Cycle 1
Health 2024-11-04 · Fire 2024-11-04
3 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Providence, RI
Steere House Nursing and Rehabilitation Center
4-star overall rating with 3-star inspections with $85,654 in total fines with 3 recent health deficiencies
100 Borden Street, Providence, RI
(401) 454-7970
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
104
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1991-05-01
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
0.90
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
3.30
Nurse aide staffing · state 2.46 · national 2.35
Total nurse hours
4.57
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.27
RN + LPN hours · state 1.25 · national 1.54
Weekend hours
4.06
Weekend nurse staffing · state 3.30 · national 3.43
Weekend RN hours
0.70
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.98
CMS adjusted RN staffing hours
Adjusted total hours
5.01
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
22%
Annual RN turnover · state 38% · national 45%
Total nurse turnover
21%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
352
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
72.24
Composite VBP score used to determine payment impact.
Payment multiplier
1.0234
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.57
Baseline 20.87% · Performance 17.92% · Measure score 7.57 · Achievement 7.57 · Improvement 7.17
Healthcare-associated infections
6.32
Baseline 4.60% · Performance 5.95% · Measure score 6.32 · Achievement 6.32 · Improvement 0
Total nurse turnover
8.56
Performance 28.70% · Measure score 8.56 · Achievement 8.56 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
6.45
Baseline 4.64 hours · Performance 4.91 hours · Measure score 6.45 · Achievement 6.45 · Improvement 1.88
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.49% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 178 · Observed rate 8.43% · Lower 95% interval 7.73% |
| Discharge to community | 68.42% |
50.57%
17.9 pts better
|
Better than the National Rate · Eligible stays 155 · Observed rate 70.32% · Lower 95% interval 60.5% |
| Medicare spending per beneficiary | 0.75 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 98.47% |
95.27%
3.2 pts better
|
Numerator 129 · Denominator 131 |
| Falls with major injury | 0.76% |
0.77%
About the same
|
Numerator 1 · Denominator 131 |
| Discharge self-care score | 42.72% |
53.69%
11 pts worse
|
Numerator 44 · Denominator 103 |
| Discharge mobility score | 50.49% |
50.94%
0.4 pts worse
|
Numerator 52 · Denominator 103 |
| Pressure ulcers or injuries, new or worsened | 4.58% |
2.29%
2.3 pts worse
|
Numerator 6 · Denominator 131 · Adjusted rate 5.52% |
| Healthcare-associated infections requiring hospitalization | 5.95% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 108 · Observed rate 2.78% · Lower 95% interval 3.74% |
| Staff COVID-19 vaccination coverage | 10.34% |
8.2%
2.1 pts better
|
Numerator 15 · Denominator 145 |
| Staff flu vaccination coverage | 35.17% |
42%
6.8 pts worse
|
Numerator 83 · Denominator 236 |
| Discharge function score | 51.46% |
56.45%
5 pts worse
|
Numerator 53 · Denominator 103 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 107 · Denominator 107 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | 31.43% |
25.2%
6.2 pts better
|
Numerator 22 · Denominator 70 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.5 |
1.5
1 pts better
|
1.9
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.7
1.2 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.7% |
93.2%
4.5 pts better
|
93.4%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 97.8% · Q3 96.6% · Q4 98.8% · 4Q avg 97.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.8% |
95.3%
4.5 pts worse
|
95.5%
4.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
3.6%
1.1 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.2% · Q3 2.3% · Q4 3.6% · 4Q avg 2.5% · 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 | 2.3% |
5.3%
3 pts better
|
5.4%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.9% · Q3 0.0% · Q4 3.2% · 4Q avg 2.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.8% |
16.4%
3.6 pts better
|
19.6%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 11.6% · Q3 14.9% · Q4 17.5% · 4Q avg 12.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 32.8% |
23.6%
9.2 pts worse
|
16.7%
16.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 33.3% · Q3 37.9% · Q4 31.6% · 4Q avg 32.8% · 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 | 13.8% |
17.0%
3.2 pts better
|
16.3%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 14.4% · Q3 9.8% · Q4 14.0% · 4Q avg 13.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.7% |
18.4%
4.7 pts better
|
14.9%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 21.3% · Q3 6.6% · Q4 14.3% · 4Q avg 13.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.0%
0.5 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 0.0% · Q4 0.7% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
2.2%
0.8 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 2.3% · Q4 2.4% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.6% |
22.3%
0.7 pts better
|
19.8%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 26.6% · Q3 19.9% · Q4 20.6% · 4Q avg 21.6% |
| Percentage of long-stay residents with pressure ulcers | 5.4% |
4.7%
0.7 pts worse
|
5.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 4.1% · Q3 7.5% · Q4 6.3% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.6% |
77.2%
12.4 pts better
|
81.7%
7.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.8% · Q2 89.0% · Q3 87.7% · Q4 88.3% · 4Q avg 89.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.7% |
15.8%
4.1 pts better
|
12.0%
0.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 11.0% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.9%
1 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.2% · Q3 1.1% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.7% |
78.2%
0.5 pts better
|
79.7%
1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 78.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.5% |
25.1%
2.4 pts worse
|
23.9%
3.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.5% · Observed 22.9% · Expected 19.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-30 · Fire 2023-11-30
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2022-09-19 · Fire 2022-09-19
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
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
2023-11-30
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-12-30
F · Potential for more than minimal harm
2023-11-30
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-12-30
Inspection history
Recent health citations
K · Immediate jeopardy
2024-11-04
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 2024-11-25
E · Potential for more than minimal harm
2024-11-04
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 2024-11-25
E · Potential for more than minimal harm
2024-11-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-25
G · Actual harm
2024-07-30
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 2024-08-29
G · Actual harm
2024-07-30
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 2024-08-29
D · Potential for more than minimal harm
2024-07-30
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 2024-08-29
G · Actual harm
2023-11-30
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 2023-12-30
D · Potential for more than minimal harm
2023-11-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-30
F · Potential for more than minimal harm
2022-09-19
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 2022-10-03
Penalties and ownership
What sits behind the stars
$35,165
2024-11-04
Fine
Fine · fine $35,165
Fine
$42,588
2024-07-30
Fine
Fine · fine $42,588
Fine
$7,901
2023-11-30
Fine
Fine · fine $7,901
Fine
Ownership
Astphan, Paul
Corporate Officer · Individual
Cannistra, Linda
Corporate Officer · Individual
Higgins, Chelsie
W-2 Managing Employee · Individual
Owens, Norma
Corporate Director · Individual
Owens, Norma
Corporate Officer · Individual
Plante, Nicole
W-2 Managing Employee · Individual
Richard, Julie
Corporate Director · Individual
Richard, Julie
W-2 Managing Employee · Individual
Steere-Nobles, Diane
Corporate Director · Individual
Steere-Nobles, Diane
Corporate Officer · Individual
Nearby options
Other facilities in reach
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Adviniacare Providence Dodge Rehab Center, LLC
Providence, RI
1-star overall rating with 2-star inspections with abuse icon flag with $67,874 in total fines with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Elmwood Nursing and Rehabilitation Center
Providence, RI
2-star overall rating with 3-star inspections with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Tockwotton on the Waterfront
East Providence, RI
5-star overall rating with 4-star inspections with $8,628 in total fines with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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