F760 · Severity G
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Complaint citation, Standard survey citation · Deficient, Provider has date of correction 2025-07-26For-profit
AdviniaCare Orchard, LLC
135 Tripps Lane, East Providence, RI 02915
(401) 438-2250 · Athena Healthcare Systems
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Corporation | Certified beds | 166 |
|---|---|---|---|
| Estimated occupancy | 18.1% | Latest inspection | 2025-06-26 |
County and Rhode Island comparison
Navy: facility · Teal: county · Gray: Rhode Island
Overall rating
Facility: 1 of 5
Health-inspection score
Facility: 433.0 points
Total nurse staffing
Facility: 4.20 hours/day
RN staffing
Facility: 0.99 hours/day
Staff turnover
Facility: 20.2%
Latest health deficiencies
Facility: 17 deficiencies
View data table
| Metric | Facility | County | Rhode Island |
|---|---|---|---|
| Overall rating | 1 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 433.0 points | 77.3 points | 75.9 points |
| Total nurse staffing | 4.20 hours/day | 3.64 hours/day | 3.58 hours/day |
| RN staffing | 0.99 hours/day | 0.66 hours/day | 0.72 hours/day |
| Staff turnover | 20.2% | 36.5% | 39.3% |
| Latest health deficiencies | 17 deficiencies | 7 deficiencies | 7 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-06-26
17 deficiencies
Highest severity: G
Immediate-jeopardy citations: 0
F812 · Severity F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-07-26F925 · Severity F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-07-26F689 · Severity E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-07-26F880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-07-26F908 · Severity E
Keep all essential equipment working safely.
Environmental Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-07-26F924 · Severity E
Put firmly secured handrails on each side of hallways.
Environmental Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-07-26F697 · Severity D
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-07-26F835 · Severity D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-07-262024-06-26
19 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
F812 · Severity F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-07-22F880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-07-22F600 · Severity D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Complaint citation, Standard survey citation · Deficient, Provider has date of correction 2024-07-22F658 · Severity D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-07-22F684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-07-22F686 · Severity D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-07-22F698 · Severity D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-07-22F730 · Severity D
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-07-22F756 · Severity D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-07-22F577 · Severity C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-07-222023-07-06
22 deficiencies
Highest severity: J
Immediate-jeopardy citations: 4
F658 · Severity J
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-08-05F684 · Severity J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-08-05F692 · Severity J
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-08-05F710 · Severity J
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Nursing and Physician Services Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-08-05F689 · Severity F
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-08-05F699 · Severity F
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-08-05F812 · Severity F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-08-05F880 · Severity F
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-08-05F690 · Severity E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-08-05F554 · Severity D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-08-05F641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-08-05F685 · Severity D
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-08-05F694 · Severity D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-08-05F761 · Severity D
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.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-08-05Staffing composition
2.54 hours/dayNurse aide
0.67 hours/dayLPN
0.99 hours/dayRN
- Total staffing
- 4.20 hours/day
- County median
- 3.64 hours/day
- Rhode Island median
- 3.58 hours/day
- Weekend total
- 3.51 hours/day
- Staff turnover
- 20.2%
- RN turnover
- 10.5%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.1 per 1,000 daysbetterRhode Island: 1.5 per 1,000 days · County: 1.3 per 1,000 days20250101-20251231
Emergency-department visits
1.7 per 1,000 daysworseRhode Island: 1.6 per 1,000 days · County: 1.4 per 1,000 days20250101-20251231
Falls with major injury
2.2%betterRhode Island: 3.3% · County: 3.3%2025Q2-2026Q1
Pressure ulcers
4.5%worseRhode Island: 4.2% · County: 4.3%2025Q2-2026Q1
Urinary tract infections
1.5%betterRhode Island: 2.0% · County: 1.7%2025Q2-2026Q1
Antipsychotic medication use
31.7%worseRhode Island: 22.3% · County: 23.2%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
What improvements is the facility making in response to its Special Focus status?
Suggested because of: special focusHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useWhat operational changes followed the facility's most recent penalty?
Suggested because of: penaltiesHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Providence County
- Certified beds
- 166
- Average daily residents
- 30.1
- Ownership
- For profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1978-10-01
- CCN
- 415059
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.53629 |
| Lpn hours | 0.66744 |
| Rn hours | 0.99354 |
| Reported total hours | 4.19727 |
| Weekend total hours | 3.51072 |
| Weekend rn hours | 0.5429 |
| Adjusted total hours | 5.17832 |
| Total turnover percent | 20.2 |
| Rn turnover percent | 10.5 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$103,744.00Total fines
5Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2026-01-12 | Fine | $23,485.00 |
| 2026-01-12 | Fine | $25,485.00 |
| 2024-09-12 | Fine | $23,923.00 |
| 2024-04-23 | Fine | $16,801.00 |
| 2024-02-15 | Fine | $14,050.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
17Health citations
17Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
RI counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
11
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide and implement an infection prevention and control program.
Ensure that residents are free from significant medication errors.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure services provided by the nursing facility meet professional standards of quality.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| CHAKALOS-SANTILLI, VALERIE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% |
| MOSIER, MICHAEL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% |
| SANTILLI, LAWRENCE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 68% |
| MOSIER, MICHAEL | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| ATHENA HEALTH CARE ASSOCIATES, INC. | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology