Adviniacare Orchard, LLC

135 Tripps Lane · East Providence, RI · 02915 · 4014382250

166 certified beds For profit - Corporation Chain: Athena Healthcare Systems

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $23,923 in fines in the last 24 months.
  • Inspection results are getting worse cycle over cycle, not better.

Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

3 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 2
Serious harm & abuse 20% 0
Staffing 20% 73
Federal penalties 15% 24
Trend 10% 41
Context 5% 10

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.413.48 min · 4.1 strong
RN hours / resident-day0.710.55–0.75
Weekend hours / resident-day3.11≈ weekday level
Nursing turnover / year20%median 45%
Fines (3-yr window)4 · $132,654

Inspection citations (59 in the current record)

  • Immediate jeopardy · L January 23, 2026 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected May 29, 2026 · Environmental

  • Immediate jeopardy · L January 12, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 19, 2026 · Quality of Life and Care

  • Immediate jeopardy · L January 12, 2026 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 19, 2026 · Infection Control

  • Potential for harm · F January 12, 2026 · found via complaint

    Dispose of garbage and refuse properly.

    Corrected January 7, 2026 · Nutrition and Dietary

  • Potential for harm · E January 12, 2026 · found via complaint

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    Corrected January 19, 2026 · Administration

  • Potential for harm · D September 24, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 14, 2025 · Quality of Life and Care

  • Potential for harm · E September 17, 2025 · found via complaint

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected October 6, 2025 · Quality of Life and Care

  • Potential for harm · D August 13, 2025 · found via complaint

    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

    Corrected August 29, 2025 · Administration

  • Actual harm · G June 26, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected July 26, 2025 · Pharmacy Service

  • Potential for harm · E June 26, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 26, 2025 · Quality of Life and Care

  • Potential for harm · D June 26, 2025

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected July 26, 2025 · Quality of Life and Care

  • Potential for harm · F June 26, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 26, 2025 · Nutrition and Dietary

  • Potential for harm · D June 26, 2025

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected July 26, 2025 · Administration

  • Potential for harm · E June 26, 2025

    Provide and implement an infection prevention and control program.

    Corrected July 26, 2025 · Infection Control

  • Potential for harm · E June 26, 2025

    Keep all essential equipment working safely.

    Corrected July 26, 2025 · Environmental

  • Potential for harm · E June 26, 2025

    Put firmly secured handrails on each side of hallways.

    Corrected July 26, 2025 · Environmental

  • Potential for harm · F June 26, 2025

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected July 26, 2025 · Environmental

  • Potential for harm · D April 2, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected May 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 2, 2025 · found via complaint

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Corrected May 9, 2025 · Nutrition and Dietary

  • Potential for harm · D April 2, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 2, 2025 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected May 9, 2025 · Environmental

  • Potential for harm · E March 27, 2025 · found via complaint

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected May 9, 2025 · Environmental

  • Potential for harm · D December 3, 2024 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 17, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 24, 2024 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected November 6, 2024 · Resident Assessment and Care Planning

  • Immediate jeopardy · J September 12, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected September 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
September 12, 2024Fine$23,923
April 23, 2024Fine$16,801
February 15, 2024Fine$14,050
July 6, 2023Fine$77,880

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 415059 · certified since October 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.