. Review of a community reported complaint submitted to the Rhode Island Department of Health on 10/4/2023 alleges that Resident ID #1 had been given the wrong medications on several occasions and feels his/her life had been put in danger. Record review revealed Resident ID #1 was admitted to 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 · Fcited before2023-05-22 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    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 food is stored and distributed, in accordance with professional standards for food service safety, relative to the main kitchen. Findings are as follows: The United States Food and Drug Administration Food Code 2022 Edition 3-701.11, states in part, Discarding .Contaminated Food .A FOOD that is unsafe .shall be discarded . Review of the facility policy, titled, Dietary Department Infection Control Guidelines, states in part, .Food .All stock items will be monitored for expiration dates, and used and discarded as necessary . During an initial tour of the main kitchen, on 5/15/2023 at 9:22 AM, in the presence of the Food Service Director (FSD) revealed sixteen loaves of Pullman Wheat Bread with use by dates of 4/11/2023, 5/2/2023, and 5/8/2023. Additional surveyor observation revealed three of the loaves of bread had large amounts of green matter throughout the bread. During an interview with the FSD following the above observation, he acknowledged 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-05-22 · tag F0944 — widespread
    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and staff interview, it has been determined that the facility failed to ensure that its Quality Assurance and Performance Improvement (QAPI), outlines mandatory training and informs staff of the elements and goals of the facility's QAPI program. Findings are as follows: Review of the facility QAPI program updated on 1/4/2023 failed to reveal evidence that that it included mandatory training or an outline on how to inform staff of the elements and goals of the program. During a surveyor interview with the Administrator and the Director of Nursing Services on 5/22/2023 at 11:29 AM, they were unaware that their QAPI program must include the above-mentioned training or way to communicate the goals of the program to staff.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-05-22 · 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 resident and staff interview, it has been determined that the services provided by the facility failed to meet professional standards of quality relative to physician's orders for 8 of 18 residents reviewed relative to weekly integrity observation documentation, Residents ID#s 3, 38, 59, 66, 74, 77, 78, and 80 and for 1 of 4 resident observed during the medication administration task who was administered medication outside of the manufacturer's instructions, Resident ID #62. Findings are as follows: 1. 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 . A. Record review revealed Resident ID #3 was admitted to the facility in January of 2023 with diagnosis including, but not limited to, encephalopathy (a term for any disease of the brain that alters brain function or structure). Record review revealed a physician's order…

    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 · E2023-05-22 · tag F0838 — failed to assess facility resources and resident needs — pattern
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    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 training as outline in their facility assessment relative to obtaining resident weights for 7 of 7 newly hired Nursing Assistants (NAs) reviewed, Staff J, K, L, M, N,O, and P. Findings are as follows: The facility's assessment updated on 1/4/2023, states in part, .Training for Certified Nursing Assistant upon hire .Obtaining resident weights via wheelchair, mechanical lift or standing . Record review revealed the following staff members did not receive training upon hire per the above-mentioned facility assessment: 1. Staff J, hired on 5/6/2023 2. Staff K, hired on 4/13/2023 3. Staff L, hired on 3/30/2023 4. Staff M, hired on 2/14/2023 5. Staff N, hired on 1/30/2023 6. Staff O, hired on 1/21/2023 7. Staff P, hired on 1/16/2023 During a surveyor interview with the Administrator and the Director of Nursing Services on 5/22/2023 at 11:29 AM, they were unable to provide evidence that the above-mentioned NAs received training relative to obtaining resident weights via wheelchair,…

    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 before2023-05-22 · 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 establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections relative to the handling of laundry on 1 of 4 units, the North Unit and for 2 of 2 residents with Vancomycin Resistant Enterococci (VRE), Residents ID#s 54 and 145, and Findings are as follows: 1. Review of an undated facility policy titled General Infection Control Strategies, states in part, .It is the policy of this facility that all activities, directly or indirectly affecting the resident will be performed in a manner that minimizes the potential for infection in residents, staff and visitors . A. During a surveyor observation of the North Unit on 5/15/2023 at 11:43 AM, Nursing Assistant (NA), Staff S, was observed exiting a resident's room while holding a loose, unbagged sheet in her hand. Additionally, the sheet was observed to be visibly…

    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 · E2023-05-22 · tag F0919 — failed to provide a working call system — pattern
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    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 be adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area for 5 of 15 residents observed to have their call lights placed out of their reach, Resident ID #s 20, 25, 54, 61, and 74. Findings are as follows: 1. Record review for Resident ID #20 revealed that s/he was admitted to the facility in March of 2021 with diagnoses including, but not limited to, heart failure. Record review revealed a care plan dated 3/1/2023 that indicates the resident has an intervention in place for the call light to be kept within reach relative to bladder/bowel incontinence and the potential for falls. During a surveyor observation with Registered Nurse, Staff Q, on 5/16/2023 at approximately at 12:15 PM, Resident ID #20 was observed to be sitting in his/her recliner without the call light within reach. The call light was observed to be on the floor approximately…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-05-22 · 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 surveyor observation, record review, and resident and staff interview, it has been determined that the facility failed to ensure that a resident who requires catheterization receives appropriate treatment and services for 1 of 5 residents reviewed, relative to an indwelling catheter, Resident ID #83. Findings are as follows: Review of the facility policy titled, Foley Catheter Care dated 2/1/2023, states in part, .Resident's requiring a foley catheter will remain free of complications including infection, trauma .Ensure drainage bag .remains .off the floor . Record review revealed that the resident was admitted to the facility in March of 2023 with diagnoses including, but not limited to, urinary tract infection and benign prostatic hyperplasia (enlargement of prostate that impedes the flow of urine). Record review of an admission Minimum Data Set assessment dated [DATE] revealed a Brief Interview for Mental Status score of 15 out of 15 indicating the resident has intact cognition. Record review of a…

    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
  • No harm found · B2024-07-11 · tag F0623 — pattern
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    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 written notice of transfer or discharge to the Office of the State Long-Term Care Ombudsman for 2 of 2 sample residents who were discharged from the facility, Resident ID #s 75 and 77. Findings are as follows: 1. Record review revealed Resident ID #75 was admitted to the facility in May of 2024 with diagnoses including, but not limited to, hemiplegia (one sided paralysis) and hemiparesis (weakness on one side of the body) following cerebral infarction (stroke) affecting right dominant side, and hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side. Record review revealed that the resident was discharged to the hospital on 6/17/2024. 2. Record review revealed Resident ID #77 was originally admitted to the facility in April of 2024 with diagnoses including, but not limited to, hyponatremia (low sodium level). Record review revealed that the resident was discharged to his/her home with services on 4/15/2024. Additional 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.

    Resident Rights 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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to EDEN HEALTHCARE — 7 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 →

RatingThis homeChain avg
Overall 2 of 53.0-1.0 vs chain
Health inspection 2 of 52.9-0.9 vs chain
Staffing 3 of 53.4-0.4 vs chain
Quality measures 2 of 52.4-0.4 vs chain
The other 6 homes this chain runs (chain average 3.0★, per CMS)

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

Owner / managerTypeRoleShareSince
GELLIS, LOUISIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER100%since 07/27/2021
POLLACK, JOSEPHIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/07/2022

CMS files one row per role, so the 3 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

$10.3M
Net patient revenuemost recent cost report
-2.9%
Operating marginrevenue minus expenses
$2.1M
Related-party expense19% of expenses
Who pays — share of resident-days
Medicaid 57%Medicare 7%Other / private 36%

This home reported $2.1M paid to related parties — landlords or management companies under common ownership — equal to about 19% 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

$330per resident / day
operating cost
$10,038per month
≈ monthly operating cost
$321per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Rhode Island Medicaid page.

Typical monthly cost in Rhode Island
$12,106/mo
Nursing home (semi-private)
$13,383/mo
Nursing home (private)
$7,781/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 415061. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-25, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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