Based on record review and staff interview, it has been determined that the facility was not being administered in a manner that enabled it to utilize resources effectively and efficiently to maintain the highest practicable physical, mental and psychosocial well-being of each resident related to infection control. This failure resulted in immediate jeopardy for F 880. Additionally, the Administrator directed an employee, who did not have a Food Safety Manager Certification, to work as the only cook in the main kitchen for all of the facility's residents. …
F835 citations in Rhode Island
Administration · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Rhode Island cites F835 more often than its own record predicts
1.77 times the share F835 takes of citations nationally.
Of every deficiency written in Rhode Island in 2025, this is the portion that was F835.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Rhode Island surveyors wrote
F835 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 is not administered in a manner that enabled it to utilize resources effectively and efficiently to maintain the highest practicable physical, mental and psychosocial well-being of each resident. The failure resulted in immediate jeopardy for F 684, F 692, and F 711. Findings are as follows: 1. As evidenced by the facility's failure to maintain acceptable parameters of nutritional status, such as usual body weight, in regards to weight loss as referenced in F-692 at level [NAME] 2. …
Based on record review and staff interview, the facility failed to be administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical well-being of each resident, relative to the former Administrator failing to ensure that the facility's policy was implemented and that inspections were conducted to identify areas of possible entrapment with the installation of bed rails, Resident ID #1. Findings are as follows:Record review of a facility reported incident initially submitted to the Rhode Island Department of Health (RIDOH) by the former facility Administrator on [DATE], revealed that on the morning of [DATE] at approximately 6:40 AM Resident ID #1 was found deceased , in a sitting position on the floor holding… …
The short window
Recent years
| Year | Share of Rhode Island citations | vs expected |
|---|---|---|
| 2023 | 0.76% | 2.64× |
| 2024 | 0.59% | 1.81× |
| 2025 | 0.52% | 1.77× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Rhode Island surveyors cite →
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