7 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cumberland, RI
4-star overall rating with 3-star inspections with $7,901 in total fines with 7 recent health deficiencies
100 Chambers Street, Cumberland, RI
(401) 724-7500
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
72
Certified beds
Average residents
66
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Genesis Healthcare
Operator or chain grouping
Approved since
1968-01-02
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
193 facilities
Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars
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
RN hours / resident day
1.22
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.21
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
2.26
Nurse aide staffing · state 2.46 · national 2.35
Total nurse hours
3.69
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.43
RN + LPN hours · state 1.25 · national 1.54
Weekend hours
3.26
Weekend nurse staffing · state 3.30 · national 3.43
Weekend RN hours
1.02
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.17
CMS adjusted RN staffing hours
Adjusted total hours
3.54
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
32%
Annual RN turnover · state 38% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Program rank
7,294
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.16
Composite VBP score used to determine payment impact.
Payment multiplier
0.9858
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 17.43% · Performance 21.73% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
4.81
Baseline 5.59% · Performance 6.40% · Measure score 4.81 · Achievement 4.81 · Improvement 0
Total nurse turnover
6.12
Baseline 61.04% · Performance 38.67% · Measure score 6.12 · Achievement 6.12 · Improvement 5.68
Adjusted total nurse staffing
1.13
Baseline 3.65 hours · Performance 3.40 hours · Measure score 1.13 · Achievement 1.13 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.89% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 127 · Observed rate 7.87% · Lower 95% interval 6.88% |
| Discharge to community | 60.82% |
50.57%
10.2 pts better
|
Better than the National Rate · Eligible stays 115 · Observed rate 59.13% · Lower 95% interval 52.29% |
| Medicare spending per beneficiary | 0.96 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 101 · Denominator 101 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 101 |
| Discharge self-care score | 51.35% |
53.69%
2.3 pts worse
|
Numerator 38 · Denominator 74 |
| Discharge mobility score | 51.35% |
50.94%
0.4 pts better
|
Numerator 38 · Denominator 74 |
| Pressure ulcers or injuries, new or worsened | 2.97% |
2.29%
0.7 pts worse
|
Numerator 3 · Denominator 101 · Adjusted rate 3.61% |
| Healthcare-associated infections requiring hospitalization | 6.4% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 71 · Observed rate 4.23% · Lower 95% interval 3.56% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 110 |
| Staff flu vaccination coverage | 30.05% |
42%
11.9 pts worse
|
Numerator 64 · Denominator 213 |
| Discharge function score | 55.41% |
56.45%
1 pts worse
|
Numerator 41 · Denominator 74 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 40 · Denominator 40 |
| Transfer of health information to patient | 97.87% |
96.28%
1.6 pts better
|
Numerator 46 · Denominator 47 |
| Resident COVID-19 vaccinations up to date | 18.18% |
25.2%
7 pts worse
|
Numerator 10 · Denominator 55 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
93.2%
5.8 pts better
|
93.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.9% |
95.3%
0.6 pts better
|
95.5%
0.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.1% |
3.6%
1.5 pts better
|
3.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.1% · Q3 2.0% · Q4 2.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 35.1% |
14.6%
20.5 pts worse
|
11.4%
23.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 27.3% · Q3 41.7% · Q4 48.9% · 4Q avg 35.1% |
| Percentage of long-stay residents who lose too much weight | 6.2% |
5.3%
0.9 pts worse
|
5.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 7.0% · Q3 2.3% · Q4 8.9% · 4Q avg 6.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.6% |
16.4%
6.8 pts better
|
19.6%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 7.0% · Q3 9.1% · Q4 15.2% · 4Q avg 9.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.6% |
23.6%
14 pts better
|
16.7%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 9.4% · Q3 9.8% · Q4 9.8% · 4Q avg 9.6% · 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 | 3.4% |
17.0%
13.6 pts better
|
16.3%
12.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 7.1% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.0% |
18.4%
8.4 pts better
|
14.9%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 4.9% · Q3 4.7% · Q4 11.4% · 4Q avg 10.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.0%
0.5 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.1% |
2.2%
0.1 pts better
|
1.7%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 2.1% · Q3 0.0% · Q4 2.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.2% |
22.3%
1.9 pts worse
|
19.8%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.5% · Q2 28.7% · Q3 17.1% · Q4 23.5% · 4Q avg 24.2% |
| Percentage of long-stay residents with pressure ulcers | 3.7% |
4.7%
1 pts better
|
5.1%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 1.7% · Q3 1.8% · Q4 5.9% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.7% |
77.2%
15.5 pts better
|
81.7%
11 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 92.4% · Q3 89.8% · Q4 93.5% · 4Q avg 92.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.7% |
15.8%
3.1 pts better
|
12.0%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.7% · Observed 11.4% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.9%
0.7 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.9% · Q3 0.9% · Q4 1.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.7% |
78.2%
12.5 pts better
|
79.7%
11 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.7% |
25.1%
3.4 pts better
|
23.9%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 20.3% · Expected 22.2% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (5 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-08-31
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-09-01
Inspection history
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-10-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-09
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-09
Health
Implement a program that monitors antibiotic use.
Corrected 2025-09-09
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-09-09
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-09-09
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-06
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-31
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-08-31
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-08-31
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-31
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-08-31
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-08-31
Health
Provide activities to meet all resident's needs.
Corrected 2024-08-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-31
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-08-31
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2024-08-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-24
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-08-24
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-24
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-24
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-12
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-08-12
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-05-05
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-05-12
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 2023-05-12
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-12
Penalties and ownership
Fine · fine $7,901
Fine
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Director · Individual
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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2-star overall rating with 1-star inspections with $10,033 in total fines with 19 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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Pawtucket, RI
5-star overall rating with 5-star inspections
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