Above average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Hattie Ide Chaffee Home during CMS and state inspections, most recent first.
Surveyors identified several deficiencies in food service safety and sanitation, including improper labeling of chemicals, lack of cleaning schedules for kitchen equipment, dietary staff not using required hair restraints, reuse of single-use containers, use of non-durable food contact surfaces, missing thaw dates on nutritional shakes, and absence of an irreversible thermometer to verify dish machine sanitization temperatures.
Two residents did not receive care in accordance with physician's orders and professional standards. One resident with chronic venous insufficiency and leg edema was observed with heels resting on a pillow instead of being offloaded as ordered. Another resident with cellulitis received a wound dressing (hydrofera blue) not prescribed by the physician, as confirmed by nursing documentation and staff interviews.
A resident with an indwelling urinary catheter was observed multiple times with the drainage bag not positioned below the bladder, contrary to the care plan and standard nursing procedures. Staff confirmed the improper placement, and the DON acknowledged the expectation for correct positioning was not met.
Surveyors observed multiple breaches in infection control practices, including a nurse failing to perform hand hygiene between glove changes during a wound dressing change, and staff entering rooms of residents on droplet and contact precautions without required PPE such as N95 masks, gowns, and gloves. Staff acknowledged these lapses, and leadership could not provide evidence that infection control protocols were consistently followed.
The facility did not ensure that several staff members, including administrative, clinical, and therapy personnel, received mandatory annual and onboarding training in key areas such as abuse prevention, infection control, dementia care, trauma-informed care, QAPI, and HIPAA, as required by the facility's assessment. This deficiency was confirmed through record review and staff interview, with no evidence provided to show completion of the required education.
A resident with severe cognitive impairment was prescribed Trazodone for hallucinations without notifying their Power of Attorney, contrary to facility policy. The resident's representative was not informed of the medication change, despite the facility's requirement to notify them of any changes in treatment. The DNS acknowledged the oversight during interviews.
A resident with a history of stroke and dysphagia was served a breakfast tray despite having an NPO order, leading to a choking incident. Staff interviews revealed a lack of awareness about the resident's dietary restrictions, resulting in the deficiency.
Two residents requiring supervision while eating were left unsupervised, with one consuming unthickened liquids against orders and the other struggling with improperly prepared meals. Staff were unaware of the supervision and dietary requirements, and care plans did not reflect these needs, placing residents at risk for harm.
The facility did not complete annual performance evaluations for its nursing assistants, as required. A review of personnel files showed that no evaluations were conducted within the last 12 months for five nursing assistants. The DON confirmed the absence of these evaluations during an interview.
The facility failed to store and distribute food according to professional standards, with surveyors finding unlabeled and expired items in the kitchen and kitchenette. Additionally, the facility lacked a required 3-bay sink for sanitizing equipment. The Food Service Director acknowledged these deficiencies.
The facility failed to maintain an effective infection prevention and control program, with deficiencies in water management, hand hygiene, and linen handling. Legionella bacteria levels were above acceptable limits, and the facility lacked a water flow assessment. Staff did not follow proper hand hygiene for a resident with C. diff, using hand sanitizer instead of soap and water. Additionally, soiled linen was improperly handled and stored, posing an infection risk.
The facility failed to notify physicians about unavailable medications for two residents and did not follow a physician's order for medication parameters for another resident with hypertension. This resulted in missed doses of Saccharomyces boulardii and improper administration of metoprolol tartrate without checking required blood pressure and heart rate parameters.
Surveyors found deficiencies in medication storage and labeling, including pre-poured medications labeled with room numbers, expired multivitamins, and improperly stored Latanoprost eye drops. In the medication storage rooms, expired Tuberculin and undated Lorazepam were found. Staff acknowledged these practices, and the DON confirmed that pre-pouring is not allowed and medications should be dated and discarded when expired.
A resident with major depressive disorder did not receive recommended Trazodone for anxiety due to a lack of communication with a physician. Despite documented recommendations and increased anxiety symptoms, staff interviews revealed no evidence of physician notification or order implementation.
A resident with dysphagia and pneumonitis was not provided with the required 1:1 feeding assistance, despite a physician's order. The resident was observed eating without supervision, and the physician admitted to not reviewing the order individually before signing. The DON expected physicians to review orders individually.
Two residents in the facility did not receive meals prepared according to their dietary needs. A resident with severe cognitive impairment and physical limitations was served whole and hard food items instead of soft, bite-sized pieces. Another resident, requiring nectar thick liquids and a pureed diet due to dysphagia, was given unthickened beverages. Staff interviews revealed a lack of adherence to dietary orders, with the DON unable to provide evidence of compliance.
Multiple Food Service Safety and Sanitation Deficiencies Identified
Penalty
Summary
Surveyor observations, record reviews, and staff interviews revealed multiple deficiencies in food storage, preparation, distribution, and service within the facility's main kitchen and two kitchenettes. Chemical containers were not properly labeled according to OSHA standards, as evidenced by a spray bottle marked only with handwritten text. The kitchen hood and screens had visible grease accumulation, and there was no documented cleaning schedule. Dietary staff were observed not wearing appropriate hair restraints or beard coverings, and the Food Service Director (FSD) could not provide evidence of compliance with these requirements. Additionally, breadcrumbs were stored in a single-use container that was being reused, and the FSD could not confirm its appropriateness for reuse. Equipment and utensils, such as a wooden butcher block and scratched lip plates, were not made of durable, nonabsorbent materials as required. Further deficiencies included the improper labeling of thawed nutritional shakes, as none of the observed products in the kitchenettes had use-by dates to indicate when they were thawed, contrary to manufacturer instructions. The FSD acknowledged this lapse. The facility also lacked an irreversible thermometer to verify that dish machine cycles reached the required sanitizing temperature, as required by the Rhode Island Food Code. These findings collectively demonstrate a failure to adhere to professional standards for food service safety and sanitation.
Failure to Follow Physician's Orders and Professional Standards of Practice
Penalty
Summary
The facility failed to ensure that residents received care in accordance with professional standards of practice and physician's orders for two residents. One resident, admitted with chronic peripheral venous insufficiency and bilateral lower extremity edema, had a physician's order to offload heels when in bed every shift. However, during multiple surveyor observations, the resident was found in bed with heels resting directly on a pillow, rather than being properly offloaded as ordered. The Director of Nursing Services confirmed that the observed positioning did not meet the physician's order. Another resident, admitted with cellulitis of the right lower extremity, had a physician's order for wound care specifying cleansing with Vashe, application of Santyl, and covering with gauze and kerlix wrap once daily. Nursing documentation and direct observation revealed that hydrofera blue, a wound dressing, was applied to the wound without a corresponding physician's order. Staff interviews confirmed the absence of an order for hydrofera blue, and the DNS acknowledged that staff are expected to review and follow physician's orders prior to performing dressing changes.
Failure to Position Catheter Drainage Bag Below Bladder
Penalty
Summary
A deficiency was identified when a resident with an indwelling urinary catheter was not provided appropriate catheter care as required by facility policy and standard nursing procedures. The resident, who had diagnoses including hemiplegia, hemiparesis, and urinary retention, had a physician's order for an indwelling catheter and a care plan specifying that the drainage bag should be positioned below the level of the bladder. Multiple surveyor observations found that the drainage bag was not visible while the resident was in bed, and upon further inspection, it was discovered that the bag was attached to the resident's leg and lying perpendicular, not below the bladder as required. Staff interviews confirmed that the drainage bag was not positioned according to the care plan and standard procedures. Both a nursing assistant and a registered nurse acknowledged that the bag was not below the bladder, and the Director of Nursing Services stated that her expectation was for the drainage bag to be placed below the bladder. These findings demonstrate that the facility failed to provide appropriate catheter care for the resident, as required by both the care plan and established nursing guidelines.
Failure to Maintain Infection Prevention and Control Program
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program as evidenced by multiple observed breaches in infection control practices. During a wound dressing change for a resident with functional urinary incontinence and a coccyx wound, a registered nurse did not perform hand hygiene between glove changes as required by facility policy. The nurse removed soiled gloves, failed to wash hands or use hand sanitizer, and then donned new gloves before continuing the dressing change process. The nurse acknowledged during interview that proper hand hygiene was not performed at each glove change. Additional deficiencies were observed regarding the implementation of droplet and contact precautions for residents with communicable diseases. One resident on enhanced droplet/contact precautions had signage indicating that staff should wear an N95 mask before entering the room. However, a certified medication technician entered the room without the required N95 mask and confirmed this lapse during interview. Another resident with C. diff was on contact precautions, with signage instructing staff to wear a gown and gloves. Both a dietary aide and a nursing assistant entered the resident's room without wearing the required personal protective equipment, and both acknowledged the failure to follow protocol during interviews. Interviews with the infection control preventionist and the director of nursing services confirmed that staff were expected to follow the posted infection control precautions, but there was no evidence provided that these precautions were consistently followed. The observed failures to adhere to established infection control policies and procedures contributed to the deficiency cited during the survey.
Failure to Provide Required Staff Training
Penalty
Summary
The facility failed to develop, implement, and maintain an effective training program for both new and existing staff members, as evidenced by the lack of required annual and onboarding education for seven employees. Record reviews showed that staff members in various roles, including administration, certified medication technician, nursing assistants, registered nurse, and occupational therapist, did not have documentation of completed mandatory training in areas such as abuse and neglect, infection control, dementia and behavioral health management, trauma-informed care, QAPI, corporate compliance, fire safety/disaster procedures, HIPAA, and resident rights for the year 2024. The facility assessment, last updated in January 2025, outlined the necessity for such training to ensure person-centered care, but the records did not support compliance with these requirements. During an interview, the staff developer was unable to provide evidence that the identified staff members had received all required mandatory training for 2024. The deficiency was identified through both record review and staff interview, confirming that the facility did not ensure all employees received the necessary education consistent with their roles and the facility's assessment of resident needs.
Failure to Notify Resident's Representative of Medication Change
Penalty
Summary
The facility failed to inform a resident's representative about a new medication order and the resident's hallucinations, which is a violation of their policy to notify residents and their representatives of changes in medical condition or treatment. The resident, who was admitted in May 2024 with severe cognitive impairment and a history of encephalopathy and stroke, was prescribed Trazodone by a Nurse Practitioner after experiencing hallucinations. However, there was no documentation that the resident's Power of Attorney was informed about this new medication or the hallucinations. The facility's policy requires that the resident, attending physician, and the resident's representative be promptly notified of any changes in the resident's condition or treatment plan. Despite this, the Medication Administration Records showed that Trazodone was administered multiple times without the representative's knowledge. During interviews, the complainant, who is the resident's Power of Attorney, confirmed they were not consulted about the medication change and expressed concerns about the resident's sensitivity to medications. The Director of Nursing Services acknowledged the lack of notification and documentation regarding the new medication order.
Failure to Follow NPO Order Results in Resident Choking Incident
Penalty
Summary
The facility failed to ensure that services provided met professional standards of practice by not adhering to a physician's order for a resident who was designated as nothing by mouth (NPO). The resident, who had a history of cerebral infarction, flaccid hemiparesis, dysarthria, and dysphagia, was admitted with a gastrostomy tube feeding order. Despite the NPO order, the resident was served a breakfast tray and consumed some of the food, which led to a choking incident observed by a family member. Interviews with staff revealed a lack of awareness regarding the resident's NPO status. Nursing assistants acknowledged the presence of a breakfast tray at the resident's bedside, and the Assistant Director of Nursing confirmed the incident, noting that the tray was removed upon discovery. The Director of Nursing indicated that the nursing assistant responsible for the resident was unaware of the NPO order and had obtained the tray from the kitchen, leading to the deficiency in care.
Failure to Provide Adequate Supervision During Meals
Penalty
Summary
The facility failed to provide adequate supervision to prevent accidents for two residents who required assistance while eating. Resident ID #368, who has a history of dysphagia, Parkinson's disease, and pneumonitis due to aspiration, was observed eating without supervision on multiple occasions. Despite having a physician's order for 1:1 supervision during meals, the resident was left alone, consuming unthickened liquids contrary to the prescribed nectar thick consistency. Staff members, including nursing assistants and registered nurses, were unaware of the supervision requirement, and the resident's care plan did not reflect the need for 1:1 supervision. Resident ID #55, diagnosed with dementia and muscle weakness, also required supervision or assistance with eating. The care plan did not document this need, and the resident was served food that was not cut into bite-sized pieces as ordered. Observations revealed the resident struggling with improperly prepared meals, leading to coughing and difficulty eating. Staff interviews confirmed a lack of awareness regarding the resident's dietary needs and supervision requirements, with the Director of Nursing Services unable to provide evidence of compliance with the physician's diet order. The deficiencies in supervision and adherence to dietary orders for both residents placed them at risk for serious harm. The facility's failure to ensure staff awareness and compliance with physician orders and care plans contributed to these lapses in care. Interviews with various staff members, including nursing assistants, registered nurses, and therapists, highlighted a systemic issue of communication and documentation regarding residents' specific needs during meals.
Failure to Conduct Annual Performance Evaluations for Nursing Assistants
Penalty
Summary
The facility failed to conduct annual performance evaluations for its nursing assistants, as required. A review of personnel files revealed that no performance evaluations had been completed within the last 12 months for five nursing assistants: Staff G, K, L, M, and N. These staff members had been employed since various dates ranging from 2019 to 2022. During an interview with the Director of Nursing Services, it was confirmed that there was no evidence of completed evaluations for these employees within the specified timeframe.
Food Storage and Safety Deficiencies
Penalty
Summary
The facility failed to ensure that food was stored and distributed in accordance with professional standards for food service safety. During an initial tour of the kitchen, surveyors observed several items in the walk-in refrigerator that were either past their use-by dates or not labeled and dated, including sour cream containers, a container of vanilla yogurt, Swiss cheese slices, French dressing, a piece of salmon, and white fish fillets. In the walk-in freezer, items such as frozen burgers and cut sausage were found with freezer burn and were not labeled or dated. Additionally, the dry storage area contained a container of honey that was discolored and not dated when opened, as well as frosting spreads that were opened and not dated. In the North unit kitchenette, an opened dairy drink was found without a date. The Food Service Director acknowledged these issues during an interview. Furthermore, the facility did not comply with the Rhode Island Food Code requirement for a 3-bay sink for manually washing, rinsing, and sanitizing equipment and utensils. During a surveyor observation of the main kitchen, there was no evidence of a 3-bay sink being present. The Food Service Director was aware of this requirement and acknowledged that the facility did not have the necessary sink setup. These deficiencies indicate a failure to adhere to established food safety protocols, potentially compromising the safety and quality of food served to residents.
Infection Control Deficiencies in Water Management, Hand Hygiene, and Linen Handling
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by several deficiencies identified during a survey. The facility did not implement a water management program (WMP) based on industry standards or CDC guidelines to prevent Legionella disease. Laboratory results showed Legionella bacteria levels above acceptable limits in certain water stations, but the Maintenance Director was unaware of the need for control measures. Additionally, the facility's water management binder lacked evidence of a water flow assessment to identify areas where Legionella could grow, and there was no documentation of regular flushing of infrequently used fixtures. The facility also failed to implement proper hand hygiene practices for a resident diagnosed with Clostridium difficile (C. diff). Staff members were observed using hand sanitizer instead of washing their hands with soap and water after providing care to the resident, despite the known requirement for soap and water hand hygiene in such cases. The staff involved were either unaware of the resident's C. diff status or did not follow the correct hand hygiene protocol, as confirmed by interviews with the staff and the Director of Nursing Services. Furthermore, the facility did not adhere to appropriate infection control practices regarding the handling and storage of soiled linen. A staff member was observed carrying unbagged, soiled towels from a resident's room and placing them in an overflowing linen bin, which could not be closed. This practice was acknowledged by the staff involved and recognized as an infection control concern by the Director of Nursing Services. The failure to bag soiled linen in the resident's room and the presence of an overflowing linen bin posed a risk of contamination and infection spread within the facility.
Failure to Notify Physician and Follow Medication Orders
Penalty
Summary
The facility failed to ensure that services provided met professional standards of practice by not notifying the physician about unavailable medications for two residents and not following a physician's order for medication parameters for another resident. Resident ID #6, admitted with gastro-esophageal reflux disease, had a physician's order for Saccharomyces boulardii to be administered twice daily. However, the medication was unavailable for several days, resulting in 14 missed doses, and there was no evidence that the physician was notified. Similarly, Resident ID #33, readmitted with a urinary tract infection, missed 7 doses of the same medication due to unavailability, and again, the physician was not informed. Additionally, the facility did not adhere to a physician's order for Resident ID #39, who was diagnosed with hypertension. The order specified that metoprolol tartrate should be administered only if the resident's systolic blood pressure was above 110 and heart rate above 55. However, the medication was administered on days when the systolic blood pressure was below the specified threshold, and there was no documentation of the resident's heart rate being checked prior to administration. Staff interviews confirmed these lapses in following the physician's orders and documenting necessary parameters.
