Based on record review and staff interview it has been determined that the facility failed to ensure that each resident receives and is provided the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care, and that his/her care plan is reviewed and revised accordingly for 1 of 2 residents reviewed, Resident ID #2. Findings are as follows: On [DATE] the Rhode Island Department of Health (RIDOH) received a facility reported incident that indicates that Nursing Assistant, Staff A, was unable to locate Resident ID #2 during rounds. Staff A continued her search and found Resident ID #2 in his/her roommates bed, Resident ID #1. …
F740 citations in Rhode Island
Behavioral health services · Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Rhode Island cites F740 more often than its own record predicts
1.98 times the share F740 takes of citations nationally.
Of every deficiency written in Rhode Island in 2025, this is the portion that was F740.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Rhode Island surveyors wrote
F740 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 ensure that Resident ID #2 received adequate behavioral health services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, for 1 of 2 residents reviewed. Specifically, the facility failed to implement the full psychiatric recommendation for trazodone - including agitation and anxiety as indications for use - and failed to update the care plan with effective interventions to address Resident ID #2's known and escalating pattern of physically aggressive behaviors, contributing to a resident-to-resident altercation on 4/27/2026 in which Resident ID #2 struck Resident ID #1 with a cane, causing a laceration to the left eyebrow requiring wound closure with steri-strips and… …
Based on surveyor observation, clinical record review and staff interview, the facility failed to ensure that each resident receives and is provided the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, or psychosocial well-being, for 1 of 1 resident admitted with a diagnosis of schizophrenia, Resident ID #46.Findings are as follows:Record review revealed the resident was admitted to the facility in November of 2025 with diagnoses including, but not limited to, dementia with behavioral disturbances and schizophrenia (a mental illness that affect how people think and behave).Review of the resident's care plan revealed a focus area initiated on 11/26/2025, for the use of psychotropic medications related to his/her diagnosis of… …
The short window
Recent years
| Year | Share of Rhode Island citations | vs expected |
|---|---|---|
| 2023 | 0.38% | 1.44× |
| 2024 | 0.74% | 2.98× |
| 2025 | 0.52% | 1.98× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Rhode Island surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction