Grace Barker Nursing Center
Nursing Home, Adult Day Care, Assisted Living, Hospice Care, Respite Care & Skilled Nursing · Warren, RI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Grace Barker Nursing Center

Nursing Home, Adult Day Care, Assisted Living, Hospice Care, Respite Care & Skilled Nursing · Warren, RI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Grace Barker Nursing Center accepts Medicare, Medicaid, and private pay.

Overview of Grace Barker Nursing Center

Set at 54 Barker Avenue in a car-dependent neighborhood, Grace Barker Nursing Center is a mid-sized nursing home owned by Mark Lescault in Warren, Rhode Island. The 86-bed facility focuses on short-term rehabilitation and skilled nursing care for adults. Accepted are Medicare, Medicaid, and private pay, so families have flexibility in how they cover post-acute rehabilitation and ongoing nursing care.

The home operates at a high occupancy rate of approximately 95 percent and maintains 86 beds, signifying steady demand and full community engagement. The average length of stay is 284 days, a figure reflecting the mix of residents, some recovering from hospital stays and surgeries through the short-term rehabilitation pathway, others staying for longer-term nursing care. That moderate-to-longer tenure lets the facility build consistent relationships with residents and families over time. Clinically, the home offers rehabilitation services, respite care, and skilled nursing alongside an Adult Day Health Program and committed short-term and skilled nursing pathways. Such services give families and care coordinators multiple routes to access the support a person may need at different points in their recovery or care journey. Total nursing care averages roughly 3 hours and 52 minutes per resident day, anchored by registered nurses, nurse aides, and LPN/LVN staff distributed throughout the day.

Past concerns in areas like wound care, infection control, respiratory management, and Life Safety Code compliance have been identified by state inspections. Grace Barker Nursing Center has taken corrective action, and inspections affirm that prior deficiencies have been addressed, and the home is now complying.

To know how clinical care areas are monitored and handled daily, families touring the home can ask staff directly.

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.
▲ 30.3% Above RI avg. ▲ 30.3% Above RI avg.RI average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 37.8% Above RI avg. ▲ 37.8% Above RI avg.RI average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 15.7% Above RI avg. ▲ 15.7% Above RI avg.RI average: 3.5Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 6.9% Below RI avg. ▼ 6.9% Below RI avg.RI average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours 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 vs Rhode Island averages

Rank #17 / 55Nurse hours — State benchmarkedThis home is ranked 17th out of 55 homes we track in Rhode Island for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Rhode Island average, with a ranking across 55 Rhode Island facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Rhode Island that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 17th out of 55 homes we track in Rhode Island for nurse hours. 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.

4h 7m

3% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
41m
−10% State avg: 46m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
18m
−37% State avg: 29m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
3h 8m
+27% State avg: 2h 28m per day · National avg: 2h 20m per day
Weekend Total Nursing 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 25m
+3% State avg: 3h 18m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
4m
+39% State avg: 3m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
22m
−36% State avg: 34m per day · National avg: 28m per day

3 of 6 metrics below state avg

Capacity and availability

Residents per day
82
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
284 days
Bed community size
86-bed community Rank #63 / 109Bed count — State benchmarkedThis home is ranked 63rd out of 109 homes we track in Rhode Island for bed count. Shows this facility's certified or reported bed count compared to other Rhode Island facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Rhode Island that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 4 / 100 Rank #114 / 117Walk Score — State benchmarkedThis home is ranked 114th out of 117 homes we track in Rhode Island for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Rhode Island facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Rhode Island that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
95%
Rank #7 / 52Occupancy rate — State benchmarkedThis home is ranked 7th out of 52 homes we track in Rhode Island for occupancy. Shows this facility's occupancy rate versus the Rhode Island average, with its Statewide rank out of 52. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Rhode Island that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Rhode Island average: 83.7%
Occupied beds
82 / 86
Average occupied beds in Rhode Island homes 95 beds

License Details

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

Ownership & Operating Entity

Owner NameAdministrator Benjamin E. Lescault

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Contact Information

Fax(401) 245-3730

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsAdult Day Health Program, Short-Term & Skilled Nursing Services
Touring 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.

Since 2021 · 5 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 40 deficiencies 11 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Rhode Island state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2021 vs. Rhode Island state average
Overall vs. RI average 2 Worse Metrics worse than Rhode Island average:
• Total deficiencies (18% above)
• Deficiencies per inspection (38% above)
0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityRI Averagevs. RI Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 4034 This facility has 18% more total deficiencies than a typical Rhode Island nursing home (40 vs. RI avg 34).↑ 18% worse
Deficiencies per inspection Info Average deficiencies per inspection. 3.62.6 This facility has 38% more deficiencies per inspection than a typical Rhode Island nursing home (3.6 vs. RI avg 2.6).↑ 38% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityRI Averagevs. RI Avg
Total inspections Info Combined count of all inspections conducted at this facility. 1113 This facility has had 15% fewer total inspections than the Rhode Island average (11 vs. RI avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↓ 15% fewer

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2022 · 4 years of data
Total health inspections 6

State average 8.3


Last Health inspection on Feb 2025

Total health citations
17 Rank #13 / 57Health citations — State benchmarkedThis home is ranked 13th out of 57 homes we track in Rhode Island for health citations. Shows this facility's total health deficiency citations benchmarked to the Rhode Island State average, with a ranking across all 57 RI facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Rhode Island that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 28.1

Citations per inspection
2.83 Rank #8 / 57Citations per inspection — State benchmarkedThis home is ranked 8th out of 57 homes we track in Rhode Island for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Rhode Island mean across 57 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Rhode Island that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 3.48


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 4 years)
Critical health citations
2
25% worse than State average

State average: 1.6


Serious health citations
2
18% worse than State average

State average: 1.7

2 critical citations State average: 1.6

2 serious citations State average: 1.7

13 moderate citations State average: 24.3

0 minor citations State average: 0.5
Citations history (last 4 years)
Infection Control moderate citation Feb 05, 2025
Corrected

Quality of Care moderate citation Feb 05, 2025
Corrected

Quality of Care moderate citation Feb 05, 2025
Corrected

Care Planning moderate citation Feb 05, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 172
Employees 95
Contractors 77
Staff to resident ratio 2.07 : 1
12% more staff per resident than Rhode Island average
Rhode Island average ratio: 1.85 : 1 Rhode Island average ratio: 1.85 : 1See full Rhode Island ranking
Avg staff/day 48
Average shift 7.3 hours
0% compared with Rhode Island average
Rhode Island average: 7.6 hours Rhode Island average shift: 7.6 hoursSee full Rhode Island ranking
Total staff hours (quarter) 32,233

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 16 total: 12 full-time employees and 4 contractors. 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 6 LPN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 131 total: 61 full-time employees and 70 contractors. 131
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

5.8%

1,854 contractor hours this quarter

Certified Nursing Assistant: 70 Registered Nurse: 4 Occupational Therapy Aide: 1 Medical Director: 1 Feeding Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant617013121,93792100%7.4
Registered Nurse124164,64092100%7.1
Licensed Practical Nurse6062,21492100%8.9
Speech Language Pathologist5051,2527986%6.4
Physical Therapy Assistant4045777480%6.7
Administrator1015286672%8
Respiratory Therapy Technician3034806267%5.4
Occupational Therapy Aide1123146166%4.3
Qualified Social Worker2022575155%4.8
Medical Director011281415%2
Feeding Assistant011811%8
131 Certified Nursing Assistant
% of Days 100%
16 Registered Nurse
% of Days 100%
6 Licensed Practical Nurse
% of Days 100%
5 Speech Language Pathologist
% of Days 86%

Penalties and fines

Includes penalties issued in 2023

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 Rank #44 / 57Federal fines — State benchmarkedThis home is ranked 44th out of 57 homes we track in Rhode Island for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Rhode Island average among facilities with fines, and where it ranks among 57 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Rhode Island that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
22% higher than Rhode Island average

Rhode Island average: $94K

Number of fines 1
65% fewer fines than Rhode Island average

Rhode Island 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 Rhode Island average

Rhode Island average: 0.4

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

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

1 penalty in the past 3 years

Sep 29, 2023 · $115K

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

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 Rhode Island average

Rhode Island 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 Rhode Island average

Rhode Island average: 20.2

Long-stay resident measures
Average Rhode Island avg: 3.2 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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 Rhode Island average

Rhode Island average: 19.5%

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

Rhode Island 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 Rhode Island average

Rhode Island 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 Rhode Island average

Rhode Island 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 Rhode Island average