Medication Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to store and label drugs and biologicals in accordance with accepted professional principles, as observed during a survey. On the Rehab Unit, a Certified Medication Technician (CMT) was found to have pre-poured medications into plastic cups labeled with room numbers, which is against facility policy. Additionally, expired multivitamins and improperly stored Latanoprost eye drops were found on the medication cart. On the North Unit, another CMT was observed pre-pouring medications and labeling them with room numbers. In the medication storage room, a vial of Tuberculin protein derivative was found to be expired, and a bottle of Lorazepam was opened but not dated, despite manufacturer instructions to discard after a certain period. Further observations in the medication storage room on the Rehabilitation unit revealed another vial of Tuberculin protein derivative that was opened and not dated. Interviews with staff confirmed these practices, with acknowledgments that medications were pre-poured, expired medications were not discarded, and opened medications were not dated. The Director of Nursing Services confirmed that pre-pouring medications is not allowed and that medications should be dated when opened and discarded when expired.
Failure to Implement Psychiatric Recommendations for Resident Care
Penalty
Summary
The facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice. The resident, who was admitted in January 2024 with a diagnosis of major depressive disorder, had a care plan dated April 15, 2024, indicating a risk for changes in mood and behavior due to anxiety and depression. A geriatric psychology document from April 6, 2024, recommended Trazodone 12.5 mg as needed for increased anxiety. However, there was no evidence that this recommendation was communicated to or reviewed by a physician. The resident exhibited signs of increased anxiety and depression, as noted in progress notes from April 24, 2024, and May 1, 2024, where the resident refused to shower and be weighed, respectively. On May 3, 2024, a nurse practitioner noted increased anxiety and depression and suggested increasing scheduled Trazodone. Interviews with staff, including a registered nurse and the nurse practitioner, revealed that the recommendation for Trazodone was documented but not acted upon, as there was no evidence of physician notification or order implementation.
Failure to Provide 1:1 Feeding Assistance
Penalty
Summary
The facility failed to ensure that the medical care of a resident, who required 1:1 feeding assistance due to dysphagia and pneumonitis, was properly supervised by a physician. The resident was admitted in June 2024 with a physician's order for 1:1 feeding assistance and aspiration precautions, signed on June 7, 2024. However, during observations on June 11 and June 12, 2024, the resident was seen eating breakfast without staff supervision. The resident's physician admitted to being unaware of the 1:1 supervision requirement, despite having signed the order, as she did not review each order individually before signing. The Director of Nursing Services expressed an expectation that physicians should review orders individually before signing them.
Failure to Provide Appropriate Diets for Residents
Penalty
Summary
The facility failed to provide food prepared in a form designed to meet individual needs for two residents. Resident ID #55, who has severe cognitive impairment and bilateral upper extremity impairments, was observed receiving meals that did not comply with the physician's dietary order for soft, bite-sized foods. On multiple occasions, the resident was served whole and hard food items such as a muffin, sausage link, clam cakes, and bacon, which were not cut into bite-sized pieces and were not soft as required. Staff interviews revealed a lack of awareness and adherence to the resident's dietary needs, with the Director of Nursing Services unable to provide evidence that the resident received the appropriate diet. Resident ID #368, diagnosed with dysphagia and requiring nectar thick liquids and a pureed diet, was observed consuming unthickened coffee and milk, contrary to the physician's order. The resident's dietary needs were clearly documented, yet staff failed to ensure the liquids were thickened as required. Interviews with nursing assistants and the speech therapist confirmed the oversight, and the Director of Nursing Services acknowledged the failure to follow the physician's diet order. These deficiencies highlight a lack of compliance with dietary orders, potentially compromising resident safety.
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 666 citations issued within 25 miles in the last 12 months — including the 24 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) |
|---|---|---|---|---|
| Adviniacare Orchard, Llc | 0.4 mi | ★★★★★ | 12 | 2 |
| Evergreen House Health Center | 1 mi | ★★★★★ | 5 | 0 |
| Adviniacare Waterview Villas, Llc | 1.2 mi | ★★★★★ | 12 | 0 |
| Harris Health Center Llc | 1.7 mi | ★★★★★ | 13 | 0 |
| Eastgate Nursing & Rehabilitation Center | 2 mi | ★★★★★ | 6 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Hattie Ide Chaffee Home.
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.