20 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Smithfield, RI
2-star overall rating with 1-star inspections with Special Focus status with $17,475 in total fines with 20 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
80 Douglas Pike, Smithfield, RI
(401) 231-2700
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
100
Certified beds
Average residents
84
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Marquis Health Services
Operator or chain grouping
Approved since
1974-03-31
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
81 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 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
0.60
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.89
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
2.28
Nurse aide staffing · state 2.46 · national 2.35
Total nurse hours
3.77
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.49
RN + LPN hours · state 1.25 · national 1.54
Weekend hours
3.32
Weekend nurse staffing · state 3.30 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.55
CMS adjusted RN staffing hours
Adjusted total hours
3.46
CMS adjusted total nurse staffing hours
Case-mix index
1.49
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 38% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Program rank
8,276
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.28
Composite VBP score used to determine payment impact.
Payment multiplier
0.9845
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.40
Baseline 20.10% · Performance 20.32% · Measure score 2.40 · Achievement 2.40 · Improvement 0
Healthcare-associated infections
6.67
Baseline 6.35% · Performance 5.84% · Measure score 6.67 · Achievement 6.67 · Improvement 3.24
Total nurse turnover
0.61
Baseline 37.14% · Performance 61.17% · Measure score 0.61 · Achievement 0.61 · Improvement 0
Adjusted total nurse staffing
1.23
Baseline 3.69 hours · Performance 3.43 hours · Measure score 1.23 · Achievement 1.23 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.83% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 141 · Observed rate 11.35% · Lower 95% interval 7.69% |
| Discharge to community | 62.2% |
50.57%
11.6 pts better
|
Better than the National Rate · Eligible stays 117 · Observed rate 56.41% · Lower 95% interval 53.65% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 62 · Denominator 62 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 62 |
| Discharge self-care score | 65.96% |
53.69%
12.3 pts better
|
Numerator 31 · Denominator 47 |
| Discharge mobility score | 70.21% |
50.94%
19.3 pts better
|
Numerator 33 · Denominator 47 |
| Pressure ulcers or injuries, new or worsened | 1.61% |
2.29%
0.7 pts better
|
Numerator 1 · Denominator 62 · Adjusted rate 1.97% |
| Healthcare-associated infections requiring hospitalization | 5.84% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 58 · Observed rate 1.72% · Lower 95% interval 2.99% |
| Staff COVID-19 vaccination coverage | 48.89% |
8.2%
40.7 pts better
|
Numerator 66 · Denominator 135 |
| Staff flu vaccination coverage | 54.29% |
42%
12.3 pts better
|
Numerator 76 · Denominator 140 |
| Discharge function score | 74.47% |
56.45%
18 pts better
|
Numerator 35 · Denominator 47 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 22 · Denominator 22 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 26 · Denominator 26 |
| Resident COVID-19 vaccinations up to date | 16.67% |
25.2%
8.5 pts worse
|
Numerator 5 · Denominator 30 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
93.2%
4.8 pts better
|
93.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 93.3% · Q2 98.6% · Q3 100.0% · Q4 100.0% · 4Q avg 98.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.9% |
95.3%
0.4 pts worse
|
95.5%
0.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.6%
3.6 pts better
|
3.3%
3.3 pts better
|
Long 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 long-stay residents who have depressive symptoms | 52.9% |
14.6%
38.3 pts worse
|
11.4%
41.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.8% · Q2 46.2% · Q3 60.5% · Q4 69.6% · 4Q avg 52.9% |
| Percentage of long-stay residents who lose too much weight | 9.4% |
5.3%
4.1 pts worse
|
5.4%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.2% · Q3 13.9% · Q4 10.6% · 4Q avg 9.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.9% |
16.4%
6.5 pts better
|
19.6%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 9.1% · Q3 11.0% · Q4 8.7% · 4Q avg 9.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.4% |
23.6%
3.2 pts better
|
16.7%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 20.0% · Q3 23.3% · Q4 20.4% · 4Q avg 20.4% · 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 | 8.6% |
17.0%
8.4 pts better
|
16.3%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 5.2% · Q3 9.7% · Q4 9.5% · 4Q avg 8.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.3% |
18.4%
9.1 pts better
|
14.9%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 6.3% · Q3 5.8% · Q4 7.8% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
1.0%
0.8 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.2% · Used in QM five-star |
| 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 · 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 new or worsened bowel or bladder incontinence | 24.4% |
22.3%
2.1 pts worse
|
19.8%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.8% · Q2 24.2% · Q3 16.8% · Q4 26.9% · 4Q avg 24.4% |
| 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 · Q1 2.5% · Q2 3.8% · Q3 8.5% · Q4 2.9% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.1% |
77.2%
3.9 pts better
|
81.7%
0.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 62.4% · Q2 81.2% · Q3 97.4% · Q4 95.3% · 4Q avg 81.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.0% |
15.8%
2.8 pts better
|
12.0%
1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.0% · Observed 12.9% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.9%
0.9 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 0.0% · Q4 2.8% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 75.6% |
78.2%
2.6 pts worse
|
79.7%
4.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 75.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.8% |
25.1%
6.3 pts better
|
23.9%
5.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.8% · Observed 19.4% · Expected 24.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Quality of Life and Care (9 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Quality of Life and Care (10 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-10-18
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-10-13
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-02-06
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-02-06
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-02-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-18
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-10-18
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 2025-10-18
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-10-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-10-18
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-10-18
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 2025-10-18
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 2025-10-18
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-10-18
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-10-18
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-10-18
Health
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
Corrected 2025-10-18
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-10-18
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-18
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-10-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-18
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-18
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-30
Health
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2025-01-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-30
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-13
Health
Implement a program that monitors antibiotic use.
Corrected 2024-10-13
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-13
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-13
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-13
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-10-13
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 2024-10-13
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 2024-10-13
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-10-13
Health
Honor each resident's preferences, choices, values and beliefs.
Corrected 2024-10-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-13
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-10-13
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-13
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-30
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-08-30
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 2024-05-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-09
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 2024-03-27
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-03-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-03
Health
Implement a program that monitors antibiotic use.
Corrected 2023-11-03
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-11-03
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-11-03
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-11-03
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-11-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-03
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-11-03
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-11-03
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 2023-11-03
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-11-03
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 2023-11-03
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-03
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-03
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-03
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-09-25
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 2023-09-25
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-09-05
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-09-05
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-08-11
Health
Provide or obtain dental services for each resident.
Corrected 2023-08-11
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-11
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-11
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-07-26
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-07-26
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-07-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-05-17
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-05-17
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-05-17
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-04-10
Penalties and ownership
Payment Denial · denial start 2025-10-15 · 3 days
3 day denial
Fine · fine $8,827
Fine
Fine · fine $8,648
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · 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
Nearby options
North Providence, RI
2-star overall rating with 2-star inspections with $82,360 in total fines with 14 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
North Providence, RI
4-star overall rating with 4-star inspections with $40,508 in total fines with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Johnston, RI
5-star overall rating with 4-star inspections with $6,201 in total fines with 9 recent health deficiencies
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