Rhode Island average: 4.7%

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

Rhode Island average: 2.3%

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

Rhode Island average: 5.4%

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

Rhode Island average: 13.5%

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

Rhode Island average: 21.5%

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

Rhode Island average: 93.1%

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

Rhode Island average: 95.3%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.49
In line with Rhode Island average

Rhode Island average: 1.46

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.93
12% worse than Rhode Island average

Rhode Island average: 1.72

Short-stay resident measures
Average Rhode Island avg: 2.4 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.8%
14% better than Rhode Island average

Rhode Island average: 76.2%

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

Rhode Island average: 2.0%

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

Rhode Island average: 78.2%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 18.2%
27% better than Rhode Island average

Rhode Island average: 25.1%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 16.7%
6% worse than Rhode Island average

Rhode Island average: 15.8%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Rhode Island average

Rhode Island average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 35.1%
35% worse than Rhode Island average

Rhode Island average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 51.4%
In line with Rhode Island average

Rhode Island average: 50.6%

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

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$461.6K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.7M Rank #33 / 55Net patient revenue — State benchmarkedThis home is ranked 33rd out of 55 homes we track in Rhode Island. Shows this facility's net patient revenue compared to the Rhode Island average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Rhode Island that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$461.6K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$482.7K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #34 / 55Payroll costs — State benchmarkedThis home is ranked 34th out of 55 homes we track in Rhode Island. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Rhode Island average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Rhode Island that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$6.2M 64.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #25 / 55Payroll % of net patient revenue — State benchmarkedThis home is ranked 25th out of 55 homes we track in Rhode Island. Shows payroll as a percentage of net patient revenue versus the Rhode Island average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Rhode Island that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.0M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$9.3M

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.

Most new residents arrive under private pay (50% of admissions), and a typical private pay stay runs around 6 - 7 months.

Admissions
107 total

Coverage residents most often arrive under.

Medicare 44%
Private pay 50%
Medicaid 6%
Discharges
105 total

Coverage residents most often leave under.

