Adviniacare Pawtucket Pleasant Rehab Center, LLC

In the surveyor’s words

From the most serious findings on record at Adviniacare Pawtucket Pleasant Rehab Center, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 8, 2023

  Based on surveyor observation, record review, staff and resident interview, it has been determined that the facility failed to ensure that a cognitively impaired resident received adequate supervision to prevent elopement from the facility for 1 of 5 resident reviewed for elopement, Resident ID #1. Findings are as follows: Review of a community reported complaint submitted to the Rhode Island Department of Health on 2/7/2023 alleges that a resident went missing between 6:00 AM and 8:00 AM on 2/7/2023. Police contacted and resident still missing as of 1:00 PM on 2/7/2023. […]

• Immediate jeopardy, isolatedF684Jul 28, 2022

  Based on record review and staff interview, it has been determined that the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive care plan, and the residents' goals and preferences for 1 of 5 residents reviewed for quality of care, Resident ID #1. Findings are as follows: Review of the facility's policy titled, Change in Resident's Condition dated 5/2019 revealed a 'significant change' of condition is a major decline .in the resident's status that: will not normally resolve itself without intervention by staff .the nurse will make detailed observations .will record in the resident's medical record information relative to changes in the resident's medical condition . […]

• Actual harm, isolatedF684Aug 15, 2025

  Based on surveyor observation, record review, and staff and resident interviews, it has been determined that the facility failed to provide treatment and care in accordance with professional standards of practice for 2 of 3 residents reviewed relative to skin conditions, Resident ID #s 111 and 3.Findings are as follows:1) Record review revealed Resident ID #111 was readmitted to the facility in February of 2024 with diagnoses including, but not limited to, diabetes mellitus type 2, morbid obesity, and osteoarthritis. Review of a Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 13 out of 15, indicating intact cognition. […]

• Actual harm, isolatedF825Aug 15, 2025

  Based on record review, staff and resident interview, it has been determined that the facility failed to provide specialized rehabilitation services such as physical therapy and occupational therapy, that are required per the resident's comprehensive plan of care for 2 of 2 residents reviewed with a decline in activities of daily living (ADL) functional abilities, Resident ID #s 8 and 42.Findings are as follows: 1. Record review revealed Resident ID #8 was readmitted to the facility in October of 2024 with diagnoses including, but not limited to, hemiplegia (paralysis) and hemiparesis (weakness) of the left non-dominant side following a stroke and left foot drop (the inability to lift the front part of your foot causing it to drag).During a surveyor interview with the resident on 8/13/2025… […]

• Actual harm, isolatedF760Oct 2, 2024

  Based on record review and staff interview, it has been determined that the facility failed to ensure that residents are free of any significant medication errors for 1 of 1 resident reviewed for antibiotic use, Resident ID #1. Findings are as follows: Review of community reported complaint submitted to the Rhode Island Department of Health on 10/1/2024 alleges that the resident was admitted to the facility from the hospital. Additionally, 3 days later the resident had returned to the hospital due to a fever and infection. […]