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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
At Tockwotton on the Waterfront in Rhode Island, seniors can expect exceptional surroundings and premium care. Their team of trusted professionals understands the ins and outs of aging, providing seniors with a vibrant life and exemplary opportunities for growth in their golden years. Offering assisted living, memory care, short-term rehabilitation, and long-term care, they have been positively impacting seniors’ lives for 156 years. They are determined to elevate lives day in and day out, making it their priority to restore dignity, love, and joy to seniors’ lives.
The home provides rich amenities such as a library, theater room, fitness center, media room, gardens, alfresco dining, and much more. They also have scheduled transportation and weekly housekeeping with changing of linens and bath towels. Residents can also opt for medication packages, personal care, special diets, and nutritional counseling. With Tockwotton on the Waterfront, seniors can enjoy a worry-free and fulfilling life surrounded by exceptional care and enriching opportunities.
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 4th out of 53 homes in Rhode Island.| Staff type | Hours / day | 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.
| 1h 4m per day | ▲ 39% 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.
| 36m per day | ▲ 24% 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.
| 3h 19m per day | ▲ 34% State avg: 2h 28m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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.
| 4h 5m per day | ▲ 24% 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 |
|
RN (Weekend)
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.
| 44m per day | ▲ 29% State avg: 34m per day · National avg: 28m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
55% of new residents, usually for short-term rehab.
40% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #23 / 53Payroll — state benchmarkedThis home is ranked 23rd out of 53 homes in Rhode Island.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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Rhode Island average: 83.7%Tockwotton on the Waterfront is legally operated by Michaela Mckay.
Pets Allowed
Building Type: Mid-rise
Transportation Services
Fitness and Recreation
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 are formal regulatory issues recorded during state inspections.
| Metric | This Facility | RI Average | vs. RI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 23 | 34 | This facility has 32% fewer total deficiencies than a typical Rhode Island assisted living residence (23 vs. RI avg 34).↓ 32% better |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 4.6 | 6.8 | This facility has 32% fewer deficiencies per year than a typical Rhode Island assisted living residence (4.6 vs. RI avg 6.8).↓ 32% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on September 30, 2025, identified deficiencies related to management of services, resident assessment and service plans, reporting requirements, and housekeeping. Earlier inspections showed a pattern of similar issues, including failure to update assessments and service plans, delayed reporting of incidents and suspected abuse, and environmental safety concerns. Complaint investigations were often substantiated, with notable findings involving failure to report suspected abuse and inadequate safety measures in the memory care unit; enforcement actions such as a no trespass order were issued in one case, but fines or license suspensions were not listed in the available reports. The main themes across inspections involved resident care documentation, timely reporting, and maintaining a safe environment. Recent findings suggest ongoing challenges with compliance, as deficiencies have persisted over time without a clear trend of improvement.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsRhode 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.
10 of 12 citations resulted from standard inspections; and 2 of 12 resulted from complaint investigations.
100% better than Rhode Island averageRhode Island average: 1.6
1
41% better than Rhode Island averageRhode Island average: 1.7
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 25, 2025
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 25, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 13, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 13, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Tockwotton on the Waterfront is located in East Providence, Rhode Island.
Here are the financial assistance programs available to residents in Rhode Island.
3.0 miles from city center
Estimated distance in miles from East Providence's city center to Tockwotton on the Waterfront's address, calculated via Google Maps.
— 1.05 miles to nearest hospital (RIH Medical Foundation)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
75% better than Rhode Island averageRhode Island average ratio: 1.76:1
11% worse than Rhode Island averageRhode Island average: 7.6 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursNo contractors work on this role.
Total hours from contractors
3,585 contractor hours this quarter
| Certified Nursing Assistant | 57 | 0 | 57 | 12,055 | 91 | 100% | 6.9 |
| Registered Nurse | 14 | 17 | 31 | 3,930 | 91 | 100% | 8.4 |
| Medication Aide/Technician | 13 | 0 | 13 | 2,502 | 91 | 100% | 6.7 |
| Licensed Practical Nurse | 5 | 14 | 19 | 2,342 | 91 | 100% | 7.2 |
| Dietitian | 7 | 0 | 7 | 1,197 | 78 | 86% | 7.1 |
| Physical Therapy Aide | 0 | 3 | 3 | 897 | 70 | 77% | 6.8 |
| Speech Language Pathologist | 0 | 3 | 3 | 612 | 76 | 84% | 4.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 525 | 64 | 70% | 8.2 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 449 | 60 | 66% | 7.5 |
| Administrator | 1 | 0 | 1 | 442 | 58 | 64% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 368 | 47 | 52% | 7.8 |
| Qualified Social Worker | 0 | 2 | 2 | 331 | 65 | 71% | 5.1 |
| Physical Therapy Assistant | 0 | 5 | 5 | 316 | 65 | 71% | 4.7 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 300 | 67 | 74% | 4.1 |
| Occupational Therapy Aide | 1 | 0 | 1 | 124 | 26 | 29% | 4.8 |
| Feeding Assistant | 0 | 1 | 1 | 64 | 64 | 70% | 1 |
| RN Director of Nursing | 0 | 2 | 2 | 55 | 6 | 7% | 9.1 |
| Medical Director | 0 | 1 | 1 | 25 | 25 | 27% | 1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 5 | 6 | 7% | 0.8 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 5 | 6 | 7% | 0.8 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
51Residents meet regularly to discuss policies, care quality, and activities
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.
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.
9.4
9% better than Rhode Island averageRhode Island average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.7
32% 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
16.2%
17% better than Rhode Island averageRhode Island average: 19.5%
Percent of long-stay residents whose ability to move independently worsened
21.3%
17% worse than Rhode Island averageRhode Island average: 18.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
3.5%
85% better than Rhode Island averageRhode Island average: 22.9%
Percent of long-stay residents experiencing one or more falls with major injury
1.3%
64% better than Rhode Island averageRhode Island average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
2.9%
39% better than Rhode Island averageRhode Island average: 4.7%
Percent of long-stay residents with a urinary tract infection
1.4%
40% better than Rhode Island averageRhode Island average: 2.3%
Percent of long-stay residents who lose too much weight
5.2%
In line with Rhode Island averageRhode Island average: 5.4%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Rhode Island averageRhode Island average: 13.5%
Percent of long-stay residents who received an antipsychotic medication
25.2%
17% worse than Rhode Island averageRhode Island average: 21.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.0%
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.
2.18
49% worse than Rhode Island averageRhode Island average: 1.46
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.59
66% better 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
81.4%
7% better than Rhode Island averageRhode Island average: 76.2%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
In line with Rhode Island averageRhode Island average: 2.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.7%
In line with Rhode Island averageRhode Island average: 78.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.9%
27% worse than Rhode Island averageRhode Island average: 25.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.8%
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.
61.3%
14% better than Rhode Island averageRhode Island average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
61.8%
22% better than 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.
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)
91% lower 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
Feb 13, 2025 · $9K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 13, 2025Last updated: Jan 2026
The information below is reported by the Rhode Island Department of Health, Center for Health Facilities Regulation.
| Atria Bay Spring Village |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Barrington (Bay Spring) | 148 | Yes | 30 | - | 14 | - | Administrator Susan A. Lehman | 15 | 13 | 3 | 14 |
| Wingate Residences on Blackstone Boulevard |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Providence (Blackstone Boulevard Realty Plat Historic District) | 128 | Yes | 18 | - | 39 | B- | Administrator Valerie Jean Houshar | 18 | 18 | 12 | 36 |
| Tockwotton on the Waterfront |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | East Providence (Waterfront Drive) | 117 | Yes | 59 | - | 9 | - | Michaela Mckay | 15 | 16 | 10 | 23 |
| Arbor Hill Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Providence (Federal Hill) | 53 | Yes | 96 | Studio / 1 Bed | 13 | - | Sherry Vieira | 17 | 15 | 6 | 18 |
Historical financial and operational data for Tockwotton on the Waterfront based on CMS SNF Cost Reports.
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Tockwotton on the Waterfront is in the Waterfront Drive neighborhood of East Providence.
The legal owner and operator of Tockwotton on the Waterfront is Michaela Mckay.
Tockwotton on the Waterfront has a walk score of 59. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to RI state health department records, Tockwotton on the Waterfront's license number is ALR01482.
According to RI state health department records, Tockwotton on the Waterfront's license expires on December 31, 2026.
Tockwotton on the Waterfront's occupancy is 97%.
Tockwotton on the Waterfront has 117 beds.
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