AdviniaCare Summit Commons, LLC

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Oct 30, 2025

  Based on record review and staff interview, it has been determined that the facility failed to maintain an infection prevention and control program to help prevent the transmission of communicable diseases and infections as the facility failed to implement a water management program (WPM) based upon industry standards and/or the Centers for Disease Control and Prevention (CDC), and to perform and document specified testing for the prevention of Legionella disease (a very serious type of lung infection caused by the bacteria called Legionella which can be found in water) resulting in infections for 1 of 1 resident reviewed who tested positive for Legionella pneumonia, Resident ID #1.Findings are as follows:Review of a community reported complaint received by the Rhode Island Department of… […]

• Immediate jeopardy, isolatedF689Mar 26, 2026

  Based on clinical record review and staff interview, the facility failed to ensure adequate supervision and failed to maintain an effective elopement prevention system for 1 of 1 resident reviewed for elopement risk, Resident #1. The resident was assessed as a high elopement risk, had a documented history of exit-seeking behaviors, requiring a wander guard device (a safety mechanism intended to monitor and prevent at-risk residents from exiting unsupervised) and resides on a secured unit intended to prevent unauthorized egress. […]

• Immediate jeopardy, isolatedF604Jun 30, 2025

  Based on record review and staff interview, it has been determined that the facility failed to ensure that residents are free from physical restraints that are not required to treat the resident's medical symptoms for 1 of 1 resident reviewed for an actual restraint, as the resident was observed in bed with a bed sheet tied across his/her abdomen, Resident ID #1. Findings are as follows: Review of a facility policy titled, Restraint Management states in part, .Physical Restraints: Is any manual, mechanical or physical device, material or equipment attached or adjacent to the resident's body that the individual cannot remove easily, which restricts freedom of movement or normal access to one's body. […]

• Immediate jeopardy, isolatedF760Jan 8, 2025

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that residents are free from significant medication errors for 1 of 5 residents observed who receive insulin, Resident ID #1. Findings are as follows: Record review of a community reported complaint submitted to the Rhode Island Department of Health on 12/26/2024, alleged that numerous medication errors involving several residents were being made, including insulin. Review of the facility policy titled, MEDICATION ADMINISTRATION BY ROUTE OR DOSAGE, revised in 3/2017, revealed that licensed nurses should verify medication orders on the Medication Administration Record (MAR) and check against the physician's order. […]

• Immediate jeopardy, isolatedF689Oct 15, 2024

  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 accidents for 1 of 4 residents reviewed for elopement, Resident ID #1. Findings are as follows: Review of an anonymous community reported complaint submitted to the Rhode Island Department of Health on 10/8/2024 alleges that Resident ID #1 eloped from the facility on 10/7/2024 during the early afternoon. The complaint indicates that management does not disclose when these things happen, and management wanted him/her to wait before filing a complaint. […]