Above average — CMS composite of the measures below.
A standard survey is most likely before around December 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 Kent Regency Center during CMS and state inspections, most recent first.
A resident with Lewy bodies dementia and shoulder pain did not receive ordered follow-up care after hospital discharge. Staff left voicemails for a memory disorder center, but the required BCAT results were not shown to have been faxed and no appt was documented. The resident also had ongoing severe R shoulder pain after a fall, yet ordered ortho referral and shoulder X-ray were not completed, and staff could not provide evidence of the consult or imaging.
Failure to follow ordered wound care treatments was identified for two residents with pressure-related wounds. An RN applied collagen AG instead of the ordered calcium alginate AG for one resident’s sacral ulcer and did not cut the dressing to size, while an LPN failed to apply ordered collagen powder to another resident’s heel wound. The DON and wound physician stated staff were expected to follow the physician’s wound care orders.
Opened medications were found undated on 3 of 4 med carts observed. Surveyors found Breo Ellipta inhalers, brimonidine eye drops, Visine eye drops, fluticasone propionate nasal spray, lactulose, and lorazepam that had been opened without dates, despite manufacturer instructions listing discard times after opening. Staff on the D Unit, A Unit, and B Unit acknowledged the medications were undated, and the DON stated she expected medications to be dated when opened.
Survey results were not readily accessible to residents, families, and visitors. Surveyor observation found signs directing people to ask the receptionist or view a bulletin board outside the DNS office, while an acting receptionist did not know where the survey results binder was located and later found it behind the desk. The binder contained survey results dated 1/22/2021, and the DNS and Administrator stated the binders had been kept in the Administrator's office.
The facility did not complete annual performance reviews for NAs as required. A review of personnel files showed no evidence of evaluations for five NAs hired between 2014 and 2023. The DON could not provide documentation of these evaluations during an interview.
Two residents experienced significant weight loss due to the facility's failure to implement necessary interventions and notify appropriate staff. One resident lost 20 lbs. over several months, while another lost over 12 lbs. in six weeks. Despite care plans requiring monitoring and intervention, the facility did not take adequate action to address these issues.
The facility failed to store and label food properly in the main kitchen, as observed during a survey. Several food items in the walk-in refrigerator were found without proper dating or labeling, including whipped topping and trays of various food items. The Food Safety Manager was unable to provide evidence of preparation dates, acknowledging the lack of compliance with food safety standards.
The facility failed to implement comprehensive care plans for residents with indwelling urinary catheters. A resident with a stroke and another with chronic kidney disease had care plans requiring urine monitoring, but no evidence of such monitoring was found. Similarly, a resident with kidney cancer and another with a urinary tract infection required specific monitoring, which was not documented. Staff interviews confirmed the lack of implementation of these care plans.
A resident was discharged with another resident's Levothyroxine due to a failure in medication reconciliation. An LPN altered the discharge form without verifying the prescription, and the Director of Nursing Services confirmed the error and incomplete documentation.
A resident with significant cognitive and physical impairments was left unsupervised in the bathroom, leading to a fall and subsequent intracerebral hemorrhage. Despite requiring two-person assistance, staff left the resident alone to retrieve a wheelchair, resulting in the accident.
Failure to Obtain Ordered Follow-Up Care and Diagnostic Services
Penalty
Summary
The facility failed to ensure that Resident ID #6 received necessary follow-up care after hospital discharge. The resident was admitted in July 2025 with diagnoses including neurocognitive disorder with Lewy bodies dementia and shoulder pain. The hospital discharge document dated 7/9/2025 directed the facility to follow up with an Alzheimer's Disease and Memory Disorder Center as soon as possible for a visit in 1 week. Nursing notes show the facility called the office on 7/10/2025 and again on 7/16/2025 and left voicemails. On 7/16/2025, the office returned the call and requested a cognitive test, PCP notes, and a referral. A BCAT was completed on 7/22/2025, but the record did not show that the results were faxed or that a follow-up appointment was scheduled. During surveyor interview, staff could not provide evidence that the consult had been obtained. The facility also failed to obtain ordered orthopedic services and radiology for the resident's right shoulder pain. A nurse practitioner note on 8/6/2025 documented that the resident had been receiving Tramadol since admission for right shoulder pain after a fall, with pain described as burning and lightning-like, radiating to the elbow, and reaching 8 or 9 out of 10. The resident was noted to be guarding, icing the shoulder, and wincing on exam. Physician orders dated 8/7/2025 included a referral to orthopedics and a right shoulder X-ray, along with continued Tramadol, increased gabapentin, and Voltaren gel as needed. The record did not show that the orthopedic consult or X-ray were completed, and staff and the orthopedic receptionist were unable to provide evidence of a scheduled appointment or completed referral.
