Inspection Reports for Village at Waterman Lake-LP
715 PUTMAN PIKE, GREENVILLE, RI, 02828
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
2.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
24% better than Rhode Island average
Rhode Island average: 3.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Jul 15, 2025
Visit Reason
An unannounced biennial State Licensure survey and a complaint/incident investigation survey were conducted at the facility on 07/15/2025 to assess compliance with state licensure requirements and investigate specific complaints.
Complaint Details
The visit included a complaint/incident investigation survey as part of the unannounced biennial licensure survey. Specific complaints investigated included medication administration errors, quality assurance plan deficiencies, and food service sanitation issues.
Findings
The facility was found deficient in multiple areas including failure to establish a written quality improvement plan with all required components, failure to provide care and services according to community standards and physician orders, failure to comply with Rhode Island Food Code requirements, and failure to maintain proper medication administration and disposal procedures. Corrective actions and plans of correction were submitted with completion dates in August 2025.
Deficiencies (5)
Failure to establish a written quality improvement plan that includes program objectives, oversight responsibility, methods to identify and correct problems, and criteria to monitor personal assistance and resident services.
Failure to provide care and services in accordance with prevailing community standards and physician orders for residents self-administering medication.
Failure to comply with Rhode Island Food Code requirements including sanitation of cutting boards, dish machine temperature logs, food labeling, and employee hair restraints.
Failure to properly administer and document medications including expired medications on medication carts and failure to maintain medication administration records.
Failure to maintain and conduct fire drills as required by licensure and fire safety regulations.
Report Facts
Deficiencies cited: 5
Medication doses: 42
Fire drills: 6
Dates of fire drills: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Oliver Harvey | COO | Signed the plan of correction document dated 8/13/25. |
| Staff A | Nurse interviewed regarding medication administration and food service issues. | |
| Staff F | Certified Medication Technician (CMT) | Present during medication cart observation on 7/15/2025. |
| Staff G | Present during medication cart observation on 7/15/2025. | |
| Food Service Director (FSD) | Interviewed regarding food service sanitation and labeling issues. | |
| Director of Nursing | Acknowledged medication deficiencies during survey observation. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 15, 2024
Visit Reason
An unannounced complaint/incident investigation survey was conducted to determine compliance with state regulations.
Complaint Details
The investigation was conducted under ACTS reference numbers 98303 and found no deficiencies.
Findings
No deficiencies were identified during the investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 23, 2024
Visit Reason
An unannounced complaint/incident investigation survey was conducted to determine compliance with state regulations.
Complaint Details
The investigation was based on complaint reference numbers 97934, 98066, and 97941. No deficiencies were found.
Findings
No deficiencies were identified during the investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 23, 2024
Visit Reason
An unannounced complaint/incident investigation survey was conducted to determine compliance with state regulations.
Complaint Details
The investigation was based on ACTS reference numbers 97934, 98066, and 97941. No deficiencies were found.
Findings
No deficiencies were identified during the investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 5, 2024
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Complaint Details
The investigation was unannounced and no deficiencies were found.
Findings
No deficiencies were identified during the investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 8, 2024
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Complaint Details
The investigation was unannounced and complaint/incident related; no deficiencies were found.
Findings
No deficiencies were identified during the investigation.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Aug 17, 2023
Visit Reason
An unannounced complaint/incident investigation survey was conducted at the Village at Waterman Lake-LP residence following a community reported complaint of resident-to-resident sexual abuse involving two residents on the Special Care Unit.
Complaint Details
The complaint investigation was substantiated by record review and staff interviews. The complaint involved two residents on the Special Care Unit, one alleged victim and one alleged perpetrator, with findings confirming failure to report the incident and inadequate care standards in the unit.
Findings
The investigation found that the facility failed to ensure employees reported alleged abuse within 24 hours to the appropriate state agency. Records and staff interviews confirmed that an incident involving two residents engaging in sexual behavior was not reported as required. The facility also failed to operate the Special Care Unit in accordance with community standards for residents with dementia, including appropriate monitoring and management of residents' behaviors.
Deficiencies (2)
Failure to report alleged resident abuse within 24 hours to the Director and the Office of the Long-Term Care Ombudsman as required by licensure regulations.
Failure to operate and provide services in the Special Care Unit in accordance with the prevailing community standard of care for residents with dementia.
Report Facts
Date of survey completion: Aug 17, 2023
Date of complaint report: Aug 16, 2023
Mini mental exam score: 15
Mini mental exam score: 24
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Oliver Harvey | Chief Operating Officer | Signed the report on October 17, 2023 |
| Director of Nursing Services | Named in findings as DNS who was informed of the incident and acknowledged failure to report | |
| Manager on Duty | Mentioned in staff statements regarding incident reporting | |
| Certified Medication Technician (CMT), Staff A | Witnessed resident interactions and reported observations | |
| Manager on Duty, Staff B | Provided statement regarding alleged incident |
Inspection Report
Plan of Correction
Deficiencies: 3
Date: Aug 11, 2023
Visit Reason
An unannounced biennial State Licensure survey was conducted at the residence to assess compliance with State regulations.
Findings
Deficiencies were identified related to residency requirements, dietary services, medication services, and food safety. Specific issues included a resident not meeting residency definition, failure to comply with Rhode Island Food Code, medication cart issues, and food storage violations.
Deficiencies (3)
Residency Requirements not met for 1 of 5 residents reviewed; resident retained who does not meet definition of resident.
Residence failed to comply with Rhode Island Food Code for the Courtyard and Lodge kitchens, including freezer burn on kielbasa, dust accumulation on soda machine exhaust fan, and food items lacking expiration dates.
Medication services deficiencies including expired inhalers and medication carts not stored securely or properly monitored.
Report Facts
Residents reviewed: 5
Pressure ulcer stage: 3
Medication carts with issues: 2
Expired inhalers: 4
Food items without expiration dates: 15
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 21, 2023
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Complaint Details
Unannounced complaint/incident investigation survey with no deficiencies identified.
Findings
No deficiencies were identified during the investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 21, 2023
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Complaint Details
The investigation was unannounced and complaint/incident related; no deficiencies were found.
Findings
No deficiencies were identified during the investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 16, 2023
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Complaint Details
The visit was complaint-related and no deficiencies were found, indicating no substantiated issues.
Findings
No deficiencies were identified during the investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 26, 2022
Visit Reason
An unannounced complaint/incident investigation survey was conducted at this residence.
Complaint Details
The investigation was complaint/incident related and no deficiencies were found.
Findings
No deficiencies were identified during the investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 26, 2021
Visit Reason
An unannounced complaint/incident investigation survey and a biennial State licensure survey were conducted at this residence.
Complaint Details
The visit was complaint-related as it was an unannounced complaint/incident investigation survey.
Findings
The report documents the conduct of the complaint/incident investigation and biennial licensure survey but does not provide specific findings or deficiencies.
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Aug 26, 2021
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.
Complaint Details
The visit included a complaint/incident investigation survey (KB3W11) conducted on 08/26/2021. Findings related to medication administration and resident assessments were investigated, with corrective actions planned and ongoing.
Findings
Deficiencies were identified related to resident assessments, service plans, medication administration, medication storage, and fire safety requirements. Several residents' records failed to accurately reflect medication needs and assessments, and medication storage and labeling issues were noted. Fire drill documentation revealed obstructed and failed drills.
Deficiencies (3)
Failure to complete resident assessments and individualized service plans as required.
Medication administration and storage deficiencies including unlabeled medications and improper storage of insulin pens.
Failure to properly document and conduct fire drills as required by fire safety regulations.
Report Facts
Number of residents reviewed for assessment deficiencies: 9
Number of residents reviewed for medication self-administration: 5
Number of fire drills reviewed: 12
Number of obstructed fire drills: 2
Number of failed fire drills: 3
Number of unobstructed fire drills: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Oliver Harvey | Signed the plan of correction document. | |
| Staff A | Certified Medication Technician (CMT) | Interviewed regarding medication administration and insulin monitoring. |
| Lodge Director of Nursing | Interviewed regarding resident assessments and medication documentation. | |
| Staff B | Certified Medication Technician (CMT) | Observed during medication cart review. |
| Staff C | Certified Medication Technician (CMT) | Observed during medication cart review. |
| Staff D | Certified Medication Technician (CMT) | Observed during medication cart review. |
| Administrator | Interviewed regarding fire drill documentation. |
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