Based on surveyor observation, record review, and resident and staff interview, it has been determined that the facility failed to be adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area for 1 of 3 units observed, the [NAME] Unit.Findings are as follows:Review of a facility policy titled, Answering the Call Light last revised 9/2022 states in part, .The purpose of this procedure is to ensure timely responses to the resident's requests and needs.During the resident council task completed on 9/16/2025 at approximately 2:00 PM, multiple residents complained about waiting for long periods of time for staff to respond to their call lights with an average wait time… …
F919 citations in Rhode Island
Call system · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Rhode Island cites F919 more often than its own record predicts
1.56 times the share F919 takes of citations nationally.
Of every deficiency written in Rhode Island in 2025, this is the portion that was F919.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Rhode Island surveyors wrote
F919 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.
The short window
Recent years
| Year | Share of Rhode Island citations | vs expected |
|---|---|---|
| 2023 | 1.14% | 2.62× |
| 2024 | 0.30% | 0.67× |
| 2025 | 0.69% | 1.56× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Rhode Island surveyors cite →
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