AdviniaCare Waterview Villas, LLC

In the surveyor’s words

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

• Immediate jeopardy, isolatedF760Jul 9, 2021

  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 2 of 9 sample residents reviewed, Resident ID #'s 1 and 9. Findings are as follows: 1) Review of the online 2000-2021 Davis-Drug-Guide states in part, [MEDICATION(S)] .High Alert Medication: This medication bears a heightened risk of causing significant patient harm when it is used in error .Adverse Reactions/Side Effects .RESPIRATORY DEPRESSION [refers to a low shallow breathing rate] .* CAPITALS indicate life-threatening .Toxicity Overdose: If an opioid antagonist is required to reverse respiratory depression or coma, [MEDICATION(S)] [[MEDICATION(S)]] is the antidote . […]

• Actual harm, patternF688Jan 31, 2025

  Based on surveyor observation, record review, resident, and staff interview, it has been determined that the facility failed to ensure a resident with limited range of motion (ROM) received appropriate treatment and services to increase ROM and/or to prevent further decrease in ROM for 2 of 2 residents reviewed with contractures (the shortening of muscles, tendons, skin, and nearby soft tissues that cause the joints to become very stiff, which prevents normal movement), Resident ID #s 67 and 79. […]

• Actual harm, isolatedF690Jun 18, 2026

  Based on clinical record review and staff interview, the facility failed to provide appropriate treatment and services for 1 of 1 resident reviewed with a foley catheter (a hollow, partially flexible tube that collects urine from the bladder and leads to a drainage bag), Resident ID #1, and for 1 of 1 resident with a suprapubic catheter (SP tube, a medical device that drains urine from the bladder through a small incision in the abdomen), Resident ID #2.Findings are as follows:Record review of a community reported complaint submitted to the Rhode Island Department of Health on 6/11/2026 alleges that Resident ID #1 has a foley catheter and had recently been hospitalized related to poor foley catheter care by the nursing facility. […]

• Actual harm, isolatedF684Dec 2, 2025

  Based on surveyor observation, clinical record review, and staff interview, the facility failed to ensure ordered diagnostic testing was obtained and failed to ensure significant laboratory results were reviewed and reported to the practitioner for 1 of 1 resident reviewed (Resident ID #1) who was treated for a herpes simplex outbreak (viral infection that can cause painful blisters or ulcers and is spread through skin to skin contact). The facility's failures in following practitioner orders, reviewing and reporting abnormal laboratory results, and ensuring timely communication with the resident's responsible party led to a delay in treatment and resulted in the need for a more invasive course of treatment. […]

• Actual harm, isolatedF689Nov 18, 2025

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that staff updated and implemented proper safety measures, including the use of bed rails, which resulted in the resident sustaining a significant fracture that required surgery and a significant decline from his/her prior level of function due to a preventable fall for 1 of 1 resident reviewed, Resident ID #1. Findings are as follows:Record review revealed the resident was initially admitted to the facility in January of 2018 and readmitted in November of 2025 with diagnoses including, but not limited to, dementia, left hip fracture and history of falls.Record review of a facility policy titled falls management, last revised in April 2024, revealed in part, .A fall… […]