Based on clinical record review and staff interview, the facility failed to provide appropriate behavior monitoring for a resident with mental and psychosocial disorders and provide nursing and related services that assure resident safety and attain or maintain the highest practicable physical, mental and psychosocial well-being for 1 of 1 resident reviewed for behavior monitoring, Resident ID #23.Findings are as follows:Review of a facility policy titled, Psychotropic Medication (medication prescribed that alters brain chemistry to affect mood, thoughts, behavior, or perception).Use, dated 12/15/2025, states in part, .Facility staff should monitor the resident's behavior pursuant to Facility policy using a behavioral monitoring chart or behavioral assessment record for residents receiving… …
F741 citations in Rhode Island
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Rhode Island cites F741 more often than its own record predicts
3.61 times the share F741 takes of citations nationally.
Of every deficiency written in Rhode Island in 2025, this is the portion that was F741.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Rhode Island surveyors wrote
F741 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 staff who provide direct services to residents with the appropriate competencies and skill sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident, including training on caring for residents with mental and psychosocial disorders as well as residents with a history of trauma and/or post -traumatic stress disorder. Findings are as follows: Record review of a listing of current staff provided by the facility revealed that the facility has 131 staff members. …
What else Rhode Island surveyors cite →
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