4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
North Kingstown, RI
5-star overall rating with 5-star inspections with 4 recent health deficiencies
25 Roberts Way, North Kingstown, RI
(401) 294-3587
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
66
Certified beds
Average residents
64
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1992-01-01
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
0.93
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.49
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
3.37
Nurse aide staffing · state 2.46 · national 2.35
Total nurse hours
4.79
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.42
RN + LPN hours · state 1.25 · national 1.54
Weekend hours
4.36
Weekend nurse staffing · state 3.30 · national 3.43
Weekend RN hours
0.73
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.04
CMS adjusted RN staffing hours
Adjusted total hours
5.32
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
45%
Annual RN turnover · state 38% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Program rank
4,549
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.49
Composite VBP score used to determine payment impact.
Payment multiplier
0.9925
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 19.13% · Performance 21.68% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
4.86
Baseline 4.94% · Performance 6.38% · Measure score 4.86 · Achievement 4.86 · Improvement 0
Total nurse turnover
4.54
Baseline 41.67% · Performance 45.12% · Measure score 4.54 · Achievement 4.54 · Improvement 0
Adjusted total nurse staffing
6.40
Baseline 4.64 hours · Performance 4.90 hours · Measure score 6.40 · Achievement 6.40 · Improvement 1.73
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.71% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 238 · Observed rate 8.82% · Lower 95% interval 8.27% |
| Discharge to community | 60.24% |
50.57%
9.7 pts better
|
Better than the National Rate · Eligible stays 226 · Observed rate 61.95% · Lower 95% interval 55.09% |
| Medicare spending per beneficiary | 0.73 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 94.85% |
95.27%
0.4 pts worse
|
Numerator 129 · Denominator 136 |
| Falls with major injury | 0.74% |
0.77%
About the same
|
Numerator 1 · Denominator 136 |
| Discharge self-care score | 74.56% |
53.69%
20.9 pts better
|
Numerator 85 · Denominator 114 |
| Discharge mobility score | 72.81% |
50.94%
21.9 pts better
|
Numerator 83 · Denominator 114 |
| Pressure ulcers or injuries, new or worsened | 3.68% |
2.29%
1.4 pts worse
|
Numerator 5 · Denominator 136 · Adjusted rate 4.61% |
| Healthcare-associated infections requiring hospitalization | 6.38% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 129 · Observed rate 3.88% · Lower 95% interval 3.63% |
| Staff COVID-19 vaccination coverage | 6.09% |
8.2%
2.1 pts worse
|
Numerator 7 · Denominator 115 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 71.05% |
56.45%
14.6 pts better
|
Numerator 81 · Denominator 114 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 92.23% |
96.28%
4 pts worse
|
Numerator 95 · Denominator 103 |
| Resident COVID-19 vaccinations up to date | 27.12% |
25.2%
1.9 pts better
|
Numerator 16 · Denominator 59 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.5
0.4 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.7
0.1 pts better
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
93.2%
6.3 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.5% |
| 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 | 3.2% |
3.6%
0.4 pts better
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 4.3% · Q3 4.5% · Q4 2.0% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.4% |
14.6%
9.2 pts better
|
11.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 11.4% · Q3 7.0% · Q4 2.0% · 4Q avg 5.4% |
| Percentage of long-stay residents who lose too much weight | 3.5% |
5.3%
1.8 pts better
|
5.4%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 5.7% · Q4 5.3% · 4Q avg 3.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.3% |
16.4%
7.1 pts better
|
19.6%
10.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 15.0% · Q3 11.1% · Q4 5.3% · 4Q avg 9.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.4% |
23.6%
6.2 pts better
|
16.7%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 25.8% · Q3 13.3% · Q4 12.5% · 4Q avg 17.4% · 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 | 8.9% |
17.0%
8.1 pts better
|
16.3%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.8% · Q2 10.9% · Q3 2.8% · Q4 7.3% · 4Q avg 8.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.6% |
18.4%
5.8 pts better
|
14.9%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 12.8% · Q3 5.7% · Q4 8.1% · 4Q avg 12.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
1.0%
0.1 pts worse
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 2.3% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
2.2%
1.7 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.3% |
22.3%
2 pts better
|
19.8%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.4% · Q2 28.3% · Q3 15.4% · Q4 11.5% · 4Q avg 20.3% |
| Percentage of long-stay residents with pressure ulcers | 2.7% |
4.7%
2 pts better
|
5.1%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 6.2% · Q3 0.0% · Q4 2.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.8% |
77.2%
16.6 pts better
|
81.7%
12.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.4% · Q2 89.7% · Q3 93.5% · Q4 98.6% · 4Q avg 93.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.9% |
15.8%
6.9 pts better
|
12.0%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.9% · Observed 7.9% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% |
1.9%
0.1 pts worse
|
1.6%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 2.3% · Q4 3.7% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.7% |
78.2%
4.5 pts better
|
79.7%
3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.7% |
25.1%
1.6 pts worse
|
23.9%
2.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.7% · Observed 19.8% · Expected 17.7% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-05-31
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-31
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-05-31
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-05-31
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2025-05-31
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Nearby options
North Kingstown, RI
4-star overall rating with 4-star inspections with $14,433 in total fines with 4 recent health deficiencies
East Greenwich, RI
3-star overall rating with 2-star inspections with abuse icon flag with $64,230 in total fines with 4 recent health deficiencies
North Kingstown, RI
4-star overall rating with 3-star inspections with $27,940 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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