Grace Barker Nursing Center

Nursing Home, Adult Day Care, Assisted Living, Hospice Care & Respite Care · Warren, RI

CMS overall rating

54 Barker Avenue, Warren, RI 02885 View map

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Grace Barker Nursing Center accepts Medicare, Medicaid, and private pay.

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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.

Facility Direct Line (401) 245-9100

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 52m per day

vs avg

3 of 6 metrics below state avg

Standout metric Physical Therapist is +33% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) 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.	36m per day	▼ 22% State avg: 46m per day · National avg: 41m per day
LPN / LVN 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.	17m per day	▼ 41% State avg: 29m per day · National avg: 52m per day
Nurse Aide 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.	2h 55m per day	▲ 18% State avg: 2h 28m per day · National avg: 2h 20m per day
Weekend Total Nursing 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	■ Avg State avg: 3h 18m per day · National avg: 3h 26m per day
Physical Therapist 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 per day	▲ 33% State avg: 3m per day · National avg: 4m per day
Weekend RN 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.	23m per day	▼ 32% State avg: 34m per day · National avg: 28m per day

Capacity and availability

284 days

86-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 4 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

95%

Higher than the Rhode Island average: 83.7%

Occupied beds

82 / 86

Average occupied beds in Rhode Island homes 95 beds

Facility TypeNursing Facility

StatusActive

IssuanceOctober 18, 1909

License NumberLTC00692

CMS Certification Number415014

Owner NameAdministrator Benjamin E. Lescault

Rehabilitation Services

Respite Care

Short-Term Rehab

Fax(401) 245-3730

Touring HoursAdult Day Health services are available from 8:00AM-4:00PM, Monday thru Saturday.

Since 2021 · 5 years of data 40 deficiencies

Inspection Scorecard 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

Latest Inspection March 20, 2025 Re Inspection

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	RI Average	vs. RI Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	40	34	This facility has 18% more total deficiencies than a typical Rhode Island assisted living residence (40 vs. RI avg 34).↑ 18% worse
Deficiencies per year Average deficiencies per year since 2021.	8	6.8	This facility has 18% more deficiencies per year than a typical Rhode Island assisted living residence (8 vs. RI avg 6.8).↑ 18% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The March 20, 2025 re-inspection found all prior Life Safety Code deficiencies corrected and the facility in full compliance with regulations.
The February 5, 2025 annual survey cited seven deficiencies including wound care, respiratory care, dementia treatment, infection control, and multiple Life Safety Code violations.
The February 23, 2024 recertification survey substantiated complaints for care quality and medication errors but had no Life Safety Code deficiencies.

Show Inspection Reports

Inspections since 2022

Total health inspections 6

State average N/A

Last Health inspection on Feb 2025

Total health citations

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 4 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

2 critical citations State average: N/A

2 serious citations State average: N/A

13 moderate citations State average: N/A

0 minor citations State average: N/A

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

Total staff 172

Employees 95

Contractors 77

Staff to resident ratio 2.07 : 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) 32,233

Nursing staff breakdown

7.1 hours

8.9 hours

131

7.4 hours

Contractor staffing

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


Certified Nursing Assistant	61	70	131	21,937	92	100%	7.4
Registered Nurse	12	4	16	4,640	92	100%	7.1
Licensed Practical Nurse	6	0	6	2,214	92	100%	8.9
Speech Language Pathologist	5	0	5	1,252	79	86%	6.4
Physical Therapy Assistant	4	0	4	577	74	80%	6.7
Administrator	1	0	1	528	66	72%	8
Respiratory Therapy Technician	3	0	3	480	62	67%	5.4
Occupational Therapy Aide	1	1	2	314	61	66%	4.3
Qualified Social Worker	2	0	2	257	51	55%	4.8
Medical Director	0	1	1	28	14	15%	2
Feeding Assistant	0	1	1	8	1	1%	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%