Medicare 30%
Private pay 54%
Medicaid 15%

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

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Address

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Info below is compiled from CMS reports & the RI Dept. of Health (RIDOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Rhode Island average is: 64.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Briarcliffe Manor
NH
AL
IL
MC
RC
SNF
Johnston
122
Facility 122
RI AVG 106
Rank #39 / 109
91.0%
Facility 91.0%
RI AVG 83.7
Rank #17 / 52
+9%
5.19
Facility 5.19
RI AVG 4.01
Rank #3 / 55
-28%+29%
$0
Facility $0
RI AVG $97.5k
Rank #1 / 57
5
Facility 5
RI AVG 28.1
Rank #3 / 57
2.5
Facility 2.5
RI AVG 3.5
Rank #7 / 57
-111A+
38
Facility 38
RI AVG 48
Rank #67 / 117
Geriatric Centers Of North America Inc
$12.5MFiscal year ending 12/2023
Facility $12.5MFiscal year ending 12/2023
RI AVG $11.4M
Rank #21 / 55
$10.0MFiscal year ending 12/2023
Facility $10.0MFiscal year ending 12/2023
RI AVG $7.0M
Rank #8 / 55
79.7%Fiscal year ending 12/2023
Facility 79.7%Fiscal year ending 12/2023
RI AVG 64.3%
Rank #10 / 55
415012
John Clarke Senior Living
NH
IL
MC
RC
SNF
Middletown (Newport East)
60
Facility 60
RI AVG 106
Rank #88 / 109
91.7%
Facility 91.7%
RI AVG 83.7
Rank #15 / 52
+10%
3.57
Facility 3.57
RI AVG 4.01
Rank #30 / 55
+30%-11%
$0
Facility $0
RI AVG $97.5k
Rank #1 / 57
3
Facility 3
RI AVG 28.1
Rank #2 / 57
1.5
Facility 1.5
RI AVG 3.5
Rank #1 / 57
155-
34
Facility 34
RI AVG 48
Rank #73 / 117
Joan Woods
$6.7MFiscal year ending 12/2023
Facility $6.7MFiscal year ending 12/2023
RI AVG $11.4M
Rank #48 / 55
$4.7MFiscal year ending 12/2023
Facility $4.7MFiscal year ending 12/2023
RI AVG $7.0M
Rank #43 / 55
69.6%Fiscal year ending 12/2023
Facility 69.6%Fiscal year ending 12/2023
RI AVG 64.3%
Rank #22 / 55
415076
Alpine Nursing Home Inc
NH
HOS
RC
SNF
Coventry
60
Facility 60
RI AVG 106
Rank #88 / 109
96.7%
Facility 96.7%
RI AVG 83.7
Rank #5 / 52
+16%
4.08
Facility 4.08
RI AVG 4.01
Rank #17 / 55
+52%+2%
$0
Facility $0
RI AVG $97.5k
Rank #1 / 57
12
Facility 12
RI AVG 28.1
Rank #5 / 57
4.0
Facility 4.0
RI AVG 3.5
Rank #36 / 57
158C+
5
Facility 5
RI AVG 48
Rank #111 / 117
Rodney Gauvin
$6.2MFiscal year ending 12/2023
Facility $6.2MFiscal year ending 12/2023
RI AVG $11.4M
Rank #50 / 55
$4.3MFiscal year ending 12/2023
Facility $4.3MFiscal year ending 12/2023
RI AVG $7.0M
Rank #46 / 55
69.2%Fiscal year ending 12/2023
Facility 69.2%Fiscal year ending 12/2023
RI AVG 64.3%
Rank #23 / 55
415089
Stillwater Assisted Living and Skilled Nursing Community
NH
AL
RC
SNF
Greenville
80
Facility 80
RI AVG 106
Rank #67 / 109
80.0%
Facility 80.0%
RI AVG 83.7
Rank #36 / 52
-4%
3.44
Facility 3.44
RI AVG 4.01
Rank #37 / 55
+10%-14%
$0
Facility $0
RI AVG $97.5k
Rank #1 / 57
24
Facility 24
RI AVG 28.1
Rank #22 / 57
3.4
Facility 3.4
RI AVG 3.5
Rank #22 / 57
264-
19
Facility 19
RI AVG 48
Rank #94 / 117
Cortland Place Holdings LLC
$12.4MFiscal year ending 12/2023
Facility $12.4MFiscal year ending 12/2023
RI AVG $11.4M
Rank #23 / 55
$6.6MFiscal year ending 12/2023
Facility $6.6MFiscal year ending 12/2023
RI AVG $7.0M
Rank #31 / 55
52.8%Fiscal year ending 12/2023
Facility 52.8%Fiscal year ending 12/2023
RI AVG 64.3%
Rank #42 / 55
415123
Grace Barker Nursing Center
NH
ADC
AL
HOS
RC
SNF
Warren
86
Facility 86
RI AVG 106
Rank #63 / 109
95.3%
Facility 95.3%
RI AVG 83.7
Rank #7 / 52
+14%
4.12
Facility 4.12
RI AVG 4.01
Rank #17 / 55
-31%+3%
$114.8k
Facility $114.8k
RI AVG $97.5k
Rank #44 / 57
17
Facility 17
RI AVG 28.1
Rank #13 / 57
2.8
Facility 2.8
RI AVG 3.5
Rank #8 / 57
482-
4
Facility 4
RI AVG 48
Rank #114 / 117
Mark Lescault
$9.7MFiscal year ending 12/2023
Facility $9.7MFiscal year ending 12/2023
RI AVG $11.4M
Rank #33 / 55
$6.2MFiscal year ending 12/2023
Facility $6.2MFiscal year ending 12/2023
RI AVG $7.0M
Rank #34 / 55
64.1%Fiscal year ending 12/2023
Facility 64.1%Fiscal year ending 12/2023
RI AVG 64.3%
Rank #25 / 55
415014

Frequently Asked Questions about Grace Barker Nursing Center

Who is the owner of Grace Barker Nursing Center?

Grace Barker Nursing Center is legally operated by Benjamin E. Lescault, Administrator.

Is Grace Barker Nursing Center in a walkable area?

Grace Barker Nursing Center has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Grace Barker Nursing Center?

According to RI state health department records, Grace Barker Nursing Center's license number is LTC00692.

What is the occupancy rate at Grace Barker Nursing Center?

Grace Barker Nursing Center's occupancy is 95%.

Are pets allowed at Grace Barker Nursing Center?

No, Grace Barker Nursing Center has a no-pet policy.

Does Grace Barker Nursing Center operate as a for-profit or non-profit?

Grace Barker Nursing Center is registered as a for-profit in RI.

How many beds does Grace Barker Nursing Center have?

Grace Barker Nursing Center has 86 beds.

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