8 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Central Falls, RI
4-star overall rating with 4-star inspections with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
104 Clay Street, Central Falls, RI
(401) 722-0830
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
62
Certified beds
Average residents
51
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1991-04-03
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
RN hours / resident day
0.52
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.41
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
2.31
Nurse aide staffing · state 2.46 · national 2.35
Total nurse hours
3.23
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
0.93
RN + LPN hours · state 1.25 · national 1.54
Weekend hours
2.95
Weekend nurse staffing · state 3.30 · national 3.43
Weekend RN hours
0.40
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.67
CMS adjusted RN staffing hours
Adjusted total hours
4.18
CMS adjusted total nurse staffing hours
Case-mix index
1.06
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 38% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Program rank
7,869
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.56
Composite VBP score used to determine payment impact.
Payment multiplier
0.9850
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
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
1.82
Baseline 48.78% · Performance 56.25% · Measure score 1.82 · Achievement 1.82 · Improvement 0
Adjusted total nurse staffing
3.89
Baseline 3.91 hours · Performance 4.19 hours · Measure score 3.89 · Achievement 3.89 · Improvement 0.97
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 6 · 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 4 · 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 Not Available · No data were submitted for this measure. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 1 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 7.32% |
8.2%
0.9 pts worse
|
Numerator 6 · Denominator 82 |
| 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 Not Available · No data were submitted for this measure. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 81.3% |
93.2%
11.9 pts worse
|
93.4%
12.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 88.2% · Q2 79.2% · Q3 77.8% · Q4 80.4% · 4Q avg 81.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.3% |
95.3%
6 pts worse
|
95.5%
6.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.7% |
3.6%
3.1 pts worse
|
3.3%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 5.7% · Q3 7.4% · Q4 5.9% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.8% |
14.6%
8.8 pts better
|
11.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 6.1% · Q3 2.2% · Q4 7.7% · 4Q avg 5.8% |
| Percentage of long-stay residents who lose too much weight | 4.0% |
5.3%
1.3 pts better
|
5.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 3.9% · Q3 2.0% · Q4 2.1% · 4Q avg 4.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.5% |
16.4%
14.1 pts worse
|
19.6%
10.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.0% · Q2 29.4% · Q3 27.5% · Q4 33.3% · 4Q avg 30.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 51.2% |
23.6%
27.6 pts worse
|
16.7%
34.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 60.9% · Q3 45.8% · Q4 50.0% · 4Q avg 51.2% · 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 | 20.2% |
17.0%
3.2 pts worse
|
16.3%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.6% · Q2 16.6% · Q3 19.0% · Q4 24.8% · 4Q avg 20.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.2% |
18.4%
1.2 pts better
|
14.9%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 9.3% · Q3 23.3% · Q4 9.5% · 4Q avg 17.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.4% |
1.0%
1.4 pts worse
|
1.0%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 1.6% · Q3 2.7% · Q4 1.5% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
2.2%
0.8 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.7% · Q4 2.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.9% |
22.3%
0.6 pts worse
|
19.8%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.5% · Q2 25.1% · Q3 19.6% · Q4 18.3% · 4Q avg 22.9% |
| Percentage of long-stay residents with pressure ulcers | 9.0% |
4.7%
4.3 pts worse
|
5.1%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 12.7% · Q3 8.2% · Q4 5.3% · 4Q avg 9.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 63.9% |
77.2%
13.3 pts worse
|
81.7%
17.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 63.9% |
Survey summary
Top issue: Pharmacy Service (3 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Resident Rights (4 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Use approved construction type or materials.
Corrected 2025-07-14
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2025-07-14
Fire Safety
Provide at least two remote exits on each floor or fire section of the building.
Corrected 2025-07-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-08-17
Fire Safety
Use approved construction type or materials.
Corrected 2017-06-24
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 2024-07-26
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2017-06-24
Fire Safety
Provide at least two remote exits on each floor or fire section of the building.
Corrected 2017-06-24
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-07-26
Fire Safety
Use approved construction type or materials.
Corrected 2023-08-20
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2023-08-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-08-20
Fire Safety
Provide at least two remote exits on each floor or fire section of the building.
Corrected 2023-08-20
Inspection history
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-02-20
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-01-15
Health
Ensure that residents are free from significant medication errors.
Corrected 2026-01-15
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-08-17
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 2025-08-17
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-08-17
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-08-17
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2025-08-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-04
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-04
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 2024-08-04
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-08-04
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-08-04
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-04
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-08-04
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-08-04
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-08-04
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-08-04
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 2023-09-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-20
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 2023-08-20
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2023-08-20
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-08-20
Health
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected 2023-08-20
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2023-08-20
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-20
Health
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2023-08-20
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-07-06
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Central Falls, RI
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
Pawtucket, RI
5-star overall rating with 5-star inspections
Pawtucket, RI
1-star overall rating with 2-star inspections with $21,964 in total fines with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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