North Kingstown, RI

South County Nursing and Rehabilitation

4-star overall rating with 4-star inspections with $14,433 in total fines with 4 recent health deficiencies

740 Oak Hill Road, North Kingstown, RI

(401) 294-4545

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

92

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Eden Healthcare

Operator or chain grouping

Approved since

1998-01-27

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

7 facilities

Chain averages 3 overall / 3 health / 3 staffing / 3 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

0.59

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.54

Licensed practical nurse staffing · state 0.51 · national 0.87

Aide hours / resident day

1.89

Nurse aide staffing · state 2.46 · national 2.35

Total nurse hours

3.02

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.13

RN + LPN hours · state 1.25 · national 1.54

Weekend hours

2.70

Weekend nurse staffing · state 3.30 · national 3.43

Weekend RN hours

0.49

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

0.71

CMS adjusted RN staffing hours

Adjusted total hours

3.68

CMS adjusted total nurse staffing hours

Case-mix index

1.12

Higher values indicate more complex resident acuity

RN turnover

47%

Annual RN turnover · state 38% · national 45%

Total nurse turnover

47%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,431

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

Performance score

44.35

Composite VBP score used to determine payment impact.

Payment multiplier

0.9974

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.56

Baseline 23.49% · Performance 20.87% · Measure score 3.56 · Achievement 1.22 · Improvement 3.56

Healthcare-associated infections

6.71

Baseline 6.36% · Performance 5.83% · Measure score 6.71 · Achievement 6.71 · Improvement 3.39

Total nurse turnover

5.81

Baseline 100.00% · Performance 52.56% · Measure score 5.81 · Achievement 2.72 · Improvement 5.81

Adjusted total nurse staffing

1.67

Baseline 3 hours · Performance 3.55 hours · Measure score 1.67 · Achievement 1.67 · Improvement 1.48

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.04%	10.72% 0.7 pts better	No Different than the National Rate · Eligible stays 93 · Observed rate 7.53% · Lower 95% interval 6.38%
Discharge to community	56.46%	50.57% 5.9 pts better	No Different than the National Rate · Eligible stays 75 · Observed rate 52% · Lower 95% interval 48.87%
Medicare spending per beneficiary	0.83	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 37 · Denominator 37
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 37
Discharge self-care score	31.82%	53.69% 21.9 pts worse	Numerator 7 · Denominator 22
Discharge mobility score	50%	50.94% 0.9 pts worse	Numerator 11 · Denominator 22
Pressure ulcers or injuries, new or worsened	2.7%	2.29% 0.4 pts worse	Numerator 1 · Denominator 37 · Adjusted rate 2.79%
Healthcare-associated infections requiring hospitalization	5.83%	7.12% 1.3 pts better	No Different than the National Rate · Eligible stays 43 · Observed rate 0% · Lower 95% interval 2.82%
Staff COVID-19 vaccination coverage	16.51%	8.2% 8.3 pts better	Numerator 18 · Denominator 109
Staff flu vaccination coverage	52.63%	42% 10.6 pts better	Numerator 60 · Denominator 114
Discharge function score	50%	56.45% 6.5 pts worse	Numerator 11 · Denominator 22
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	34.78%	25.2% 9.6 pts better	Numerator 8 · Denominator 23

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	1.5 0.3 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.1	1.7 0.4 pts worse	1.8 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.9 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.9%	93.2% 5.7 pts better	93.4% 5.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 100.0% · Q3 100.0% · Q4 97.5% · 4Q avg 98.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.0%	95.3% 3.7 pts better	95.5% 3.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.0%	3.6% 1.6 pts better	3.3% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 3.3% · Q3 1.1% · Q4 1.2% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.5%	14.6% 10.1 pts better	11.4% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 5.7% · Q3 3.7% · Q4 7.8% · 4Q avg 4.5%
Percentage of long-stay residents who lose too much weight	2.0%	5.3% 3.3 pts better	5.4% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.7% · Q3 4.2% · Q4 1.5% · 4Q avg 2.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.3%	16.4% 1.9 pts worse	19.6% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 22.4% · Q3 22.2% · Q4 13.6% · 4Q avg 18.3%
Percentage of long-stay residents who received an antipsychotic medication	30.9%	23.6% 7.3 pts worse	16.7% 14.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 35.0% · Q3 28.6% · Q4 32.7% · 4Q avg 30.9% · 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	16.0%	17.0% 1 pts better	16.3% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 23.6% · Q3 9.4% · Q4 6.8% · 4Q avg 16.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.6%	18.4% 0.8 pts better	14.9% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 25.7% · Q3 5.7% · Q4 14.5% · 4Q avg 17.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.6%	1.0% 0.4 pts better	1.0% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	2.2% 1.6 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 0.0% · Q4 1.3% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.0%	22.3% 0.7 pts worse	19.8% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 31.5% · Q3 17.2% · Q4 27.7% · 4Q avg 23.0%
Percentage of long-stay residents with pressure ulcers	2.1%	4.7% 2.6 pts better	5.1% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 2.9% · Q4 4.7% · 4Q avg 2.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	90.3%	77.2% 13.1 pts better	81.7% 8.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 87.0% · Q2 86.7% · Q3 94.7% · Q4 93.0% · 4Q avg 90.3%
Percentage of short-stay residents who had an outpatient emergency department visit	19.3%	15.8% 3.5 pts worse	12.0% 7.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 19.3% · Observed 20.6% · Expected 11.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	4.2%	1.9% 2.3 pts worse	1.6% 2.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 5.3% · Q3 2.8% · Q4 0.0% · 4Q avg 4.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	92.0%	78.2% 13.8 pts better	79.7% 12.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 92.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	18.8%	25.1% 6.3 pts better	23.9% 5.1 pts better	Short Stay · 20240701-20250630 · Adjusted 18.8% · Observed 17.6% · Expected 22.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-17 · Fire 2025-04-17

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-04-22 · Fire 2024-04-22

8 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-03-02 · Fire 2023-03-02

6 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-04-22

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-05-22

F · Potential for more than minimal harm 2024-04-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-22

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-04-17

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2025-05-17

E · Potential for more than minimal harm 2025-04-17

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-05-17

D · Potential for more than minimal harm 2025-04-17

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-05-17

D · Potential for more than minimal harm 2025-04-17

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-05-17

J · Immediate jeopardy 2024-11-18

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 2024-11-22

D · Potential for more than minimal harm 2024-09-19

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 2024-10-19

E · Potential for more than minimal harm 2024-08-29

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-09-18

F · Potential for more than minimal harm 2024-04-22

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 2024-05-22

D · Potential for more than minimal harm 2024-04-22

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-05-22

D · Potential for more than minimal harm 2024-04-22

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-05-22

D · Potential for more than minimal harm 2024-04-22

F849 · Administration Deficiencies

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 2024-05-22

D · Potential for more than minimal harm 2024-04-22