Failure to Follow Ordered Wound Care Treatments
Penalty
Summary
Failure to provide appropriate pressure ulcer care was identified for two residents with ordered wound treatments. Resident #27 was readmitted with dementia and had an unstageable pressure ulcer to the sacrum. The physician ordered the coccyx wound to be cleansed with wound cleanser, then treated with medihoney, calcium with silver, and covered with a foam dressing. During observation, the RN applied a square of collagen AG over the wound and surrounding skin instead of placing the ordered calcium alginate AG directly in the wound base, and the dressing was not cut to the size of the wound. The RN acknowledged that she used collagen AG instead of the ordered calcium alginate AG and did not cut the dressing to size as directed by the product instructions. Resident #52 was readmitted with pain in the left foot and had a left heel deep tissue injury. The physician ordered the wound to be cleansed with normal saline, treated with a nickel-thick amount of Santyl, followed by collagen powder, and covered with a silicone bordered foam dressing daily. During observation, the LPN failed to apply the collagen powder to the wound bed as ordered, and he acknowledged this omission during interview. The DON and wound physician stated they expected staff to follow the physician's wound care orders for both residents, and the DON also stated the wound dressing for Resident #27 should have been cut to size.
Opened Medications Found Undated on Multiple Medication Carts
Penalty
Summary
Drugs and biologicals were not stored in accordance with currently accepted professional principles on 3 of 4 medication carts observed. During observation of the D Unit medication cart, surveyors found 2 Breo Ellipta 100-25 mcg inhalers, 2 bottles of brimonidine eye drops, 1 bottle of Visine eye drops, and 2 bottles of fluticasone propionate nasal spray that were opened and undated. The manufacturer instructions on the packaging indicated specific discard times after opening for each product. Staff E acknowledged that the medications were opened and undated. During observation of the A Unit medication cart, surveyors found 1 Breo Ellipta 100-25 mcg inhaler, 1 bottle of lactulose 10 grams/15 milliliters, and 2 bottles of lorazepam 2 mg/mL that were opened and undated, with manufacturer instructions indicating discard times after opening. During observation of the B Unit medication cart, surveyors found 1 bottle of Visine eye drops opened and undated. Staff C and Staff B each acknowledged the medications were opened and undated. The DON, in the presence of the ADON and Regional Clinical Nurse, stated she would have expected staff to date medications when opened, as required.
Survey Results Not Readily Accessible
Penalty
Summary
The facility failed to post the results of the most recent surveys in a readily accessible area for residents, families, and visitors. Surveyor observation on 9/3/2025 at 10:39 AM found a sign on a bulletin board outside the DNS office stating that the most recent survey results were available upon request and to see the receptionist. A later observation at the receptionist desk showed another sign stating that the most recent annual Rhode Island Department of Health survey results were located on the bulletin board outside the DNS office. During interview, Staff A, who was covering the receptionist desk, stated she was unaware where the survey results binder was located and later found it behind the receptionist desk and provided it to the surveyor. The binder titled as available for review for the last three years contained the most recent survey results dated 1/22/2021. The DNS stated she was unaware the survey results had to be readily accessible without residents or visitors having to ask, and said the Administrator had the binder in her office. The Administrator acknowledged the survey results had to be accessible to residents and visitors and contain the last three years of results, but stated the binders were in her office until later reporting that the last three years of survey results were in a binder at the receptionist's desk and the most recent annual survey results were posted outside the DNS office.
Failure to Conduct Annual Performance Reviews for Nurse Aides
Penalty
Summary
The facility failed to complete an annual performance review for every nurse aide (NA) at least once every 12 months, as required. This deficiency was identified during a record review and staff interview, which revealed that no evidence of annual performance evaluations was found for five NA personnel records reviewed. The affected staff members included those hired as early as July 2014 and as recently as January 2023. During an interview with the Director of Nursing Services, she was unable to provide documentation that these evaluations had been conducted within the last year for the mentioned staff members.
Failure to Address Significant Weight Loss in Residents
Penalty
Summary
The facility failed to maintain acceptable parameters of nutritional status for two residents, leading to significant weight loss. Resident ID #67, admitted with Alzheimer's disease and dysphagia, experienced a severe weight loss of 20 lbs. (11.5%) from May to August 2024. Despite a care plan indicating the need for monitoring and intervention, the facility did not implement additional interventions after July 12, 2024, when the resident had already lost 8.6 lbs. (5.3%). Furthermore, the facility did not perform a re-weigh after a significant weight loss of 11.6 lbs. (6%) from June 13 to June 20, 2024. Resident ID #48, admitted with cerebral infarction and other conditions, also experienced significant weight loss. The resident lost 9.2 lbs. (5.31%) in one week and 12.2 lbs. (7.01%) over six weeks. The facility's records did not show that the dietitian or providers were notified of these weight losses, nor were any interventions implemented to address the issue. The care plan for this resident included monitoring for significant weight changes, but the facility failed to act on these changes. Interviews with facility staff, including the Registered Dietitian and the Director of Nursing Services, revealed acknowledgment of the deficiencies. The Registered Dietitian admitted that a re-weigh should have been conducted immediately after the significant weight loss, and further interventions should have been considered. The Director of Nursing Services could not provide evidence of any new interventions after July 12, 2024, for Resident ID #67, and similar inaction was noted for Resident ID #48.
