Top 10 Worst Nursing Homes in Rhode Island

Updated as of May 01, 2023

A list of the ten worst skilled nursing homes in Rhode Island. Based on the Weighted Health Inspection Score developed by the Centers for Medicare and Medicaid Services.

Click here to see the best skilled nursing facilities in Rhode Island.

Compare the Worst Nursing Homes in Rhode Island

Every year, thousands of seniors, their families and friends have to make a decision involving a skilled nursing facility, either because someone is recupering after a hospital visit or for end-of-life care. This is usually an issue that arises suddenly, and the decision makers are not equipped with the right knowledge and information to make a good decision. Not knowing how to decide, they turn to others for recommendations. Word of mouth, along with geography, are constantly cited as the single most important factors in choosing a skilled nursing facility. This lack of understanding and lack of information can lead to significant problems because not all skilled nursing facilities are the same and the people that you trust to recommend a facility may not know enough about the facility and the alternatives to be a competent guide.

Providing the type of care that residents of skilled nursing facilities require is very difficult. The range of issues that are being treated is vast and the needs cover both people recuperating and recovering as well as those facing end-of-life issues. Residents require significant help with basic daily activities as well as supplemental needs like oxygen and 24/7 monitoring.

To help people who are facing this difficult situation, we have compiled a list of the both the best and the worst skilled nursing facilities in Rhode Island. Additionally we have compiled the best and worst nursing homes by city for most cities in the United States. The lists are based on data compiled by The Centers for Medicare & Medicaid (“CMS”) and include information gathered from detailed annual inspections, monthly reporting, complaint histories, deficiency reports and much more.

The list below calls out the worst skilled nursing facilities in Rhode Island. For the most part these facilities should be avoided. All of the facilities have issues with cleanliness and safety and a large number of the facilities have been flagged by CMS as locations where abuse has either occurred or is highly likely.

Avoiding these facilities may not always be an option either because of geographic, monetary, or occupancy constraints. However, being in a bad nursing home does not mean that the resident will not improve. If you have a loved one in one of these facilities, we encourage you to visit often and to ask that friends and other family visit too. It is well documented that positive outcomes for skilled nursing residents is highly correlated with the number and diversity of people visiting the resident. Being there, getting to know the staff, showing the staff that the resident has people that care about him or her is critical. There may not always be a better option, but your direct involvement can make a difference.

Nursing Home Rating
Pawtucket Falls Healthcare Center
70 GILL AVENUE
PAWTUCKET, RI 		302.17
Grand Islander Center
333 GREEN END AVENUE
MIDDLETOWN, RI 		232.50
Summit Commons Rehabilitation and Health Care Cnt
99 HILLSIDE AVENUE
PROVIDENCE, RI 		230.83
/
Oak Hill Health and Rehabilitation Center
544 PLEASANT STREET
PAWTUCKET, RI 		223.00
The Dawn Hill Home For Rehab and Healthcare
1 DAWN HILL
BRISTOL, RI 		220.33
Greenville Skilled Nursing and Rehabilitation
735 PUTNAM PIKE
GREENVILLE, RI 		215.83
Lincolnwood Rehabilitation and Healthcare Center
610 SMITHFIELD ROAD
NORTH PROVIDENCE, RI 		210.00
Bannister Ctr For Rehabilitation and Health Care
135 DODGE STREET
PROVIDENCE, RI 		207.17
St Clare Home
309 SPRING STREET
NEWPORT, RI 		182.67
Orchard View Manor
135 TRIPPS LANE
EAST PROVIDENCE, RI 		159.50

Nursing Homes with the warning icon () have been flagged by CMS for abuse.

How We Compile Nursing Home Ratings in Rhode Island

Every month, we rank all of the skilled nursing facilities in Rhode Island. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in Rhode Island is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates Rhode Island nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

  • Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
  • Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
  • Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
  • Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in Rhode Island nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!

Skilled Nursing Home Abuse in Rhode Island

Abuse is always going to be an issue with skilled nursing facilities. Skilled nursing facility residents need help with so many basic things and they are suffering, confused, and frustrated. If you are the friend or relative of a nursing home resident, we guarantee that you will be constantly fretting about whether your loved one is receiving proper and timely care. Abuse feels like a violation of your trust, but it happens. CMS actively monitors nursing homes not just for actual abuse but also for indicators that suggest that abuse might be occurring. Homes where abuse has either occurred or might be occurring are flagged. A very high percentage of the worst skilled nursing facilities in Rhode Island have been flagged for abuse. We have marked these facilities both on the list of the worst skilled nursing facilities and on the detailed page for each of the facilities.

Skilled Nursing Homes in Rhode Island Compared to Nationwide

We have compared Rhode Island nursing homes to the nationwide average on several metrics. Rhode Island performed better than the national average on several metrics and worse on other metrics.

Cycle 1 Total Number Of Health Deficiencies 9.40 Higher
Cycle 1 Total Number Of Fire Safety Deficiencies 0.70 Lower
Cycle 2 Total Number Of Health Deficiencies 8.50 Higher
Cycle 2 Total Number Of Fire Safety Deficiencies 0.30 Lower
Cycle 3 Total Number Of Health Deficiencies 4.50 Lower
Cycle 3 Total Number Of Fire Safety Deficiencies 0.50 Lower
Average Number Of Residents Per Day 90.80 Higher
Reported Nurse Aide Staffing Hours Per Resident Per Day 2.39 Higher
Reported Lpn Staffing Hours Per Resident Per Day 0.45 Lower
Reported Rn Staffing Hours Per Resident Per Day 0.80 Higher
Reported Licensed Staffing Hours Per Resident Per Day 1.25 Lower
Reported Total Nurse Staffing Hours Per Resident Per Day 3.64 Lower
Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend 3.21 Lower
Registered Nurse Hours Per Resident Per Day On The Weekend 0.58 Higher
Reported Physical Therapist Staffing Hours Per Resident Per Day 0.06 Lower
Total Nursing Staff Turnover 51.10 Lower
Registered Nurse Turnover 48.80 Lower
Number Of Administrators Who Have Left The Nursing Home 0.90 Higher
Case-mix Rn Staffing Hours Per Resident Per Day 0.37 Lower
Case-mix Total Nurse Staffing Hours Per Resident Per Day 3.07 Lower
Number Of Fines 3.10 Higher
Fine Amount In Dollars 56,033.00 Higher
Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased 16.51 Higher
Percentage Of Long Stay Residents Who Lose Too Much Weight 6.02 Lower
Percentage Of Low Risk Long Stay Residents Who Lose Control Of Their Bowels Or Bladder 45.01 Lower
Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder 1.19 Lower
Percentage Of Long Stay Residents With A Urinary Tract Infection 2.75 Higher
Percentage Of Long Stay Residents Who Have Depressive Symptoms 2.49 Lower
Percentage Of Long Stay Residents Who Were Physically Restrained 0.08 Lower
Percentage Of Long Stay Residents Experiencing One Or More Falls With Major Injury 3.92 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 91.19 Lower
Percentage Of Long Stay Residents Who Received An Antipsychotic Medication 18.67 Higher
Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 72.08 Lower
Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication 1.67 Lower
Percentage Of Long Stay Residents Whose Ability To Move Independently Worsened 17.57 Higher
Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication 15.05 Lower
Percentage Of High Risk Long Stay Residents With Pressure Ulcers 7.56 Lower
Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine 95.68 Higher
Percentage Of Short Stay Residents Who Made Improvements In Function 76.72 Higher
Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine 74.29 Lower
Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission 23.65 Higher
Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit 14.30 Higher
Number Of Hospitalizations Per 1000 Long-stay Resident Days 1.35 Lower
Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days 0.93 Lower

FAQs About Nursing Homes in Rhode Island

How Many Nursing Homes in Rhode Island

There are 75 skilled nursing facilities registered with CMS in Rhode Island with a total of 8,405 beds. Average occupancy was 81.01% in May 2023.

Rhode Island has 16 homes that are rated as having one star on the CMS 5-Star Rating System. Approximately 26.83 percent of the total number of available skilled nursing beds in Rhode Island are in one-star facilities. In Rhode Island, occupancy is higher in skilled nursing facilities where the CMS 5-Star Raing is higher than one-star.

There is one skilled nursing facility in Rhode Island that is not rated.

How to Report a Nursing Homes in Rhode Island

If you run into an issue at a Rhode Island nursing home, there are a few steps you can take to make sure the issue is reported. First, speak with the immediate staff. If the problem is not solved, speak with a director or administrator, doctor, or any other employee of a high level.

As required by Medicare and Medicaid, reports and complaints must go through a grievance procedure. Per the Center for Medicare & Medicaid Services, a grievance is “an expression of dissatisfaction (other than an organization determination) with any aspect of the operations, activities, or behavior of a Medicare health plan, or its providers, regardless of whether remedial action is requested”. All grievances must be filed in writing or verbally within 60 days of the event prompting the grievance.

To report a Rhode Island nursing home for quality of care, go through a grievance procedure through your Medicare or Medicaid plan. You can also go through the Beneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIO). These groups serve to help with complaints made regarding the quality of care by Medicare providers. You can also choose to go through both Medicare and a BFCC-QIO.

Worst Nursing Homes in the Largest Rhode Island Cities

All of the following nursing homes have been given a Weighted Health Inspection Score by the Centers for Medicare and Medicaid Services. Every year, nursing homes in Rhode Island go through an unannounced inspection performed by independent state examiners. These examiners look at factors such as cleanliness, hazards, and safety to perform the inspection. Points are given to nursing homes based on their deficiency in a certain category. Thus, a higher Weighted All Cycles Score means more problems and lower quality of care.

The list below ranks the homes with the highest (worst) weighted scores. The score is shown next to the facility name. The list also shows the two most recent deficiencies for each of the nursing homes.

Worst Nursing Homes in Providence

  • Summit Commons Rehabilitation and Health Care Cnt (230.833)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2023-02-10)
    • Ensure that residents are free from significant medication errors. (2023-02-10)
  • Bannister Ctr For Rehabilitation and Health Care (207.167)
    • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (2022-11-08)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2022-11-08)
  • Elmhurst Rehabilitation and Healthcare Center (151.667)
    • Provide special eating equipment and utensils for residents who need them and appropriate assistance. (2023-02-12)
    • Reasonably accommodate the needs and preferences of each resident. (2022-12-01)
  • Berkshire Place (142.667)
    • Ensure services provided by the nursing facility meet professional standards of quality. (2023-04-03)
    • Ensure services provided by the nursing facility meet professional standards of quality. (2023-03-24)
  • Charlesgate Nursing Center (134.667)
    • Ensure services provided by the nursing facility meet professional standards of quality. (2022-12-18)
    • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2022-11-06)
  • Steere House Nursing and Rehabilitation Ctr (26.667)
    • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (2022-10-03)
    • Ensure each resident receives an accurate assessment. (2021-07-24)
  • Bethany Home of Rhode Island (24.667)
    • Ensure services provided by the nursing facility meet professional standards of quality. (2022-10-23)
    • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (2022-10-23)
  • Elmwood Nursing and Rehabilitation Center (21.333)
    • Provide safe and appropriate respiratory care for a resident when needed. (2022-09-04)
    • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (2022-09-04)

Worst Nursing Homes in Cranston

  • Cedar Crest Nursing Centre Inc (139.833)
    • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (2023-01-26)
    • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (2022-09-13)
  • Cra-Mar Meadows (34)
    • Ensure services provided by the nursing facility meet professional standards of quality. (2022-04-26)
    • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (2022-04-22)
  • Scandinavian Home Inc (25.667)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2022-10-03)
    • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (2022-09-28)

Worst Nursing Homes in Warwick

  • Brentwood Nursing Home (72)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2022-12-02)
    • Ensure that residents are free from significant medication errors. (2022-11-11)
  • Sunny View Nursing Home Inc (68.667)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2023-03-12)
    • Provide enough food/fluids to maintain a resident's health. (2023-03-12)
  • Greenwood Center (67.333)
    • Ensure proper usage of power strips and extension cords. (2023-03-24)
    • Install an approved automatic sprinkler system. (2023-03-24)
  • Avalon Nursing Home Inc (31.333)
    • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (2022-04-20)
    • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (2022-04-20)
  • West Shore Health Center (22.667)
    • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (2022-04-01)
    • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (2022-04-01)
  • Schervier Pavilion (18.667)
    • Conduct testing and exercise requirements. (2022-12-16)
    • Include a process for Emergency Preparedness collaboration. (2022-12-16)
  • Kent Regency Center (16.667)
    • Provide enough food/fluids to maintain a resident's health. (2023-03-25)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2022-10-11)

Worst Nursing Homes in Pawtucket

  • Pawtucket Falls Healthcare Center (302.167)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-03-16)
    • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (2023-03-15)
  • Oak Hill Health and Rehabilitation Center (223)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-02-08)
    • Ensure services provided by the nursing facility meet professional standards of quality. (2022-08-24)
  • Jeanne Jugan Residence (17.333)
    • Keep aisles, corridors, and exits free of obstruction in case of emergency. (2023-03-10)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-02-17)

Worst Nursing Homes in East Providence

  • Orchard View Manor (159.5)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2023-03-28)
    • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (2023-03-28)
  • Harris Health Center LLC (81.167)
    • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (2022-10-01)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2022-10-01)
  • Waterview Villa Rehabilitation and Health Care Cen (81)
    • Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (2023-01-24)
    • Keep aisles, corridors, and exits free of obstruction in case of emergency. (2023-01-24)
  • Linn Health and Rehabilitation (63.333)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2022-11-19)
    • Ensure each resident receives an accurate assessment. (2022-11-19)
  • Evergreen House Health Center (35.333)
    • Ensure each resident receives an accurate assessment. (2022-05-13)
    • Ensure services provided by the nursing facility meet professional standards of quality. (2022-05-13)
  • Hattie Ide Chaffee Home (24.667)
    • Ensure services provided by the nursing facility meet professional standards of quality. (2022-04-30)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2022-02-13)
  • Tockwotton On The Waterfront (18.667)
    • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2023-02-10)
    • Keep all essential equipment working safely. (2023-02-10)
  • Eastgate Nursing and Rehabilitation Center (10.667)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2022-07-27)
    • Ensure services provided by the nursing facility meet professional standards of quality. (2021-05-13)

Worst Skilled Nursing Homes in Other States

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