North Smithfield, RI

St Antoine Residence

2-star overall rating with 2-star inspections with abuse icon flag with $46,420 in total fines with 10 recent health deficiencies

10 Rhodes Avenue, North Smithfield, RI

(401) 767-3500

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

260

Certified beds

Average residents

168

Average occupied residents

Ownership

Non-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

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

0.64

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.57

Licensed practical nurse staffing · state 0.51 · national 0.87

Aide hours / resident day

2.65

Nurse aide staffing · state 2.46 · national 2.35

Total nurse hours

3.85

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.21

RN + LPN hours · state 1.25 · national 1.54

Weekend hours

3.24

Weekend nurse staffing · state 3.30 · national 3.43

Weekend RN hours

0.34

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

0.77

CMS adjusted RN staffing hours

Adjusted total hours

4.60

CMS adjusted total nurse staffing hours

Case-mix index

1.15

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 38% · national 45%

Total nurse turnover

42%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,784

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

Performance score

28.78

Composite VBP score used to determine payment impact.

Payment multiplier

0.9851

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 24.32% · Performance 26.48% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 6.41% · Performance 8.06% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

7.59

Baseline 26.05% · Performance 32.67% · Measure score 7.59 · Achievement 7.59 · Improvement 0

Adjusted total nurse staffing

3.92

Baseline 3.19 hours · Performance 4.19 hours · Measure score 3.92 · Achievement 3.92 · Improvement 3.37

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.02%	10.72% 0.3 pts worse	No Different than the National Rate · Eligible stays 261 · Observed rate 10.73% · Lower 95% interval 7.65%
Discharge to community	59.89%	50.57% 9.3 pts better	Better than the National Rate · Eligible stays 265 · Observed rate 55.09% · Lower 95% interval 52.98%
Medicare spending per beneficiary	0.85	1.02 0.2 pts better
Drug regimen review with follow-up	97.53%	95.27% 2.3 pts better	Numerator 158 · Denominator 162
Falls with major injury	2.47%	0.77% 1.7 pts worse	Numerator 4 · Denominator 162
Discharge self-care score	53.62%	53.69% 0.1 pts worse	Numerator 74 · Denominator 138
Discharge mobility score	61.59%	50.94% 10.7 pts better	Numerator 85 · Denominator 138
Pressure ulcers or injuries, new or worsened	3.09%	2.29% 0.8 pts worse	Numerator 5 · Denominator 162 · Adjusted rate 3.87%
Healthcare-associated infections requiring hospitalization	8.06%	7.12% 0.9 pts worse	No Different than the National Rate · Eligible stays 165 · Observed rate 7.88% · Lower 95% interval 5.03%
Staff COVID-19 vaccination coverage	3.2%	8.2% 5 pts worse	Numerator 8 · Denominator 250
Staff flu vaccination coverage	51.89%	42% 9.9 pts better	Numerator 151 · Denominator 291
Discharge function score	65.94%	56.45% 9.5 pts better	Numerator 91 · Denominator 138
Transfer of health information to provider	96%	95.95% About the same	Numerator 24 · Denominator 25
Transfer of health information to patient	99.08%	96.28% 2.8 pts better	Numerator 108 · Denominator 109
Resident COVID-19 vaccinations up to date	34.94%	25.2% 9.7 pts better	Numerator 29 · Denominator 83

