35 of the 72 Medicare-certified nursing homes in Rhode Island (49%) are chain-owned, and all are listed below. 2 of the 35 graded homes earn an A and 5 earn a D or F. They average 3.58 nursing hours per resident per day, 0.13 hours below the 3.71 for every home in Rhode Island. Evergreen House Health Center in East Providence grades highest at A (85 out of 100).
How chain-owned homes in Rhode Island compare
This group set against every nursing home in Rhode Island, from the current CMS release.
Nursing hours per resident per day
3.58
All homes in Rhode Island: 3.71
Worse than the local average
Nurse staff turnover
40.7%
All homes in Rhode Island: 40.6%
Worse than the local average
Average ElderGrade score
68.6/100
All homes in Rhode Island: 71.2/100
Worse than the local average
Grade spread
B
C
D
2 grade A, 15 grade B, 13 grade C, 5 grade D,
The best-graded chain-owned home in Rhode Island is
Evergreen House Health Center
in East Providence, RI, grade A, 85/100.
Brentwood Health Center runs 96 certified beds in Warwick under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 7% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. On inspections, the record shows 35 deficiencies, including two at harm or jeopardy level and one abuse-related, with a 2-out-of-5 health inspection rating and a 2-out-of-5 quality measure rating. The last inspection was July 25, 2025, so the findings are recent rather than stale. Ask about the abuse citation and weekend coverage before deciding.
Lincolnwood Rehabilitation and Healthcare Center is a for-profit, LLC-owned home with 200 beds in North Providence. Its staffing sits around 3.39 nurse hours per resident day, roughly 12 percent under the national average, and weekends run about 11 percent thinner than its own weekdays, so coverage dips exactly when families tend to visit. The inspection record is the harder problem: 52 deficiencies, eight of them at harm or jeopardy level, three tied to abuse, and six fines totaling $70,731. Turnover at 35.1 percent actually beats the national 45.8 percent, so the issue isn't retention so much as raw hours on the floor and a survey history that keeps repeating.
Silver Creek runs 128 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average of 3.86, with weekend coverage dropping about 9% below its own weekday level, so care thins out exactly when families tend to visit. The inspection record is the heavier problem: 29 deficiencies, 8 of them serious enough to involve harm or jeopardy and 3 tied to abuse, plus five fines totaling $216,258. Turnover at 39.3% is actually better than the 45.8% national figure, but that's the lone bright spot. The most recent inspection was January 23, 2026.
Dawn Hill runs 133 certified beds in Bristol under for-profit limited liability ownership, and the staffing numbers are the first thing worth noticing. At 3.70 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 17% below its own weekday coverage, meaning the stretches with the least supervision are also the thinnest. Annual turnover hits 50%, above the 45.8% national figure, so the people providing that care keep changing.
The inspection record carries 32 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with two fines totaling $33,765. The most recent inspection was December 19, 2024, so the picture is current. Ask about weekend staffing and how abuse-related findings were resolved.
Adviniacare Providence Dodge runs 161 beds and gives each resident about 3.06 nursing hours a day, roughly a fifth below the national average, with weekends staffed about 9% thinner than weekdays. That thin coverage sits alongside 33 deficiencies on the current record, including two at the harm level and four tied to abuse, plus $58,559 in fines from two cases. What keeps the picture from being uniformly grim is a 22.8% turnover rate, half the national figure, and a 4/5 quality measure score, suggesting the staff who stay do good work. The last inspection was August 2025.
Bayview Rehabilitation and Healthcare Center runs 120 beds in North Kingstown under for-profit LLC ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average of 3.86. Weekends drop about 11% below its own weekday coverage, and annual turnover hits 50.5%, above the 45.8% national figure. The inspection record is where things get serious: 32 deficiencies, five at harm or jeopardy level, two tied to abuse, and two fines totaling $52,785. A recent September 2025 inspection means the findings are current, not stale. Quality measures score well, but staffing and inspection history carry more weight when you're choosing care for someone you love.
Riverview Healthcare Community runs 190 beds in Coventry under for-profit LLC ownership, and its staffing sits at 3.57 nurse hours per resident day, roughly 7% under the national average of 3.86. Weekends drop another 7% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 40.1%, a bit better than the 45.8% national figure, but the inspection record is where things get serious: 31 deficiencies, two at harm or jeopardy level, and one abuse-related, with $63,518 in fines across two penalties. The most recent inspection was April 2, 2026, and CMS rated health inspections and staffing 2 out of 5.
Nurse staffing at Royal Middletown runs 3.21 hours per resident day, about 17% under the national average, and weekends dip roughly 8% below the home's own weekday levels. Turnover sits at 62.5% against a national average of 45.8%, so the people providing care change often. The current inspection record carries 26 deficiencies, four tied to abuse and two serious enough to put residents in harm's way, along with one fine of $30,590. All three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5. This for-profit partnership was last inspected on April 30, 2026, and its record is thin where it matters most.
Elmhurst Rehabilitation and Healthcare Center runs 206 beds in Providence under for-profit LLC ownership, and the numbers show strain. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends drop roughly 11% below what the home itself staffs on weekdays, so care thins out exactly when families tend to visit. The inspection record carries 51 deficiencies, including 7 at harm or jeopardy level and one tied to abuse, with four fines totaling $167,593; the most recent look came in January 2026, and CMS rated all three of its star categories at 2 out of 5. Staff turnover, at 42.8%, is actually slightly better than the 45.8% national figure, one of the few spots where this home doesn't lag.
Sunny View runs a 57-bed for-profit home in Warwick, and the numbers worth your attention are the staffing and the inspection record. Nurse coverage sits at 3.66 hours per resident day, about 5% under the national average, and weekends drop roughly 6% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Turnover is the bigger signal: 69.9% of staff leaving annually against a national 45.8% means caregivers rarely stay long enough to know your relative.
The current record carries 30 deficiencies, five serious enough to involve harm or jeopardy and one tied to abuse, plus three fines totaling $90,716. The last inspection was April 30, 2026. Ask what's changed since.
Adviniacare Orchard in East Providence runs 166 beds under corporate ownership, and its staffing picture is genuinely mixed. Total nurse hours come to 4.20 per resident day, about 9% above the national average, yet weekends drop roughly 16% below the home's own weekday coverage, and CMS rates staffing at just one star. Turnover sits at 20.2%, well under the national 45.8%, so the people who are there tend to stay. The trouble is compliance: 58 deficiencies on the current record, 11 of them at harm or jeopardy level, two abuse-related, and $103,744 in fines across five penalties. CMS has placed the home in its Special Focus Facility program, and the most recent inspection was June 26, 2025.
Adviniacare Oakland Grove runs 178 beds in Woonsocket under corporate for-profit ownership, and its staffing sits about 10% under the national average at 3.49 nurse hours per resident day, with weekends dipping roughly 8% below its own weekday levels. Turnover is where it beats the pack, 36.5% against a national 45.8%, which matters, since consistent caregivers tend to know residents' routines.
The inspection record is the harder read. Forty-three deficiencies are on file, six of them serious enough to involve harm or jeopardy, seven tied to abuse. Four fines total $111,098, and the most recent inspection was November 25, 2025.
If you're considering this home, ask about weekend coverage and how they've addressed those harm-level findings.
Berkshire Place runs 220 certified beds in Providence under corporate ownership, and the staffing numbers are the first thing worth noticing. At 3.47 nurse hours per resident day, it sits about 10% under the national average, and weekends drop roughly 11% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover runs 47%, slightly above the national figure, which means less continuity for residents who need consistent caregivers. The inspection record is heavier: 38 deficiencies, six at harm or jeopardy level, four tied to abuse, and 11 fines totaling just under $60,000. Its last inspection was September 2025. All three CMS star categories land at 2 out of 5.
Adviniacare Summit Commons is a for-profit LLC with 165 certified beds, and its record shows why CMS placed it in the Special Focus Facility program. Inspectors have logged 63 deficiencies, ten of them serious enough to cause harm or jeopardy, with five tied to abuse, plus eight fines totaling $395,990. The health inspection and quality measure ratings both sit at one star, though staffing earns four, and turnover at 33.6% actually beats the national 45.8%. Still, 3.46 nurse hours per resident day runs about 11% under the national average, and weekends drop roughly 9% below the home's own weekday coverage. The most recent inspection was March 13, 2025.
The staffing numbers at West View look decent on paper, 3.94 nurse hours per resident day, a bit above the national average, but that average hides a problem: weekend coverage drops roughly 9% below weekday levels, and annual turnover runs 59% against a national 45.8%. Consistent hands matter more than the headline figure, and here they aren't staying. The inspection record is the harder read: 26 deficiencies, 8 of them serious enough to involve harm or jeopardy, plus 2 abuse-related findings and $130,764 in fines across 5 penalties. A 1-star health inspection and 1-star quality measure rating, with the most recent inspection just weeks old, tells you regulators keep finding the same problems in a for-profit limited liability operation.
Frequently asked questions
How many chain-owned nursing homes are there in Rhode Island?
There are 35 chain-owned Medicare-certified nursing homes in Rhode Island, 49% of the 72 nursing homes there.
Are chain-owned nursing homes better staffed?
In Rhode Island they average 3.58 total nursing hours per resident per day, against 3.71 for all nursing homes in Rhode Island, a difference of -0.13 hours. Staff turnover averages 40.7% against 40.6%.
Which chain-owned nursing home grades best in Rhode Island?