22 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Providence, RI
1-star overall rating with 1-star inspections with Special Focus status with $92,439 in total fines with 22 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
99 Hillside Avenue, Providence, RI
(401) 574-4800
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
165
Certified beds
Average residents
128
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Athena Healthcare Systems
Operator or chain grouping
Approved since
2008-08-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.57
Registered nurse staffing
LPN hours / resident day
0.67
Licensed practical nurse staffing
Aide hours / resident day
2.25
Nurse aide staffing
Weekend hours
3.09
Weekend nurse staffing
RN turnover
47%
Annual RN turnover
Total nurse turnover
31%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.6% |
93.2%
2.4 pts better
|
93.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.1% |
95.3%
0.2 pts worse
|
95.5%
0.4 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
3.6%
0.2 pts better
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 8.2% |
14.6%
6.4 pts better
|
11.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 4.0% |
5.3%
1.3 pts better
|
5.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.4% |
16.4%
About the same
|
19.6%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 35.1% |
23.6%
11.5 pts worse
|
16.7%
18.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.3% |
17.0%
1.3 pts worse
|
16.3%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.0% |
18.4%
1.4 pts better
|
14.9%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
2.2%
1.9 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.9% |
22.3%
6.6 pts worse
|
19.8%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
4.7%
0.6 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 67.5% |
77.2%
9.7 pts worse
|
81.7%
14.2 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.5% |
15.8%
12.3 pts better
|
12.0%
8.5 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.2% |
1.9%
0.3 pts worse
|
1.6%
0.6 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 71.0% |
78.2%
7.2 pts worse
|
79.7%
8.7 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.9% |
25.1%
0.2 pts better
|
23.9%
1 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (7 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Pharmacy Service (5 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-04-10
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-10
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-04-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-30
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-04-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-21
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-01-21
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-21
Inspection history
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-02-09
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-02-09
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2026-01-11
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-01-11
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2026-01-11
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-31
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-07-22
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-08-22
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-07-22
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-07-22
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-07-22
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-07-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-10
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-04-10
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-04-10
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-04-10
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-04-10
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-04-10
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2025-04-10
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-10
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-10
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-02-17
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-02-06
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-01-27
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2025-01-27
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-01-27
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-16
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-16
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-06-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-30
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-30
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-04-30
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-03-15
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-03-15
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-03-11
Health
Keep all essential equipment working safely.
Corrected 2024-01-10
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-07-17
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-01-21
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-01-21
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-01-21
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-21
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-01-21
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-01-21
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-01-21
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2023-01-21
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-01-21
Health
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.
Corrected 2023-01-21
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-01-21
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-01-21
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-02-10
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-01-21
Penalties and ownership
Payment Denial · denial start 2025-07-23 · 30 days
30 day denial
Fine · fine $12,726
Fine
Fine · fine $34,073
Fine
Payment Denial · denial start 2025-01-28 · 20 days
20 day denial
Fine · fine $12,038
Fine
Fine · fine $16,801
Fine
Fine · fine $16,801
Fine
Payment Denial · denial start 2024-04-19 · 11 days
11 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
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Central Falls, RI
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