Cycle 1
Health 2024-10-31 · Fire 2024-10-31
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Bristol, RI
Silver Creek Rehab and Healthcare Center
3-star overall rating with 2-star inspections with $216,258 in total fines with 3 recent health deficiencies
7 Creek Lane, Bristol, RI
(401) 253-3000
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
128
Certified beds
Average residents
112
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Green Tree Healthcare Management
Operator or chain grouping
Approved since
1971-01-13
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 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
0.68
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.39
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
2.35
Nurse aide staffing · state 2.46 · national 2.35
Total nurse hours
3.42
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.07
RN + LPN hours · state 1.25 · national 1.54
Weekend hours
3.03
Weekend nurse staffing · state 3.30 · national 3.43
Weekend RN hours
0.51
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.69
CMS adjusted RN staffing hours
Adjusted total hours
3.45
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 38% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,983
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.86
Composite VBP score used to determine payment impact.
Payment multiplier
0.9948
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.92
Baseline 21.95% · Performance 19.28% · Measure score 4.92 · Achievement 4.64 · Improvement 4.92
Healthcare-associated infections
5.41
Baseline 5.70% · Performance 6.22% · Measure score 5.41 · Achievement 5.41 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
2.23
Baseline 3.87 hours · Performance 3.71 hours · Measure score 2.23 · Achievement 2.23 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.15% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 77 · Observed rate 7.79% · Lower 95% interval 6.33% |
| Discharge to community | 52.44% |
50.57%
1.9 pts better
|
No Different than the National Rate · Eligible stays 60 · Observed rate 46.67% · Lower 95% interval 42.4% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 94.55% |
95.27%
0.7 pts worse
|
Numerator 52 · Denominator 55 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 55 |
| Discharge self-care score | 58.54% |
53.69%
4.9 pts better
|
Numerator 24 · Denominator 41 |
| Discharge mobility score | 60.98% |
50.94%
10 pts better
|
Numerator 25 · Denominator 41 |
| Pressure ulcers or injuries, new or worsened | 5.45% |
2.29%
3.2 pts worse
|
Numerator 3 · Denominator 55 · Adjusted rate 6.12% |
| Healthcare-associated infections requiring hospitalization | 6.22% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 45 · Observed rate 2.22% · Lower 95% interval 3.49% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 169 |
| Staff flu vaccination coverage | 30.22% |
42%
11.8 pts worse
|
Numerator 42 · Denominator 139 |
| Discharge function score | 65.85% |
56.45%
9.4 pts better
|
Numerator 27 · Denominator 41 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 25 · Denominator 25 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 68.75% |
25.2%
43.5 pts better
|
Numerator 22 · Denominator 32 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.5
0.2 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.7
0.6 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.6% |
93.2%
1.4 pts better
|
93.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 82.7% · Q2 96.8% · Q3 100.0% · Q4 99.0% · 4Q avg 94.6% |
| 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 | 3.1% |
3.6%
0.5 pts better
|
3.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 3.2% · Q3 4.2% · Q4 3.0% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 14.0% |
14.6%
0.6 pts better
|
11.4%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 16.7% · Q3 12.0% · Q4 10.2% · 4Q avg 14.0% |
| Percentage of long-stay residents who lose too much weight | 7.5% |
5.3%
2.2 pts worse
|
5.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 7.9% · Q3 8.1% · Q4 6.7% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.7% |
16.4%
2.7 pts better
|
19.6%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 13.3% · Q3 12.5% · Q4 12.1% · 4Q avg 13.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.9% |
23.6%
1.7 pts better
|
16.7%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 25.0% · Q3 20.9% · Q4 22.1% · 4Q avg 21.9% · 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 | 10.6% |
17.0%
6.4 pts better
|
16.3%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 8.9% · Q3 21.3% · Q4 9.9% · 4Q avg 10.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.3% |
18.4%
3.9 pts worse
|
14.9%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 25.9% · Q3 27.5% · Q4 25.0% · 4Q avg 22.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
2.2%
1.4 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 2.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.5% |
22.3%
11.2 pts worse
|
19.8%
13.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q2 38.5% · Q3 38.1% · Q4 25.5% · 4Q avg 33.5% |
| Percentage of long-stay residents with pressure ulcers | 5.6% |
4.7%
0.9 pts worse
|
5.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 3.3% · Q3 8.5% · Q4 3.3% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 64.5% |
