F692 · Severity G
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 2026-01-18| Ownership | For profit - Limited Liability company | Certified beds | 126 |
|---|---|---|---|
| Estimated occupancy | 88.3% | Latest inspection | 2025-12-19 |
| Metric | Facility | County | Rhode Island |
|---|---|---|---|
| Overall rating | 1 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 188.5 points | 77.3 points | 75.9 points |
| Total nurse staffing | 3.66 hours/day | 3.64 hours/day | 3.58 hours/day |
| RN staffing | 0.51 hours/day | 0.66 hours/day | 0.72 hours/day |
| Staff turnover | 51.9% | 36.5% | 39.3% |
| Latest health deficiencies | 13 deficiencies | 7 deficiencies | 7 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-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 2026-01-18Ensure 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 2026-01-18Provide 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 2026-01-18Provide 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 2026-01-18Ensure 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 2026-01-18Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-01-18Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-01-18Provide 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 2026-01-18Safeguard 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 2026-01-18Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-01-18Provide 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 2026-01-18Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-01-18Immediate-jeopardy citations: 0
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 2024-11-03Procure 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 2024-11-03Conduct 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 2024-11-03Provide 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 2024-11-03Ensure 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 2024-11-03Provide 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 2024-11-03Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-11-03Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-11-03Immediate-jeopardy citations: 1
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 2023-11-28Provide 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 2023-11-28Make 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 2023-11-28Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-11-28Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-11-28Provide 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 2023-11-28Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-11-28Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-11-28Reported 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 2025-12-19 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 turnoverHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic use| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.43567 |
| Lpn hours | 0.71553 |
| Rn hours | 0.50563 |
| Reported total hours | 3.65684 |
| Weekend total hours | 3.22936 |
| Weekend rn hours | 0.34366 |
| Adjusted total hours | 3.69658 |
| Total turnover percent | 51.9 |
| 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 |
|---|---|---|
| 2025-12-19 | Fine | $65,340.00 |
| 2023-10-30 | Fine | $11,183.00 |
| 2023-10-30 | Fine | $15,593.00 |
| 2023-10-30 | Fine | $15,593.00 |
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.
6
Provide enough food/fluids to maintain a resident's health.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
| Name | Role | Share |
|---|---|---|
| GELLIS, LOUIS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| OPTIMUMBANK | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| GIRACH, ALTAF | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE |
| POLLACK, JOSEPH | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE |
| BOUCHARD, LINDSEY | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| GELLIS, LOUIS | CORPORATE OFFICER | NOT APPLICABLE |
| POLLACK, JOSEPH | CORPORATE OFFICER | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology