Eastgate Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Eastgate Nursing & Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 27, 2022

  Based on record review, staff, and resident interview, it has been determined that the facility failed to ensure that each resident receives adequate supervision and assistive devices to prevent accidents for 1 of 2 residents observed relative to falls, Resident ID #2. Findings are as follows: Record review of a facility reported incident sent to the Rhode Island Department of Health on 6/21/2022, states in part, .Resident had used the commode .lost .balance and fell .found on the floor . Record review for the resident revealed s/he was admitted to the facility in May of 2022 for short term rehabilitation after a fall at home which led to a hospitalization for a displaced malleolar fracture (ankle fracture) of the right lower extremity (RLE). […]

• No harm, potential for more than minimal, widespreadF812Nov 21, 2024

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that food is stored and distributed in accordance with professional standards for food safety relative to food handling, and 1 of 1 ice machines observed. Findings are as follows: 1. Record review of the Rhode Island Food Code 2018 Edition, 216-RICR-50-10-1 subchapter 10 titled food contamination, section 1.5.1 Preventing Contamination from Hands states in part, Food employees may not contact exposed, ready-to-eat food with their bare hands and shall use .single-use gloves . […]

• No harm, potential for more than minimal, patternF657Feb 19, 2026

  Based on clinical record review and staff interview, the facility failed to ensure that the residents and/or their representatives participated in the comprehensive and quarterly care plan reviews for 3 of 6 residents, Resident ID #s 7, 8, and 10.Findings are as follows:Record review of a facility policy titled Comprehensive Care Plans last reviewed on 9/30/2025 states in part, .Frequent care plan meetings are to be encouraged to address changing circumstances which affect the residents' well-being. 1. […]

• No harm, potential for more than minimal, patternF695Nov 21, 2024

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to provide respiratory care consistent with professional standards of practice relative to the failure to post cautionary and safety signs indicating that oxygen was in use for 3 of 3 residents observed, Resident ID #s 13, 36, and 52. Findings are as follows: 1. Record review revealed Resident ID #52 was admitted to the facility in May of 2024 with a diagnosis including, but not limited to, acute and chronic respiratory failure with hypoxia (low levels of oxygen in the blood). […]

• No harm, potential for more than minimal, patternF838Nov 21, 2024

  Based on record review and staff interview, it has been determined that the facility failed to document all required components of the facility-wide assessment. Findings are as follows: Review of a facility provided document titled, Facility assessment dated [DATE] failed to reveal the following required components: - The care required by the resident population considering the types of diseases, conditions, physical and cognitive disabilities, overall acuity, and other pertinent facts that are present within that population - The staff competencies and skill set that are necessary to provide the level and types of care needed for the resident population - All personnel, including managers, staff (both employees and those who provide services under contract), as well as their education… […]