77.2%
12.7 pts worse
|
81.7%
17.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 53.8% · Q3 78.7% · Q4 94.4% · 4Q avg 64.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.3% |
15.8%
7.5 pts better
|
12.0%
3.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.3% · Observed 7.8% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.9%
1.4 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 67.0% |
78.2%
11.2 pts worse
|
79.7%
12.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 67.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.5% |
25.1%
5.6 pts better
|
23.9%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.5% · Observed 17.6% · Expected 21.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-02 · Fire 2023-11-02
12 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-07-28 · Fire 2022-07-28
10 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
L · Immediate jeopardy
2025-01-27
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 2025-02-12
H · Actual harm
2024-10-31
F691 · Quality of Life and Care Deficiencies
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2024-11-30
E · Potential for more than minimal harm
2024-10-31
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-30
D · Potential for more than minimal harm
2024-10-31
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-30
J · Immediate jeopardy
2024-08-13
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 2024-08-22
J · Immediate jeopardy
2024-08-13
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-08-22
J · Immediate jeopardy
2024-08-02
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 2024-08-22
D · Potential for more than minimal harm
2024-08-02
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 2024-08-22
G · Actual harm
2023-12-28
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-27
G · Actual harm
2023-12-28
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-01-27
E · Potential for more than minimal harm
2023-11-02
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-12-02
E · Potential for more than minimal harm
2023-11-02
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 2023-12-02
E · Potential for more than minimal harm
2023-11-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-02
D · Potential for more than minimal harm
2023-11-02
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-02
D · Potential for more than minimal harm
2023-11-02
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-02
D · Potential for more than minimal harm
2023-11-02
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-12-02
D · Potential for more than minimal harm
2023-11-02
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-12-02
G · Actual harm
2023-08-16
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-09-15
F · Potential for more than minimal harm
2022-07-28
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 2022-08-27
E · Potential for more than minimal harm
2022-07-28
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-08-27
E · Potential for more than minimal harm
2022-07-28
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-08-27
E · Potential for more than minimal harm
2022-07-28
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 2022-08-27
D · Potential for more than minimal harm
2022-07-28
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-08-27
D · Potential for more than minimal harm
2022-07-28
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-08-27
D · Potential for more than minimal harm
2022-07-28
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2022-08-27
Penalties and ownership
What sits behind the stars
$15,873
2025-01-27
Fine
Fine · fine $15,873
Fine
$68,640
2024-10-31
Fine
Fine · fine $68,640
Fine
$92,267
2024-08-02
Fine
Fine · fine $92,267
Fine
$30,830
2023-12-28
Fine
Fine · fine $30,830
Fine
$8,648
2023-08-16
Fine
Fine · fine $8,648
Fine
Ownership
Rhode Island Healthcare Holdco 1 LLC
5% Or Greater Direct Ownership Interest · Organization
Blundo, Nathan
Operational/Managerial Control · Individual
Dasari, Naresh
Operational/Managerial Control · Individual
Dasay 2019 Trust
5% Or Greater Indirect Ownership Interest · Organization
Gamta 2020 Trust
5% Or Greater Indirect Ownership Interest · Organization
Gri SNF Investors LLC
5% Or Greater Indirect Ownership Interest · Organization
Mri SNF Investors LLC
5% Or Greater Indirect Ownership Interest · Organization
Stern, Aharon
5% Or Greater Indirect Ownership Interest · Individual
Stern, Aharon
Operational/Managerial Control · Individual
Stern, Simon
5% Or Greater Indirect Ownership Interest · Individual
Stern, Simon
Operational/Managerial Control · Individual
Stern, Simon
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
The Dawn Hill Home for Rehab and Healthcare
Bristol, RI
3-star overall rating with 3-star inspections with $33,765 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Warren Operations RI, LLC DBA Warren Center
Warren, RI
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Grace Barker Nursing Center
Warren, RI
3-star overall rating with 3-star inspections with $114,806 in total fines with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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