East Providence, RI

Tockwotton on the Waterfront

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

500 Waterfront Drive, East Providence, RI

(401) 272-5280

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 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

52

Certified beds

Average residents

49

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

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

1.07

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.61

Licensed practical nurse staffing · state 0.51 · national 0.87

Aide hours / resident day

3.32

Nurse aide staffing · state 2.46 · national 2.35

Total nurse hours

5.00

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.67

RN + LPN hours · state 1.25 · national 1.54

Weekend hours

4.25

Weekend nurse staffing · state 3.30 · national 3.43

Weekend RN hours

0.73

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

1.10

CMS adjusted RN staffing hours

Adjusted total hours

5.17

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

53%

Annual RN turnover · state 38% · national 45%

Total nurse turnover

34%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,891

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

Performance score

47.12

Composite VBP score used to determine payment impact.

Payment multiplier

1.0006

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.49

Baseline 21.46% · Performance 20.74% · Measure score 1.49 · Achievement 1.49 · Improvement 1.12

Healthcare-associated infections

5.18

Baseline 7.33% · Performance 6.29% · Measure score 5.18 · Achievement 5.18 · Improvement 3.97

Total nurse turnover

7.16

Baseline 33.33% · Performance 34.43% · Measure score 7.16 · Achievement 7.16 · Improvement 0

Adjusted total nurse staffing

5.03

Baseline 4.93 hours · Performance 4.51 hours · Measure score 5.03 · Achievement 5.03 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.14%
10.72%
1.6 pts better
No Different than the National Rate · Eligible stays 203 · Observed rate 5.42% · Lower 95% interval 6.7%
Discharge to community 61.77%
50.57%
11.2 pts better
Better than the National Rate · Eligible stays 194 · Observed rate 64.95% · Lower 95% interval 55.78%
Medicare spending per beneficiary 0.87
1.02
0.2 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 105 · Denominator 105
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 105
Discharge self-care score 61.29%
53.69%
7.6 pts better
Numerator 57 · Denominator 93
Discharge mobility score 72.04%
50.94%
21.1 pts better
Numerator 67 · Denominator 93
Pressure ulcers or injuries, new or worsened 2.86%
2.29%
0.6 pts worse
Numerator 3 · Denominator 105 · Adjusted rate 4.09%
Healthcare-associated infections requiring hospitalization 6.29%
7.12%
0.8 pts better
No Different than the National Rate · Eligible stays 114 · Observed rate 3.51% · Lower 95% interval 3.59%
Staff COVID-19 vaccination coverage 25.61%
8.2%
17.4 pts better
Numerator 21 · Denominator 82
Staff flu vaccination coverage 89.6%
42%
47.6 pts better
Numerator 112 · Denominator 125
Discharge function score 75.27%
56.45%
18.8 pts better
Numerator 70 · Denominator 93
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to patient 97.53%
96.28%
1.2 pts better
Numerator 79 · Denominator 81
Resident COVID-19 vaccinations up to date 58.33%
25.2%
33.1 pts better
Numerator 28 · Denominator 48

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.2
1.5
0.7 pts worse
1.9
0.3 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.8 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.6
1.7
1.1 pts better
1.8
1.2 pts better
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.0%
93.2%
0.8 pts better
93.4%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 91.9% · Q2 100.0% · Q3 89.7% · Q4 94.9% · 4Q avg 94.0%
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 0.7%
3.6%
2.9 pts better
3.3%
2.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · 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 5.3%
5.3%
About the same
5.4%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 5.9% · Q3 9.4% · Q4 3.0% · 4Q avg 5.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.1%
16.4%
2.3 pts better
19.6%
5.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 17.6% · Q3 11.8% · Q4 12.1% · 4Q avg 14.1%
Percentage of long-stay residents who received an antipsychotic medication 23.2%
23.6%
0.4 pts better
16.7%
6.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 36.4% · Q2 26.1% · Q3 19.2% · Q4 12.5% · 4Q avg 23.2% · 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 16.5%
17.0%
0.5 pts better
16.3%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 17.0%
18.4%
1.4 pts better
14.9%
2.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 14.3% · Q3 19.2% · Q4 20.0% · 4Q avg 17.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.1%
1.0%
0.1 pts worse
1.0%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.2% · Q4 2.1% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
2.2%
2.2 pts better
1.7%
1.7 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 new or worsened bowel or bladder incontinence 2.5%
22.3%
19.8 pts better
19.8%
17.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.5% · Q3 0.0% · Q4 3.1% · 4Q avg 2.5%
Percentage of long-stay residents with pressure ulcers 2.3%
4.7%
2.4 pts better
5.1%
2.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.5% · Q3 4.2% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 78.6%
77.2%
1.4 pts better
81.7%
3.1 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 79.7% · Q2 75.9% · Q3 82.2% · Q4 76.6% · 4Q avg 78.6%
Percentage of short-stay residents who had an outpatient emergency department visit 16.8%
15.8%
1 pts worse
12.0%
4.8 pts worse
Short Stay · 20240701-20250630 · Adjusted 16.8% · Observed 15.4% · Expected 10.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 3.1%
1.9%
1.2 pts worse
1.6%
1.5 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 4.1% · Q3 2.3% · Q4 4.7% · 4Q avg 3.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 80.7%
78.2%
2.5 pts better
79.7%
1 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 31.9%
25.1%
6.8 pts worse
23.9%
8 pts worse
Short Stay · 20240701-20250630 · Adjusted 31.9% · Observed 25.6% · Expected 19.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-13 · Fire 2025-02-13

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2024-02-29 · Fire 2024-02-29

4 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-01-13 · Fire 2023-01-13

2 health deficiencies

Top issue: Environmental (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-02-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-03-04

Inspection history

Recent health citations

G · Actual harm 2025-02-25

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-03-01

D · Potential for more than minimal harm 2025-02-25

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-03-01

F · Potential for more than minimal harm 2025-02-13

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 2025-04-07

D · Potential for more than minimal harm 2025-02-13

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-13

D · Potential for more than minimal harm 2025-02-13

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-03-13

D · Potential for more than minimal harm 2025-02-13

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 2025-03-13

D · Potential for more than minimal harm 2025-02-13

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-03-13

D · Potential for more than minimal harm 2025-02-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-13

D · Potential for more than minimal harm 2024-02-29

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-29

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-03-15

F · Potential for more than minimal harm 2023-01-13

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 2023-02-10

D · Potential for more than minimal harm 2023-01-13

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-02-10

Penalties and ownership

What sits behind the stars

$8,628 2025-02-13

Fine

Fine · fine $8,628

Fine

Ownership

Allen, Gregory

Corporate Director · Individual

0% 1 facilities 2018-05-08
Atchison, James

Corporate Director · Individual

0% 1 facilities 2020-05-12
Barham, Lonnie

Corporate Director · Individual

0% 1 facilities 2015-05-12
Bone, Arthur

Corporate Director · Individual

0% 1 facilities 2013-05-14
Boss, Alyssa

Corporate Director · Individual

0% 1 facilities 2019-05-14
Dasilva-Tavarez, Emilia

Corporate Director · Individual

0% 1 facilities 2022-07-01
Heidtman, Debora

Corporate Director · Individual

0% 1 facilities 2021-05-11
Kroessler, David

Corporate Director · Individual

0% 1 facilities 2015-05-12
Lafauci, Brian

Corporate Director · Individual

0% 1 facilities 2017-05-09
Mccance-Katz, Elinore

Corporate Director · Individual

0% 1 facilities 2021-05-11
Mcgee, Christopher

Operational/Managerial Control · Individual

0% 1 facilities 2025-03-01
Mcgee, Christopher

Corporate Officer · Individual

0% 1 facilities 2025-03-01
Raimondo, Marianne

Corporate Director · Individual

0% 1 facilities 2016-05-10
Yepez, Rafael

Corporate Director · Individual

0% 1 facilities 2020-05-12

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Health
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Staffing
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Fines
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#3

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Health
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Staffing
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Fines
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