Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F838 in Rhode Island. Pick another state for the same tag.
Against expectation — 2025
Rhode Island cites F838 more often than its own record predicts
Versus expected share4.11×
4.11 times the share F838 takes of citations nationally.
Share of Rhode Island citations1.04%
Of every deficiency written in Rhode Island in 2025, this is the portion that was F838.
Rhode Island1.04%
National0.25%
Share of all citations that were F838.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Rhode Island surveyors wrote
F838 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.
H · Actual harm, patternNovember 4, 2022
Based on record review and staff interview, it has been determined that the facility failed to identify the care required by the resident population considering the types of disease, conditions, physical and cognitive disabilities. Additionally, the facility failed to ensure that staff has competencies that are necessary to provide the level and types of care needed for the resident population at risk and/or have limited range of motion (ROM). Furthermore, the facility failed to have necessary resources including a dementia care coordinator. …
D · No harm, potential for more than minimal, isolatedAugust 12, 2026
Based on clinical record review and staff interview, the facility failed to implement their staffing guidelines as indicated in the facility's assessment relative to scheduling Certified Medication Technicians (CMTs) on each unit. Findings are as follows:Record review of a community reported complaint submitted to the Rhode Island Department of Health on 7/20/2026 alleges that the facility does not staff the unit with the appropriate number of CMTs. Record review of a document titled .Facility Assessment. …
C · No harm, potential for minimal, widespreadJune 24, 2026
Based on record review and staff interview, the facility failed to conduct and document a comprehensive facility-wide assessment to determine what resources are necessary to care for its residents competently during both day-to-day operations (including nights and weekends) and emergencies. The facility must review and update this assessment whenever there is, or the facility plans for, any change that would require a substantial modification to any part of this assessment and maintain a plan to maximize recruitment and retention of direct care staff.Findings are as follows:Review of a community reported complaint received by the Rhode Island Department of Health on 6/23/2026 alleges in part, that the facility has a severe and persistent staffing shortage.Review of a document titled, 2025… …
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