West Kingston, RI

Kingston Center For Rehabilitation And Health Care

4-star overall rating with 5-star inspections

415 Gardner Road, West Kingston, RI

(401) 295-8520

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

5 / 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

55

Certified beds

Average residents

0

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Centers Health Care

Operator or chain grouping

Approved since

1992-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

35 facilities

Chain averages 2 overall / 2 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

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

6,980

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

31.13

Composite VBP score used to determine payment impact.

Payment multiplier

0.9863

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

2.04

Baseline 83.67% · Performance 68.75% · Measure score 2.04 · Achievement 0 · Improvement 2.04

Adjusted total nurse staffing

4.19

Baseline 3.80 hours · Performance 4.27 hours · Measure score 4.19 · Achievement 4.19 · Improvement 1.87

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 7 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 3 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	77.4%	93.2% 15.8 pts worse	93.4% 16 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 75.0% · Q2 80.0% · 4Q avg 77.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	71.4%	95.3% 23.9 pts worse	95.5% 24.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 71.4%
Percentage of long-stay residents experiencing one or more falls with major injury	1.9%	3.6% 1.7 pts better	3.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	31.6%	14.6% 17 pts worse	11.4% 20.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.2% · 4Q avg 31.6%
Percentage of long-stay residents who lose too much weight	4.3%	5.3% 1 pts better	5.4% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.5% · 4Q avg 4.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.1%	16.4% 2.7 pts worse	19.6% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 18.2% · 4Q avg 19.1%
Percentage of long-stay residents who received an antipsychotic medication	16.7%	23.6% 6.9 pts better	16.7% About the same	Long Stay · 2024Q4-2025Q3 · 4Q avg 16.7% · 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% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	20.0%	17.0% 3 pts worse	16.3% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 20.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.6%	18.4% 0.2 pts worse	14.9% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 10.0% · 4Q avg 18.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	4.3%	1.0% 3.3 pts worse	1.0% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.5% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.9%	2.2% 0.3 pts better	1.7% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 0.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.3%	22.3% 5 pts better	19.8% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 20.5% · 4Q avg 17.3%
Percentage of long-stay residents with pressure ulcers	0.0%	4.7% 4.7 pts better	5.1% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-16 · Fire 2025-01-16

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-02-07 · Fire 2024-02-07

5 health deficiencies

Top issue: Infection Control (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-12-15 · Fire 2022-12-15

4 health deficiencies

Top issue: Environmental (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-02-07

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-03-07

F · Potential for more than minimal harm 2024-02-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-03-07

F · Potential for more than minimal harm 2024-02-07

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-03-07

D · Potential for more than minimal harm 2024-02-07

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-03-07

D · Potential for more than minimal harm 2024-02-07

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-03-07

F · Potential for more than minimal harm 2022-12-15

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-01-13

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-02-07

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-03-07

E · Potential for more than minimal harm 2024-02-07

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-03-07

E · Potential for more than minimal harm 2024-02-07

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-03-07

D · Potential for more than minimal harm 2024-02-07

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 2024-03-07

D · Potential for more than minimal harm 2024-02-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-07

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

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 2023-12-12

D · Potential for more than minimal harm 2023-08-11

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 2023-09-10

F · Potential for more than minimal harm 2022-12-15

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-01-13

E · Potential for more than minimal harm 2022-12-15

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 2023-01-13

Penalties and ownership