Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Cra-mar Meadows during CMS and state inspections, most recent first.
A resident in an LTC facility experienced significant medication errors when a nurse administered incorrect dosages of Ativan and Oxycodone on two separate occasions. The errors were identified through record reviews and staff interviews, with the nurse acknowledging the mistakes. The facility failed to ensure proper medication administration protocols, as confirmed by the DON.
The facility did not ensure that all direct care staff completed mandatory effective communication training for 2023. A review found that a RN, a Nursing Assistant, and a Certified Medication Technician, all employed for over a year, did not complete the training. The DON could not provide evidence of training completion for these staff members.
The facility did not provide mandatory QAPI training to all staff, as required. A review showed that three staff members, including an RN, a Nursing Assistant, and a Certified Medication Technician, did not complete the QAPI training for 2023. The DON could not provide evidence of training completion for these staff members.
The facility did not provide the required 12 hours of in-service training per year for two nurse aides employed for over a year. Personnel records for these aides lacked evidence of the mandatory training hours. The DON indicated that the facility records attendance but not training hours, leading to non-compliance with training requirements.
The facility did not provide mandatory behavioral health training to three staff members employed for over a year, as required by their facility assessment. A record review and staff interviews confirmed the deficiency, with no evidence of completed training for a Registered Nurse, a Nursing Assistant, and a Certified Medication Technician.
The facility failed to provide a resident-centered activity program, as observed during a survey. Six residents had care plans that did not reflect their activity preferences, such as reading, music, and religious services, as identified in their MDS Assessments. Interviews revealed a lack of coordination in creating activity-related care plans, with the Activity Director no longer participating and the MDS Coordinator unable to provide evidence of such plans.
A facility failed to provide dialysis care consistent with professional standards for a resident with stage 4 chronic kidney disease. The physician's order lacked essential details about the dialysis center, and there was no contractual agreement with the center, contrary to facility policy. The deficiency was identified during a surveyor interview with the DNS.
During a COVID-19 outbreak, staff at the facility failed to use appropriate PPE, such as eye protection, when entering rooms of COVID-19 positive residents. Observations showed staff wearing masks improperly and lacking awareness of necessary precautions, despite clear signage. The DON acknowledged the expectation for proper infection control but could not explain the lapses.
The facility failed to update care plans for two residents: one with multiple falls and another requiring continuous oxygen therapy. Despite a history of falls, a resident's care plan was not revised with new interventions. Another resident's care plan did not reflect the need for oxygen therapy, as confirmed by staff interviews and surveyor observations.
A resident with dysphagia, requiring meal supervision, was observed eating unsupervised in a reclined wheelchair position. Staff interviews revealed a lack of awareness of the resident's supervision needs, despite the care plan indicating such requirements. The change in dining location due to a COVID outbreak may have contributed to this oversight.
A resident with multiple sclerosis and a suprapubic catheter did not receive a scheduled follow-up urology appointment as required by their care plan. Despite an order for a six-month follow-up after a 5/9/2022 appointment, no subsequent visits occurred. Interviews with staff confirmed the oversight, with the DON unable to explain the failure to schedule the necessary appointment.
The facility failed to document the pneumococcal vaccination status for three residents, including one with dementia, one with multiple sclerosis, and one with spinal stenosis. Despite having received the PCV13 vaccine, there was no evidence that the PPSV23 or PCV20 vaccines were offered, received, or declined. The DON could not provide documentation to confirm the vaccination status during a surveyor interview.
Medication Administration Errors in LTC Facility
Penalty
Summary
The facility failed to ensure that residents are free from significant medication errors, as evidenced by the case of a resident who received incorrect medication dosages on two separate occasions. The resident, who was admitted with diagnoses including anxiety disorder and a right hip fracture, was prescribed Lorazepam for anxiety and Oxycodone for pain management. However, on one occasion, the resident was mistakenly given Ativan instead of the prescribed Oxycodone, and on another occasion, the resident received a higher dose of Oxycodone than was ordered. The errors were identified through record reviews and staff interviews. A registered nurse admitted to administering the incorrect medications, acknowledging the mistakes during a surveyor interview. The errors were discovered after medication counts were completed, and the nurse received education following the incidents. The Director of Nursing Services confirmed the medication errors during an interview, highlighting the facility's failure to adhere to proper medication administration protocols.
Failure to Complete Mandatory Communication Training
Penalty
Summary
The facility failed to ensure that all direct care staff completed mandatory effective communication training for the year 2023. This deficiency was identified during a record review and staff interview, which revealed that three staff members, who have been employed by the facility for over a year, did not complete the required training. The staff members involved include a Registered Nurse hired in 2019, a Nursing Assistant hired in 2022, and a Certified Medication Technician hired in 2021. During an interview with the Director of Nursing Services, she was unable to provide evidence that these staff members had completed the effective communication training.
Failure to Provide Mandatory QAPI Training
Penalty
Summary
The facility failed to provide mandatory training to all staff on the elements and goals of its Quality Assurance and Performance Improvement (QAPI) program. This deficiency was identified during a record review and staff interview, which revealed that three staff members, who have been employed at the facility for over a year, did not complete the required QAPI training for 2023. The staff members involved include a Registered Nurse hired in 2019, a Nursing Assistant hired in 2022, and a Certified Medication Technician hired in 2021. During an interview, the Director of Nursing Services was unable to provide evidence that these staff members had completed the necessary QAPI training.
Failure to Provide Required In-Service Training for Nurse Aides
Penalty
Summary
The facility failed to provide the required minimum of 12 hours per year of in-service training to ensure the continuing competence of nurse aides. This deficiency was identified for two nurse aides, Staff G and H, who have been employed at the facility for more than a year. A review of their personnel records revealed that Staff G was hired on May 25, 2022, and Staff H on October 6, 2021. However, there was no evidence in their records to show that they had received the mandatory in-service training hours. During an interview with the Director of Nursing Services, it was indicated that the facility records attendance but not the actual hours of training, and thus could not provide evidence of compliance with the training requirement.
Failure to Provide Behavioral Health Training
Penalty
Summary
The facility failed to provide mandatory behavioral health training to all staff, as required by their facility assessment. This deficiency was identified through a record review and staff interviews, which revealed that three staff members, who have been employed for over a year, did not complete the necessary training for 2023. Specifically, the staff members involved were a Registered Nurse hired in 2019, a Nursing Assistant hired in 2022, and a Certified Medication Technician hired in 2021. During an interview with the Director of Nursing Services, it was confirmed that there was no evidence of completed behavioral health training for these staff members.
Failure to Provide Resident-Centered Activity Program
Penalty
Summary
The facility failed to provide an ongoing program to support residents in their choice of activities, as observed during the annual recertification survey. The survey revealed that there was no activities calendar posted where residents could see it, and there were no activities observed at scheduled times throughout the day. This deficiency affected six residents who were reviewed for activities, as their care plans did not include an activities focus area that reflected their preferences as identified in their Minimum Data Set (MDS) Assessments. Resident ID #14, admitted with a diagnosis of malignant neoplasm of the bladder, expressed a preference for reading materials and being around animals, but these preferences were not included in their care plan. Similarly, Resident ID #16, with spinal stenosis, and Resident ID #17, with dementia, had preferences for reading, music, news, and religious services that were not reflected in their care plans. Resident ID #18, with Parkinsonism, and Resident ID #22, with spinal stenosis, also had unaddressed preferences for activities such as news, music, and religious services. Resident ID #30, with dementia, expressed a strong preference for religious services, which was not included in their care plan. Interviews with the Activity Director and MDS Coordinator revealed a lack of coordination in creating activity-related care plans. The Activity Director acknowledged that she no longer participated in creating these plans, and the MDS Coordinator could not provide evidence of activity care plans for the affected residents. The Administrator and Director of Nursing Services were also unable to provide evidence of an activity program developed based on comprehensive assessments and resident preferences.
Deficiency in Dialysis Care Management
Penalty
Summary
The facility failed to ensure that a resident requiring dialysis received services consistent with professional standards of practice. The resident, admitted in September 2021 with stage 4 chronic kidney disease and dependence on renal dialysis, had a care plan indicating the need for dialysis. However, a physician's order dated January 2022 lacked critical information such as the location of the dialysis center, its name, contact number, and the scheduled days for dialysis, which was contrary to the facility's policy. Additionally, the facility did not have a contractual agreement with the dialysis center providing services to the resident, as required by their policy. This deficiency was highlighted during a surveyor interview with the Director of Nursing Services, who was unable to explain the absence of such an agreement. The lack of a dialysis service agreement was only addressed after the surveyor's inquiry, indicating a failure to adhere to established protocols for managing dialysis care.
Inadequate PPE Use During COVID-19 Outbreak
Penalty
Summary
The facility failed to implement an effective infection prevention and control program, as evidenced by staff not utilizing appropriate personal protective equipment (PPE) during a COVID-19 outbreak affecting two nursing units. Surveyor observations revealed that staff members entered rooms of COVID-19 positive residents without adhering to the required droplet and contact precautions. Specifically, staff were observed wearing masks below their noses and not using eye protection, despite signage indicating the need for full coverage of eyes, nose, and mouth. Three residents, all diagnosed with COVID-19, were involved in the observed deficiencies. Staff E and Staff F were seen entering the rooms of these residents without proper PPE, such as eye protection, while feeding them. Interviews with the staff confirmed their lack of awareness regarding the precautionary measures required for COVID-19 positive residents. The Director of Nursing Services acknowledged the expectation for staff to follow proper infection control practices but could not explain the failure to do so.
Failure to Update Care Plans for Falls and Oxygen Therapy
Penalty
Summary
The facility failed to revise the care plans for two residents following their assessments, as required by policy. Resident ID #22, who was admitted with spinal stenosis and difficulty walking, experienced multiple falls between January and April 2024. Despite having a history of falls, the resident's care plan was not updated with new interventions after these incidents, nor was it revised following the March 2024 Quarterly MDS Assessment. Interviews with staff, including a Registered Nurse and the Director of Nursing Services, confirmed that the care plan was not updated as per the facility's policy. Similarly, Resident ID #31, who was admitted with chronic respiratory failure and COPD, required continuous oxygen therapy as per a physician's order. However, the resident's care plan did not reflect this need for oxygen therapy. Observations by surveyors confirmed the resident was receiving oxygen, yet the care plan remained unchanged. Interviews with nursing staff and the MDS Coordinator acknowledged that the care plan should have included the oxygen therapy requirement.
Failure to Supervise Resident with Dysphagia During Meals
Penalty
Summary
The facility failed to ensure that the environment for a resident with dysphagia was free from accident hazards, specifically regarding supervision during meals. The resident, admitted in March 2024, required extensive assistance and supervision with eating, as documented in their care plan. However, during a surveyor observation, the resident was seen eating unsupervised in a reclined wheelchair position, which was contrary to the care plan requirements. Interviews with facility staff, including a Registered Nurse and the Director of Therapy, revealed a lack of awareness regarding the resident's need for meal supervision. The Director of Nursing Services acknowledged that the care plan indicated the necessity for supervision during meals. The resident's usual dining location was altered due to a COVID outbreak, leading to meals being taken in their room, which may have contributed to the oversight in supervision.
Failure to Schedule Follow-Up Urology Appointment for Resident with Suprapubic Catheter
Penalty
Summary
The facility failed to provide appropriate treatment and services for a resident with a suprapubic catheter. The resident, who was admitted in April 2021 with multiple sclerosis and neuromuscular dysfunction of the bladder, required follow-up with a urologist as part of their care plan. A urology appointment on 5/9/2022 resulted in an order for a follow-up visit in six months. However, there is no evidence that the resident attended any subsequent urology appointments after this date. During interviews, a registered nurse confirmed that the urology office had not seen the resident since the last appointment. The Director of Nursing Services acknowledged that the resident should have returned for a follow-up appointment as ordered but could not explain why it was not scheduled.
Failure to Document Pneumococcal Vaccination Status
Penalty
Summary
The facility failed to ensure that the medical records of three residents included documentation of receiving the pneumococcal vaccination or a record of medical contraindications or refusal. Resident ID #2, admitted in October 2021 with dementia, had received the PCV13 vaccine in February 2019, but there was no evidence in the records that the PPSV23 or PCV20 vaccines were offered, received, or declined. Similarly, Resident ID #9, admitted in April 2021 with multiple sclerosis, had previously received the PCV13 vaccine, but there was no documentation of the PPSV23 or PCV20 vaccines being offered, received, or declined. Additionally, Resident ID #16, admitted in June 2023 with spinal stenosis, had no evidence in their immunization records that any pneumococcal vaccines were offered, received, or declined. During an interview with the Director of Nursing Services, she was unable to provide evidence that the appropriate vaccines for these residents had been offered, received, or declined, indicating a lapse in the facility's vaccination documentation process.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Cranston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Riverview Healthcare Community | 1.3 mi | ★★★★★ | 13 | 1 |
| West View Nursing Home, Inc | 4 mi | ★★★★★ | 7 | 2 |
| Cedar Crest Nursing Centre Inc | 4.4 mi | ★★★★★ | 2 | 0 |
| Kent Regency Center | 4.7 mi | ★★★★★ | 6 | 0 |
| Sunny View Nursing Home | 4.9 mi | ★★★★★ | 8 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.