Inspection Reports for Grace Barker Nursing Center
54 BARKER AVENUE, RI, 02885
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Re-Inspection
Deficiencies: 0
Mar 20, 2025
Visit Reason
A revisit survey was conducted on March 20, 2025, for all previous deficiencies cited on the February 5, 2025, Life Safety Code survey.
Findings
All deficiencies have been corrected at this time. The facility is in compliance with all regulations surveyed.
Inspection Report
Annual Inspection
Census: 82
Capacity: 82
Deficiencies: 7
Feb 5, 2025
Visit Reason
A recertification survey was conducted at Grace Barker Nursing Center from 2/3/2025 through 2/5/2025 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities, including state licensure and emergency preparedness surveys.
Findings
Deficiencies were identified related to professional standards of care, respiratory/tracheostomy care, treatment/service for dementia, infection prevention and control, medication administration, and life safety code compliance. The facility failed to meet several regulatory requirements as evidenced by observations, record reviews, and staff interviews.
Severity Breakdown
Level 3: 4
Level 4: 3
Deficiencies (7)
| Description | Severity |
|---|---|
| Services Provided Meet Professional Standards CFR(s): 483.21(b)(3)(i) - Facility failed to provide services that meet professional standards of practice for wound care for Resident ID #23. | Level 3 |
| Respiratory/Tracheostomy Care and Suctioning CFR(s): 483.25(f) - Facility failed to provide respiratory care consistent with professional standards for Resident ID #13. | Level 3 |
| Treatment/Service for Dementia CFR(s): 483.40(b)(3) - Facility failed to provide appropriate treatment and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for Resident ID #23 with dementia. | Level 3 |
| Infection Prevention & Control CFR(s): 483.80(a)(1)(2)(4)(e)(f) - Facility failed to maintain an infection prevention and control program to prevent the development and transmission of communicable diseases and infections. | Level 3 |
| Life Safety Code - Emergency Lighting CFR(s): NFPA 101 - Facility failed to maintain emergency lighting systems in accordance with National Fire Protection Association standards. | Level 4 |
| Life Safety Code - Sprinkler System Maintenance CFR(s): NFPA 101 - Facility failed to maintain required clearance between sprinkler heads and combustible storage. | Level 4 |
| Life Safety Code - Gas Equipment Storage CFR(s): NFPA 101 - Facility failed to properly store oxygen cylinders and maintain safety measures for gas equipment. | Level 4 |
Report Facts
Capacity: 82
Census: 82
Deficiencies cited: 7
Inspection Report
Follow-Up
Deficiencies: 0
Mar 28, 2024
Visit Reason
An off-site desk audit was conducted to review all previous deficiencies cited on February 23, 2024, and verify correction based on the submitted plan of correction and supporting documentation.
Findings
All previously cited deficiencies have been corrected, and the facility is in compliance with all regulations surveyed.
Inspection Report
Recertification Survey
Census: 82
Capacity: 86
Deficiencies: 2
Feb 23, 2024
Visit Reason
A Recertification Survey and complaint investigation were conducted at Grace Barker Nursing Center from 02/20/2024 through 02/23/2024 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities, including state licensure and emergency preparedness surveys.
Findings
Deficiencies were cited related to quality of care, specifically failure to provide care in accordance with professional standards and the facility's bowel protocol for multiple residents. Additional deficiencies were found in medication administration and drug regimen review. The facility submitted plans of correction addressing these issues. The annual Federal Life Safety Code survey found no deficiencies.
Complaint Details
The complaint investigation was part of the recertification survey, referenced by ACTS Reference Number 93745. Deficiencies related to bowel care and medication administration were substantiated.
Severity Breakdown
Level E: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to provide care in accordance with professional standards and the facility's bowel protocol for multiple residents. | Level E |
| Failure to ensure residents are free from significant medication errors and failure to conduct proper drug regimen reviews. | Level E |
Report Facts
Deficiencies cited: 2
Census: 82
Total Capacity: 86
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bryan C. | Administrator | Signed the Plan of Correction on 03/11/2024 |
Inspection Report
Follow-Up
Deficiencies: 0
Feb 2, 2023
Visit Reason
An off-site desk audit was conducted on February 2, 2023, to review all previous deficiencies cited on December 8, 2022.
