Roberts Health Centre Inc

In the surveyor’s words

From the most serious findings on record at Roberts Health Centre Inc, in the surveyor’s own words.

• Actual harm, isolatedF684May 26, 2026

  Based on surveyor observations, clinical record review, and staff and resident interviews, the facility failed to accurately assess, monitor, and provide timely treatment for 1 of 1 resident reviewed, Resident ID #45, after the resident reported toe pain and presented with multiple skin impairments. This failure placed the resident at risk for worsening skin breakdown, increased pain, and potential complications.Findings are as follows:Record review revealed Resident ID #45 was admitted to the facility in April of 2022 with a diagnosis including, but not limited to, peripheral neuropathy (nerve damage that can affect the sensation to the limbs).Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status score of 12 out of 15, indicating… […]

• Actual harm, isolatedF686May 26, 2026

  Based on clinical record review and staff interview, the facility failed to timely notify the physician/provider of a newly identified pressure ulcer (localized damage to the skin and/or underlying soft tissue, usually over a bony prominence). As a result, the resident did not receive timely assessment, treatment, or implementation of appropriate wound care interventions, for 1 of 1 resident reviewed, Resident ID #20, who had an actual pressure injury, did not receive clinically indicated wound treatment for approximately 21 days. Consequently. the wound was later found to be infected with Methicillin-Resistant Staphylococcus aureus (MRSA- a bacteria that has become resistant to many commonly used antibiotics, including methicillin and other penicillin-related drugs). […]

• Actual harm, isolatedF600Oct 12, 2022

  Based on surveyor observation, record review, resident, and staff interview it has been determined that the facility failed to protect the resident's right to be free from abuse for 1 of 1 residents reviewed, Resident ID #1. Findings are as follows: Record review of a facility reported incident submitted to the Rhode Island Department of Health on 10/7/2022 states in part, Care was being provided to [resident]. [Nursing Assistant (NA) Staff A] witnessed [NA Staff B] say to[resident] 'shut the [F .] up' and 'I hope you [F .] die.' Resident assessed for injury-nothing found . […]

• No harm, potential for more than minimal, widespreadF812May 26, 2026

  Based on surveyor observation and staff interview, the facility failed to properly store and prepare food in accordance with professional standards for food service safety relative to the main kitchen and 1 of 2-unit ice machines.Findings are as follows:1) Record review of Rhode Island Food Code, 2022 Edition, Section 3-501.17 states in part, .READY -TO-EAT-TIME/TEMPERATURE CONTROL FOR SAFETY FOOD prepared and held in a FOOD ESTABLISHMENT for more than 24 hours shall be clearly marked to indicate the date or day by which the FOOD shall be consumed on the premises, sold, or discarded when held at a temperature of 5 degrees Celsius or 41 degrees Fahrenheit or less for a maximum of 7 days. […]

• No harm, potential for more than minimal, widespreadF812May 1, 2025

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that food is stored, served, and distributed, in accordance with professional standards for food service safety, relative to the main kitchen. Findings are as follows: 1. The 2022 Food and Drug Administration (FDA) Food Code 2-402.11 states in part, .food employees shall wear hair restraints, beard restraints that are designed and worn to effectively keep their hair from contacting exposed food, clean equipment, utensils, linens . […]