455 Douglas Avenue, Providence, RI 02908
(401) 553-8600 · Green Tree Healthcare Management
| Ownership | For profit - Corporation | Certified beds | 220 |
|---|---|---|---|
| Estimated occupancy | 94.0% | Latest inspection | 2025-09-04 |
| Metric | Facility | County | Rhode Island |
|---|---|---|---|
| Overall rating | 2 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 137.0 points | 77.3 points | 75.9 points |
| Total nurse staffing | 3.47 hours/day | 3.64 hours/day | 3.58 hours/day |
| RN staffing | 0.49 hours/day | 0.66 hours/day | 0.72 hours/day |
| Staff turnover | 47.0% | 36.5% | 39.3% |
| Latest health deficiencies | 11 deficiencies | 7 deficiencies | 7 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-09-30Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-09-30Procure 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 2025-09-30Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-09-30Ensure 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 2025-09-30Provide 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 2025-09-30Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-09-30Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-09-30Immediate-jeopardy citations: 0
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-08-25Develop 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 2024-08-25Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Complaint citation, Standard survey citation · Deficient, Provider has date of correction 2024-08-25Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-08-25Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-08-25Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Complaint citation, Standard survey citation · Deficient, Provider has date of correction 2024-08-25Immediate-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 2023-07-08Provide 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 2023-07-08Procure 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 2023-07-08Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-07-08Ensure 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 2023-07-08Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-07-08Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-07-08Provide 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 2023-07-08Ensure 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 2023-07-08Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-07-08Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What corrective actions and resident protections were put in place after the issue associated with the CMS abuse flag?
Suggested because of: abuse iconWhat changes were made after inspectors reported actual harm during the 2026-04-30 inspection?
Suggested because of: latest actual harmHow many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injury| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.18078 |
| Lpn hours | 0.79605 |
| Rn hours | 0.48952 |
| Reported total hours | 3.46635 |
| Weekend total hours | 3.06864 |
| Weekend rn hours | 0.38956 |
| Adjusted total hours | 3.20674 |
| Total turnover percent | 47 |
| Rn turnover percent | 61.3 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2024-01-22 | Fine | $14,814.00 |
| 2024-01-08 | Fine | $4,938.00 |
| 2024-01-02 | Fine | $4,587.00 |
| 2023-12-11 | Fine | $13,409.00 |
| 2023-11-20 | Fine | $3,882.00 |
| 2023-11-13 | Fine | $3,529.00 |
| 2023-11-06 | Fine | $3,176.00 |
| 2023-10-30 | Fine | $2,823.00 |
| 2023-10-23 | Fine | $2,470.00 |
| 2023-10-17 | Fine | $2,117.00 |
| 2023-09-25 | Fine | $4,233.00 |
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.
5
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Provide enough food/fluids to maintain a resident's health.
Provide enough food/fluids to maintain a resident's health.
Provide safe, appropriate pain management for a resident who requires such services.
| Name | Role | Share |
|---|---|---|
| RHODE ISLAND HEALTHCARE HOLDCO 3 LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| DASAY 2019 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| GAMTA 2020 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| GRI SNF INVESTORS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| MRI SNF INVESTORS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| STERN, AHARON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| STERN, SIMON | CORPORATE OFFICER | NOT APPLICABLE |
| DASARI, NARESH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| STERN, AHARON | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| STERN, SIMON | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| THOMPSON, AMANDA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DASARI, NARESH | ADP OF THE SNF | NOT APPLICABLE |
| STERN, AHARON | ADP OF THE SNF | NOT APPLICABLE |
| STERN, SIMON | ADP OF THE SNF | NOT APPLICABLE |
| THOMPSON, AMANDA | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology