F813 · Severity F
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-12-26At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | Non profit - Corporation | Certified beds | 33 |
|---|---|---|---|
| Estimated occupancy | 88.8% | Latest inspection | 2025-11-26 |
County and Rhode Island comparison
Navy: facility · Teal: county · Gray: Rhode Island
Overall rating
Facility: 3 of 5
Health-inspection score
Facility: 67.0 points
Total nurse staffing
Facility: 4.84 hours/day
RN staffing
Facility: 1.45 hours/day
Staff turnover
Facility: 100.0%
Latest health deficiencies
Facility: 7 deficiencies
View data table
| Metric | Facility | County | Rhode Island |
|---|---|---|---|
| Overall rating | 3 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 67.0 points | 77.3 points | 75.9 points |
| Total nurse staffing | 4.84 hours/day | 3.64 hours/day | 3.58 hours/day |
| RN staffing | 1.45 hours/day | 0.66 hours/day | 0.72 hours/day |
| Staff turnover | 100.0% | 36.5% | 39.3% |
| Latest health deficiencies | 7 deficiencies | 7 deficiencies | 7 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-11-26
7 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
F554 · Severity E
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-12-26F658 · Severity E
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 2025-12-26F726 · Severity E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-12-26F842 · Severity D
Safeguard 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 2025-12-26F577 · Severity B
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 2025-12-262024-09-26
8 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
F623 · Severity F
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-10-26F865 · Severity F
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-10-26F880 · Severity F
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-10-26F583 · Severity E
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-10-26F726 · Severity E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-10-26F658 · 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 2024-10-26F699 · Severity D
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 2024-10-26F760 · Severity D
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-10-262023-11-08
4 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 2023-12-08F658 · 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 2023-12-08F699 · Severity D
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 2023-12-08F757 · Severity D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-12-08Staffing composition
3.39 hours/dayNurse aide
0.00 hours/dayLPN
1.45 hours/dayRN
- Total staffing
- 4.84 hours/day
- County median
- 3.64 hours/day
- Rhode Island median
- 3.58 hours/day
- Weekend total
- 4.06 hours/day
- Staff turnover
- 100.0%
- RN turnover
- 100.0%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
Not reported: cms footnoteunavailableRhode Island: 1.5 per 1,000 days · County: 1.3 per 1,000 days20250101-20251231
Emergency-department visits
Not reported: cms footnoteunavailableRhode Island: 1.6 per 1,000 days · County: 1.4 per 1,000 days20250101-20251231
Falls with major injury
3.0%betterRhode Island: 3.3% · County: 3.3%2025Q2-2026Q1
Pressure ulcers
1.5%betterRhode Island: 4.2% · County: 4.3%2025Q2-2026Q1
Urinary tract infections
13.1%worseRhode Island: 2.0% · County: 1.7%2025Q2-2026Q1
Antipsychotic medication use
3.4%betterRhode 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 is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverWhat 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
- 33
- Average daily residents
- 29.3
- Ownership
- Non profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1991-05-21
- CCN
- 415096
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 3.38993 |
| Lpn hours | 0 |
| Rn hours | 1.44912 |
| Reported total hours | 4.83905 |
| Weekend total hours | 4.0577 |
| Weekend rn hours | 1.05741 |
| Adjusted total hours | 5.07567 |
| Total turnover percent | 100 |
| Rn turnover percent | 100 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$8,278.00Total fines
1Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2025-11-05 | Fine | $8,278.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
7Health citations
3Fire 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.
1
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| WILSON, LINDA | CORPORATE DIRECTOR | NOT APPLICABLE |
| IGOE, STEPHANIE | CORPORATE OFFICER | NOT APPLICABLE |
| BETHANY HOME OF RHODE ISLAND | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| IGOE, STEPHANIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology