Based on surveyor observations and staff interviews between 1/22/2026 and 1/23/2026, the facility failed to maintain a safe, functional, sanitary, and comfortable environment for all residents, staff, and the public. Active water leaks from the roof penetrated ceiling tiles and electrical fixtures on the second floor, causing brown water to pool on floors, collect in hallways accessible to cognitively impaired residents, and infiltrate the fire alarm panel. Despite awareness from maintenance, administration, and operations staff, no effective mitigation measures were implemented. …
F921 citations in Rhode Island
Safe, clean, comfortable environment · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Rhode Island cites F921 more often than its own record predicts
1.84 times the share F921 takes of citations nationally.
Of every deficiency written in Rhode Island in 2025, this is the portion that was F921.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Rhode Island surveyors wrote
F921 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 surveyor observation and staff interview, the facility failed to provide and maintain a sanitary, safe, and comfortable environment by allowing the accumulation of extensive black and brown buildup throughout 3 of 3 communal shower rooms observed. Findings are as follows:A surveyor tour of the second, third, and fourth floor communal shower rooms revealed unsanitary conditions in all shower rooms observed.During a surveyor observation on 6/17/2026 at 8:11 AM, with Nursing Assistant, Staff A, the fourth-floor communal shower stall was observed to have a substantial accumulation of black and brown buildup along the lower one-fourth of the shower stall wall. …
Based on surveyor observation and staff interview, it was determined that the facility failed to provide a safe, functional environment for residents and staff, relative to an ice machine and missing ceiling tiles in the main kitchen. Findings are as follows: During the initial tour of the main kitchen on 9/8/2020 at approximately 10:00 AM, a surveyor observation revealed the following: 1. An ice machine located in the back right corner of a dry goods storage area. There was black matter on the back, interior wall where ice is produced with water running through it. The ice machine was leaking water onto the floor and into 3 mixing bowls underneath, almost filled to the top with water. 2. …
The short window
Recent years
| Year | Share of Rhode Island citations | vs expected |
|---|---|---|
| 2023 | 1.52% | 1.77× |
| 2024 | 1.04% | 1.30× |
| 2025 | 1.56% | 1.84× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Rhode Island surveyors cite →
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