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 2026-01-3015 Sumner Brown Road, Cumberland, RI 02864
(401) 333-6352 · Covenant Health
| Ownership | Non profit - Corporation | Certified beds | 98 |
|---|---|---|---|
| Estimated occupancy | 92.2% | Latest inspection | 2025-12-04 |
| Metric | Facility | County | Rhode Island |
|---|---|---|---|
| Overall rating | 2 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 136.8 points | 77.3 points | 75.9 points |
| Total nurse staffing | 3.99 hours/day | 3.64 hours/day | 3.58 hours/day |
| RN staffing | 0.61 hours/day | 0.66 hours/day | 0.72 hours/day |
| Staff turnover | 39.0% | 36.5% | 39.3% |
| Latest health deficiencies | 10 deficiencies | 7 deficiencies | 7 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
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 2026-01-30Safeguard 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 2026-01-03Provide 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 2026-01-03Ensure 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 2026-01-03Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-01-03Immediate-jeopardy citations: 0
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 2024-10-26Ensure 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 2024-10-26Provide 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 2024-10-26Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-10-26Immediate-jeopardy citations: 0
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 2023-11-24Procure 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 2023-11-24Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-11-24Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-11-24Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-11-24Ensure 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 2023-11-24Provide 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 2023-11-24Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-11-24Provide 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 2023-11-24Ensure 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 2023-11-24Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Complaint citation, Standard survey citation · Deficient, Provider has date of correction 2023-11-24Reported 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 2026-06-25 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 ulcersWhat 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| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.67638 |
| Lpn hours | 0.70384 |
| Rn hours | 0.60515 |
| Reported total hours | 3.98537 |
| Weekend total hours | 3.65854 |
| Weekend rn hours | 0.40406 |
| Adjusted total hours | 4.49035 |
| Total turnover percent | 39 |
| Rn turnover percent | 40 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2025-12-04 | Fine | $45,920.00 |
| 2023-11-13 | Fine | $3,176.00 |
| 2023-10-25 | Fine | $15,366.00 |
| 2023-10-25 | Payment Denial | Not reported |
| 2023-10-23 | Fine | $7,409.00 |
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.
4
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide care or services that was trauma informed and/or culturally competent.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
| Name | Role | Share |
|---|---|---|
| COVENANT HEALTH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| CASTILLO, NICOLE | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| FLEMING, WILLIAM | CORPORATE OFFICER | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology