Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 9, 2025
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 reference numbers 100745, 101173, and 101401. No deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 5
Apr 3, 2025
Visit Reason
An unannounced biennial State Licensure survey and a complaint/incident investigation survey were conducted at the residence from 3/24/2025 through 4/3/2025.
Findings
Deficiencies were identified related to management of services, policy and procedure manual updates, resident assessment and service plans, residents' rights, and medication services including improper medication storage and documentation.
Complaint Details
The visit included a complaint/incident investigation survey as part of the unannounced biennial licensure survey.
Deficiencies (5)
| Description |
|---|
| Failure to provide care and services in accordance with physician's orders for self-administration and medication administration for residents. |
| Failure to have a policy and procedure manual reviewed and updated at intervals not to exceed twelve months. |
| Failure to develop and implement resident service plans within seven days of move-in, including smoking interventions for identified smokers. |
| Failure to protect residents' rights including privacy and proper documentation of resident/staff roster. |
| Failure to ensure medications were stored securely, properly labeled, and administered according to physician orders; medication carts had expired and unlabeled medications. |
Report Facts
Opened bottles of Fluticasone Propionate: 4
Medication carts observed with deficiencies: 2
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 11, 2025
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 conducted from 03/10/2025 to 03/11/2025.
Complaint Details
The investigation was based on complaint/incident ACTS reference numbers 99735, 98535, 98537, 99127, and 99367. No deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 27, 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 ACTS reference numbers 98356, 98327, 97976, 97930, and 97410. No deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 3, 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.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 15, 2024
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Findings
No deficiencies were identified during the investigation.
Complaint Details
An unannounced complaint/incident investigation survey was conducted; no deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 3, 2024
Visit Reason
An unannounced complaint/incident investigation survey was conducted at the facility on 04/03/2024, referencing multiple ACTS complaint numbers.
Findings
No deficiencies were identified during the complaint/incident investigation survey.
Complaint Details
The investigation was based on complaint reference numbers 94807, 94662, 91394, 91869, and 93956. No deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 5
Jun 12, 2023
Visit Reason
An unannounced biennial State Licensure survey and a complaint/incident investigation survey were conducted at the facility to assess compliance with state licensure requirements and investigate alleged deficiencies.
Findings
Multiple deficiencies were identified related to management of services, residency requirements, resident assessments, dietary services, and practices and procedures. Deficiencies included failure to provide adequate wound care, incomplete resident records, failure to comply with food safety regulations, and failure to maintain proper documentation and assessments for residents.
Complaint Details
The visit was triggered by a complaint/incident investigation survey combined with a biennial state licensure survey. Deficiencies were identified relative to the complaint and licensure survey.
Deficiencies (5)
| Description |
|---|
| Failure to provide services in accordance with prevailing community standards of care, specifically related to skin assessment and wound care for a resident with pressure ulcers. |
| Failure to meet residency requirements by retaining a resident who did not meet the definition of a resident under licensing regulations. |
| Failure to maintain complete and accurate resident records including wound assessments and progress notes. |
| Failure to comply with Rhode Island Food Code 2018 Edition, including staff not wearing hair restraints and beard restraints in food service areas and improper cold food holding temperatures. |
| Failure to obtain a variance for a resident receiving skilled nursing wound care services beyond allowed timeframes. |
Report Facts
Date of survey completion: Jun 12, 2023
Dates of corrective action deadlines: Jul 13, 2023
Dates of corrective action deadlines: Jul 15, 2023
Dates of corrective action deadlines: Jun 14, 2023
Dates of corrective action deadlines: Jun 9, 2023
Dates of corrective action deadlines: Jun 30, 2023
Inspection Report
Complaint Investigation
Deficiencies: 0
May 2, 2023
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Findings
No deficiencies were identified during the investigation.
Complaint Details
An unannounced complaint/incident investigation survey was conducted; no deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 13, 2022
Visit Reason
An unannounced complaint/incident investigation survey was conducted at the residence.
Findings
No deficiencies were identified during the complaint investigation survey.
Complaint Details
The visit was triggered by a complaint or incident investigation; no deficiencies were found.
Inspection Report
Original Licensing
Deficiencies: 6
Jul 29, 2021
Visit Reason
An unannounced biennial State Licensure survey and a complaint/incident investigation survey were conducted at the facility on 07/29/2021.
Findings
Deficiencies were identified related to smoking policy violations, medication services including self-administration and medication cart audits, and COVID-19 vaccination monitoring and reporting. The facility failed to prohibit smoking outside designated areas and did not properly assess residents for self-administration of oxygen therapy. Medication administration errors and documentation deficiencies were noted. The facility also failed to post monthly COVID-19 vaccination data as required.
Deficiencies (6)
| Description |
|---|
| Failure to prohibit smoking in areas other than designated smoking areas. |
| Failure to document quarterly smoking assessments and evidence of resident smoking in non-designated areas. |
| Failure to assess resident for self-administration of oxygen supplementation appropriately. |
| Medication administration errors including expired medications and lack of directions on medication bottles. |
| Failure to ensure medications are stored securely and administered according to physician orders. |
| Failure to post monthly COVID-19 vaccination data for personnel as required. |
Report Facts
Deficiencies cited: 6
Dates of medication cart audits: 3
Dates of smoking education and assessment: 3
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 29, 2021
Visit Reason
An unannounced complaint/incident investigation survey and a biennial State licensure survey were conducted at this residence.
Findings
No deficiencies were identified for the complaint/incident investigation survey.
Complaint Details
The complaint/incident investigation survey was unannounced and no deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 30, 2021
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Findings
No deficiencies were identified during the investigation.
Complaint Details
Unannounced complaint/incident investigation survey; no deficiencies identified.
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