Based on surveyor observation, resident, and staff interview, it has been determined that the facility failed to ensure a safe environment was maintained relative to unsafe water temperatures, for 4 of 4 floors observed. Findings are as follows: According to the State Operation Manual Appendix PP- Guidance to Surveyors for Long Term Care Facilities, last revised 8/8/2024, states in part, .Some States have regulations regarding allowable maximum water temperature .Water may reach hazardous temperatures in hand sinks, showers, tubs, and any other source or location where hot water is accessible to a resident. …
F584 citations in Rhode Island
Safe, clean, homelike environment · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Rhode Island cites F584 less often than its own record predicts
0.25 times the national share — cited less often here than elsewhere.
Of every deficiency written in Rhode Island in 2025, this is the portion that was F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Rhode Island surveyors wrote
F584 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 surveyor observations, resident and staff interviews, the facility failed to maintain a safe and clean environment relative to 3 of 3 nursing units observed and the main building.Findings are as follows:Record review of a community reported complaint submitted to the Rhode Island Department of Health on 7/8/2026, alleged in part, .Unsanitary Environment: The cleanliness of the facility was dangerously substandard. Floors in patient areas were left unswept and unwashed for days at a time. …
Based on surveyor observation and staff interview, it has been determined that the facility failed to maintain a safe and clean environment relative to rough edges and/or missing paint on the lower third of doors and worn/stripped wood finishing on handrails. Findings are as follows: 1. The lower third of doors with rough edges and/or missing paint included: First Floor A) Resident rooms 109, 111, 115, 116 and 117. B) Both separate entrance doors to the main dining room. C) The entrance door to the main shower room adjacent to room [ROOM NUMBER]. Second Floor A) Resident rooms 204, 205, 219, 221, 222, 223, 224. B) The soiled utility closet adjacent to room [ROOM NUMBER]. Third Floor A) Resident rooms 302, 305, 306, 308, 310, 311, 313, 314, 316 and 317. …
The short window
Recent years
| Year | Share of Rhode Island citations | vs expected |
|---|---|---|
| 2023 | 1.52% | 0.68× |
| 2024 | 0.30% | 0.14× |
| 2025 | 0.52% | 0.25× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Rhode Island surveyors cite →
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