| Ownership | For profit - Limited Liability company | Certified beds | 96 |
|---|---|---|---|
| Estimated occupancy | 88.4% | Latest inspection | 2025-07-25 |
| Metric | Facility | County | Rhode Island |
|---|---|---|---|
| Overall rating | 2 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 86.0 points | 86.0 points | 75.9 points |
| Total nurse staffing | 3.52 hours/day | 3.61 hours/day | 3.58 hours/day |
| RN staffing | 0.65 hours/day | 0.89 hours/day | 0.72 hours/day |
| Staff turnover | Not reported by CMS | 42.4% | 39.3% |
| Latest health deficiencies | 10 deficiencies | 8 deficiencies | 7 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
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 2025-08-24Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-08-24Ensure 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 2025-08-24Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Complaint citation, Standard survey citation · Deficient, Provider has date of correction 2025-08-24Provide 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 2025-08-24Ensure 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 2025-08-24Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-08-24Immediate-jeopardy citations: 0
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 2024-08-10Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-08-10Procure 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 2024-08-10Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-08-10Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-08-10Provide 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 2024-08-10Ensure 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 2024-08-10Honor 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 2024-08-10Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-08-10Provide 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 2024-08-10Immediate-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 2023-06-21Procure 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 2023-06-21Conduct 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 2023-06-21Ensure 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 2023-06-21Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-06-21Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-06-21Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-06-21Provide 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 2023-06-21Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What changes were made after inspectors reported actual harm during the 2026-04-21 inspection?
Suggested because of: latest actual harmHow many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.35276 |
| Lpn hours | 0.52281 |
| Rn hours | 0.64531 |
| Reported total hours | 3.52088 |
| Weekend total hours | 3.28232 |
| Weekend rn hours | 0.44903 |
| Adjusted total hours | 3.7592 |
| Total turnover percent | Not reported by CMS |
| Rn turnover percent | Not reported by CMS |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
No matching penalties in the supplied CMS records.
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 appropriate pressure ulcer care and prevent new ulcers from developing.
Provide enough food/fluids to maintain a resident's health.
| Name | Role | Share |
|---|---|---|
| GELLIS, LOUIS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| GELLIS, LOUIS | CORPORATE OFFICER | NOT APPLICABLE |
| POLLACK, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology