Cycle 1
Health 2025-02-05 · Fire 2025-02-05
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Warren, RI
Grace Barker Nursing Center
3-star overall rating with 3-star inspections with $114,806 in total fines with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
54 Barker Avenue, Warren, RI
(401) 245-9100
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
86
Certified beds
Average residents
82
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-03-28
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
0.60
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.29
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
2.91
Nurse aide staffing · state 2.46 · national 2.35
Total nurse hours
3.81
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
0.90
RN + LPN hours · state 1.25 · national 1.54
Weekend hours
3.23
Weekend nurse staffing · state 3.30 · national 3.43
Weekend RN hours
0.39
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
3.91
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 38% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,774
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.81
Composite VBP score used to determine payment impact.
Payment multiplier
0.9852
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.15
Baseline 21.55% · Performance 21.26% · Measure score 0.15 · Achievement 0 · Improvement 0.15
Healthcare-associated infections
3.48
Baseline 6.68% · Performance 6.79% · Measure score 3.48 · Achievement 3.48 · Improvement 0
Total nurse turnover
4.51
Baseline 51.85% · Performance 45.24% · Measure score 4.51 · Achievement 4.51 · Improvement 1.95
Adjusted total nurse staffing
3.39
Baseline 3.44 hours · Performance 4.04 hours · Measure score 3.39 · Achievement 3.39 · Improvement 2.08
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 96 · Observed rate 8.33% · Lower 95% interval 6.19% |
| Discharge to community | 51.38% |
50.57%
0.8 pts better
|
No Different than the National Rate · Eligible stays 66 · Observed rate 45.45% · Lower 95% interval 39.06% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.67% |
95.27%
2.4 pts better
|
Numerator 42 · Denominator 43 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 43 |
| Discharge self-care score | 35.14% |
53.69%
18.5 pts worse
|
Numerator 13 · Denominator 37 |
| Discharge mobility score | 56.76% |
50.94%
5.8 pts better
|
Numerator 21 · Denominator 37 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 43 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.79% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 44 · Observed rate 4.55% · Lower 95% interval 3.05% |
| Staff COVID-19 vaccination coverage | 15.56% |
8.2%
7.4 pts better
|
Numerator 21 · Denominator 135 |
| Staff flu vaccination coverage | 29.79% |
42%
12.2 pts worse
|
Numerator 42 · Denominator 141 |
| Discharge function score | 59.46% |
56.45%
3 pts better
|
Numerator 22 · Denominator 37 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 95.65% |
96.28%
0.6 pts worse
|
Numerator 22 · Denominator 23 |
| Resident COVID-19 vaccinations up to date | 95.65% |
25.2%
70.5 pts better
|
Numerator 22 · Denominator 23 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.5
About the same
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 0.9 · Expected 1.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.7
0.2 pts worse
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.3 · Expected 1.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.9% |
93.2%
0.3 pts worse
|
93.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 92.4% · Q2 92.3% · Q3 93.5% · Q4 93.6% · 4Q avg 92.9% |
| 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 | 3.5% |
3.6%
0.1 pts better
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.6% · Q3 5.2% · Q4 3.8% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.6% |
14.6%
11 pts better
|
11.4%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 2.7% · Q3 4.0% · Q4 2.6% · 4Q avg 3.6% |
| Percentage of long-stay residents who lose too much weight | 2.6% |
5.3%
2.7 pts better
|
5.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.7% · Q3 1.9% · Q4 5.2% · 4Q avg 2.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.3% |
16.4%
3.9 pts worse
|
19.6%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.6% · Q2 23.3% · Q3 18.9% · Q4 18.3% · 4Q avg 20.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.1% |
23.6%
7.5 pts better
|
16.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 13.3% · Q3 12.5% · Q4 18.0% · 4Q avg 16.1% · 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 | 13.1% |
17.0%
3.9 pts better
|
16.3%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 14.2% · Q3 11.0% · Q4 10.6% · 4Q avg 13.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.8% |
18.4%
4.6 pts better
|
14.9%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 5.8% · Q3 12.8% · Q4 15.1% · 4Q avg 13.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% |
1.0%
0.9 pts worse
|
1.0%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.8% · Q3 1.8% · Q4 1.1% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
2.2%
0.4 pts worse
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 5.3% · Q4 2.6% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.4% |
22.3%
14.9 pts better
|
19.8%
12.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 6.9% · Q3 7.7% · Q4 12.7% · 4Q avg 7.4% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
4.7%
0.3 pts worse
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 5.1% · Q3 5.9% · Q4 4.1% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.6% |
77.2%
16.4 pts better
|
81.7%
11.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 75.9% · Q2 91.7% · Q3 100.0% · Q4 100.0% · 4Q avg 93.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.7% |
15.8%
0.9 pts worse
|
12.0%
4.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.7% · Observed 17.1% · Expected 11.4% · 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 | 86.5% |
78.2%
8.3 pts better
|
79.7%
6.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.2% |
25.1%
6.9 pts better
|
23.9%
5.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.2% · Observed 17.1% · Expected 22.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-23 · Fire 2024-02-23
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-12-09 · Fire 2022-12-09
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-02-05
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-03-07
F · Potential for more than minimal harm
2025-02-05
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-07
F · Potential for more than minimal harm
2025-02-05
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-03-07
F · Potential for more than minimal harm
2022-12-09
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-31
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-02-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-07
D · Potential for more than minimal harm
2025-02-05
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-07
D · Potential for more than minimal harm
2025-02-05
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-07
D · Potential for more than minimal harm
2025-02-05
F744 · Quality of Life and Care Deficiencies
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2025-03-07
D · Potential for more than minimal harm
2024-07-15
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-08-09
D · Potential for more than minimal harm
2024-03-07
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 2024-04-01
E · Potential for more than minimal harm
2024-02-23
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-22
E · Potential for more than minimal harm
2024-02-23
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 2024-03-22
E · Potential for more than minimal harm
2024-02-23
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-03-22
K · Immediate jeopardy
2023-09-29
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-10-20
J · Immediate jeopardy
2023-09-29
F728 · Nursing and Physician Services Deficiencies
Health
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2023-10-20
G · Actual harm
2023-09-29
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-20
G · Actual harm
2023-09-29
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 2023-10-20
F · Potential for more than minimal harm
2022-12-09
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 2023-01-08
D · Potential for more than minimal harm
2022-12-09
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-01-08
D · Potential for more than minimal harm
2022-12-09
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-01-08
D · Potential for more than minimal harm
2022-12-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-08
Penalties and ownership
What sits behind the stars
$114,806
2023-09-29
Fine
Fine · fine $114,806
Fine
Ownership
Lescault, Mark
5% Or Greater Direct Ownership Interest · Individual
Lescault, Mary
5% Or Greater Direct Ownership Interest · Individual
Lescault, Mark
Corporate Director · Individual
Lescault, Mark
Corporate Officer · Individual
Lescault, Mark
W-2 Managing Employee · Individual
Lescault, Mary
Corporate Director · Individual
Lescault, Mary
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Crestwood Nursing & Rehabilitation Center Inc
Warren, RI
3-star overall rating with 4-star inspections with $216,645 in total fines with 2 recent health deficiencies
#2
Warren Operations RI, LLC DBA Warren Center
Warren, RI
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Country Gardens Health And Rehabilitation Center
Swansea, MA
1-star overall rating with 1-star inspections with $24,635 in total fines with 17 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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