The Friendly Home

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.

50.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 83 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 48.8% 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 41 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 0.27 therapist hours per resident per day in 2026Q1 — more than 39% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 48% 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 126 beds and averages 111.3 residents a day — about 88% occupied, or roughly 15 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 3.66 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.51 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.44 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 3.23 hrs/resident/day on weekends vs 3.83 on weekdays — 16% thinner on weekends. RN hours go from 0.57 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% is about the same as the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

38 citations, most serious first. The 16 most serious are shown; the remaining 22 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-08-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 a resident received adequate supervision for 1 of 1 resident reviewed who was able to successfully elope from the facility, Resident ID #1.Findings are as follows:Review of a facility reported incident submitted to the Rhode Island Department of Health on 8/1/2025 revealed that Resident ID #1 left the faciity on 7/31/2025 and was seen by a neighbor, who subsequently notified the local police department. The report further revealed that the resident was transported back to the facility by the police.Record review of a facility policy titled, Elopement assessments states in part, .It is the policy of this facility to maintain a safe and secure environment for all our residents. In order to achieve this; residents who are at risk for wandering/elopement need to be identified and a care plan developed to eliminate risk.An assessment is also to be completed whenever the resident exhibits change in behaviors which…

  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 · Jcited before2023-12-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview, it has been determined that the facility failed to ensure that each resident receives adequate supervision and assistive devices to prevent an accident for 1 of 1 resident reviewed who experienced an actual fall, Resident ID #1. Findings are as follows: Review of a community reported complaint submitted to the Rhode Island Department of Health on 11/27/2023 revealed Resident ID #1 sustained a fall at the facility while being transferred by an unlicensed staff member. Additionally, the complaint alleged that the resident was transferred without his/her back brace applied, and without the required number of staff. Record review revealed the resident was admitted to the facility in November of 2023 with diagnoses including, but not limited to; fusion of spine lumbar region (surgery of lower spine), wedge compression fracture of the third lumbar vertebra (a fracture of the front of the lower part of the spine), and weakness. Record review of the hospital admission documentation revealed a REQUISTION FOR PROFESSIONAL SERVICES dated 11/16/2023…

  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 · J2023-12-11 · tag F0835 — failed to run the facility competently — isolated
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  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 be administered in a manner that enables it to use its' resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident relative to ensuring that its' Nursing Assistants (NA) are licensed. Findings are as follows: Record review revealed Resident ID #1 was admitted to the facility in November of 2023 with diagnoses including, but not limited to; fusion of spine lumbar region (surgery of lower spine), wedge compression fracture of the third lumbar vertebra (a fracture of the front of the lower part of the spine), and weakness. Record review of the physical therapy (PT) evaluation and plan of treatment dated 11/22/2023 revealed .Precautions: *TLSO [Thoracic Lumbar Sacral Orthotic- back brace] for 1 more week as of 11/22/23 .Transfers .2 assist x FWW [Front Wheeled Walker] with TLSO on when out of bed .transfers with gait belt . Record review revealed on 11/23/2023, the resident sustained a fall while…

  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
• Immediate jeopardy · Jcited before2023-10-30 · 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 surveyor observation, record review, and staff interview it has been determined that the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice relative to following up with the results of diagnostic testing, reporting a change in condition, and reporting recommendations from an outside provider to the attending physician for 1 of 5 residents reviewed for hospitalization, Resident ID #79. Findings are as follows: Review of a facility policy titled Resident Change in Condition last signed by the Director of Nursing Services (DNS) on 1/4/2023 states in part, .The facility will ensure that residents changes in conditions are identified timely, reported to the Physician and documented in the medical record timely .Changes in conditions require assessment by the RN [Registered Nurse] and notified to the MD [Medical Doctor] (both done timely) .Timely is certainly no later than the shift of the change . Record review revealed the resident was readmitted to the facility in May of 2022 with a diagnosis to include,…

  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 · G2025-12-19 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 maintain acceptable parameters of nutritional status, such as usual body weight, for 1 of 1 resident reviewed, who experienced actual significant weight loss of 9.06% (19.4 pounds, lbs.) in two weeks, Resident ID #120.Findings are as follows:Review of a facility policy and procedure titled Weight Loss/Gain Protocol., last revised in June of 2022, states in part, .All residents are to be weighed upon admission and at least monthly; so as to monitor for weight loss or gain for underlying causes. to intervene accordingly and timely to allow for an optimal level for well-being.a significant weight discrepancy is defined as: a weight change of 3 pounds or more in one week (if resident on weekly weights); a loss/gain of 5% or greater within one month.if the reweigh is accurate and there has been significant weight loss/gain, nursing must notify the; Physician, Dietician, DNS [Director of Nurses] and Resident representative .For any 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-10-30 · 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, staff, and resident interview, it has been determined that the facility failed to provide appropriate treatment and services for 1 of 4 residents reviewed, relative to a urinary tract infection (UTI), Resident ID #31. Findings are as follows: Record review of a facility policy titled, Urinary Incontinence and Indwelling Catheters states in part, .Symptomatic UTIs are based on the following criteria: Residents without a catheter should have at least three of the following signs and symptoms: .New or increased burning pain .New flank [the side of the body between the ribs and the hips] or suprapubic [lower abdomen] pain or tenderness .change in character of urine . Record review revealed Resident ID #31 was admitted to the facility in October of 2021 with diagnoses including, but not limited to, Parkinson's disease, repeated falls, and seizures. Record review of a Minimum Data Set assessment dated [DATE] revealed a Brief Interview for Mental Status score of 11 out of…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-12-19 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on surveyor observation, clinical record review, and staff interview, the facility failed to ensure that services provided meet professional standards of quality and practices relative to 1 of 1 resident reviewed for a fall resulting in a fracture, Resident ID #32, 1 of 1 resident observed for the use of geri-sleeves (protective arm wear) during a transfer, Resident ID #111, and 1 of 1 resident reviewed for off-loading booties, Resident ID #88.Findings are as follows:1. Review of a facility reported incident submitted to the Rhode Island Department of Health on 11/24/2025 revealed that Resident ID #32 fell while ambulating to the bathroom. Additionally, it was determined that s/he fractured his/her femur (thigh bone) and was admitted to the hospital.Record review revealed Resident ID #32 was readmitted to the facility in November of 2025 with a diagnosis including, but not limited to, displaced fracture of the medial condyle of the right femur (inner part of the lower thigh bone).Review of a care plan…

  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 before2025-12-19 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  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 clinical record review and staff interview the facility failed to provide care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices relative to assessment and implementation of the bowel protocol for 8 of 8 residents reviewed who required such services, Resident ID #s 2, 9, 12, 32, 66, 73, 95, and 99. Findings are as follows:Review of a facility provided policy titled, Bowel Protocol states in part, It is the policy of the facility to manage each resident's bowel function in order to promote regular, voluntary, controlled bowel evacuation of normal consistency .Further review of the policy revealed the following protocol:On Day 4 or 72 hours without bowel movement:- 7 AM - 3 PM offer prune juice as ordered.- 3 PM -11PM offer Milk of Magnesia (MOM) as ordered, if no bowel movement.- 11 PM - 7 AM offer Dulcolax Suppository as orderedOn Day 5 without a bowel movement:- 7 AM - 3 PM offer fleet enema as ordered.1. Record review revealed that Resident ID #2 was admitted to the facility in November of 2025…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-19 · tag F0699 — pattern
  Provide care or services that was trauma informed and/or culturally competent.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and staff interview, the facility failed to ensure that residents who are trauma survivors, receive culturally competent, trauma-informed care in accordance with professional standards of practice and accounting for residents experiences, and preferences, in order to eliminate, or mitigate triggers that may cause re-traumatization of the resident for 1 of 1 resident reviewed with a history of trauma, Resident ID #11.Findings are as follows:Review of an undated facility policy titled, Trauma Informed Care revealed in part, .A trauma assessment will be done on each resident by the social worker as part of the admission social history. When it is not practical or possible to interview the resident, information will be obtained from family members.when they are able and authorized to provide such information.The particular type and extent of the trauma (as best can be determined) will be incorporated when planning culturally competent, resident centered care with the purpose of avoiding re-traumatization.Record review revealed that Resident ID #11 was…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-19 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  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 the irregularities identified by the Clinical Consultant Pharmacist during the Admission/readmission pharmacist Medication Regimen Review (MRR) were acted upon for 1 of 1 resident reviewed for antibiotics, Resident ID #6.Findings are as follows:Review of a facility policy titled, Medication Administration Safety Program (MASP) - Monthly Drug Regimen Review, states in part, .Any irregularities are to be documented.and reported to the resident's attending physician, the facility medical director and the director of nursing timely.The attending physician is to document in the medical record that the irregularity was reviewed, and what if any actions were taken to address it.If there is no change in the identified medication, the attending physician is to document their rationale (for not taking action) in the medical record.Record review revealed the resident was readmitted to the facility in April of 2025 with diagnoses including, but not limited to, peripheral vascular disease and osteomyelitis…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-12-19 · tag F0757 — failed to avoid unnecessary drugs — pattern
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and staff interview, the facility failed to ensure that the resident's drug regimen is free from unnecessary drugs for 1 of 3 residents reviewed for antibiotics, Resident ID #6.Findings are as follows:Record review revealed the resident was readmitted to the facility in April of 2025 with diagnoses including, but not limited to, peripheral vascular disease and osteomyelitis (bone infection) of the right ankle and foot.Review of a Discharge Summary from an acute care hospital dated 8/22/2025, revealed an order for doxycycline hyclate (antibiotic) tablet, 100 milligrams (mg), administer 1 tablet once a day for 6 days, indicating a total number of 6 doses.Record review revealed a physician's order dated 8/22/2025 for doxycycline hyclate tablet, 100 mgs, administer 1 tablet twice a day, for a total of 12 doses.Review of the Medication Administration Record for August of 2025 revealed the resident received 13 doses of the doxycycline hyclate 100 mgs and not the 6 doses as per the discharge summary.Additional review revealed a Pharmacist's Medication…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-19 · tag F0760 — failed to prevent significant medication errors — pattern
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and staff interview, the facility failed to ensure that all residents are free from significant medication errors for 1 of 3 residents reviewed for antibiotics relative to not receiving the ordered dosage, Resident ID #33, and 2 of 2 residents reviewed who did not receive ordered dosages of anticoagulants, Resident ID #s 46 and 84. Findings are as follows:Review of an undated policy titled, Medication Administration Safety Program (MASP) - Physician Notification states in part, It is the policy of this facility to ensure that the physician is notified when medications as ordered are not administered, regardless of circumstance.When a regularly scheduled dose of medication is not administered due to resident refusal, unavailability, resident condition or absence from the facility, the physician should be notified.1. Record review revealed that Resident ID #33 was readmitted to the facility in December of 2025 with diagnoses including, but not limited to, sepsis and dementia.Record review revealed a physician's order for Cephalexin (antibiotic) 500…

  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 · E2025-12-19 · tag F0773 — pattern
  Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
  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 promptly notify the ordering physician or a provider of laboratory results for 1 of 1 resident reviewed for Coumadin (an anticoagulant; a medication prescribed to thin the blood to prevent the formation of blood clots), Resident ID #84.Findings are as follows:Review of a facility policy titled, Notification of Clinicians last reviewed 1/4/2023, states in part, .The results of laboratory, radiology and other diagnostic tests will be reviewed by the unit nurse on the same day that they are received by the facility.Record review revealed the resident was admitted to the facility in March of 2025 with a diagnosis including, but not limited to, new onset of unspecified atrial fibrillation (a common type of irregular heart rhythm that may cause blood clots to form in the heart).Record review revealed the resident receives Coumadin for anticoagulation therapy.Review of a care plan focus area dated 3/19/2025 revealed that s/he receives anticoagulation therapy due to atrial fibrillation with an intervention 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-19 · tag F0842 — failed to keep accurate, complete medical records — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and staff interview, the facility failed to ensure that resident records are complete and accurately documented, relative to 1 of 3 residents reviewed for indwelling foley catheter (a flexible tube that is inserted into the bladder to drain urine) usage, 1 of 1 resident for Geri sleeves (a protective sleeve applied to the upper extremities) and right knee sleeve (protective sleeve for the right knee) being documented as applied and 1 of 2 residents reviewed for offloading booties usage, Resident ID #s 9, 88 and 111.Findings are as follows:1.Record review revealed Resident ID #9 was admitted to the facility in March of 2025 with diagnoses, including but not limited to, Flaccid neuropathic bladder (a condition where the bladder's muscles are unable to contract effectively, leading to urinary retention).Record review revealed that the Resident ID #9 has an indwelling foley catheter.Record review revealed a physician's order dated 3/14/2025, to change the foley drainage bag to a leg…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-19 · tag F0881 — failed to use antibiotics responsibly — pattern
  Implement a program that monitors antibiotic use.
  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 establish an Infection Prevention and Control Program (IPCP) that must include, at a minimum, an antibiotic stewardship program which includes antibiotic use protocols and a system to monitor antibiotic use to ensure that residents who require an antibiotic, are prescribed the appropriate antibiotic for 2 of 3 residents reviewed for antibiotic use, Resident ID #s 6 and 33.Findings are as follows:According to the Centers for Disease Control and Prevention (CDC) document titled, The Core Elements of Antibiotic Stewardship for Nursing Homes states in part, Perform antibiotic 'time outs.' .Nursing homes should have a process in place for a review of antibiotics by the clinical team two to three days after antibiotics are initiated to answer these key questions: Does this resident have a bacterial infection that will respond to antibiotics? If so, is the resident on the most appropriate antibiotic(s), dose, and route of administration? Can the spectrum of the antibiotic be narrowed or the duration of therapy…

  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 · Dcited before2025-12-19 · 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, clinical record review, and staff interview, the facility failed to provide appropriate treatment and services for residents with a foley catheter (a flexible plastic tube inserted into your bladder) for 1 of 3 residents reviewed, Resident ID #9.Findings are as follows:Record review revealed that the resident was admitted to the facility in March of 2025 with a diagnosis including, but not limited to, flaccid neuropathic bladder (a condition that results in the inability to effectively empty the bladder due to nerve damage).According to Lippincott Nursing Procedures, 9th Edition, pages 432-33 states in part, Catheter care .Keep the drainage bag below the level of the patient's bladder to prevent backflow of urine into the bladder, which increases the risk of CAUTI [A catheter-associated urinary tract infection caused by germs entering the urinary tract through a catheter].Review of a care plan focus area dated 3/14/2025 revealed a focus area for a foley catheter with an intervention to maintain the foley below bladder level.During multiple surveyor…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“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

$107,709 in federal fines across 4 penalties.

• $65,340 — penalty dated 2025-12-19
• $11,183 — penalty dated 2023-10-30
• $15,593 — penalty dated 2023-10-30
• $15,593 — penalty dated 2023-10-30

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.

Who owns this facility

CMS files one row per role, so the 7 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $848K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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