Based on clinical record review and staff interviews, the facility failed to have sufficient nursing staff with the necessary competencies and skills to provide the required nursing and related services. This failure jeopardized resident safety and hindered the attainment or maintenance of the highest practicable physical, mental, and psychosocial wellbeing of each resident. This was particularly evident in the case of four nursing staff members: Staff B, C, D, and F, where a change in a resident's condition was not properly identified.Findings are as follows:Record review of a community reported complaint submitted to The Rhode Island Department of Health on [DATE] alleges that this facility provided Neglectful transport of a patient in a non-medical transport vehicle during [an] acute… …
F726 citations in Rhode Island
Competent nursing staff · Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Rhode Island cites F726 more often than its own record predicts
4.33 times the share F726 takes of citations nationally.
Of every deficiency written in Rhode Island in 2025, this is the portion that was F726.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Rhode Island surveyors wrote
F726 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 staff interview, the facility failed to have sufficient nursing staff with the necessary competencies and skills to provide the required nursing and related services. Specifically, the facility failed to assure that all persons administering medications conducted and documented 4 out of 4 quarterly evaluations per state requirements for 1 of 1 Certified Medication Technician (CMT) reviewed, Staff A, who administered medications erroneously to Resident ID #1. The resident was transferred to the hospital due to the medication errors and later expired. …
Based on surveyor observation, clinical record review, and staff interview, the facility failed to ensure that staff were competent to provide nursing and related services to assure resident safety to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident, as the facility staff were unable to differentiate between contact precautions (CP; an infection control measure used in healthcare settings to prevent the spread of germs that can be transmitted by direct or indirect contact with a resident or their environment) and enhanced barrier precautions (EBP; refers to an infection control intervention designed to reduce transmission of multidrug-resistant organisms [MDRO] that employs targeted gown and glove use during high contact resident care… …
The short window
Recent years
| Year | Share of Rhode Island citations | vs expected |
|---|---|---|
| 2023 | 0.95% | 1.55× |
| 2024 | 2.81% | 4.27× |
| 2025 | 2.60% | 4.33× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Rhode Island surveyors cite →
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