Deficiency Index

AdviniaCare Orchard, LLC

East Providence, Rhode Island · CCN 415059

41 surveys since 2012. The first finding at harm level was recorded in 2017.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
118
Surveys
41
Harm or worse
21
Immediate jeopardy
11
The record, 2012–2026
’12’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy11

Findings at the most serious level CMS records.

Beyond CMS’s monthly file22/41

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
166
Ownership
For profit - Corporation
Chain
ADVINIACARE
County
Providence
Medicare-certified since
1978

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 27 for-profit facilities with 128 or more beds in Rhode Island.

Last survey on record

Jan 23, 2026

290 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Annual nurse turnover20.2%37.9%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$103,744 across 5 penalties
Special focus
SFF Candidate

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ712.1%K—L23.4%
Actual harmG23.4%H—I—
No harm, potential for more than minimalD2746.6%E915.5%F915.5%
No harm, potential for minimalA—B—C23.4%
CMS’s current file: 58 of the 118 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6896×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F6585×

    Ensure services provided by the nursing facility meet professional standards of quality.

  • F6844×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F8804×

    Provide and implement an infection prevention and control program.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

In the surveyor’s words

From the most serious findings on record at AdviniaCare Orchard, LLC, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF921Jan 23, 2026

    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. […]

  • Immediate jeopardy, widespreadF689Jan 12, 2026

    Based on surveyor observation, record review, and staff interview, the facility failed to ensure the residents' environment remained as free of accident hazards as possible related to the storage and management of biohazardous waste (any material contaminated with infectious agents or potentially infectious substances that pose a risk to health, including blood and body fluids) and sharps (any instruments or devices with sharp points or edges that can puncture or cut skin, posing risks of injury and disease transmission). […]

  • Immediate jeopardy, widespreadF880Jan 12, 2026

    Based on surveyor observation, record review, and staff interview, the facility failed to maintain an effective infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the transmission of communicable diseases and infections. Specifically, the facility failed to properly store, secure, and dispose of biohazardous waste (any material contaminated with infectious agents or potentially infectious substances that pose a risk to others) and overfilled sharps containers (used for the safe disposal of used needles, syringes, and other sharp medical items to prevent needlestick injuries and the spread of infection) in unsecured and unlocked areas on four (4) of four (4) units observed, including a secured memory care unit. […]

  • Immediate jeopardy, isolatedF600Sep 12, 2024

    Based on surveyor observation, record review and staff interview, it has been determined that the facility failed to keep a resident free from neglect for 1 of 1 resident reviewed who attempted suicide, Resident ID #1. Findings are as follows: Record review of a community reported complaint submitted to the Rhode Island Department of Health on 9/9/2024 alleges that Resident ID #1 tried to commit suicide on 9/7/2024. S/he had a belt around his/her neck and the family was not informed. Review of a facility policy titled, Suicide Attempt or Threats last revised in November of 2019 states in part, In the event a resident/patient attempts or is threatening suicide: Take all allegations seriously. Ensure the resident's/patient's immediate safety. […]

  • Immediate jeopardy, isolatedF689Sep 12, 2024

    Based on surveyor observation, record review and staff interview it has been determined that the facility failed to ensure that residents receive adequate supervision for 1 of 1 resident reviewed who attempted suicide, Resident ID #1. Findings are as follows: Record review of a community reported complaint submitted to the Rhode Island Department of Health on 9/9/2024 alleges that Resident ID #1 tried to commit suicide on 9/7/2024. S/he had a belt around his/her neck and the family was not informed. Review of a facility policy titled, Suicide Attempt or Threats last revised in November of 2019 states in part, In the event a resident/patient attempts or is threatening suicide: Take all allegations seriously. Ensure the resident's/patient's immediate safety. […]

Read 37 findings in full →The most serious and the most recent: 37 of 118 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 21, 2026Complaint1 finding
  • Jan 23, 2026Complaint1 finding · 1 harm
  • Jan 12, 2026Complaint4 findings · 2 harm
  • Sep 24, 2025Complaint1 finding
  • Sep 17, 2025Complaint1 finding
  • Aug 13, 2025Complaint1 finding
  • Jun 26, 2025Standard and complaint9 findings · 1 harm
  • Apr 2, 2025Complaint4 findings
Show the 33 earlier surveys
  • Mar 27, 2025Complaint1 finding
  • Dec 3, 2024Complaint1 finding
  • Oct 24, 2024Complaint1 finding
  • Sep 12, 2024Complaint2 findings · 2 harm
  • Jul 2, 2024Complaint1 finding
  • Jun 26, 2024Standard and complaint10 findings
  • Apr 23, 2024Complaint1 finding · 1 harm
  • Feb 15, 2024Complaint2 findings · 1 harm
  • Jan 3, 2024Complaint2 findings
  • Dec 5, 2023Complaint1 finding
  • Nov 9, 2023Complaint1 finding
  • Jul 6, 2023Standard14 findings · 4 harm
  • Jun 6, 2023Complaint1 finding
  • Mar 8, 2023Complaint6 findings · 3 harm
  • Dec 22, 2022Complaint1 finding · 1 harm
  • Dec 9, 2022Infection control2 findings
  • Nov 15, 2022Complaint1 finding
  • Oct 31, 2022Complaint2 findings
  • Jun 3, 2022Standard6 findings
  • May 3, 2022Complaint2 findings · 2 harm
  • Dec 6, 2021Complaint1 finding
  • Mar 4, 2021Standard3 findings
  • Jan 15, 2021Infection control1 finding
  • Dec 28, 2020Complaint1 finding
  • Jun 22, 2020Complaint2 findings · 2 harm
  • Dec 20, 2018Complaint1 finding
  • Oct 12, 2018Complaint3 findings
  • Jun 14, 2018Standard and complaint2 findings
  • Apr 4, 2017Standard13 findings · 1 harm
  • May 24, 2016Standard5 findings
  • Mar 21, 2014Standard2 findings
  • Nov 8, 2012—2 findings
  • May 25, 2012—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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