Quality measures

Resident outcomes and process scores

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 1.1 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.9	1.7 0.2 pts worse	1.8 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.0 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.8%	93.2% 5.6 pts better	93.4% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 98.6% · Q3 99.3% · Q4 98.0% · 4Q avg 98.8%
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	5.1%	3.6% 1.5 pts worse	3.3% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 3.5% · Q3 5.6% · Q4 7.4% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.9%	14.6% 9.7 pts better	11.4% 6.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 9.2% · Q3 3.6% · Q4 0.7% · 4Q avg 4.9%
Percentage of long-stay residents who lose too much weight	6.9%	5.3% 1.6 pts worse	5.4% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 9.1% · Q3 5.6% · Q4 6.7% · 4Q avg 6.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.4%	16.4% 4 pts worse	19.6% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 21.3% · Q3 20.2% · Q4 18.4% · 4Q avg 20.4%
Percentage of long-stay residents who received an antipsychotic medication	24.5%	23.6% 0.9 pts worse	16.7% 7.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 26.0% · Q3 25.5% · Q4 21.3% · 4Q avg 24.5% · 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	11.5%	17.0% 5.5 pts better	16.3% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 14.7% · Q3 5.7% · Q4 15.7% · 4Q avg 11.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.2%	18.4% 7.2 pts better	14.9% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 10.4% · Q3 9.0% · Q4 17.7% · 4Q avg 11.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.7%	1.0% 0.7 pts worse	1.0% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 2.0% · Q3 2.0% · Q4 1.2% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	5.0%	2.2% 2.8 pts worse	1.7% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 5.6% · Q3 5.6% · Q4 4.1% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.6%	22.3% 2.7 pts better	19.8% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 23.0% · Q3 16.8% · Q4 23.9% · 4Q avg 19.6%
Percentage of long-stay residents with pressure ulcers	2.9%	4.7% 1.8 pts better	5.1% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.8% · Q3 1.9% · Q4 4.0% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.1%	77.2% 16.9 pts better	81.7% 12.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 92.8% · Q2 94.0% · Q3 95.3% · Q4 94.4% · 4Q avg 94.1%
Percentage of short-stay residents who had an outpatient emergency department visit	21.8%	15.8% 6 pts worse	12.0% 9.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 21.8% · Observed 20.0% · Expected 10.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.6%	1.9% 0.3 pts better	1.6% About the same	Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.7% · Q3 0.0% · Q4 1.9% · 4Q avg 1.6% · 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	34.8%	25.1% 9.7 pts worse	23.9% 10.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 34.8% · Observed 28.6% · Expected 19.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-24 · Fire 2024-10-24

10 health deficiencies

Top issue: Infection Control (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-01-12 · Fire 2024-01-12

9 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 2022-11-17 · Fire 2022-11-17

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.

Inspection history

Recent health citations

G · Actual harm 2025-09-16

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-06

D · Potential for more than minimal harm 2025-07-01

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-07-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-18

G · Actual harm 2025-04-08

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 2025-04-18

J · Immediate jeopardy 2025-03-24

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-04-04

J · Immediate jeopardy 2025-03-24

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-04-04

F · Potential for more than minimal harm 2024-10-24

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 2024-11-20

E · Potential for more than minimal harm 2024-10-24

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-20

E · Potential for more than minimal harm 2024-10-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-20

D · Potential for more than minimal harm 2024-10-24

F710 · Nursing and Physician Services Deficiencies

Health

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Corrected 2024-11-20

G · Actual harm 2024-01-12

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 2024-02-06

F · Potential for more than minimal harm 2024-01-12

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-02-06

F · Potential for more than minimal harm 2024-01-12

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 2024-02-06

E · Potential for more than minimal harm 2024-01-12

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2024-02-06

E · Potential for more than minimal harm 2024-01-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-02-06

E · Potential for more than minimal harm 2024-01-12

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-02-06

D · Potential for more than minimal harm 2024-01-12

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-02-06

D · Potential for more than minimal harm 2024-01-12

F691 · Quality of Life and Care Deficiencies

Health

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2024-01-03

D · Potential for more than minimal harm 2024-01-12

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-02-06

G · Actual harm 2023-03-23

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 2023-03-23

F · Potential for more than minimal harm 2022-11-17

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 2022-12-16

E · Potential for more than minimal harm 2022-11-17

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 2022-12-16

E · Potential for more than minimal harm 2022-11-17

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 2022-12-16

E · Potential for more than minimal harm 2022-11-17

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-12-16

E · Potential for more than minimal harm 2022-11-17

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2022-12-16

E · Potential for more than minimal harm 2022-11-17

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 2022-12-16