Federal inspection record · CMS data as of October 1, 2026
Silver Creek Rehab and Healthcare Center
7 Creek Lane, Bristol, RI · (401) 253-3000
- Certified beds
- 128
- Residents per day
- 115
- Ownership
- For-Profit
- Chain
- Green Tree Healthcare Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 13, 1971
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Rhode Island.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Rhode Island homes
Silver Creek Rehab and Healthcare Center carries 163 inspection points. That is fewer than 20% of Rhode Island's 71 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Rhode Island: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–54 pts
- 3★ 54–89 pts
- 2★ 89–177.5 pts
- 1★ over 177.5 pts
Bars show every rated home in Rhode Island by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
28 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (7)
-
L
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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H
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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J
Respond appropriately to all alleged violations.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care5D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Assessment and Care Planning4E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights3E
- E
Honor the resident's right to manage his or her financial affairs.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Pharmacy Service3E
- E
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
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.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Administration1D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2026-01-23
11 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2024-10-31
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-11-02
13 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 18 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
3 h 18 min
Rhode Island average
3 h 47 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 29% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$207,610 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-27 | Fine | $15,873 |
| 2024-10-31 | Fine | $68,640 |
| 2024-08-02 | Fine | $92,267 |
| 2023-12-28 | Fine | $30,830 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 1.8 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 1.8 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.3 pts better | 99.3% | 94.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.6 pts better | 99.1% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts better | 1.5% | 3.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.9 pts worse | 19.5% | 18.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts worse | 5.7% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.1 pts better | 12.0% | 17.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.5 pts worse | 26.0% | 22.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts worse | 0.2% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.8 pts better | 13.0% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.6 pts worse | 23.1% | 19.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.0% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 1.7% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9 pts worse | 30.4% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts better | 3.6% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13 pts better | 93.3% | 80.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit12.1 pts better | 2.9% | 15.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better | 1.8% | 2.0% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.5 pts worse | 72.2% | 77.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.2 pts better | 20.9% | 25.1% | 23.4% |
·
Who owns and runs it
15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Rhode Island Healthcare Holdco 1 LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Blundo, Nathan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Blundo, Nathan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dasari, Naresh | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Dasari, Naresh | Adp Of The SNF · Individual | 0% | 4 facilities |
| Dasay 2019 Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Gamta 2020 Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Gri SNF Investors LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Mri SNF Investors LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Stern, Aharon | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 10 facilities |
| Stern, Aharon | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Stern, Aharon | Adp Of The SNF · Individual | 0% | 10 facilities |
| Stern, Simon | Corporate Officer · Individual | 0% | 10 facilities |
| Stern, Simon | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Stern, Simon | Adp Of The SNF · Individual | 0% | 10 facilities |
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