Based on record review and staff interview it has been determined that the facility failed to provide sufficient nurse staffing to ensure resident safety and attain the highest practicable physical, mental and psychosocial wellbeing of each resident relative to 1 of 1 unlicensed person who was scheduled as a nurse on a unit unsupervised and who documented that she administered treatments and/or medications to 5 of 5 residents reviewed who had treatments and/or medications scheduled for the 11:00 PM - 7:00 AM shift, Resident ID #s 1, 2, 3, 4, and 5, and who documented in 34 of 34 residents' health records reviewed from a unit, Resident ID #'s 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33 and 34. …
F725 citations in Rhode Island
Sufficient nursing staff · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Rhode Island cites F725 less often than its own record predicts
0.90 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 F725.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Rhode Island surveyors wrote
F725 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 have sufficient nursing staff to assure resident safety and attain the highest practicable, physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care relative to insufficient staffing for 1 of 3 residents reviewed for a fall, Resident ID #5. Findings are as follows:Review of a community reported complaint submitted to the Rhode Island Department of Health on 10/24/2025 alleged that Resident ID #5 who is a .quadriplegic [paralysis of both arms and legs], dependent on a ventilator and feeding tube, and fully reliant on staff for all aspects of [his/her] care. …
Based on surveyor observation, clinical record review, and resident and staff interview, the facility failed to have sufficient nursing staff to assure resident safety and attain the highest practicable, physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care for 2 of 2 residents reviewed who failed to receive their scheduled shower due to staffing shortages, Residents ID #s 3 and 122.Findings are as follows:Review of the FACILITY ASSESSMENT dated 2/23/2026 states in part .the residents' daily needs, preferences, and routines in order to help each resident attain or maintain the highest practicable physical, mental, and psychosocial wellbeing.Direct Care Staff .7-8 residents for days (CNA) .Review of an undated… …
The short window
Recent years
| Year | Share of Rhode Island citations | vs expected |
|---|---|---|
| 2023 | 0.19% | 0.24× |
| 2024 | 0.59% | 0.74× |
| 2025 | 0.69% | 0.90× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Rhode Island surveyors cite →
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