Grace Barker Nursing Center

Assisted Living in USA

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Grace Barker Nursing Center

Assisted Living in USA

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Overview of Grace Barker Nursing Center

Grace Barker Nursing Center has served seniors in the East Bay communities of Rhode Island since 1966. It provides services such as short- and long-term care, respite care, and adult day care. The facility offers a comprehensive menu of elder services and living accommodations to meet a broad range of needs.
(401) 245-9100

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
3/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
3/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
3/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
3/5

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 52m per day
Rank #26 / 55Nurse hours — state benchmarkedThis home is ranked 26th out of 55 homes in Rhode Island.Shows adjusted nurse hours per resident per day benchmarked to the Rhode Island average, with a ranking across 55 Rhode Island SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs avg
Staff typeHours / dayvs state avg
Total Nursing (Weekend) Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 14m per day

Capacity and availability

Avg. Length of Stay
284 days

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

44% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

50% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

6% of new residents, often for long-term daily care.

Typical stay 7 - 8 years

Finances and operations

Privately-owned community
Home revenue
$11.8M
Profit
$944.4K
Privately-owned community
Home revenue
$11.8M Rank #33 / 55Revenue — state benchmarkedThis home is ranked 33rd out of 55 homes in Rhode Island.Shows this facility's annual revenue compared to the Rhode Island SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Profit
$944.4K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #28 / 55Payroll — state benchmarkedThis home is ranked 28th out of 55 homes in Rhode Island.Shows total annual staff payroll benchmarked to the Rhode Island average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$5.5M
46.6% of revenue Rank #16 / 55Payroll % — state benchmarkedThis home is ranked 16th out of 55 homes in Rhode Island.Shows payroll as a percentage of revenue versus the Rhode Island average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.3M
Total costs $10.8M
Bed community size
86-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
95%
Rank #5 / 56Occupancy rate — state benchmarkedThis home is ranked 5th out of 56 homes in Rhode Island.Shows this facility's occupancy rate versus the Rhode Island average, with its statewide rank out of 56. Higher occupancy signals strong local demand and financial stability.
Higher than the Rhode Island average: 83.7%
Occupied beds
82 / 86
Average residents 95 per day

License Details

Facility TypeNursing Facility
StatusActive
IssuanceOctober 18, 1909
License NumberLTC00692
CMS Certification Number415014

Ownership & Operating Entity

Owner NameBENJAMIN E. LESCAULT, ADMINISTRATOR

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
Licensed Nurses/CNAs

Contact Information

Fax(401) 245-3730

Amenities & Lifestyle

Specific ProgramsAdult Day Health Program, Short-Term & Skilled Nursing Services
Operating HoursAdult Day Health services are available from 8:00AM-4:00PM, Monday thru Saturday.

Contact Grace Barker Nursing Center

Inspection History

In Rhode Island, the Department of Health, Center for Health Facilities Regulation is the primary authority for inspecting, licensing, and reporting on all long-term care facilities.

7 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Latest inspection

Date March 20, 2025
Re Inspection

23 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Rhode Island average: 34 deficiencies

3.3 deficiencies per inspection

Inspection Report Summary for Grace Barker Nursing Center

The most recent inspection on March 20, 2025, found that all previously cited deficiencies from the February 5, 2025, Life Safety Code survey had been corrected and the facility was in compliance with all regulations. Earlier inspections showed a pattern of deficiencies related to professional standards of care, respiratory and tracheostomy care, infection prevention and control, medication administration, and life safety code compliance. A complaint investigation in February 2024 substantiated issues with bowel care and medication administration, which were addressed in subsequent plans of correction. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s record shows improvement over time, with recent follow-up surveys confirming correction of prior deficiencies.

Health Inspection History

Inspections
Total health inspections 6

State average N/A


Last Health inspection on Feb 2025

Total health citations
17 Rank #12 / 55Health citations — state benchmarkedThis home is ranked 12th out of 55 homes in Rhode Island.Shows this facility's total health deficiency citations benchmarked to the Rhode Island state average, with a ranking across all 55 RI SNFs. Lower citation counts earn a better rank.

State average N/A

Citations per inspection
2.83

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

11 of 17 citations resulted from standard inspections; and 6 of 17 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info
2 Rank #25 / 46Severe citations — state benchmarkedThis home is ranked 25th out of 46 homes in Rhode Island.Shows citations where actual resident harm occurred, compared to the Rhode Island average and ranked across 46 SNFs statewide. Even a single severe citation is significant — lower is always better.
In line with State average

State average: N/A


Serious Health citations More info 2
In line with State average

State average: N/A

2 critical citations More info State average: N/A

2 serious citations More info State average: N/A

13 moderate citations More info State average: N/A

0 minor citations More info State average: N/A
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Feb 05, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Feb 05, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Feb 05, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Feb 05, 2025
Corrected

Compare Assisted Living around Usa The information below is reported by the Rhode Island Department of Health, Center for Health Facilities Regulation.

