14 Rock Avenue, Pascoag, RI 02859
(401) 568-2549 · Eden Healthcare
| Ownership | For profit - Limited Liability company | Certified beds | 100 |
|---|---|---|---|
| Estimated occupancy | 85.8% | Latest inspection | 2025-05-06 |
| Metric | Facility | County | Rhode Island |
|---|---|---|---|
| Overall rating | 3 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 72.0 points | 77.3 points | 75.9 points |
| Total nurse staffing | 3.71 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 | 40.7% | 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
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 2025-06-05Procure 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 2025-06-05Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-05Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-05Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-05Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-05Ensure 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 2025-06-05Provide 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 2025-06-05Provide 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 2025-06-05Provide 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 2025-06-05Provide 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 2025-06-05Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-05Safeguard 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 2025-06-05Immediate-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 2024-07-14Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-07-14Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-07-14Immediate-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 2023-06-24Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-06-24Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-06-24Safeguard 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 2023-06-24Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-06-24Reported 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 2025-05-06 inspection?
Suggested because of: latest actual harmWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow 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 useWhat operational changes followed the facility's most recent penalty?
Suggested because of: penalties| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.58267 |
| Lpn hours | 0.39399 |
| Rn hours | 0.73736 |
| Reported total hours | 3.71402 |
| Weekend total hours | 3.3459 |
| Weekend rn hours | 0.51906 |
| Adjusted total hours | 3.66703 |
| Total turnover percent | 40.7 |
| Rn turnover percent | 28.6 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2025-03-31 | Fine | $10,358.00 |
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.
1
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Name | Role | Share |
|---|---|---|
| GELLIS, LOUIS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| BANNON, JANET | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| GELLIS, LOUIS | CORPORATE OFFICER | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology