Based on clinical record review and staff interview, the facility failed to provide written notification, including the reason for the room change, prior to changing a resident's room or roommate assignment for 1 of 1 resident reviewed whose room and roommate were changed without prior notification, Resident ID #1.Findings are as follows:Record review of a community reported complaint submitted to the Rhode Island Department of Health on 6/8/2026 alleged in part, Resident ID #1 reported an allegation his/her room was changed, and s/he was assigned a new roommate. Furthermore, the complaint alleged that the new roommate yelled and screamed out at the top of their lungs which impacted the resident's quality of life as s/he could no longer receive visitors in his/her own room. …
F559 citations in Rhode Island
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F559 citations were recorded in Rhode Island for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Rhode Island surveyors wrote
F559 findings written in Rhode Island, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on clinical record review and resident, resident representative, and staff interviews, the facility failed to provide written notification, including the reason for the room change, before the resident's room or roommate in the facility is changed, for 6 of 6 residents reviewed, Resident ID #s, 45, 66, 93, 99, 101, and 147.Findings are as follows:Record review of a facility policy titled Room Change last revised in October of 2022, states in part, .The resident has the right to refuse transfer to another room in the facility if the purpose of the transfer is.Solely for the convenience of staff.When a resident room change is occurring, the resident being moved.will be informed of the room change. …
What else Rhode Island surveyors cite →
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