Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
The nurse staffing number at this Coventry home looks fine on paper, 4.09 hours per resident day, about 6% above the national average, but that average hides a weekend drop of roughly 9% from weekday levels, and it sits alongside a 71.8% annual turnover rate, well above the 45.8% national figure. The inspection record is the harder read: 69 deficiencies on file, 17 of them serious enough to involve harm or jeopardy, plus two tied to abuse, and eight CMS fines totaling $370,011. Federal regulators have placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care.
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.
Greenwood Center is a 130-bed for-profit home in Warwick, and the numbers that stand out are the inspection ones. It has 41 deficiencies on its current record, seven of them serious enough to involve harm or jeopardy, and two tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor inspections, and the fines total $225,416 across four penalties. Nurse staffing runs 3.34 hours per resident day, roughly 14% under the national average, with weekends about 4% thinner than weekdays. Turnover at 42.4% is slightly better than average, but that's the one bright spot in an otherwise difficult record.
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.
Greenville Operations runs 131 beds as a for-profit LLC, and its inspection record is the thing that stands out: 51 deficiencies, seven of them serious enough to cause harm or jeopardy, and seven tied to abuse. CMS has placed it in the Special Focus Facility program, and four fines total $336,776. Staffing is a mixed picture, 3.62 nurse hours per resident day trails the national average, weekends run thinner than weekdays, but turnover at 34.9% is actually better than the 45.8% typical elsewhere. The most recent inspection was March 2026, so the record is current. When a home's inspection rating sits at the bottom while its staffing holds up, the problem usually isn't how many people are on the floor, it's what happens when they're there.
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.
Saint Elizabeth Home in East Greenwich runs a nonprofit operation with 168 beds, and its nurse staffing is genuinely strong, 4.92 hours per resident day, about 27% above the national average. Weekend coverage dips roughly 9% below its own weekday levels, so ask how that plays out on a Sunday. Turnover sits at 37.8%, better than the 45.8% national figure. The trouble is the inspection record: 22 deficiencies, including 2 at harm or jeopardy level and 5 abuse-related, with two fines totaling $64,230. That combination, good staffing, weak inspection history, is worth asking the administrator about directly before you decide.
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.
South Kingstown Nursing & Rehab Center runs 112 certified beds as a for-profit corporation, and its nurse staffing sits at 3.58 hours per resident day, about 7% under the national average of 3.86. Weekends dip roughly 9% below its own weekday levels, so coverage thins out right when families tend to visit. The inspection record is the bigger concern: 12 deficiencies, two of them serious enough to involve harm or jeopardy, two tied to abuse, plus one fine of $14,069. That current record earned a 2-out-of-5 inspection rating from CMS, with quality measures also at 2. Last inspection was February 2025. Staff turnover, at 43.2%, actually runs slightly below the national rate.