Cycle 1
Health 2025-02-19 · Fire 2025-02-19
0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Johnston, RI
Briarcliffe Manor
5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle
49 Old Pocasset Road, Johnston, RI
(401) 944-2450
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
122
Certified beds
Average residents
110
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-02-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.68
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.53
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
3.04
Nurse aide staffing · state 2.46 · national 2.35
Total nurse hours
4.25
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.21
RN + LPN hours · state 1.25 · national 1.54
Weekend hours
3.84
Weekend nurse staffing · state 3.30 · national 3.43
Weekend RN hours
0.51
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.82
CMS adjusted RN staffing hours
Adjusted total hours
5.10
CMS adjusted total nurse staffing hours
Case-mix index
1.14
Higher values indicate more complex resident acuity
RN turnover
19%
Annual RN turnover · state 38% · national 45%
Total nurse turnover
30%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
752
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
64.23
Composite VBP score used to determine payment impact.
Payment multiplier
1.0188
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 16.63% · Performance 21.82% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
8.54
Baseline 4.96% · Performance 5.28% · Measure score 8.54 · Achievement 8.54 · Improvement 0
Total nurse turnover
10
Baseline 40.00% · Performance 23.81% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
7.15
Baseline 4.26 hours · Performance 5.11 hours · Measure score 7.15 · Achievement 7.15 · Improvement 5.12
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.92% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 229 · Observed rate 7.42% · Lower 95% interval 7.05% |
| Discharge to community | 54.8% |
50.57%
4.2 pts better
|
No Different than the National Rate · Eligible stays 230 · Observed rate 52.17% · Lower 95% interval 48.61% |
| Medicare spending per beneficiary | 0.74 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 98.67% |
95.27%
3.4 pts better
|
Numerator 148 · Denominator 150 |
| Falls with major injury | 0.67% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 150 |
| Discharge self-care score | 75.57% |
53.69%
21.9 pts better
|
Numerator 99 · Denominator 131 |
| Discharge mobility score | 72.52% |
50.94%
21.6 pts better
|
Numerator 95 · Denominator 131 |
| Pressure ulcers or injuries, new or worsened | 1.33% |
2.29%
1 pts better
|
Numerator 2 · Denominator 150 · Adjusted rate 1.35% |
| Healthcare-associated infections requiring hospitalization | 5.28% |
7.12%
1.8 pts better
|
No Different than the National Rate · Eligible stays 144 · Observed rate 2.08% · Lower 95% interval 2.98% |
| Staff COVID-19 vaccination coverage | 2.43% |
8.2%
5.8 pts worse
|
Numerator 5 · Denominator 206 |
| Staff flu vaccination coverage | 85.84% |
42%
43.8 pts better
|
Numerator 188 · Denominator 219 |
| Discharge function score | 79.39% |
56.45%
22.9 pts better
|
Numerator 104 · Denominator 131 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 20 · Denominator 20 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 108 · Denominator 108 |
| Resident COVID-19 vaccinations up to date | 41.77% |
25.2%
16.6 pts better
|
Numerator 33 · Denominator 79 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
93.2%
6.5 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.3%
4.7 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.2% |
3.6%
2.4 pts better
|
3.3%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.2% · Q3 0.0% · Q4 1.2% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
14.6%
14.6 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 3.8% |
5.3%
1.5 pts better
|
5.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 2.4% · Q3 5.3% · Q4 2.6% · 4Q avg 3.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.6% |
16.4%
10.8 pts better
|
19.6%
14 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 3.7% · Q3 3.8% · Q4 10.0% · 4Q avg 5.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.2% |
23.6%
17.4 pts better
|
16.7%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 5.8% · Q3 5.9% · Q4 6.8% · 4Q avg 6.2% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.5% |
17.0%
3.5 pts better
|
16.3%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 9.9% · Q3 14.4% · Q4 20.5% · 4Q avg 13.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.7% |
18.4%
7.7 pts better
|
14.9%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 9.9% · Q3 9.1% · Q4 11.2% · 4Q avg 10.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
1.0%
0.7 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.4% |
2.2%
1.2 pts worse
|
1.7%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 5.1% · Q4 6.2% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.3% |
22.3%
11 pts better
|
19.8%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 13.2% · Q3 10.7% · Q4 11.1% · 4Q avg 11.3% |
| Percentage of long-stay residents with pressure ulcers | 2.0% |
4.7%
2.7 pts better
|
5.1%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 1.9% · Q3 0.0% · Q4 3.0% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.2% |
77.2%
11 pts better
|
81.7%
6.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 68.5% · Q2 94.7% · Q3 95.5% · Q4 93.4% · 4Q avg 88.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
15.8%
6.6 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 8.2% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.9%
1.9 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.4% |
78.2%
11.2 pts better
|
79.7%
9.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.3% |
25.1%
5.8 pts better
|
23.9%
4.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.3% · Observed 17.2% · Expected 21.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-16 · Fire 2024-02-16
1 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2023-01-06 · Fire 2023-01-06
4 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-02-19
K200 · Egress Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2025-03-07
D · Potential for more than minimal harm
2025-02-19
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-07
D · Potential for more than minimal harm
2025-02-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-07
F · Potential for more than minimal harm
2024-02-16
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-29
E · Potential for more than minimal harm
2023-01-06
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 2023-02-03
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-02-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-29
F · Potential for more than minimal harm
2023-01-06
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 2023-01-25
D · Potential for more than minimal harm
2023-01-06
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-01-25
D · Potential for more than minimal harm
2023-01-06
F888 · Infection Control Deficiencies
Health
Ensure staff are vaccinated for COVID-19
Corrected 2023-01-25
C · Minimal harm
2023-01-06
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-01-25
Penalties and ownership
What sits behind the stars
Ownership
Geriatric Centers Of North America Inc
5% Or Greater Direct Ownership Interest · Organization
Talwar, Akshay
5% Or Greater Indirect Ownership Interest · Individual
Beliveau, William
Operational/Managerial Control · Individual
Geriatric Centers Of North America Inc
Operational/Managerial Control · Organization
Talwar, Akshay
Operational/Managerial Control · Individual
Talwar, Akshay
Corporate Director · Individual
Talwar, Akshay
Corporate Officer · Individual
Talwar, Nisha
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Cherry Hill Manor
Johnston, RI
5-star overall rating with 4-star inspections with $6,201 in total fines with 9 recent health deficiencies
#2
Morgan Health Center
Johnston, RI
4-star overall rating with 3-star inspections with $44,720 in total fines with 8 recent health deficiencies
#3
Cedar Crest Nursing Centre Inc
Cranston, RI
5-star overall rating with 4-star inspections with $14,433 in total fines with 2 recent health deficiencies
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