Based on record review and staff interview it has been determined that the facility failed to provide evidence that an alleged violation of abuse was investigated, relative to an allegation of resident-to-resident abuse between Resident ID #s 1 and 3, which in turn resulted in Resident ID #2 sustaining abuse by the same alleged perpetrator, Resident ID #1. Findings are as follows: Review of a facility policy titled, Abuse Prohibition last revised on 10/31/2022 states in part, .Any instance of actual or suspected abuse, neglect, mistreatment, involuntary confinement, misappropriation of resident property, including injuries of unknown origins including bruises, skin tears, or lacerations must be reported immediately to the DNS [Director of Nursing Services]/designee, i.e., supervisor on… …
F610 citations in Rhode Island
Investigating alleged violations · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Rhode Island cites F610 less often than its own record predicts
0.46 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 F610.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Rhode Island surveyors wrote
F610 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 record review and staff interview it has been determined that the facility failed to ensure that allegations made by residents are recognized as possible abuse by staff, all allegations are investigated, and that residents are kept free from experiencing further abuse during investigations for 1 of 1 Resident reviewed who expressed concerns to staff members regarding a consensual sexual relationship with another resident, Resident ID #1 (the alleged victim). Findings are as follows: Review of a facility policy titled, Abuse Prohibition Policy dated September 2020, states in part, .each resident has the right to be free from abuse .Procedure .identifying events, occurrences, patterns and trends of potential abuse for residents. …
Based on clinical record review and staff interview, the facility failed to ensure that an injury of unknown origin was thoroughly investigated in accordance with federal regulations for 1 of 1 resident reviewed for who was discovered to have bruising to his/her right armpit and was subsequently diagnosed with a closed traumatic right posterior dislocation of the shoulder joint, Resident ID #1.Findings are as follows:Record review revealed the resident was admitted to the facility in January of 2025 with diagnoses including, but not limited to, Alzheimer's disease and polyosteoarthritis (a form of arthritis that simultaneously affects multiple joints throughout the body).Record review of the Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed that the resident has a Brief… …
The short window
Recent years
| Year | Share of Rhode Island citations | vs expected |
|---|---|---|
| 2023 | 0.76% | 0.59× |
| 2024 | 1.04% | 0.72× |
| 2025 | 0.69% | 0.46× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Rhode Island surveyors cite →
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