East Greenwich, RI

Saint Elizabeth Home East Greenwich

3-star overall rating with 2-star inspections with abuse icon flag with $64,230 in total fines with 4 recent health deficiencies

1 Saint Elizabeth Way, East Greenwich, RI

(401) 471-6060

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

168

Certified beds

Average residents

149

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1967-01-01

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

Hours and turnover

RN hours / resident day

1.05

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.37

Licensed practical nurse staffing · state 0.51 · national 0.87

Aide hours / resident day

3.68

Nurse aide staffing · state 2.46 · national 2.35

Total nurse hours

5.10

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

4.53

Weekend nurse staffing · state 3.30 · national 3.43

Weekend RN hours

0.64

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

1.13

CMS adjusted RN staffing hours

Adjusted total hours

5.46

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

23%

Annual RN turnover · state 38% · national 45%

Total nurse turnover

36%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,390

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

Performance score

57.04

Composite VBP score used to determine payment impact.

Payment multiplier

1.0122

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 19.02% · Performance 21.74% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

8.34

Baseline 4.69% · Performance 5.34% · Measure score 8.34 · Achievement 8.34 · Improvement 0

Total nurse turnover

6.99

Baseline 44.00% · Performance 35.12% · Measure score 6.99 · Achievement 6.99 · Improvement 4.14

Adjusted total nurse staffing

7.49

Baseline 5.33 hours · Performance 5.21 hours · Measure score 7.49 · Achievement 7.49 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.25%
10.72%
1.5 pts better
No Different than the National Rate · Eligible stays 349 · Observed rate 6.02% · Lower 95% interval 6.73%
Discharge to community 65.53%
50.57%
15 pts better
Better than the National Rate · Eligible stays 337 · Observed rate 69.44% · Lower 95% interval 60.3%
Medicare spending per beneficiary 0.8
1.02
0.2 pts better
Drug regimen review with follow-up 98.56%
95.27%
3.3 pts better
Numerator 205 · Denominator 208
Falls with major injury 0.96%
0.77%
0.2 pts worse
Numerator 2 · Denominator 208
Discharge self-care score 56.5%
53.69%
2.8 pts better
Numerator 100 · Denominator 177
Discharge mobility score 61.02%
50.94%
10.1 pts better
Numerator 108 · Denominator 177
Pressure ulcers or injuries, new or worsened 0.96%
2.29%
1.3 pts better
Numerator 2 · Denominator 208 · Adjusted rate 1.49%
Healthcare-associated infections requiring hospitalization 5.34%
7.12%
1.8 pts better
No Different than the National Rate · Eligible stays 188 · Observed rate 2.13% · Lower 95% interval 3.32%
Staff COVID-19 vaccination coverage 16.33%
8.2%
8.1 pts better
Numerator 48 · Denominator 294
Staff flu vaccination coverage 73.95%
42%
32 pts better
Numerator 247 · Denominator 334
Discharge function score 58.19%
56.45%
1.7 pts better
Numerator 103 · Denominator 177
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 34 · Denominator 34
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 144 · Denominator 144
Resident COVID-19 vaccinations up to date 54.55%
25.2%
29.3 pts better
Numerator 54 · Denominator 99

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.7
1.5
1.2 pts worse
1.9
0.8 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 1.8 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.2
1.7
0.5 pts better
1.8
0.6 pts better
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.9 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.0%
93.2%
3.8 pts better
93.4%
3.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 97.6% · Q3 94.6% · Q4 97.7% · 4Q avg 97.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.5%
95.3%
3.2 pts better
95.5%
3 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5%
Percentage of long-stay residents experiencing one or more falls with major injury 7.1%
3.6%
3.5 pts worse
3.3%
3.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 7.9% · Q3 6.9% · Q4 6.2% · 4Q avg 7.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
14.6%
14.6 pts better
11.4%
11.4 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 who lose too much weight 3.7%
5.3%
1.6 pts better
5.4%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.0% · Q3 3.9% · Q4 4.8% · 4Q avg 3.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.8%
16.4%
2.4 pts worse
19.6%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 21.8% · Q2 22.5% · Q3 17.0% · Q4 14.0% · 4Q avg 18.8%
Percentage of long-stay residents who received an antipsychotic medication 21.0%
23.6%
2.6 pts better
16.7%
4.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 23.3% · Q3 20.7% · Q4 19.6% · 4Q avg 21.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.2%
0.1%
0.1 pts worse
0.1%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2%
Percentage of long-stay residents whose ability to walk independently worsened 27.0%
17.0%
10 pts worse
16.3%
10.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 31.1% · Q3 20.9% · Q4 28.7% · 4Q avg 27.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 30.0%
18.4%
11.6 pts worse
14.9%
15.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 46.8% · Q3 29.2% · Q4 21.2% · 4Q avg 30.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.7%
1.0%
0.3 pts better
1.0%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 1.3% · Q4 0.6% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.8%
2.2%
0.4 pts better
1.7%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 2.5% · Q3 3.1% · Q4 0.8% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 29.7%
22.3%
7.4 pts worse
19.8%
9.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 39.1% · Q2 22.2% · Q3 21.2% · Q4 36.3% · 4Q avg 29.7%
Percentage of long-stay residents with pressure ulcers 3.5%
4.7%
1.2 pts better
5.1%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 5.3% · Q3 2.9% · Q4 4.3% · 4Q avg 3.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.6%
77.2%
18.4 pts better
81.7%
13.9 pts better
Short Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 94.1% · Q3 95.4% · Q4 97.2% · 4Q avg 95.6%
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 10.8% · Expected 9.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.5%
1.9%
0.4 pts better
1.6%
0.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 2.2% · Q4 3.6% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 94.3%
78.2%
16.1 pts better
79.7%
14.6 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.4%
25.1%
2.7 pts better
23.9%
1.5 pts better
Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 17.5% · Expected 18.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-20 · Fire 2025-02-20

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-03-06 · Fire 2024-03-06

10 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-01-23 · Fire 2023-01-23

14 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-03-06

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-04-05

F · Potential for more than minimal harm 2024-03-06

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-05

F · Potential for more than minimal harm 2024-03-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-05

F · Potential for more than minimal harm 2024-03-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-03-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-04-05

C · Minimal harm 2024-03-06

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2024-04-05

F · Potential for more than minimal harm 2023-01-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-02-22

F · Potential for more than minimal harm 2023-01-23

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-02-22

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-28

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 2025-12-28

D · Potential for more than minimal harm 2025-06-04

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 2025-07-04

F · Potential for more than minimal harm 2025-02-20

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-03-22

E · Potential for more than minimal harm 2025-02-20

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-03-22

K · Immediate jeopardy 2025-01-13

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 2025-02-03

F · Potential for more than minimal harm 2025-01-13

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-02-03

J · Immediate jeopardy 2024-11-25

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-10-03

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 2024-11-02

D · Potential for more than minimal harm 2024-10-03

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-11-02

F · Potential for more than minimal harm 2024-03-06

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-03-06

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-03-06

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-03-06

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-03-06

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-01-22

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-02-21

E · Potential for more than minimal harm 2023-12-05

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2024-01-04

E · Potential for more than minimal harm 2023-12-05

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-01-04

D · Potential for more than minimal harm 2023-12-05

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-01-04

D · Potential for more than minimal harm 2023-07-14

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 2023-08-13

D · Potential for more than minimal harm 2023-07-14

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-08-13

F · Potential for more than minimal harm 2023-01-23

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-02-22

E · Potential for more than minimal harm 2023-01-23

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-02-22

D · Potential for more than minimal harm 2023-01-23

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-02-22

D · Potential for more than minimal harm 2023-01-23

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-02-22

D · Potential for more than minimal harm 2023-01-23

F693 · Quality of Life and Care Deficiencies

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 2023-02-22

D · Potential for more than minimal harm 2023-01-23

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-02-22

D · Potential for more than minimal harm 2023-01-23

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-02-22

D · Potential for more than minimal harm 2023-01-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-02-22

Penalties and ownership

What sits behind the stars

$49,797 2025-01-13

Fine

Fine · fine $49,797

Fine

$14,433 2024-11-25

Fine

Fine · fine $14,433

Fine

Ownership

Flaherty, Claire

Corporate Director · Individual

0% 1 facilities 2025-06-01
Loiselle, Mark

Corporate Director · Individual

0% 1 facilities 2014-10-27
Pease, Robert

Corporate Director · Individual

0% 1 facilities 2014-10-27
Trimble, Matthew

Operational/Managerial Control · Individual

0% 1 facilities 2014-10-27
Trimble, Matthew

Corporate Director · Individual

0% 1 facilities 2014-10-27
Trimble, Matthew

Corporate Officer · Individual

0% 1 facilities 2014-10-27

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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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Health
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Staffing
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Fines
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#2

Brentwood Health Center

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Overall
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Health
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Staffing
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Fines
$82,492
#3

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5-star overall rating with 5-star inspections with 4 recent health deficiencies

Overall
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Health
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Staffing
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Fines
$0

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