F658 · 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 2025-07-13At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Individual | Certified beds | 170 |
|---|---|---|---|
| Estimated occupancy | 80.1% | Latest inspection | 2025-06-13 |
County and Rhode Island comparison
Navy: facility · Teal: county · Gray: Rhode Island
Overall rating
Facility: 2 of 5
Health-inspection score
Facility: 106.0 points
Total nurse staffing
Facility: 4.26 hours/day
RN staffing
Facility: 0.27 hours/day
Staff turnover
Facility: 44.7%
Latest health deficiencies
Facility: 19 deficiencies
View data table
| Metric | Facility | County | Rhode Island |
|---|---|---|---|
| Overall rating | 2 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 106.0 points | 77.3 points | 75.9 points |
| Total nurse staffing | 4.26 hours/day | 3.64 hours/day | 3.58 hours/day |
| RN staffing | 0.27 hours/day | 0.66 hours/day | 0.72 hours/day |
| Staff turnover | 44.7% | 36.5% | 39.3% |
| Latest health deficiencies | 19 deficiencies | 7 deficiencies | 7 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-06-13
19 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
F842 · Severity E
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 2025-07-13F881 · Severity E
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-07-13F684 · Severity D
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 2025-07-13F880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-07-13F883 · Severity D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-07-13F921 · Severity D
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 2025-07-132024-05-16
5 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
F658 · 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 2024-06-15F760 · Severity D
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-06-152023-03-30
5 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
F689 · 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 2023-04-29F757 · 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 2023-04-29F880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-04-29Staffing composition
3.28 hours/dayNurse aide
0.71 hours/dayLPN
0.27 hours/dayRN
- Total staffing
- 4.26 hours/day
- County median
- 3.64 hours/day
- Rhode Island median
- 3.58 hours/day
- Weekend total
- 4.08 hours/day
- Staff turnover
- 44.7%
- RN turnover
- 46.7%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.2 per 1,000 daysworseRhode Island: 1.5 per 1,000 days · County: 1.3 per 1,000 days20250101-20251231
Emergency-department visits
1.4 per 1,000 daysbetterRhode Island: 1.6 per 1,000 days · County: 1.4 per 1,000 days20250101-20251231
Falls with major injury
3.3%similarRhode Island: 3.3% · County: 3.3%2025Q2-2026Q1
Pressure ulcers
4.9%worseRhode Island: 4.2% · County: 4.3%2025Q2-2026Q1
Urinary tract infections
1.7%betterRhode Island: 2.0% · County: 1.7%2025Q2-2026Q1
Antipsychotic medication use
14.1%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 changes were made after inspectors reported actual harm during the 2026-06-10 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 ulcersWhat operational changes followed the facility's most recent penalty?
Suggested because of: penalties
Facility Details
- County
- Providence County
- Certified beds
- 170
- Average daily residents
- 136.2
- Ownership
- For profit - Individual
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1980-06-01
- CCN
- 415075
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 3.28184 |
| Lpn hours | 0.70905 |
| Rn hours | 0.27068 |
| Reported total hours | 4.26157 |
| Weekend total hours | 4.07512 |
| Weekend rn hours | 0.26488 |
| Adjusted total hours | 4.768 |
| Total turnover percent | 44.7 |
| Rn turnover percent | 46.7 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$46,118.00Total fines
1Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2024-08-22 | Fine | $46,118.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
19Health citations
15Fire 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.
4
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe, appropriate pain management for a resident who requires such services.
Provide appropriate foot care.
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.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| GURCHIN, JEANNE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% |
| ROY, DONALD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% |
| ROY, JUDITH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% |
| DAROSA, ELIZABETH | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| ROY, DONALD | CORPORATE DIRECTOR | NOT APPLICABLE |
| ROY, JEFFREY | CORPORATE DIRECTOR | NOT APPLICABLE |
| ROY, JUDITH | CORPORATE DIRECTOR | NOT APPLICABLE |
| GURCHIN, JEANNE | CORPORATE OFFICER | NOT APPLICABLE |
| ROY, DONALD | CORPORATE OFFICER | NOT APPLICABLE |
| ROY, JEFFREY | CORPORATE OFFICER | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology