F880 · Severity F
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-02-01At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Individual | Certified beds | 133 |
|---|---|---|---|
| Estimated occupancy | 72.9% | Latest inspection | 2026-01-02 |
County and Rhode Island comparison
Navy: facility · Teal: county · Gray: Rhode Island
Overall rating
Facility: 1 of 5
Health-inspection score
Facility: 222.3 points
Total nurse staffing
Facility: 3.26 hours/day
RN staffing
Facility: 0.74 hours/day
Staff turnover
Facility: 46.9%
Latest health deficiencies
Facility: 15 deficiencies
View data table
| Metric | Facility | County | Rhode Island |
|---|---|---|---|
| Overall rating | 1 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 222.3 points | 77.3 points | 75.9 points |
| Total nurse staffing | 3.26 hours/day | 3.64 hours/day | 3.58 hours/day |
| RN staffing | 0.74 hours/day | 0.66 hours/day | 0.72 hours/day |
| Staff turnover | 46.9% | 36.5% | 39.3% |
| Latest health deficiencies | 15 deficiencies | 7 deficiencies | 7 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2026-01-02
15 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
F684 · Severity E
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 2026-02-01F940 · Severity E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-02-01F658 · 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 2026-02-01F689 · Severity D
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 2026-02-01F695 · Severity D
Provide 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 2026-02-01F697 · 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 2026-02-01F760 · Severity D
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-02-01F842 · 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 2026-02-012024-10-10
10 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
F658 · Severity E
Ensure 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 2024-11-09F684 · Severity E
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 2024-11-09F880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-11-09F689 · Severity D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Complaint citation, Standard survey citation · Deficient, Provider has date of correction 2024-11-09F760 · Severity D
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-11-092023-10-19
17 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
F679 · Severity E
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-11-18F695 · Severity E
Provide 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 2023-11-18F880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-11-18F883 · Severity E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-11-18F921 · Severity E
Make 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 2023-11-18F658 · 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 2023-11-18F757 · 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 2023-11-18F773 · Severity D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-11-18Staffing composition
2.03 hours/dayNurse aide
0.50 hours/dayLPN
0.74 hours/dayRN
- Total staffing
- 3.26 hours/day
- County median
- 3.64 hours/day
- Rhode Island median
- 3.58 hours/day
- Weekend total
- 2.98 hours/day
- Staff turnover
- 46.9%
- RN turnover
- 35.7%
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
4.8%worseRhode Island: 3.3% · County: 3.3%2025Q2-2026Q1
Pressure ulcers
4.0%similarRhode Island: 4.2% · County: 4.3%2025Q2-2026Q1
Urinary tract infections
1.1%betterRhode Island: 2.0% · County: 1.7%2025Q2-2026Q1
Antipsychotic medication use
32.3%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 corrective actions and resident protections were put in place after the issue associated with the CMS abuse flag?
Suggested because of: abuse iconWhat 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 injuryHow 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: penalties
Facility Details
- County
- Providence County
- Certified beds
- 133
- Average daily residents
- 97
- Ownership
- For profit - Individual
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1977-11-01
- CCN
- 415049
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.02598 |
| Lpn hours | 0.49977 |
| Rn hours | 0.73563 |
| Reported total hours | 3.26138 |
| Weekend total hours | 2.97679 |
| Weekend rn hours | 0.42245 |
| Adjusted total hours | 3.80607 |
| Total turnover percent | 46.9 |
| Rn turnover percent | 35.7 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$112,473.00Total fines
3Number of fines
1Payment denials
| Date | Type | Amount |
|---|---|---|
| 2025-11-25 | Fine | $14,901.00 |
| 2024-05-01 | Fine | $89,642.00 |
| 2024-05-01 | Payment Denial | Not reported |
| 2023-08-23 | Fine | $7,930.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
15Health citations
11Fire 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.
5
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.
Ensure that residents are free from significant medication errors.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| LAKE VALLEY OPERATIONS HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| ESRI HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% |
| YARMUSH, YEHUDA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 80% |
| YARMUSH, YEHUDA | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| LAKE VALLEY OPERATIONS HOLDCO LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LAKE VALLEY RI MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| APONTE, SANDRA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MAJEKODUNMI, AKINDELE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MCALPINE, ULYSSES | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| YARMUSH, YEHUDA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BRAND SONNENSCHINE LLP | ADP OF THE SNF | NOT APPLICABLE |
| CENTRALIZED BUSINESS SERVICES LLC | ADP OF THE SNF | NOT APPLICABLE |
| ESRI HOLDCO LLC | ADP OF THE SNF | NOT APPLICABLE |
| LAKE FOREST HEALTH & REHABILITATION PROPCO LLC | ADP OF THE SNF | NOT APPLICABLE |
| LAKE VALLEY REALTY HOLDCO LLC | ADP OF THE SNF | NOT APPLICABLE |
| LAKE VALLEY RI MANAGEMENT LLC | ADP OF THE SNF | NOT APPLICABLE |
| SHIFTSTER LLC | ADP OF THE SNF | NOT APPLICABLE |
| STERLING THERAPY SOLUTIONS LLC | ADP OF THE SNF | NOT APPLICABLE |
| TRIAD HEALTHCARE LLC | ADP OF THE SNF | NOT APPLICABLE |
| BIBEAULT, PAMELA | ADP OF THE SNF | NOT APPLICABLE |
| DERIENZO, RICHARD | ADP OF THE SNF | NOT APPLICABLE |
| HELLER, SHLOMO | ADP OF THE SNF | NOT APPLICABLE |
| MAJEKODUNMI, AKINDELE | ADP OF THE SNF | NOT APPLICABLE |
| MCALPINE, ULYSSES | ADP OF THE SNF | NOT APPLICABLE |
| NUSSBAUM, EPHRAIM | ADP OF THE SNF | NOT APPLICABLE |
| YARMUSH, YEHUDA | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology