| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J9 | K3 | L· |
| Actual harm | G5 | H1 | I· |
| Potential harm | D34 | E24 | F19 |
| Minimal | A· | B3 | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 24, 2026 | Health | Health Complaint | 1 | Minimal | — | Open → |
| Jun 17, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 26, 2026 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Apr 27, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 14, 2026 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Apr 14, 2026 | Health | Health Standard | 15 | Immediate jeopardy | — | Open → |
| Nov 19, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 28, 2025 | Health | Health Complaint | 9 | Immediate jeopardy | — | Open → |
| Jul 31, 2025 | Fire safety | Fire Safety Complaint | 3 | Potential harm | — | Open → |
| Jun 30, 2025 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Apr 15, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 21, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Mar 21, 2025 | Health | Health Complaint, Health Standard | 14 | Potential harm | — | Open → |
| Aug 22, 2024 | Health | Health Complaint | 5 | Immediate jeopardy | — | Open → |
| Jul 18, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 11, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 6, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| May 23, 2024 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| May 14, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Apr 26, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 8, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Apr 8, 2024 | Health | Health Complaint, Health Standard | 4 | Actual harm | — | Open → |
| Mar 1, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Feb 6, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 26, 2023 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Nov 15, 2023 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 7, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 14, 2026 | Denial of payment for new admissions | — | May 7, 2026 · 39 days | 415078|Payment Denial|2026-05-07 |
| Apr 14, 2026 | Civil money penalty (fine) | $59,065 | — | 415078|Fine|140273 |
| Apr 14, 2026 | Civil money penalty (fine) | $27,378 | — | 415078|Fine|138982 |
| Oct 28, 2025 | Civil money penalty (fine) | $89,970 | — | 415078|Fine|137210 |
| Aug 22, 2024 | Denial of payment for new admissions | — | Sep 13, 2024 · 4 days | 415078|Payment Denial|2024-09-13 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J9 | K3 | L· |
| Actual harm | G5 | H1 | I· |
| Potential harm | D34 | E24 | F19 |
| Minimal | A· | B3 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 24, 2026 | F-0838 | 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. Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected Jul 17, 2026 | Complaint |
| Jun 17, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 17, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.54 (case-mix index 1.69).
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Mayflower Healthcare LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | May 23, 2025 |
| Zev Schwartz | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 23, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Mayflower Healthcare LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | May 23, 2025 |
| Zev Schwartz | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 23, 2025 |
| Zev Schwartz | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 23, 2025 |
| Mayflower Healthcare LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 23, 2025 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Alpine Nursing Home Inc 557 Weaver Hill Road, Coventry, RI 02816 CCN 415089 | 6.1 km | 60 | Jul 13, 2026 | 17 | — | |
| Riverview Healthcare Community 546 Main Street, Coventry, RI 02816 CCN 415082 | 7.5 km | 190 | Jun 17, 2026 | 333 IJ | $80k | |
| West View Nursing Home, Inc 239 Legris Avenue, West Warwick, RI 02893 CCN 415067 | 7.6 km | 120 | Jul 20, 2026 | 294 IJ6 harm | $112k | |
| Kent Regency Center 660 Commonwealth Avenue, Warwick, RI 02886 CCN 415009 | 9.9 km | 153 | Sep 5, 2025 | 20 | — | |
| Saint Elizabeth Home East Greenwich 1 Saint Elizabeth Way, East Greenwich, RI 02818 CCN 415010Abuse icon | 10.7 km | 168 | Apr 23, 2026 | 282 IJ | $64k | |
| Brentwood Health Center 4000 Post Road, Warwick, RI 02886 CCN 415061 | 11.8 km | 96 | Aug 20, 2026 | 452 harm1 open | — | |
| Greenwood Operations DBA Greenwood Center 1139 Main Avenue, Warwick, RI 02886 CCN 415008 | 12 km | 130 | Jun 26, 2026 | 533 IJ4 harm | $158k | |
| Kingston Center for Rehabilitation and Health Care 415 Gardner Road, West Kingston, RI 02892 CCN 415107 | 12.2 km | 55 | Jan 16, 2025 | 14 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 415078 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 415078 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Aug 22, 2024 | Civil money penalty (fine) | $47,990 | — | 415078|Fine|6812 |
| Apr 8, 2024 | Civil money penalty (fine) | $120,182 | — | 415078|Fine|6791 |
| Apr 8, 2024 | Civil money penalty (fine) | $8,824 | — | 415078|Fine|6769 |
| Feb 6, 2024 | Civil money penalty (fine) | $8,827 | — | 415078|Fine|6755 |
| Dec 26, 2023 | Civil money penalty (fine) | $9,318 | — | 415078|Fine|6723 |
| Complaint |
| May 26, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Jun 15, 2026 | Complaint |
| May 26, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 15, 2026 | Complaint |
| Apr 27, 2026 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 22, 2026 | Complaint |
| Apr 27, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 22, 2026 | Complaint |
| Apr 14, 2026 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | K · Immediate jeopardy Pattern | Corrected May 6, 2026 |
| Apr 14, 2026 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 6, 2026 |
| Apr 14, 2026 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 6, 2026 |
| Apr 14, 2026 | E-0029 | Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 6, 2026 |
| Apr 14, 2026 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 6, 2026 |
| Apr 14, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 6, 2026 |
| Apr 14, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 6, 2026 |
| Apr 14, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 6, 2026 |
| Apr 14, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 6, 2026 |
| Apr 14, 2026 | K-0541 | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 6, 2026 |
| Apr 14, 2026 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 6, 2026 |
| Apr 14, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 6, 2026 |
| Apr 14, 2026 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 6, 2026 |
| Apr 14, 2026 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected May 6, 2026 |
| Apr 14, 2026 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 6, 2026 |
| Apr 14, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 6, 2026 |
| Apr 14, 2026 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 6, 2026 |
| Apr 14, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 6, 2026 |
| Apr 14, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 6, 2026 |
| Apr 14, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 6, 2026 |
| Apr 14, 2026 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected May 6, 2026 |
| Apr 14, 2026 | F-0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected May 6, 2026 |
| Apr 14, 2026 | F-0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected May 6, 2026 |
| Apr 14, 2026 | F-0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected May 6, 2026 |
| Nov 19, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 10, 2025 | Complaint |
| Oct 28, 2025 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Nov 24, 2025 | Complaint |
| Oct 28, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | J · Immediate jeopardy Isolated | Corrected Nov 24, 2025 | Complaint |
| Oct 28, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Nov 24, 2025 | Complaint |
| Oct 28, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | G · Actual harm Isolated | Corrected Nov 24, 2025 | Complaint |
| Oct 28, 2025 | F-0726 | 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. Nursing and Physician Services Deficiencies · Staffing & supervision | H · Actual harm Pattern | Corrected Nov 24, 2025 | Complaint |
| Oct 28, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 24, 2025 | Complaint |
| Oct 28, 2025 | F-0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Nov 24, 2025 | Complaint |
| Oct 28, 2025 | F-0838 | 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. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Nov 24, 2025 | Complaint |
| Oct 28, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 24, 2025 | Complaint |
| Jul 31, 2025 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 19, 2025 | Complaint |
| Jul 31, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 19, 2025 | Complaint |
| Jul 31, 2025 | K-0300 | Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 19, 2025 | Complaint |
| Jun 30, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Jul 13, 2025 | Complaint |
| Jun 30, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | J · Immediate jeopardy Isolated | Corrected Jul 13, 2025 | Complaint |
| Jun 30, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Jul 13, 2025 | Complaint |
| Apr 15, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 28, 2025 | Complaint |
| Mar 21, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 17, 2025 |
| Mar 21, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 17, 2025 |
| Mar 21, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 17, 2025 |
| Mar 21, 2025 | F-0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 17, 2025 |
| Mar 21, 2025 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 17, 2025 |
| Mar 21, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 17, 2025 |
| Mar 21, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 17, 2025 |
| Mar 21, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 17, 2025 | Complaint |
| Mar 21, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 17, 2025 |
| Mar 21, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 17, 2025 |
| Mar 21, 2025 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 17, 2025 |
| Mar 21, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 17, 2025 |
| Mar 21, 2025 | F-0838 | 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. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Apr 17, 2025 |
| Mar 21, 2025 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Apr 17, 2025 |
| Mar 21, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 17, 2025 |
| Mar 21, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 17, 2025 |
| Aug 22, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Sep 17, 2024 | Complaint |
| Aug 22, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Sep 17, 2024 | Complaint |
| Aug 22, 2024 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Sep 17, 2024 | Complaint |
| Aug 22, 2024 | F-0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Sep 17, 2024 | Complaint |
| Aug 22, 2024 | F-0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Sep 17, 2024 | Complaint |
| Jul 18, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 6, 2024 | Complaint |
| Jul 18, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 6, 2024 | Complaint |
| Jul 11, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 6, 2024 | Complaint |
| Jun 6, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Jun 19, 2024 | Complaint |
| Jun 6, 2024 | F-0726 | 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. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jun 19, 2024 | Complaint |
| May 23, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 18, 2024 | Complaint |
| May 23, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 18, 2024 | Complaint |
| May 23, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 18, 2024 | Complaint |
| May 23, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 18, 2024 | Complaint |
| May 14, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | K · Immediate jeopardy Pattern | Corrected Jun 13, 2024 | Complaint |
| May 14, 2024 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | J · Immediate jeopardy Isolated | Corrected Jun 13, 2024 | Complaint |
| Apr 26, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 26, 2024 | Complaint |
| Apr 26, 2024 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 26, 2024 | Complaint |
| Apr 8, 2024 | F-0693 | 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. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected May 8, 2024 |
| Apr 8, 2024 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 8, 2024 |
| Apr 8, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 8, 2024 |
| Apr 8, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 31, 2024 |
| Apr 8, 2024 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 8, 2024 |
| Apr 8, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 8, 2024 |
| Apr 8, 2024 | F-0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 8, 2024 |
| Apr 8, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jun 13, 2024 | Complaint |
| Apr 8, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 8, 2024 |
| Mar 1, 2024 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Mar 15, 2024 | Complaint |
| Mar 1, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 15, 2024 | Complaint |
| Feb 6, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 7, 2024 | Complaint |
| Dec 26, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | J · Immediate jeopardy Isolated | Corrected Jan 15, 2024 | Complaint |
| Nov 15, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 5, 2023 | Complaint |
| Nov 15, 2023 | F-0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Dec 5, 2023 | Complaint |
| Nov 15, 2023 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 5, 2023 | Complaint |
| Nov 7, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 27, 2023 | Complaint |
| Nov 7, 2023 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 27, 2023 | Complaint |
| Morenike Adeoye | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 23, 2025 |
| Robert Juma | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 23, 2025 |
| Zev Schwartz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 23, 2025 |
| Julius Tabe | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2024 |
| Israel Ulubiyo | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 30, 2025 |
| Donald Vespia | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 23, 2025 |
| Ohi Asset (Ct) Lender, LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Jan 1, 2012 |
| Powerback Rehabilitation LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 23, 2025 |
| Rgw Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 23, 2025 |
| Morenike Adeoye | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 16, 2025 |
| Robert Juma | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 23, 2025 |
| Julius Tabe | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2024 |
| Israel Ulubiyo | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 10, 2026 |