Tockwotton on the Waterfront

In the surveyor’s words

From the most serious findings on record at Tockwotton on the Waterfront, in the surveyor’s own words.

• Actual harm, isolatedF760Feb 25, 2025

  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, Resident ID #1 relative to Metoprolol use (a medication prescribed to treat high blood pressure and to control heart rate), resulting in hospitalization due to extremely low heart rate from an overdose of Metoprolol which caused bradycardia ((a severely low heart rate) that can deprive the brain and other organs of oxygen in the body from the reduced blood circulation). […]

• No harm, potential for more than minimal, widespreadF812Feb 13, 2025

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to prepare, store, and distribute food according to professional standards of food service safety, relative to the main kitchen. Findings are as follows: 1. Review of the Rhode Island Food Code, 2018 Edition, section 3-501.17 states in part, .(B) .refrigerated, ready-to-eat time/temperature control for safety food .shall be clearly marked, at the time the original container is opened in a food establishment .and: (1) the day the original container is opened in the food establishment shall be counted as Day 1; and (2) The day or date marked by the food establishment may not exceed a manufacturer's use-by date . […]

• No harm, potential for more than minimal, widespreadF812Jan 13, 2023

  Based on surveyor observation 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 service safety, relative to the main kitchen and 3 out of 3 kitchenettes. Findings are as follows: 1. During the initial tour of the main kitchen on 1/10/2023 at 8:10 AM revealed the following observations: A. Walk in freezer: - Floor: sticky and contained crumbs along the walls. - Ice crystal accumulation inside 3 freezer lock bags of meatballs: 35 meatballs labeled 11/28, 40 meatballs labeled 12/19, and 65 meatballs labeled 12/26. - Ice accumulation the size of a tennis ball on the floor as well as ice on the ceiling near the condenser fan. B. […]

• No harm, potential for more than minimal, patternF849Apr 16, 2026

  Based on clinical record review and staff interview, the facility failed to ensure that hospice services meet professional standards of principles that apply to individuals providing services in the facility for 2 of 2 residents reviewed who are receiving hospice services, Resident ID #s 6 and 8.Findings are as follows:1. Record review revealed that Resident ID #6 was admitted to the facility in March of 2026 with a diagnosis including, but not limited to, dementia.Record review revealed the resident began receiving hospice services on 3/23/2026.a. […]

• No harm, potential for more than minimal, patternF684Nov 4, 2021

  Based on record review and staff interview, it has been determined that the facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice relative to 1 of 3 sample residents reviewed for constipation, Resident ID #200. Findings are as follows: Review of the facility's document titled, Bowel Protocol states in part, .If no BM [bowel movement] times three days, the 7-3 shift administers 4 oz [ounces] of prune juice. If no results the 3-11p [PM] shift will administer 30 cc [cubic centimeter] of MOM [Milk of Magnesia, a medication used to treat constipation]. If no results the 11-7a [AM] shift will administer a [MEDICATION(S)] sup. [suppository, a medication used to treat constipation]. […]