Cycle 1
Health 2024-08-16 · Fire 2024-08-16
7 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Warren, RI
Warren Operations RI, LLC DBA Warren Center
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
642 Metacom Avenue, Warren, RI
(401) 245-2860
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
63
Certified beds
Average residents
52
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1978-10-16
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
1.09
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.64
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
2.27
Nurse aide staffing · state 2.46 · national 2.35
Total nurse hours
3.99
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.73
RN + LPN hours · state 1.25 · national 1.54
Weekend hours
3.70
Weekend nurse staffing · state 3.30 · national 3.43
Weekend RN hours
0.83
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.98
CMS adjusted RN staffing hours
Adjusted total hours
3.59
CMS adjusted total nurse staffing hours
Case-mix index
1.52
Higher values indicate more complex resident acuity
RN turnover
53%
Annual RN turnover · state 38% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,756
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.14
Composite VBP score used to determine payment impact.
Payment multiplier
0.9889
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.17
Baseline 23.02% · Performance 21.42% · Measure score 2.17 · Achievement 0 · Improvement 2.17
Healthcare-associated infections
4.89
Baseline 5.75% · Performance 6.37% · Measure score 4.89 · Achievement 4.89 · Improvement 0
Total nurse turnover
7
Baseline 38.09% · Performance 35.09% · Measure score 7 · Achievement 7 · Improvement 1.77
Adjusted total nurse staffing
0
Baseline 3.56 hours · Performance 3.01 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.71% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 112 · Observed rate 7.14% · Lower 95% interval 6.65% |
| Discharge to community | 64.6% |
50.57%
14 pts better
|
Better than the National Rate · Eligible stays 116 · Observed rate 62.93% · Lower 95% interval 55.52% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 126 · Denominator 126 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 126 |
| Discharge self-care score | 55.17% |
53.69%
1.5 pts better
|
Numerator 48 · Denominator 87 |
| Discharge mobility score | 57.47% |
50.94%
6.5 pts better
|
Numerator 50 · Denominator 87 |
| Pressure ulcers or injuries, new or worsened | 3.97% |
2.29%
1.7 pts worse
|
Numerator 5 · Denominator 126 · Adjusted rate 4.28% |
| Healthcare-associated infections requiring hospitalization | 6.37% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 77 · Observed rate 3.9% · Lower 95% interval 3.22% |
| Staff COVID-19 vaccination coverage | 8.86% |
8.2%
0.7 pts better
|
Numerator 7 · Denominator 79 |
| Staff flu vaccination coverage | 88% |
42%
46 pts better
|
Numerator 132 · Denominator 150 |
| Discharge function score | 58.62% |
56.45%
2.2 pts better
|
Numerator 51 · Denominator 87 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 29 · Denominator 29 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 69 · Denominator 69 |
| Resident COVID-19 vaccinations up to date | 66.67% |
25.2%
41.5 pts better
|
Numerator 48 · Denominator 72 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.2% |
93.2%
2 pts better
|
93.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.4% · Q2 94.4% · Q3 94.3% · Q4 97.4% · 4Q avg 95.2% |
| 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 | 2.7% |
3.6%
0.9 pts better
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.8% · Q3 2.9% · Q4 2.6% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 52.9% |
14.6%
38.3 pts worse
|
11.4%
41.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 47.1% · Q2 52.9% · Q3 54.3% · Q4 56.8% · 4Q avg 52.9% |
| Percentage of long-stay residents who lose too much weight | 6.8% |
5.3%
1.5 pts worse
|
5.4%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 8.3% · Q3 12.5% · Q4 0.0% · 4Q avg 6.8% |
| 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 20.0% · Q2 12.0% · Q3 8.0% · Q4 10.3% · 4Q avg 12.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.7% |
23.6%
0.1 pts worse
|
16.7%
7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q3 25.0% · Q4 24.0% · 4Q avg 23.7% · 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 | 14.3% |
17.0%
2.7 pts better
|
16.3%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 13.5% · 4Q avg 14.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.1% |
18.4%
1.3 pts better
|
14.9%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 20.8% · Q3 20.8% · Q4 21.4% · 4Q avg 17.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.2% |
1.0%
1.2 pts worse
|
1.0%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.1% |
2.2%
0.1 pts better
|
1.7%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.9% · Q4 2.7% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.3% |
22.3%
7 pts better
|
19.8%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 13.1% · Q3 24.3% · Q4 16.9% · 4Q avg 15.3% |
| Percentage of long-stay residents with pressure ulcers | 10.9% |
4.7%
6.2 pts worse
|
5.1%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 14.0% · Q3 4.4% · Q4 11.4% · 4Q avg 10.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.4% |
