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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.
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.
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.
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.
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.
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.
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.
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.
This home is ranked 29th out of 56 homes 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.
| 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 |
Higher than the Rhode Island average: 83.7%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.
This scorecard compares key inspection, citation, 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
| 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 nursing home (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 nursing home (8 vs. RI avg 6.8).↑ 18% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Rhode Island average 8.3
Last Health inspection on Feb 2025
Rhode Island average 28.1
Rhode Island 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.
25% worse than Rhode Island averageRhode Island average: 1.6
18% worse than Rhode Island averageRhode Island average: 1.7
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
12% more staff per resident than Rhode Island average
0% compared with Rhode Island average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
16 total: 12 full-time employees and 4 contractors.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursAssists with medical care and medications.
All 6 LPN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursHelps with daily care and mobility.
131 total: 61 full-time employees and 70 contractors.
131
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,854 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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 |
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)
22% higher than Rhode Island averageRhode Island average: $94K
65% fewer fines than Rhode Island averageRhode Island average: 2.8
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 averageRhode Island average: 0.4
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Sep 29, 2023 · $115K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 29, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageRhode Island average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.1
35% better than Rhode Island averageRhode Island average: 20.2
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
16.9%
13% better than Rhode Island averageRhode Island average: 19.5%
Percent of long-stay residents whose ability to move independently worsened
14.6%
20% better than Rhode Island averageRhode Island average: 18.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
7.9%
65% better than Rhode Island averageRhode Island average: 22.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
14% better than Rhode Island averageRhode Island average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
4.2%
12% better than Rhode Island averageRhode Island average: 4.7%
Percent of long-stay residents with a urinary tract infection
2.3%
In line with Rhode Island averageRhode Island average: 2.3%
Percent of long-stay residents who lose too much weight
1.7%
68% better than Rhode Island averageRhode Island average: 5.4%
Percent of long-stay residents who have depressive symptoms
3.3%
75% better than Rhode Island averageRhode Island average: 13.5%
Percent of long-stay residents who received an antipsychotic medication
22.7%
6% worse than Rhode Island averageRhode Island average: 21.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.0%
In line with Rhode Island averageRhode Island average: 93.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Rhode Island averageRhode Island average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.49
In line with Rhode Island averageRhode Island average: 1.46
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.93
12% worse than Rhode Island averageRhode Island average: 1.72
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.8%
14% better than Rhode Island averageRhode Island average: 76.2%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Rhode Island averageRhode Island average: 2.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.5%
11% better than Rhode Island averageRhode Island average: 78.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.2%
27% better than Rhode Island averageRhode Island average: 25.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.7%
6% worse than Rhode Island averageRhode Island average: 15.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Rhode Island averageRhode Island average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
35.1%
35% worse than Rhode Island averageRhode Island average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
51.4%
In line with Rhode Island averageRhode Island average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
44% of new residents, usually for short-term rehab.
50% of new residents, often for short stays.
6% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
83Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Grace Barker Nursing Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #42 / 60Payroll — State benchmarkedThis home is ranked 42nd out of 60 homes in Rhode Island for payroll. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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.
Add your location
Grace Barker Nursing Center is located in WARREN, Rhode Island.
Here are the financial assistance programs available to residents in Rhode Island.
The legal owner and operator of Grace Barker Nursing Center is Benjamin E. Lescault, Administrator.
Grace Barker Nursing Center has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to RI state health department records, Grace Barker Nursing Center's license number is LTC00692.
Grace Barker Nursing Center's occupancy is 95%.
Grace Barker Nursing Center has 86 beds.
Yes — there are 5 photos of Grace Barker Nursing Center in the photo gallery on this page.
Grace Barker Nursing Center is located at 54 BARKER AVENUE.
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