Filter by care type
Grace Barker Nursing Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Warren86 No - --
Job Haines Home
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Bloomfield (Bloomfield Avenue)40 No - 85Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Conroe (Alden Bridge)16 No - 27Private / Semi-Private Suite
Countryside Manor Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Conroe (Alden Bridge)12 No - 8-
Anton’s Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Boerne10 No - --

Places of interest near Grace Barker Nursing Center

Address 1.4 miles from city center Info Estimated distance in miles from WARREN's city center to Grace Barker Nursing Center's address, calculated via Google Maps.

Calculate Travel Distance to Grace Barker Nursing Center

Add your location

Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 178
Employees 106
Contractors 72
Staff to resident ratio 2.14:1
0% compared with State average

State average ratio: 0:0

Avg staff/day 48
Average shift 7.3 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 31,929
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.9 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 132
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

5.3%

1,677 contractor hours this quarter

Certified Nursing Assistant: 61 Licensed Practical Nurse: 6 Registered Nurse: 1 Feeding Assistant: 1 Occupational Therapy Aide: 1 Medical Director: 1 RN Director of Nursing: 1
Staff by category
Certified Nursing Assistant716113221,83691100%7.5
Registered Nurse121134,57891100%6.9
Licensed Practical Nurse76131,97491100%8.5
Speech Language Pathologist5051,2997785%6.6
Physical Therapy Assistant4045506875%7
Administrator1015206571%8
Respiratory Therapy Technician2024456268%5.8
Qualified Social Worker1013065055%6.1
Feeding Assistant0112082629%8
Occupational Therapy Aide0111502629%5.8
Medical Director011261314%2
Nurse Aide in Training3032233%5.5
RN Director of Nursing0111522%7.6
132 Certified Nursing Assistant
% of Days 100%
13 Registered Nurse
% of Days 100%
13 Licensed Practical Nurse
% of Days 100%
5 Speech Language Pathologist
% of Days 85%
4 Physical Therapy Assistant
% of Days 75%
1 Administrator
% of Days 71%
2 Respiratory Therapy Technician
% of Days 68%
1 Qualified Social Worker
% of Days 55%
1 Feeding Assistant
% of Days 29%
1 Occupational Therapy Aide
% of Days 29%
1 Medical Director
% of Days 14%
3 Nurse Aide in Training
% of Days 3%
1 RN Director of Nursing
% of Days 2%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 83
Medicare
6
7.2% of residents
Medicaid
59
71.1% of residents
Private pay or other
18
21.7% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 8.1
21% better than State average

State average: 10.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 13.1
35% better than State average

State average: 20.2

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 16.9%
13% better than State average

State average: 19.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 14.6%
20% better than State average

State average: 18.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 7.9%
65% better than State average

State average: 22.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.2%
14% better than State average

State average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.2%
12% better than State average

State average: 4.7%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.3%
In line with State average

State average: 2.3%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.7%
68% better than State average

State average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 3.3%
75% better than State average

State average: 13.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 22.7%
6% worse than State average

State average: 21.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 92.0%
In line with State average

State average: 93.1%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than State average

State average: 95.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.8%
14% better than State average

State average: 76.2%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 2.0%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 86.5%
11% better than State average

State average: 78.2%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $115K
22% higher than State average

State average: $94K

Number of fines 1 Rank #15 / 43Federal fines — state benchmarkedThis home is ranked 15th out of 43 homes in Rhode Island.Shows this facility's CMS fine count alongside the Rhode Island average, and where it ranks among all 43 skilled nursing facilities in the state. Fewer fines mean a better rank.
65% fewer fines than State average

State average: 2.8

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.4

Fines amount comparison
Fines amount comparison
This facility $115K
State average $94K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 29, 2023
$115K

Last updated: Jan 2026

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Tour Icon
Planning a tour? Check our touring checklist.
Chat Icon
Thinking of living here? We can help you speak to a current resident
Explore Open Rooms
1 Contact details
2 What type of senior care service are you looking for?
3 What budget do you have in mind for senior care?
4 How soon do you need to find care?
5 Additional details

Thank you for your interest!

Our team will be in touch shortly to help with next steps.