West View Nursing Home, Inc

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

41.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 184 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 44.7% 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 38 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 0.40 therapist hours per resident per day in 2026Q1 — more than 68% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 120 beds and averages 100.3 residents a day — about 84% occupied, or roughly 20 beds typically open. It usually has some room. 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 3.94 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.09 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.48 is at or above 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 3.59 hrs/resident/day on weekends vs 4.08 on weekdays — 12% thinner on weekends. RN hours go from 1.18 to 0.89 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 59% is well above the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

27 citations, most serious first. The 19 most serious are shown; the remaining 8 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-05-05 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, and staff interview, the facility failed to ensure care and services were provided in accordance with professional standards of clinical practice for 1 of 3 residents reviewed receiving insulin therapy for diabetes mellitus, Resident ID #1. Specifically, the facility failed to ensure a complete and clinically appropriate insulin order was obtained, accurately transcribed, and safely administered, resulting in the resident receiving rapid-acting insulin during overnight hours without meal intake, causing severe hypoglycemia requiring emergent hospital transfer. Findings are as follows:Record review of a facility reported incident sent to the Rhode Island Department of Health on 5/1/2026, revealed that on 4/29/2026, the resident's Novolog order was decreased from 5 units to 4 units, to be given three times daily. However, the order was incorrectly transcribed for day, evening, and night shifts (7:00 AM - 3:00 PM, 3:00 PM - 11:00 PM, and 11:00 PM - 7:00 AM). Following an insulin…

  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 · Past Non-Compliance
• Immediate jeopardy · J2026-05-05 · 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 clinical record review and staff interview, the facility failed to provide respiratory care in accordance with professional standards of practice for 1 of 1 resident reviewed. Emergency Medical Services (EMS) observed Resident ID #1 receiving oxygen at 5 liters per minute (LPM) via a non-rebreather mask, a delivery method that requires a minimum flow rate of 10 LPM to maintain proper reservoir inflation and effective oxygen delivery. The use of a non-rebreather mask below the required flow rate rendered the device ineffective, resulting in inadequate oxygenation and placing the resident at immediate and significant risk for respiratory failure, hypoxia, and cardiopulmonary decompensation.As a result of this deficient practice, Resident ID #1 experienced clinical deterioration requiring emergent transfer to the emergency room (ER), where the resident was admitted with metabolic acidosis, a serious life-threatening condition characterized by excessive acid accumulation in the body that may result from…

  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
• Immediate jeopardy · J2025-03-03 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  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 from physical restraints that are not required to treat the resident's medical symptoms for 1 of 1 resident reviewed for an actual restraint, as the resident was observed in bed with a bed sheet tied across him/her, Resident ID #1. Findings are as follows: Review of a facility policy titled, Restraint Use-Physical states in part, .A physical restraint may be used only as a last resort and for a short period of time when it is documented in the medical record that the use of said restraint is in the best interests of the resident and allows the resident to receive the treatment that he/she has previously agreed to receive. Nursing documentation must specifically describe the behavior/medical symptoms that indicate the need for restraints and all the interventions that have been attempted before obtaining a doctor's order for a restraint . Record review of a facility reported incident submitted to the Rhode Island Department of Health on 2/27/2025 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · K2024-11-21 · tag F0805 — failed to prepare food in a form residents can eat — pattern
  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  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, staff and resident interview, it has been determined that the facility failed to provide and prepare food in a form designed to meet individual needs for 3 of 4 residents reviewed with a physician's order for thickened consistency fluids, including mildly thick (nectar) and moderately thick (honey) consistencies, Resident ID #s 7, 26, and 98. Findings are as follows: 1. Record review revealed Resident ID #26 was admitted to the facility in May of 2023 with diagnoses including, but not limited to, dysphagia, chronic obstructive pulmonary disease (COPD), and pneumonitis (inflammation of the lungs making it difficult to breathe) due to inhalation of food and vomit. Review of a Minimum Data Set assessment dated [DATE] revealed a Brief Interview for Mental Status score of 15 out of 15, indicating intact cognition. Review of the care plan revealed a focus area initiated on 11/7/2024 indicating Resident ID #26 has a potential for aspiration due to dysphagia with an…

  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
• Actual harm · Gcited before2026-06-11 · 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 clinical record review and staff interview, the facility failed provide services that meet professional standards relating to following the prescribed physical therapy treatment plan for 1 of 2 Residents reviewed, ID #1. Resident ID #1 sustained a left femoral (the long bone of the upper leg) fracture when a Physical Therapy Assistant (PTA) performed rotational exercises of the resident's left hip that were not included in the resident's therapy treatment plan. The facility's investigation determined that the PTA failed to follow the established treatment plan and performed interventions outside the scope of the treatment directives. Following the incident, the facility immediately removed the PTA from resident care duties pending the outcome of the investigation and provided education to all therapy staff regarding adherence to therapy plans and the requirement to seek clarification when treatment instructions are unclear. Surveyor verification confirmed these corrective actions had been implemented…

  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 · Past Non-Compliance
• Actual harm · G2024-11-21 · 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 surveyor observation, record review, resident and staff interview, it has been determined that the facility failed to provide appropriate treatment and services for 1 of 2 residents reviewed with a suprapubic catheter (SP catheter- a device inserted through the abdomen into the bladder to drain urine), Resident ID #16. Findings are as follows: 1a) Review of the facility's policy titled, Foley Catheters dated 1/16/2024 states in part, .3. The catheter is to be changed per MD [Medical Doctor] order . Record review revealed Resident ID #16 was admitted to the facility in August of 2023 with a diagnosis including, but not limited to, obstructive and reflux uropathy (a condition in which the flow of urine is blocked). Record review of a care plan dated 7/5/2024 revealed the resident has a SP catheter due to obstructive uropathy and staff interventions include, but are not limited to, change the resident's catheter per the facility's policy. Record review failed to reveal evidence that an order was obtained from the provider for the SP catheter to be changed while at 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
• Actual harm · H2024-01-05 · 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 a usual body weight or desirable body weight and are offered sufficient fluid intake to maintain proper hydration for 3 of 7 residents reviewed, Resident ID #s 81, 202 and 304. Additionally, the facility failed to offer a therapeutic diet when there is a nutritional problem for 1 of 7 residents reviewed, Resident ID #303. Findings are as follows: 1.According to the Standard Nursing Practice second edition, 2003 .dry mucus membranes are signs of dehydration. Intake and output needs to be monitored to determine body fluid status. According to Elsevier, 2024, .dehydration occurs when an individual excretes too much water without also excreting electrolytes .Diarrhea and vomiting are common causes of dehydration due to rapid fluid loss through the gastrointestinal tract .signs and symptoms .an individual may experience fatigue, dark urine, less frequent urination, dry skin, or dry lips. In addition to these, as severity…

  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 · Gcited before2024-01-05 · 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

  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 residents receive treatment and care in accordance with professional standards of practice relative to 1 of 2 residents reviewed for a change in condition, Resident ID #202. 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. Review of the facility's diet manual Diet & Dining Manual for Extended Care in a Culture changes Environment from section Fluid Management 2019, states in part, While the fluid intake goals need to be calculated and individualized by the Registered Dietitian, generally the elderly population should take in a minimum of 1500 [milliliters] per day .and preferably up to 2000 [milliliters] per day . According to Elsevier, 2024, .dehydration occurs when an…

  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
• Actual harm · G2024-01-05 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview it has been determined that the facility failed to ensure that the residents are free from significant medication errors for 1 of 2 residents reviewed who expired in the facility, Resident ID #202. Findings are as follows: 1a. Record review revealed Resident ID #202 was admitted to the facility in December of 2023 with diagnoses including, but not limited to, below the knee amputation aftercare, infection in the surgical wound, and a history of congestive heart failure (a weakness of the heart that leads to the buildup of fluid in the lungs and the surrounding tissue). Record review revealed the following physician's orders: Torsemide (a medication used to decrease fluid buildup in the body) Oral Tablet 20 milligrams (mg) to be given once a day, alternating every other day with Torsemide Oral Tablet 40 mg. Record review revealed labs were obtained on [DATE] which indicated an increased sodium (Na) level of 146 milliequivalents per liter (mEq/L; normal lab value 135-145…