4 Physical Therapy Assistant

% of Days 80%

1 Administrator

% of Days 72%

3 Respiratory Therapy Technician

% of Days 67%

2 Occupational Therapy Aide

% of Days 66%

2 Qualified Social Worker

% of Days 55%

1 Medical Director

% of Days 15%

1 Feeding Assistant

% of Days 1%

View All Staffing Data

Total fines amount $115K

22% higher than State average

State average: $94K

Number of fines 1

65% fewer fines than State average

State average: 2.8

Payment Denials 0

100% fewer payment denials than State average

State average: 0.4

Fines amount comparison

This facility $115K

State 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 Sep 29, 2023

$115K

Last updated: Jan 2026

High-risk clinical events score 8.1

21% better than State average

State average: 10.3

Functional decline score 13.1

35% better than State average

State average: 20.2

Long-stay resident measures

Above average State avg: 3.2

Need for Help with Daily Activities Increased 16.9%

13% better than State average

State average: 19.5%

Walking Ability Worsened 14.6%

20% better than State average

State average: 18.2%

Low Risk Residents with Bowel/Bladder Incontinence 7.9%

65% better than State average

State average: 22.9%

Falls with Major Injury 3.2%

14% better than State average

State average: 3.7%

High Risk Residents with Pressure Ulcers 4.2%

12% better than State average

State average: 4.7%

Urinary Tract Infection 2.3%

In line with State average

State average: 2.3%

Lost Too Much Weight 1.7%

68% better than State average

State average: 5.4%

Depressive Symptoms 3.3%

75% better than State average

State average: 13.5%

Antipsychotic Use 22.7%

6% worse than State average

State average: 21.5%

Pneumococcal Vaccine 92.0%

In line with State average

State average: 93.1%

Influenza Vaccine 100.0%

5% better than State average

State average: 95.3%

Hospitalizations per 1,000 days 1.49

In line with State average

State average: 1.46

ED visits per 1,000 days 1.93

12% worse than State average

State average: 1.72

Short-stay resident measures

Above average State avg: 2.4

Pneumococcal Vaccine 86.8%

14% better than State average

State average: 76.2%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 2.0%

Influenza Vaccine 86.5%

11% better than State average

State average: 78.2%

Re-hospitalized after SNF stay 18.2%

27% better than State average

State average: 25.1%

Emergency department visits 16.7%

6% worse than State average

State average: 15.8%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 35.1%

35% worse than State average

State average: 53.7%

Successful return to home or community 51.4%

In line with State average

State 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

Total residents 83

Medicare

7.2% of residents

Medicaid

71.1% of residents

Private pay or other

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.

Financial Trends

Historical financial and operational data for Grace Barker Nursing Center from 2013–2023, based on CMS SNF Cost Reports.

Occupancy Rate 95.1% ↑ 0.6pp vs 2022

Net Patient Income $461.6K ↓ ~$47.8K vs 2022

Payroll Costs $6.2M ↑ ~$639.2K vs 2022

Operating Margin 4.8% ↓ 0.7pp vs 2022

Metric	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	96.4%	96.5%	95.5%	95.7%	N/A	96.0%	96.4%	96.4%	93.0%	94.5%	95.1%
Beds	86	86	86	86	86	86	86	86	86	86	86
Net Income	$949,255	$1,062,810	$1,019,902	$1,093,840	$1,119,994	$1,039,418	$1,091,531	$1,400,377	$1,914,067	$2,979,665	$944,351
Gross Revenue	$7,916,534	$8,227,705	$8,090,740	$8,089,907	$8,246,859	$8,472,432	$8,680,487	$9,538,493	$9,604,061	$10,433,286	$11,297,517
Operating Expenses	$6,647,860	$7,069,960	$7,015,637	$6,935,856	$7,320,020	$7,527,380	$7,742,570	$8,548,889	$8,737,599	$8,922,413	$9,259,304
Net Patient Income	$767,296	$857,051	$865,570	$902,947	$963,288	$881,467	$901,832	$610,627	$630,016	$509,417	$461,631
Net Patient Revenue	$7,415,156	$7,927,011	$7,881,207	$7,838,803	$8,283,308	$8,408,847	$8,644,402	$9,159,516	$9,367,615	$9,431,830	$9,720,935
Payroll Costs	$3,933,228	$4,064,363	$4,074,635	$4,080,023	$4,731,888	$4,938,063	$5,156,282	$5,548,332	$5,445,066	$5,593,072	$6,232,294
Operating Margin %	10.4%	10.8%	11.0%	11.5%	11.6%	10.5%	10.4%	6.7%	6.7%	5.4%	4.8%
Medicare %	10.5%	12.0%	11.3%	11.4%	7.0%	7.1%	6.3%	10.7%	15.2%	9.1%	5.2%
Medicaid %	62.1%	65.7%	55.5%	54.2%	54.9%	54.7%	51.6%	51.6%	42.7%	53.9%	59.5%
Private %	27.4%	22.4%	33.2%	34.4%	38.1%	38.1%	42.1%	37.7%	42.0%	37.0%	35.2%
Net Patient Revenue/Day	$245	$262	$263	$260	$273	$279	$286	$302	$321	$318	$326
Cost/Day	$220	$234	$234	$230	$241	$250	$256	$282	$299	$301	$310
Avg Length of Stay	263.2 days	207.4 days	158.7 days	150.6 days	145.8 days	140.8 days	216.0 days	246.6 days	167.7 days	272.1 days	284.2 days

Finances and operations

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

Net patient revenue

$9.7M

Net patient income

$461.6K

For-profit Corporation

Net patient revenue

$9.7M

Net patient income

$461.6K

Other income

$482.7K

Payroll costs

$6.2M 64.1% of net patient revenue

Other operating costs

$3.0M

Total costs

$9.3M

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.

Coverage residents most often arrive under.

Medicare 44%

Private pay 50%

Medicaid 6%

Coverage residents most often leave under.

Medicare 30%

Private pay 54%

Medicaid 15%

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

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The information below is reported by the Rhode Island Department of Health, Center for Health Facilities Regulation.


Grace Barker Nursing Center	NH ADC AL HC RC	Warren	-	86	-	4	-
Smithfield Woods	NH AL MC RC	Smithfield (Greenville)	-	140	-	37	Studio / 1 Bed
Apple Rehab Clipper	NH MC NC RC	Westerly	-	60	-	19	-
Stillwater Assisted Living and Skilled Nursing Community	NH AL RC	Greenville	-	80	-	19	-
Royal of Westerly Nursing Center	NH HC MC PC RC	Westerly	-	66	-	19	-

Nursing Home Explorer

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%.

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.

Are there photos of Grace Barker Nursing Center?

Yes — there are 5 photos of Grace Barker Nursing Center in the photo gallery on this page.

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Grace Barker Nursing Center

Overview of Grace Barker Nursing Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Contact Information

Amenities & Lifestyle

Contact Grace Barker Nursing Center

Inspection History

Inspection Scorecard 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

131 Certified Nursing Assistant

16 Registered Nurse

6 Licensed Practical Nurse

5 Speech Language Pathologist

4 Physical Therapy Assistant

1 Administrator

3 Respiratory Therapy Technician

2 Occupational Therapy Aide

2 Qualified Social Worker

1 Medical Director

1 Feeding Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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