77.2%
7.2 pts better
|
81.7%
2.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 89.8% · Q2 88.0% · Q3 82.9% · Q4 77.2% · 4Q avg 84.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.9% |
15.8%
8.9 pts better
|
12.0%
5.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.9% · Observed 6.4% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.9%
0.7 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 3.9% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.4% |
78.2%
4.2 pts better
|
79.7%
2.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.5% |
25.1%
6.6 pts better
|
23.9%
5.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.5% · Observed 16.7% · Expected 21.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-31 · Fire 2023-08-31
5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
5 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Cycle 3
Health 2022-07-20 · Fire 2022-07-20
5 health deficiencies
Top issue: Quality of Life and Care (2 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
2024-08-16
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-14
F · Potential for more than minimal harm
2024-08-16
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-14
E · Potential for more than minimal harm
2024-08-16
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-09-14
E · Potential for more than minimal harm
2024-08-16
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-09-14
E · Potential for more than minimal harm
2024-08-16
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-09-14
F · Potential for more than minimal harm
2023-08-31
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-09-27
F · Potential for more than minimal harm
2023-08-31
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-09-27
E · Potential for more than minimal harm
2023-08-31
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-09-27
E · Potential for more than minimal harm
2023-08-31
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-09-27
D · Potential for more than minimal harm
2023-08-31
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-27
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-12-18
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-01-17
E · Potential for more than minimal harm
2024-08-16
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-14
E · Potential for more than minimal harm
2024-08-16
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-09-14
E · Potential for more than minimal harm
2024-08-16
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-09-14
D · Potential for more than minimal harm
2024-08-16
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 2024-09-14
D · Potential for more than minimal harm
2024-08-16
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 2024-09-14
D · Potential for more than minimal harm
2024-08-16
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 2024-09-14
B · Minimal harm
2024-08-16
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-09-14
D · Potential for more than minimal harm
2024-02-12
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-02-14
D · Potential for more than minimal harm
2024-02-12
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 2024-02-14
F · Potential for more than minimal harm
2023-08-31
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 2023-09-27
D · Potential for more than minimal harm
2023-08-31
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-09-27
D · Potential for more than minimal harm
2023-08-31
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-09-27
D · Potential for more than minimal harm
2023-08-31
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 2023-09-27
E · Potential for more than minimal harm
2022-07-20
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-08-19
E · Potential for more than minimal harm
2022-07-20
F926 · Environmental Deficiencies
Health
Have policies on smoking.
Corrected 2022-08-19
D · Potential for more than minimal harm
2022-07-20
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 2022-08-19
Penalties and ownership
What sits behind the stars
Ownership
Mayflower Healthcare LLC
5% Or Greater Direct Ownership Interest · Organization
Schwartz, Zev
5% Or Greater Indirect Ownership Interest · Individual
Dufresne, Susan
Operational/Managerial Control · Individual
Juma, Robert
Operational/Managerial Control · Individual
Kirla, Navya
Operational/Managerial Control · Individual
Mayflower Healthcare LLC
Operational/Managerial Control · Organization
Ohi Asset (Ct) Lender, LLC
5% Or Greater Security Interest · Organization
Schwartz, Zev
Operational/Managerial Control · Individual
Wood, Jessica
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Grace Barker Nursing Center
Warren, RI
3-star overall rating with 3-star inspections with $114,806 in total fines with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Crestwood Nursing & Rehabilitation Center Inc
Warren, RI
3-star overall rating with 4-star inspections with $216,645 in total fines with 2 recent health deficiencies
#3
The Dawn Hill Home for Rehab and Healthcare
Bristol, RI
3-star overall rating with 3-star inspections with $33,765 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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