Inspection Report
Complaint Investigation
Deficiencies: 1
Oct 8, 2025
Visit Reason
An unannounced biennial State Licensure survey and a complaint/incident investigation survey were conducted at the facility.
Findings
The facility failed to comply with Rhode Island Food Code requirements related to cold holding temperatures for food items in the main kitchen. Several food items were found at temperatures above the required cold holding temperature.
Complaint Details
The visit was complaint-related as it included a complaint/incident investigation survey. The Food Service Director acknowledged the food items were not at the required cold holding temperature as required.
Deficiencies (1)
| Description |
|---|
| Food items in the main kitchen were not held at the required cold holding temperature, including vegetable salad at 46°F, egg salad sandwich at 53°F, egg salad at 46°F, pasta salad at 47°F, and vegetable salad at 46°F. |
Report Facts
Deficiencies cited: 5
Temperature readings: 41
Temperature readings: 46
Temperature readings: 53
Temperature readings: 47
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Food Service Director | Present during surveyor observations and acknowledged deficiencies |
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 9, 2024
Visit Reason
An unannounced complaint/incident investigation survey was conducted to determine compliance with state regulations.
Findings
No deficiencies were identified during the investigation.
Complaint Details
The investigation was based on complaint/incident reference numbers 98009 and 98683. No deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 11, 2024
Visit Reason
An unannounced complaint/incident investigation survey was conducted to determine compliance with state regulations based on multiple ACTS reference numbers.
Findings
No deficiencies were identified during the investigation.
Complaint Details
The investigation was based on complaint/incident ACTS reference numbers 96437, 96621, 97258, and 97961. No deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 27, 2024
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Findings
No deficiencies were identified during the investigation.
Complaint Details
The investigation was unannounced and no deficiencies were found, indicating the complaint was not substantiated.
Inspection Report
Complaint Investigation
Deficiencies: 5
Oct 27, 2023
Visit Reason
An unannounced biennial State Licensure survey and a complaint/incident investigation survey were conducted at the facility on 10/26/2023.
Findings
Deficiencies were identified related to food service and dietetic services, including improper hand hygiene by food service staff, accumulation of dust and debris on non-food contact surfaces, improper labeling and storage of food items, and presence of a black substance on the ice machine.
Complaint Details
The visit was complaint-related as it included a complaint/incident investigation survey (PHQE11, 10/26/2023).
Deficiencies (5)
| Description |
|---|
| Food employees did not wash their hands and exposed portions of their arms as required before engaging in food preparation. |
| Non-food contact surfaces of equipment were not kept free of dust, dirt, food residue, and other debris. |
| Ready-to-eat food held for more than 24 hours was not clearly marked with the date or day by which it must be consumed, sold, or discarded. |
| Six containers of cooked butternut squash dated 10/22/2021 were found in the walk-in refrigerator, indicating improper food storage. |
| A black substance was observed on the ice machine where ice is dispensed, and staff could not provide evidence that the food was stored appropriately. |
Report Facts
Date of survey: Oct 26, 2023
Date survey completed: Oct 27, 2023
Number of containers of cooked butternut squash: 6
Plan of correction completion date: Nov 20, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Dishwasher | Named in findings for placing soiled dishes with bare hands and removing clean dishes without washing hands |
| Dining Room Manager | Present during observations and interview acknowledging staff's failure to wash hands and presence of black substance on ice machine |
Inspection Report
Routine
Deficiencies: 0
Jun 22, 2023
Visit Reason
An administrative review/offsite investigation was conducted at this residence.
Findings
No deficiencies were identified during the survey.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 23, 2023
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Findings
No deficiencies were identified during the complaint/incident investigation survey.
Complaint Details
The visit was complaint-related and no deficiencies were found, indicating no substantiated issues.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 29, 2022
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Findings
No deficiencies were identified during the investigation.
Complaint Details
The investigation was unannounced and related to a complaint or incident; no deficiencies were found.
Inspection Report
Annual Inspection
Deficiencies: 0
Mar 17, 2022
Visit Reason
A complaint investigation and the annual State licensure survey were conducted at this facility.
Findings
No deficiencies were identified during the complaint investigation and annual survey.
Inspection Report
Routine
Deficiencies: 4
Nov 9, 2021
Visit Reason
An unannounced biennial State Licensure survey was conducted at this assisted living residence to assess compliance with residency requirements, resident assessments, and medication services.
Findings
Deficiencies were identified including failure to ensure a resident met the assisted living residency definition, failure to use the Department-approved resident assessment form for all residents, and failure to ensure medications were stored securely with proper labeling and directions.
Deficiencies (4)
| Description |
|---|
| Resident ID #1 did not meet the definition of a resident as evidenced by continuous oxygen use and inability to self-administer oxygen, with no nurse available at all times. |
| The residence failed to utilize the Department-approved resident assessment form for 3 of 3 sample residents reviewed, and used an alternate form without approved variance. |
| The residence failed to ensure medications were stored securely and in a manner to prevent spoilage, dosage errors, administration errors, and/or inappropriate access for two medication carts reviewed. |
| Medications for several residents lacked directions for administration during surveyor observations. |
Report Facts
Residents reviewed: 3
Medications lacking directions: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Health and Wellness Director | Interviewed regarding resident oxygen use and medication administration | |
| Administrator | Interviewed regarding nurse staffing and use of alternate assessment form | |
| Registered Nurse | Completed re-education on medication labeling |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 21, 2021
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Findings
No deficiencies were identified during the investigation.
Complaint Details
The investigation was unannounced and complaint/incident related. No deficiencies were found.
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