Failure to Store and Label Food Properly in Main Kitchen
Penalty
Summary
The facility failed to adhere to professional standards of food service safety in the main kitchen, as observed during a survey. During an initial tour of the kitchen, surveyors found several food items in the walk-in refrigerator that were not stored according to the Rhode Island Food Code, 2018 Edition. Specifically, an opened plastic bag of whipped topping was found without a date, and two large trays containing various food items such as orange jello, pudding-like substances, applesauce, canned peaches, pureed substances, canned pears, and canned pineapple were loosely covered with parchment paper and lacked any date of preparation or consumption. These items were not properly labeled or dated, which is a requirement for ready-to-eat, time/temperature control for safety food that is held for more than 24 hours. During an interview with the Food Safety Manager, Staff J, she was unable to provide evidence of when the observed food items were prepared. She acknowledged that the items were not covered, labeled, dated, or kept free from contamination, which is a violation of the food safety standards. This lack of proper food storage and labeling could potentially lead to food safety issues, as the facility did not comply with the necessary regulations to ensure the safety and quality of the food served to residents.
Failure to Implement Comprehensive Care Plans for Residents with Catheters
Penalty
Summary
The facility failed to implement comprehensive person-centered care plans for four residents with indwelling urinary catheters. Resident ID #2, admitted with a diagnosis including stroke, required monitoring of urine for sediment, cloudiness, odor, or blood as per the care plan revised in June 2024. However, there was no evidence that such monitoring was conducted. Similarly, Resident ID #3, admitted with chronic kidney disease, had a care plan dated June 2024 that required monitoring of urine for specific changes, but again, no evidence of monitoring was found. Interviews with staff confirmed the lack of documentation for these monitoring activities. Resident ID #56, readmitted with kidney cancer and benign prostatic hyperplasia, had a care plan revised in July 2024 that included monitoring urine for specific changes due to an indwelling urinary catheter. However, the facility failed to provide evidence of such monitoring. Additionally, Resident ID #95, readmitted with urinary tract infection and urinary retention, required monitoring for signs and symptoms of infection as per the care plan dated April 2024. The facility did not provide evidence of monitoring for infection signs. Interviews with nursing staff and the Director of Nursing Services confirmed the lack of implementation of these care plans.
Medication Reconciliation Failure at Discharge
Penalty
Summary
The facility failed to reconcile pre-discharge medications with post-discharge medications for a resident, leading to a medication error. A resident was discharged with another resident's medication, specifically Levothyroxine, due to an oversight during the discharge process. The resident was supposed to receive Levothyroxine 88 MCG, but was mistakenly sent home with Levothyroxine 25 MCG, which belonged to another resident. This error was identified when a Licensed Practical Nurse (LPN) altered the discharge medication form without verifying the prescription details. The Director of Nursing Services confirmed that the resident was discharged with the incorrect medication and acknowledged that the Continuity of Care Discharge/Transfer of Patient Form was incomplete. The form lacked information on when the last dose of medication was administered and when the next dose was due. Additionally, there was no evidence that all pre-discharge medications were reconciled with the resident's post-discharge medications before the resident was discharged.
Failure to Provide Adequate Supervision During Toileting
Penalty
Summary
The facility failed to ensure that residents receive adequate supervision to prevent accidents, specifically in the case of a resident who required assistance while toileting. The resident, who had a history of cerebral infarction, left-sided weakness, and cognitive impairments, was transferred to the bathroom by two staff members. One of the staff members left the resident alone to retrieve a wheelchair, during which time the resident fell and sustained a head injury, later diagnosed as an intracerebral hemorrhage. The resident's care plan indicated that they required two-person assistance for all transfers and had significant cognitive and physical impairments. Despite this, the resident was left unsupervised in the bathroom, contrary to the care plan's instructions. The incident report and subsequent hospital records confirmed that the resident was admitted to the hospital with a brain bleed following the fall. Interviews with the staff involved revealed that one staff member left the resident alone to assist other residents, while the other left to find another wheelchair. The Director of Nursing Services acknowledged that the resident was left alone and could not provide evidence of adequate supervision. This lack of supervision directly led to the resident's fall and subsequent injury.
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 604 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 Warwick
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Greenwood Operations Dba Greenwood Center | 1.4 mi | ★★★★★ | 12 | 2 |
| West View Nursing Home, Inc | 1.4 mi | ★★★★★ | 7 | 2 |
| Sunny View Nursing Home | 1.9 mi | ★★★★★ | 8 | 1 |
| Brentwood Health Center | 2 mi | ★★★★★ | 3 | 0 |
| Riverview Healthcare Community | 3.6 mi | ★★★★★ | 13 | 1 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Kent Regency 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.