Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Eastgate Nursing & Rehabilitation Center during CMS and state inspections, most recent first.
Missing Documentation of Resident or Representative Participation in Care Plan Reviews: The facility failed to document resident or representative participation, or an explanation for non-participation, in quarterly care plan/MDS reviews for three residents. One resident had gait and mobility issues, one had dementia, and one had DM. The MDS nurse stated care conferences were held quarterly and residents/representatives were invited, but the required documentation was not present, and the DON could not provide evidence of it.
Failure to Have Physician Orders for Oxygen Therapy: Two residents were observed receiving O2 via nasal cannula at 2 L/min on multiple occasions, but their records did not contain physician orders for the oxygen therapy. One resident had DM and dementia, and the other had COPD and CHF with a care plan addressing altered respiratory status and oxygen use as ordered. An RN and the DON acknowledged the missing orders.
A resident receiving hospice care and diagnosed with CHF and CKD was observed in bed with an air mattress and two half bed rails in place, but the record did not show a bed rail entrapment assessment after the air mattress was added. The DON stated she expected the resident to be reassessed for entrapment risk when the air mattress was received.
Improper Disinfection of Blood Glucose Meter: A RN used a resident’s blood glucose meter and then cleaned it with an alcohol prep pad instead of an approved disinfectant before returning it to the med cart. The RN said she had been told to use the alcohol pad and claimed the meter was dedicated to one resident, but she could not provide evidence of dedicated use. The DON stated she expected use of germicidal wipes and also could not verify that the meter was solely assigned to that resident.
The facility failed to adhere to food safety standards, as observed with improper glove use by a cook and an inadequate air gap in the ice machine. The cook used the same gloves to handle equipment and ready-to-eat food, while the ice machine's air gap was below the required size. Both issues were acknowledged by the Food Service Director.
The facility failed to post cautionary signs indicating oxygen use for three residents, despite physician orders for oxygen therapy. This was observed during surveyor visits and acknowledged by staff, including an RN and the DON.
The facility's assessment failed to document necessary components for competent resident care, including details on resident care needs, staff competencies, training programs, and evaluations of policies, procedures, and contracts. The Administrator acknowledged these deficiencies.
The facility failed to follow comprehensive care plans for two residents. One resident, at risk for skin breakdown, was not repositioned or provided incontinence care as required, leading to prolonged periods in a reclined wheelchair. Another resident, a fall risk, was transferred using a Hoyer lift by a single staff member instead of the required two, raising safety concerns. Staff interviews confirmed these lapses, and the DON acknowledged the failures.
A resident with left hand contractures was not provided with the prescribed hand roll with finger separators, as observed by surveyors on multiple occasions. Despite a physician's order and occupational therapist's assessment, the device was not in place, and the resident denied refusing it. An LPN acknowledged the oversight, and the Director of Nursing expected staff to apply the hand roll unless refused.
A resident with a history of cystitis and other conditions showed symptoms of a UTI, prompting a urinalysis order. Lab results indicated an infection, but the facility failed to notify the physician promptly. Staff interviews revealed a lack of awareness and communication regarding the lab results, leading to a deficiency in care.
A facility failed to maintain proper infection control by not disinfecting a glucometer according to the manufacturer's instructions. An LPN used an alcohol wipe instead of the required PDI Super Sani Cloth wipes after performing a blood sugar test on a resident. The DON and Infection Control Nurse confirmed the correct procedure was not followed.
Missing Documentation of Resident or Representative Participation in Care Plan Reviews
Penalty
Summary
The facility failed to ensure that residents and/or their representatives participated in comprehensive and quarterly care plan reviews for 3 of 6 residents reviewed. Record review showed that Resident ID #7, admitted in September 2021 with a diagnosis including abnormalities of gait and mobility, had MDS assessments on 4/13/2025, 9/15/2025, and 12/16/2025 that did not include documentation of resident or representative participation, or an explanation for non-participation. The facility policy titled Comprehensive Care Plans, last reviewed on 9/30/2025, stated that frequent care plan meetings are to be encouraged to address changing circumstances affecting residents' well-being. Record review also showed that Resident ID #8, admitted in July 2021 with a diagnosis including dementia, had MDS assessments on 2/26/2025, 5/26/2025, and 2/4/2026 without documentation of participation or non-participation by the resident or representative. Resident ID #10, admitted in July 2021 with a diagnosis including diabetes mellitus, had MDS assessments on 3/10/2025, 6/10/2025, and 9/10/2025 that also lacked such documentation. During interview, the MDS nurse stated that care conferences are held quarterly and residents and representatives are invited, but acknowledged the missing documentation for Residents #7 and #8. The DON was unable to provide evidence that the residents' MDS assessments included documentation of participation or non-participation quarterly as required.
Failure to Have Physician Orders for Oxygen Therapy
Penalty
Summary
The facility failed to provide respiratory care consistent with professional standards of practice for 2 of 6 residents reviewed for oxygen use. Surveyor observations and record review showed that Resident ID #11, who was admitted in October 2017 with diagnoses including diabetes and dementia, was observed receiving 2 L of oxygen via nasal cannula on multiple occasions on 2/17/2026. The resident's record did not contain a physician's order for the oxygen therapy being administered, and an RN acknowledged that the resident was receiving 2 L of oxygen without the required order. Resident ID #63, who was admitted in February 2026 with diagnoses including COPD and CHF, had a care plan addressing altered respiratory status with a goal of being free from acute signs or symptoms of respiratory distress and an approach including oxygen as ordered and monitoring for respiratory distress. Surveyors observed the resident receiving oxygen via nasal cannula at 2 L per minute on multiple occasions on 2/16/2026 and 2/17/2026. The resident's record also failed to reveal a physician's order for oxygen, and the DON acknowledged that the resident did not have the required order for the oxygen being used.
Failure to Reassess Bed Rail Entrapment Risk After Air Mattress Use
Penalty
Summary
The facility failed to assess one of three residents for the use of an air mattress for the potential risk of entrapment related to bed rails. The resident was admitted in December 2025 with diagnoses including congestive heart failure and chronic kidney disease, and a progress note dated 1/24/2026 indicated the resident was receiving hospice care services. A hospice care coordination note dated 1/29/2026 stated that a low air mattress would be delivered the next day. Surveyor observations on 2/16/2026 and 2/17/2026 showed the resident lying in bed with an air mattress in place and two half bed rails in use. Record review did not reveal evidence that a bed rail entrapment assessment had been completed after the air mattress was implemented. During interview on 2/17/2026, the DON stated it was her expectation that the resident would have been reassessed for entrapment risk from the bed rails when the air mattress was received.
Improper Disinfection of Blood Glucose Meter
Penalty
Summary
The facility failed to provide a safe and sanitary environment to help prevent the transmission of infections related to disinfecting blood glucose meters for one resident observed, Resident ID #32. Surveyors cited that CDC guidance states shared blood glucose meters must be cleaned and disinfected after every use according to the manufacturer’s instructions, and the facility policy also required glucometers reused for another resident to be cleaned and disinfected between uses. The manufacturer’s guide for the [NAME] Quintet AC blood glucose meter stated the meter is potentially infectious and recommended CaviWipes Disinfecting Towelettes for cleaning and disinfection. During observation, a Registered Nurse obtained Resident ID #32’s blood glucose using the [NAME] Quintet AC meter and then cleaned it with an alcohol prep pad before returning it to the medication cart, rather than using an approved disinfecting product. In interview, the nurse stated she only uses the alcohol prep pad because that is what she has been told, and she said the meter was for the sole use of Resident ID #32 but could not provide evidence or labeling to confirm dedicated use. The DON stated she would expect the purple PDI Super Sani-Cloth Germicidal Wipes to be used to clean the glucometer after each use and also could not provide evidence that the meter was solely dedicated to Resident ID #32.
Food Safety and Handling Deficiencies
Penalty
Summary
The facility failed to ensure proper food handling and storage practices in accordance with professional standards, as observed during a survey. On multiple occasions, Staff F, a cook in the main kitchen, did not adhere to the single-use gloves protocol. Specifically, on two separate days, Staff F was seen using the same gloves to touch various kitchen equipment and then handle ready-to-eat food without changing gloves. This included touching an oven, microwave, knives, tongs, and then plating salad, bacon, cooked chicken, and bread. Staff F acknowledged his failure to change gloves during an interview with the surveyor, and the Food Service Director confirmed that the expected protocol was not followed. Additionally, the facility's ice machine was found to have an inadequate air gap between the water supply inlet and the flood level rim, measuring only 0.25 inches instead of the required minimum of 1 inch. This observation was made in the presence of the Food Service Director, who acknowledged the deficiency. These findings indicate a failure to comply with the Rhode Island Food Code 2018 Edition, which outlines necessary measures to prevent food contamination and ensure food safety.
Failure to Post Oxygen Use Signs
Penalty
Summary
The facility failed to provide respiratory care consistent with professional standards of practice by not posting cautionary and safety signs indicating that oxygen was in use for three residents. Resident ID #52, admitted with acute and chronic respiratory failure with hypoxia, had a physician's order for continuous humidified oxygen at 2 liters per minute via nasal cannula. However, during multiple surveyor observations, there was no evidence of cautionary signs in the resident's room. This was acknowledged by RN Staff E during an interview. Similarly, Resident ID #13, with a diagnosis including alcohol dependence, had a physician's order for oxygen at 2 LPM via nasal cannula every shift. Surveyor observations also failed to reveal cautionary signs in this resident's room, which was confirmed by RN Staff E. Additionally, Resident ID #36, diagnosed with malignant neoplasm of the rectum, had a physician's order for continuous oxygen at 2 LPM. Again, surveyor observations noted the absence of cautionary signs, a fact acknowledged by the Director of Nursing Services.
Facility-Wide Assessment Lacks Required Components
Penalty
Summary
The facility failed to document all required components of a facility-wide assessment necessary for competent resident care during both day-to-day operations and emergencies. The assessment did not include critical information about the care required by the resident population, considering their diseases, conditions, physical and cognitive disabilities, and overall acuity. Additionally, the assessment lacked details on the staff competencies and skill sets necessary to provide the required level and types of care for the residents. Furthermore, the assessment did not account for all personnel, including managers and staff, their education, training, and competencies related to resident care. It also failed to evaluate the facility's training program to ensure it meets the needs of new and existing staff, including those providing services under contract. The assessment omitted evaluations of necessary policies and procedures, contracts, and third-party agreements for goods and services during normal and emergency operations. The facility also did not determine the overall number of staff needed to ensure a sufficient number of qualified staff are available to meet each resident's needs. During an interview, the Administrator acknowledged these deficiencies in the facility assessment.
Failure to Implement Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to implement a comprehensive person-centered care plan for Resident ID #50, who was at risk for skin breakdown due to impaired mobility, bowel incontinence, and fluctuation in intake. Despite the care plan's interventions, which included assistance with repositioning, incontinence care, and toileting during unit rounds, staff did not assist the resident during continuous observations over two days. The resident was observed sitting in a reclined wheelchair for extended periods without repositioning or incontinence care, leading to a bowel movement being discovered during a surveyor observation. Staff interviews revealed inconsistencies in care provision, and the Director of Nursing Services acknowledged the failure to follow the care plan. Additionally, the facility did not adhere to the care plan for Resident ID #48, who required a Hoyer lift transfer with the assistance of two staff members due to being a fall risk. The resident expressed concerns about safety, as a nursing assistant admitted to transferring the resident alone at times, contrary to the care plan. The Director of Nursing Services confirmed the expectation for two staff members to be present during such transfers, highlighting a lapse in following the established care plan for safe resident handling.
Failure to Apply Prescribed Hand Roll for Resident with Contractures
Penalty
Summary
The facility failed to provide appropriate treatment and services for a resident with limited range of motion (ROM) in the left hand. The resident, admitted in July 2017, had a diagnosis of left hand contractures and was prescribed a left-hand roll with finger separators to be worn every morning for 6-8 hours, as tolerated. Despite the physician's order and an occupational therapist's assessment confirming the appropriateness of the device, surveyor observations on multiple occasions revealed that the hand roll was not in place. During an observation, a Licensed Practical Nurse (LPN) acknowledged the absence of the hand roll and suggested that the resident might have refused it. However, the resident denied refusing the device, and the LPN subsequently applied it. The Occupational Therapist confirmed the purpose of the hand roll was to maintain the resident's hand in an open position due to contractures. The Director of Nursing Services stated that staff should have applied the hand roll unless the resident refused, indicating a failure in adhering to the care plan and physician's orders.
Failure to Notify Physician of Abnormal Lab Results
Penalty
Summary
The facility failed to promptly notify the ordering physician of laboratory results that fell outside of clinical reference ranges for a resident who was readmitted with diagnoses including cystitis, cerebral infarction, and aphasia. The resident's responsible party requested a urine test due to symptoms indicative of a urinary tract infection (UTI). A physician's order for a urinalysis culture and sensitivity (U/A C&S) was made, and a urine sample was obtained. The lab results indicated the presence of multiple organisms, but there was no evidence that these results were reported to the physician until the surveyor brought it to the facility's attention. Further urine samples were collected, and subsequent lab results continued to show the presence of multiple organisms and a significant bacterial count, indicating an infection. However, the results were not communicated to the physician. During interviews, a registered nurse and the Director of Nursing Services confirmed that the lab results were not reported to the provider, and the nurse indicated she would wait for complete culture and sensitivity results before notifying the provider, contrary to the expected protocol.
Failure to Properly Disinfect Glucometer
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, specifically regarding the disinfection of a multiuse glucometer. According to the facility's competency validation document, the glucometer should be wiped down with a low-level disinfectant wipe before and after each use, as per the manufacturer's instructions. The manufacturer's manual specifies that the glucometer must be cleaned and disinfected with PDI Super Sani Cloth wipes or a similar product with the specified EPA registration number. During a surveyor observation, a Licensed Practical Nurse (LPN), identified as Staff G, did not wipe down the glucometer before and after obtaining a finger stick blood sugar (FSBS) for a resident who had a physician's order for daily FSBS testing. Instead, Staff G used an alcohol wipe, which is not in accordance with the manufacturer's instructions. The Director of Nursing Services and the Infection Control Nurse confirmed that the glucometer should have been disinfected with the specified wipes, highlighting a lapse in following proper infection control procedures.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 675 citations issued within 25 miles in the last 12 months — including the 23 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near East Providence
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Harris Health Center Llc | 0.3 mi | ★★★★★ | 13 | 0 |
| Bethany Home Of Rhode Island | 0.8 mi | ★★★★★ | 7 | 0 |
| Tockwotton On The Waterfront | 1 mi | ★★★★★ | 5 | 0 |
| Adviniacare Waterview Villas, Llc | 1.1 mi | ★★★★★ | 12 | 0 |
| Evergreen House Health Center | 1.7 mi | ★★★★★ | 5 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Eastgate Nursing & Rehabilitation Center.
100% money-back within 48 hours.
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.