Above average — CMS composite of the measures below.
The next survey window likely opens around April 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 Roberts Health Centre Inc during CMS and state inspections, most recent first.
A resident with peripheral neuropathy, impaired cognition, and a history of toe skin issues had ongoing redness and pain in multiple toes, but the record did not show timely provider notification or accurate skin assessment. Podiatry had recommended offloading the toe, yet the resident continued to report worsening pain and redness, and staff documentation was inconsistent about the condition of the toes. The NP was not notified until after surveyor observation, when new toe wound treatments and a podiatry consult were ordered.
Failure to notify the provider and treat a newly identified pressure ulcer: An LPN observed an open area on a resident’s right second toe during weekly skin checks, but the wound was not staged or fully documented and the provider was not notified. No treatment order was implemented for about 21 days, and when the wound was later evaluated it was a full-thickness ulcer with drainage, redness, swelling, warmth, and slough. The resident reported the sore had been present for weeks and staff had only recently started applying a bandage.
Expired roast beef was found in the kitchen refrigerator, and a pink substance was observed on the inside shield of a unit ice machine where ice is dispensed. Cook Staff C acknowledged the meat was expired and should have been discarded, and the FSD acknowledged the ice machine needed cleaning.
Incomplete MDS assessments and missing coding for oxygen and alarms. A resident admitted with multiple rib fractures had an incomplete admission MDS, and two residents receiving continuous O2 for COPD or chronic respiratory failure were not coded as receiving oxygen on their MDSs despite MAR documentation. In addition, six residents with dementia, Alzheimer's disease, falls, gait issues, or weakness had active bed, chair, floor, bathroom door, or wheelchair alarm orders, but their MDS assessments did not reflect alarm use.
The facility failed to maintain safe, clean, and properly managed smoking areas, resulting in widespread cigarette litter and improper disposal of cigarette butts around the building. A community complaint reported smoking occurring too close to the facility and cigarette butts being left on the ground and tracked inside. Surveyors observed numerous discarded cigarette butts along the front perimeter, in the parking lot, in mulch, and in the rear of the building, where an ash bucket was overflowing. The Director of Maintenance and the Administrator both acknowledged the cigarette litter and the failure to empty the smoking bucket and ensure adherence to the facility’s smoking policy requiring use of designated areas and proper disposal.
Failure to Assess and Treat Worsening Toe Skin Breakdown
Penalty
Summary
The facility failed to accurately assess, monitor, and provide timely treatment for a resident with peripheral neuropathy and impaired cognition who had a history of skin integrity problems involving the toes. The resident’s care plan identified risk for altered skin integrity related to prior cellulitis of the right second toe and included interventions such as daily skin monitoring, reporting abnormal findings, applying skin prep as ordered, and licensed nurse skin assessments. A podiatry evaluation documented thin, atrophic skin and hammertoe contractures and recommended offloading the toe with a band-aid or lambswool, but the record did not show that the provider was notified of those recommendations. Progress notes showed ongoing redness of the right 3rd and 5th toes and the left 2nd toe over several weeks, with skin prep continued and no complaint of pain or discomfort documented in those notes. However, during surveyor observation and interview, the resident stated the toes were red, painful, and had worsened over the prior few weeks, and the surveyor observed redness and swelling of the toes. The resident later stated the right foot was still painful and the facility had not done anything for it. A weekly skin assessment completed the day after the surveyor’s observation failed to identify any skin impairments to the feet. Staff interviews showed conflicting information about the resident’s condition. The RN who completed the skin assessment stated the toes were not red at the time of her assessment, while the NA who assisted with a shower stated she observed the toes to be reddened and painful and informed the nurse. The record did not show that the provider was notified of the painful, reddened toes before the surveyor brought the concern to the facility’s attention. Only after that notification did the NP document redness, a pinpoint scabbed area, and an irritated area between the toes, and new orders were issued for podiatry consultation and toe treatments. The report states that the resident did not receive appropriate treatment and interventions in a timely manner, resulting in worsening skin impairment and further deterioration of the toes.
Failure to Notify Provider and Treat Newly Identified Pressure Ulcer
Penalty
Summary
The facility failed to timely notify the physician/provider of a newly identified pressure ulcer and failed to document the wound stage, description, and characteristics for a resident admitted with thoracic vertebra wedge compression fracture, rheumatoid arthritis, and MRSA. The resident was assessed as at risk for pressure ulcers on the Braden scale, and weekly skin checks later identified an open area on the right foot second toe/metatarsal. Facility policy required weekly skin checks, daily monitoring when a pressure ulcer exists, documentation of wound status, and notification of the physician and resident representative for any pressure ulcers and significant changes. The record showed an open area on the right second toe on the weekly skin check, but there was no evidence that the wound was staged, described, or characterized as required by policy. The record also failed to show that the provider was notified, that a treatment order was obtained, or that treatment was provided when the wound was first identified. A later skin check again noted an open area, and another note documented a pressure ulcer to the right foot second toe, but the wound still lacked the required documentation and treatment had not been implemented for approximately 21 days after the wound was first identified. When the wound was finally evaluated by the wound care NP, it was described as a full thickness open wound measuring 0.8 cm by 1.2 cm by 0.2 cm with moderate serosanguinous drainage, redness, swelling, warmth, granulation tissue, slough, and mild discomfort. The resident stated the ulcer had been present for a few weeks and that staff only recently began placing a bandage on it. The PA reported she was not made aware of the wound until within the past week and did not evaluate it until later, and the physician stated he had not been informed of the new pressure ulcer until it was brought to his attention by the surveyor.
Expired Food and Dirty Ice Machine
Penalty
Summary
The facility failed to properly store and prepare food in accordance with professional standards for food service safety in the main kitchen and one of two unit ice machines. During the initial kitchen tour on 5/18/2026 at 8:48 AM, surveyors observed 2 packages of Hormel natural choice roast beef in the refrigerator with a use or freeze by date of 4/14/2026. The Rhode Island Food Code, 2022 Edition, Section 3-501.17 was cited regarding date marking for ready-to-eat time/temperature control for safety food held for more than 24 hours. In interview immediately after the observation, Cook Staff C acknowledged the items were expired and should have been discarded. Surveyors also observed the second-floor kitchenette ice machine on 5/18/2026 at approximately 9:15 AM and found a pink substance on the white shield inside the machine where ice is dispensed. The Rhode Island Food Code, 2022 Edition, Section 4.601.11 was cited regarding equipment food contact surfaces being clean to sight. In interviews on 5/18/2026 and 5/21/2026, the Food Service Director acknowledged the pink substance inside the ice machine and stated it needed to be cleaned. The Food Service Director also acknowledged that the roast beef was past its expiration date and should have been discarded.
Incomplete MDS Assessments and Missing Oxygen and Alarm Coding
Penalty
Summary
The facility failed to complete a comprehensive and accurate MDS assessment for a resident admitted with multiple rib fractures. The admission MDS assessment was documented as incomplete as of 5/20/2026, and the MDS Coordinator was unable to provide evidence that the admission assessment was completed within 14 days as required. The facility also failed to accurately code oxygen therapy on the MDS for 2 residents who were receiving continuous oxygen. One resident, admitted with COPD and dependence on supplemental oxygen, had an order for continuous oxygen at 3-4 liters via nasal cannula every shift, and the MAR documented oxygen administration continuously from 4/1 through 5/20/2026. Another resident, admitted with chronic respiratory failure with hypoxia, had orders for continuous oxygen at 2-4 liters via nasal cannula every shift, and the May MAR documented oxygen administration continuously from 5/1 through 5/20/2026. In both cases, the MDS assessments failed to show that oxygen therapy was being received during the lookback period. The facility also failed to document alarm use on the MDS for 6 residents who had active alarm-related orders. These residents had orders for bed alarms, chair alarms, floor alarms, bathroom door alarms, wheelchair alarms, or combinations of these devices, with diagnoses including dementia, Alzheimer's disease, gait abnormalities, repeated falls, and muscle weakness. The MDS assessments reviewed for these residents failed to reveal evidence that alarms were utilized, and the MDS Coordinator stated that alarm use should have been included when used during the lookback period but could not provide evidence that it was documented.
Failure to Maintain Safe and Clean Smoking Areas and Proper Cigarette Disposal
Penalty
Summary
The facility failed to provide a safe environment related to smoking, smoking areas, and smoking safety, as evidenced by observations of widespread cigarette litter and improper disposal of cigarette butts on facility grounds. A community complaint submitted to the Rhode Island Department of Health alleged that smoking was occurring within 15 feet of the nursing facility and that cigarette butts were left on the ground and often dragged into the building. Review of the facility’s Smoking Policy showed that residents who wish to smoke are required to do so in a designated area and that smoking may be limited to specific times. On arrival to the facility, surveyors observed numerous discarded cigarette butts along the front perimeter of the building, in the parking lot, and in the mulch. Later observations at the rear of the building revealed the ground was littered with a large quantity of cigarette butts extending approximately 10 feet from the rear entrance door, and the sand-filled bucket used as an ashtray was overflowing with cigarette butts. In interviews, the Director of Maintenance acknowledged that cigarette butts littered the grounds in both the front and rear of the building and that the smoking bucket should have been emptied to allow proper disposal. The Administrator also acknowledged the large quantity of cigarette butts on the ground at the rear of the building and stated she would expect staff and/or residents who smoke to follow the facility’s policy for proper disposal of cigarette butts.
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 533 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 North Kingstown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| South County Eden Operations Llc Dba Lakeside Nurs | 1.4 mi | ★★★★★ | 0 | 0 |
| Saint Elizabeth Home East Greenwich | 4.3 mi | ★★★★★ | 5 | 0 |
| Bayview Rehabilitation And Healthcare Center | 5.5 mi | ★★★★★ | 12 | 1 |
| South Kingstown Nurs. & Rehab Ctr | 6.5 mi | ★★★★★ | 2 | 1 |
| Kingston Center For Rehabilitation And Health Care | 6.7 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Roberts Health Centre Inc.
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.