Findings
Based on an acceptable plan of correction and supporting documentation, all deficiencies have been corrected and the facility is in compliance with all regulations surveyed relative to life safety code.
Inspection Report
Plan of Correction
Deficiencies: 6
Dec 8, 2022
Visit Reason
The document is a Plan of Correction (POC) related to deficiencies cited during a Federal Life Safety Code survey and a Recertification Survey conducted at Grace Barker Nursing Center to determine compliance with federal regulations and state licensure requirements.
Findings
Deficiencies were identified in the fire alarm system testing and maintenance, handling of resident funds, prevention and treatment of pressure ulcers, respiratory care including tracheostomy and suctioning, food safety and sanitation, and infection prevention and control. The facility failed to provide required documentation, maintain proper procedures, and ensure compliance with professional standards.
Severity Breakdown
Severity Level D: 2
Deficiencies (6)
| Description | Severity |
|---|---|
| Fire alarm system testing and maintenance not conducted or documented as required by NFPA 70, NFPA 72, and NFPA 101 standards. | — |
| Facility failed to meet standards for handling resident funds, including lack of authorization documents and notarized statements within required timeframes. | — |
| Failure to provide necessary treatment and services to prevent and heal pressure ulcers for one resident. | Severity Level D |
| Failure to provide respiratory care consistent with professional standards for residents requiring oxygen therapy and tracheostomy care. | Severity Level D |
| Failure to ensure food safety requirements, including proper labeling, storage, and handling of food items and use of beard restraints by kitchen staff. | — |
| Infection prevention and control program deficiencies including improper handling of sharps containers and failure to maintain a safe environment to prevent communicable diseases. | — |
Report Facts
Deficiencies cited: 6
Survey dates: 12/6/2022 through 12/9/2022
Resident IDs referenced: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Registered Nurse | Acknowledged resident was not wearing bilateral heel cuffs and nasal cannula was not set as ordered |
| Director of Nursing Services | Director of Nursing Services | Acknowledged sharps container overflow and expected staff to empty sharps container |
| Food Service Director | Food Service Director | Acknowledged dietary aides were not wearing beard restraints |
Inspection Report
Renewal
Deficiencies: 8
Sep 17, 2021
Visit Reason
A Recertification Survey was conducted at Grace Barker Nursing Center from 09/14/2021 through 09/17/2021 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities, including State licensure and emergency preparedness surveys.
Findings
The facility was determined to not be in compliance with several requirements, with deficiencies identified related to residents' advance directives, professional standards of care for PICC line management, pressure ulcer treatment, mobility and range of motion, medication administration, dental services, therapeutic diets, and infection control.
Deficiencies (8)
| Description |
|---|
| Failure to ensure a resident's advance directive was consistent with the resident's electronic medical record and physician's orders. |
| Failure to ensure services provided met professional standards of quality relative to PICC line care for residents with pressure ulcers. |
| Failure to ensure a resident with pressure ulcers received necessary treatment and services consistent with professional standards of practice. |
| Failure to ensure a resident with limited range of motion received appropriate treatment to prevent further decrease in range of motion. |
| Failure to ensure residents were free of significant medication errors. |
| Failure to assist residents in obtaining routine dental care. |
| Failure to ensure residents received and consumed foods in the appropriate form as prescribed by a physician for therapeutic diets. |
| Failure to establish and maintain an infection prevention and control program to provide a safe, sanitary, and comfortable environment and prevent communicable diseases and infections. |
Report Facts
Survey dates: 4
Residents reviewed for medication errors: 9
Residents reviewed for dental services: 2
Residents reviewed for pressure ulcers: 4
Residents reviewed for limited range of motion: 4
Residents reviewed for therapeutic diets: 4
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