  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 · Fcited before2026-03-26 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on surveyor observation, record review, and staff interview, 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 the satellite kitchenette.Findings are as follows:1. Record review of the 2022 Food Code published by the U.S. Food and Drug Administration Section 4-501.114 reads in part, a chemical Sanitizer used in a SANTIZING solution for a manual operation shall meet the criteria specified (C) A quaternary ammonium compound shall (2) have a concentration.as indicated by the manufacturer's use by directions.Record review of manufacturer's directions for the use of a quaternary ammonium solution as a sanitizer recommends the pH (a measure to determine the acidity or basicity of a solution based on the number of hydrogen ions in the solution) level should read between 200 and 400 PPM (parts per million).During a surveyor observation on 3/22/2026 at approximately 9:00 AM, of the main kitchen, 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 · D2026-03-26 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, and staff and resident interviews, the facility failed to allow a resident to participate in his or her treatment for 1 of 2 residents reviewed, relative to the resident requesting a hospital transfer, Resident ID #25. Findings are as follows:Review of a facility policy titled, Resident Rights last revised 3/2017 states in part, .Respect the right of the resident/patient and/or their designated representative to participate in and make healthcare decisions.Record review revealed that the resident was admitted to the facility in September of 2025 with diagnoses including, but not limited to, chronic respiratory failure and anxiety.Review of a Quarterly Minimum Data Set assessment dated [DATE] revealed a Brief Interview for Mental Status score of 10 of 15 indicating moderate cognitive impairment.Review of a progress note dated 3/19/2026 revealed that the resident complained of chest pain and was medicated with nitroglycerin (a medication prescribed to prevent or treat chest pain)…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-26 · 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 surveyor observation, clinical record review, and staff interview, 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 2 residents observed for wound care, Resident ID #4.Findings are as follows:Review of an undated facility policy titled, Clean Dressing Technique states in part, PROCEDURE: 1. Check the physician order for current, correct treatment .Record review revealed Resident ID #4 was readmitted to the facility in August of 2025 with a diagnosis including, but not limited to, brain damage.Record review revealed s/he has a wound to his/her right thumb and is followed by a wound specialist.Review of a physician's order dated 3/2/2026 indicated to cleanse his/her right thumb with wound cleanser, pat dry, apply skin prep to the perimeter of the wound, then apply calcium alginate with silver (an antibiotic treatment) to the wound bed, and to cover with a foam dressing daily and as needed.During a surveyor observation on 3/24/2026 at 10:06 AM of the resident's right…

  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 · D2026-03-26 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and staff interview, the facility failed to ensure that resident records are complete and accurately documented for 1 of 1 resident reviewed for hemodialysis (a treatment that removes excess fluid, waste, and toxins from the blood when the kidneys are no longer functioning properly), Resident ID #39.Findings are as follows:According to Mosby's 4th Edition, Fundamentals of Nursing, page 314 states in part, .The physician is responsible for directing medical treatment, Nurses are obligated to follow physician's orders unless they believe the orders are in error or would harm the clients .Record review revealed the resident was readmitted to the facility in January of 2026 with diagnoses including, but not limited to, end stage renal disease and dependence on renal dialysis.Record review revealed the resident was on a 1500 milliliter fluid restriction daily.Further record review revealed a physician's order dated 2/4/2026 to total the 24-hour fluid intake, which is to be completed on third shift between 11:00 PM to 7:00 AM.Review of the March 2026…

  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 before2025-12-02 · 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, the facility failed to ensure that the food is stored, served, and distributed, in accordance with professional standards for food service safety, relative to the cleanliness of the dishes, the stove, and the flat top grill in the main kitchen.Findings are as follows:Review of a community reported complaint submitted to the Rhode Island Department of Health on 11/28/2025, alleges in part, the unsanitary state of the kitchen has caused death and sickness of many residents at the facility. Additionally, the complaint alleged that the kitchen floor is not mopped, the dishes, the silverware, the cups, and the coffee mugs are not cleaned properly, as they are often sent to the residents with food residue on them for each meal.Record review of an undated facility document titled MAINTENANCE OF SANITARY CONDITIONS, revealed in part, sanitary condition are maintained in the storage preparation and distribution of food. These conditions are maintained in accordance with federal and state regulations. Effective procedures for…

  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 · D2025-06-11 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, it has been determined that the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice and the comprehensive care plan relative to 1 of 2 residents reviewed with non-pressure wounds, Resident ID #1. Findings are as follows: Record review revealed Resident ID #1 was admitted to the facility in May of 2025 with a diagnosis including, but not limited to, dependence on a ventilator (a device that assists in breathing). Record review of the admission skin assessment dated [DATE] revealed the resident had the following skin impairments: -A rash to the upper-mid vertebrae (an area of the spine) -An excoriation (the mechanical removal of the skins surface caused by scratching, rubbing, or picking) to his/her groin Record review of the physician's orders revealed an order dated 5/13/2025 for Miconazole Nitrate (a medicated powder prescribed to treat a fungal rash) to be applied to the groin twice daily.…

  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 before2025-06-11 · 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, record review, and staff interview, it has been determined that the facility failed to ensure that a resident receives care, consistent with professional standards of practice, to promote wound healing for 1 of 4 residents reviewed who is at risk for skin breakdown, Resident ID #1, and for 1 of 2 residents reviewed with actual pressure ulcers (a localized injury to the skin and/or underlying skin usually over a bony prominence), Resident ID #2. Findings are as follows: 1. Record review revealed Resident ID #1 was admitted to the facility in May of 2025 with a diagnosis including, but not limited to, dependence on a ventilator (a device that assists in breathing). Record review of the facility's admission skin assessment dated [DATE] revealed the resident had an excoriation (an excoriation is a linear erosion caused by scratching, rubbing, or picking) to his/her sacrum. Record review of the physician's orders failed to reveal evidence of a treatment order for the resident's…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-03 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff and resident interview, it has been determined that the facility failed to keep a resident free from physical abuse for 1 of 7 residents reviewed, Resident ID #7. Findings are as follows: Review of a facility policy titled, Abuse Prohibition states in part, It is the policy of this facility to ensure that all residents are treated with respect and dignity and that all residents are free from abuse, mistreatment, neglect .Abuse: willful infliction of injury, unreasonable confinement, intimidation, or punishment resulting in physical harm, pain or mental anguish . Review of a facility reported incident received by the Rhode Island Department of Health on 3/3/2025 revealed that the Administrator was informed that an Activity Aide was seen coming down the hall, wheeling Resident ID #7 very quickly and then let go of the wheelchair causing the resident to roll several more feet and hitting the wall. The resident was startled, but did not fall and was not injured. Record review revealed…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-11-21 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety relative to 1 of 1 resident reviewed for safe food temperatures, Resident ID #45, and 3 of 3 ice machines without an air gap (gap between the water supply inlet and the flood level rim of the plumbing fixture). Findings are as follows: 1. The Rhode Island Food Code 2018 Edition 3.501.16, states in part, Time/Temperature Control for Safety Food Hot and Cold Holding .shall be maintained at .5 degrees C [Centigrade, which is 41 degrees Fahrenheit [F]] or less . Record review revealed that Resident ID #45 was readmitted to the facility in August of 2024 with diagnoses including, but not limited to, stroke and dysphagia (difficulty swallowing). Review of a Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status score of 2 out of 15 indicating severe cognitive…

  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 · Ecited before2024-11-21 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  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

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that residents with pressure ulcers receive the necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 2 of 4 residents reviewed for pressure ulcers, Resident ID #s 65 and 84. Findings are as follows: 1. Review of a facility policy titled, Clean Dressing Technique dated January of 2018 states in part, .Check the physician order for current, correct treatment . Record review revealed that Resident ID #65 was readmitted to the facility in October of 2024 with diagnoses including, but not limited to, paraplegia (paralysis affecting the lower half of the body) and dependence on a ventilator (a life support machine that helps people breathe when they are unable to do so on their own). Review of an Integrated Wound Care follow up progress note dated 11/4/2024 revealed that the resident has a stage 4 pressure ulcer (most serious type of pressure ulcer that…

  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

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

Fines & penalties

$130,764 in federal fines across 5 penalties.

• $27,378 — penalty dated 2026-05-05
• $27,378 — penalty dated 2026-05-05
• $14,999 — penalty dated 2025-03-03
• $24,544 — penalty dated 2024-11-21
• $36,465 — penalty dated 2024-01-05

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

Part of a chain

This home belongs to 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 →

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

Who owns this facility

CMS files one row per role, so the 11 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 10% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in RI