F552 · Severity D
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-06-26| Ownership | For profit - Limited Liability company | Certified beds | 60 |
|---|---|---|---|
| Estimated occupancy | 79.0% | Latest inspection | 2026-05-29 |
| Metric | Facility | County | Rhode Island |
|---|---|---|---|
| Overall rating | 4 of 5 | 4 of 5 | 3 of 5 |
| Health-inspection score | 35.0 points | 58.0 points | 75.9 points |
| Total nurse staffing | 3.16 hours/day | 3.25 hours/day | 3.58 hours/day |
| RN staffing | 1.04 hours/day | 0.81 hours/day | 0.72 hours/day |
| Staff turnover | 42.0% | 43.1% | 39.3% |
| Latest health deficiencies | 4 deficiencies | 6 deficiencies | 7 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-06-26Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-06-26Ensure 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 2026-06-26Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-06-26Immediate-jeopardy citations: 0
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-21Procure 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 2025-06-21Provide 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 2025-06-21Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-21Ensure 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 2025-06-21Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-21Immediate-jeopardy citations: 0
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 2024-06-06Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-06-22Provide 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 2024-06-22Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-06-22Ensure 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 2024-06-22Ensure 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 2024-06-22Ensure 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 2024-06-22Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-06-22Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-06-22Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersWhat 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| Reported measure | Value |
|---|---|
| Nurse aide hours | 1.79293 |
| Lpn hours | 0.3287 |
| Rn hours | 1.04258 |
| Reported total hours | 3.1642 |
| Weekend total hours | 2.9189 |
| Weekend rn hours | 0.87693 |
| Adjusted total hours | 3.33262 |
| Total turnover percent | 42 |
| Rn turnover percent | 30.8 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2024-05-23 | Fine | $176,111.00 |
| 2023-11-17 | Fine | $62,720.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
RI counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
2
Provide enough food/fluids to maintain a resident's health.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Name | Role | Share |
|---|---|---|
| FOLEY, BRIAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| ORIX REAL ESTATE CAPITAL LLC | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| SINGH, DEVIKA | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| FOLEY, BRIAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| VESS, RYAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| VESS, RYAN | CORPORATE OFFICER | NOT APPLICABLE |
| VESS, RYAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology