Providence, RI

Berkshire Place

1-star overall rating with 1-star inspections with $155,917 in total fines with 11 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

455 Douglas Avenue, Providence, RI

(401) 553-8600

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

220

Certified beds

Average residents

196

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Green Tree Healthcare Management

Operator or chain grouping

Approved since

1995-05-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.48

Registered nurse staffing

LPN hours / resident day

0.81

Licensed practical nurse staffing

Aide hours / resident day

2.34

Nurse aide staffing

Weekend hours

3.18

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.1
1.5
0.4 pts better
1.9
0.8 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.4
1.7
0.7 pts worse
1.8
0.6 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 91.4%
93.2%
1.8 pts worse
93.4%
2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.0%
95.3%
4.3 pts worse
95.5%
4.5 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.8%
3.6%
1.2 pts worse
3.3%
1.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 22.9%
14.6%
8.3 pts worse
11.4%
11.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.8%
5.3%
1.5 pts worse
5.4%
1.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.9%
16.4%
2.5 pts worse
19.6%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 41.0%
23.6%
17.4 pts worse
16.7%
24.3 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 12.7%
17.0%
4.3 pts better
16.3%
3.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 14.0%
18.4%
4.4 pts better
14.9%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.8%
1.0%
0.2 pts better
1.0%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.5%
2.2%
1.7 pts better
1.7%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 26.5%
22.3%
4.2 pts worse
19.8%
6.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.5%
4.7%
0.2 pts better
5.1%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 72.6%
77.2%
4.6 pts worse
81.7%
9.1 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 12.8%
15.8%
3 pts better
12.0%
0.8 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 4.0%
1.9%
2.1 pts worse
1.6%
2.4 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 62.8%
78.2%
15.4 pts worse
79.7%
16.9 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 13.1%
25.1%
12 pts better
23.9%
10.8 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-04 · Fire 2025-09-04

11 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2024-07-26 · Fire 2024-07-26

12 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2023-06-08 · Fire 2023-06-08

24 health deficiencies

Top issue: Resident Assessment and Care Planning (8 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-09-04

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-09-04

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-09-30

F · Potential for more than minimal harm 2024-07-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-08-25

F · Potential for more than minimal harm 2023-06-08

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-07-08

F · Potential for more than minimal harm 2023-06-08

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-07-08

Inspection history

Recent health citations

H · Actual harm 2025-09-04

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-09-30

G · Actual harm 2025-09-04

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-09-30

F · Potential for more than minimal harm 2025-09-04

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-09-30

F · Potential for more than minimal harm 2025-09-04

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2025-09-30

E · Potential for more than minimal harm 2025-09-04

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-09-30

E · Potential for more than minimal harm 2025-09-04

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-09-30

E · Potential for more than minimal harm 2025-09-04

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-09-04

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-05-20

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-20

F761 · Pharmacy Service Deficiencies

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 2025-06-19

D · Potential for more than minimal harm 2025-03-27

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-04-26

D · Potential for more than minimal harm 2025-01-17

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-02-16

D · Potential for more than minimal harm 2025-01-17

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-02-16

D · Potential for more than minimal harm 2025-01-17

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2025-02-16

F · Potential for more than minimal harm 2024-11-06

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-12-06

E · Potential for more than minimal harm 2024-11-06

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-10-08

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-11-01

E · Potential for more than minimal harm 2024-07-26

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-08-25

D · Potential for more than minimal harm 2024-07-26

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-08-25

D · Potential for more than minimal harm 2024-07-26

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-08-25

D · Potential for more than minimal harm 2024-07-26

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-08-25

D · Potential for more than minimal harm 2024-07-26

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-08-25

D · Potential for more than minimal harm 2024-07-26

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-08-25

D · Potential for more than minimal harm 2023-11-14

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-12-14

E · Potential for more than minimal harm 2023-08-01

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-08-31

G · Actual harm 2023-06-08

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-07-08

G · Actual harm 2023-06-08

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-07-08

F · Potential for more than minimal harm 2023-06-08

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-07-08

E · Potential for more than minimal harm 2023-06-08

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-07-08

E · Potential for more than minimal harm 2023-06-08

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-07-08

E · Potential for more than minimal harm 2023-06-08

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-07-08

E · Potential for more than minimal harm 2023-06-08

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-07-08

D · Potential for more than minimal harm 2023-06-08

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-07-08

D · Potential for more than minimal harm 2023-06-08

F756 · Pharmacy Service Deficiencies

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 2023-07-08

D · Potential for more than minimal harm 2023-06-08

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2023-07-08

J · Immediate jeopardy 2023-04-25

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-05-04

H · Actual harm 2023-04-25

F841 · Nursing and Physician Services Deficiencies

Health

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Corrected 2023-05-04

D · Potential for more than minimal harm 2023-04-25

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-05-04

D · Potential for more than minimal harm 2023-04-25

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-05-04

G · Actual harm 2023-04-11

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-05-04

G · Actual harm 2023-04-11

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-05-04

D · Potential for more than minimal harm 2023-04-11

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-05-04

D · Potential for more than minimal harm 2023-04-11

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-05-04

J · Immediate jeopardy 2023-04-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-04-28

J · Immediate jeopardy 2023-04-10

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-04-28

E · Potential for more than minimal harm 2023-03-16

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-04-03

D · Potential for more than minimal harm 2023-03-07

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-03-24

Penalties and ownership

What sits behind the stars

$14,814 2024-01-22

Fine

Fine · fine $14,814

Fine

$4,938 2024-01-08

Fine

Fine · fine $4,938

Fine

$4,587 2024-01-02

Fine

Fine · fine $4,587

Fine

$13,409 2023-12-11

Fine

Fine · fine $13,409

Fine

$3,882 2023-11-20

Fine

Fine · fine $3,882

Fine

$3,529 2023-11-13

Fine

Fine · fine $3,529

Fine

$3,176 2023-11-06

Fine

Fine · fine $3,176

Fine

$2,823 2023-10-30

Fine

Fine · fine $2,823

Fine

$2,470 2023-10-23

Fine

Fine · fine $2,470

Fine

$2,117 2023-10-17

Fine

Fine · fine $2,117

Fine

$4,233 2023-09-25

Fine

Fine · fine $4,233

Fine

$95,939 2023-06-08

Fine

Fine · fine $95,939

Fine

Ownership

Rhode Island Healthcare Holdco 3 LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2020-11-11
Dasari, Naresh

Operational/Managerial Control · Individual

0% 4 facilities 2021-04-01
Dasay 2019 Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 6 facilities 2020-01-14
Gamta 2020 Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 6 facilities 2020-05-21
Gri SNF Investors LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2020-11-04
Mri SNF Investors LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2020-11-04
Stern, Aharon

5% Or Greater Indirect Ownership Interest · Individual

0% 10 facilities 2020-11-10
Stern, Aharon

Operational/Managerial Control · Individual

0% 10 facilities 2021-04-01
Stern, Simon

5% Or Greater Indirect Ownership Interest · Individual

0% 7 facilities 2020-11-10
Stern, Simon

Operational/Managerial Control · Individual

0% 7 facilities 2021-04-01
Stern, Simon

Corporate Officer · Individual

0% 7 facilities 2020-11-10
Thompson, Amanda

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-09

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Fines
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