Navy: facility · Teal: county · Gray: Rhode Island
Overall rating
Facility: 1 of 5
worse
Health-inspection score
Facility: 175.0 points
worse
Total nurse staffing
Facility: 3.82 hours/day
better
RN staffing
Facility: 0.41 hours/day
worse
Staff turnover
Facility: 30.1%
better
Latest health deficiencies
Facility: 5 deficiencies
better
View data table
Metric
Facility
County
Rhode Island
Overall rating
1 of 5
2 of 5
3 of 5
Health-inspection score
175.0 points
77.3 points
75.9 points
Total nurse staffing
3.82 hours/day
3.64 hours/day
3.58 hours/day
RN staffing
0.41 hours/day
0.66 hours/day
0.72 hours/day
Staff turnover
30.1%
36.5%
39.3%
Latest health deficiencies
5 deficiencies
7 deficiencies
7 deficiencies
Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-12-12 5 deficiencies Highest severity: E
Immediate-jeopardy citations: 0
F688 · Severity E
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-01-10
F698 · Severity E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-01-10
F641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-01-10
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 2025-01-10
2023-12-13 15 deficiencies Highest severity: E
Immediate-jeopardy citations: 0
F657 · Severity E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-12-28
F690 · Severity E
Provide 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 2023-12-28
F699 · Severity E
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 2023-12-28
F761 · Severity E
Ensure 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 2023-12-28
F686 · Severity D
Provide 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 2023-12-28
F695 · 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 2023-12-28
F757 · 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 2023-12-28
F577 · Severity B
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-12-28
2023-01-23 25 deficiencies Highest severity: F
Immediate-jeopardy citations: 0
F636 · Severity F
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-02-28
F638 · Severity F
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-02-28
F640 · Severity F
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-02-28
F812 · Severity F
Procure 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 2023-03-15
F867 · Severity F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-02-28
F886 · Severity F
Perform COVID19 testing on residents and staff.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-02-28
F686 · Severity E
Provide 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 2023-02-28
F692 · Severity E
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 2023-02-28
F757 · Severity E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-02-28
F569 · Severity D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-02-28
F622 · Severity D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-02-28
F641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-02-28
F677 · Severity D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-02-28
F687 · Severity D
Provide appropriate foot care.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-02-28
F695 · 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 2023-02-28
F710 · Severity D
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Nursing and Physician Services Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-02-28
F758 · Severity D
Implement 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 2023-02-28
F761 · Severity D
Ensure 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 2023-02-28
F773 · 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 2023-02-28
Staffing composition
2.59 hours/dayNurse aide
0.82 hours/dayLPN
0.41 hours/dayRN
Total staffing
3.82 hours/day
County median
3.64 hours/day
Rhode Island median
3.58 hours/day
Weekend total
3.65 hours/day
Staff turnover
30.1%
RN turnover
30.8%
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 days 20250101-20251231
Emergency-department visits
Not reported: cms footnoteunavailableRhode Island: 1.6 per 1,000 days · County: 1.4 per 1,000 days 20250101-20251231