Berkshire Place
455 Douglas Avenue · Providence, RI · 02908 · 4015538600
220 certified beds For profit - Corporation Chain: Green Tree Healthcare Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- 6 citations involved actual harm to residents.
The complete Safety Report — $19
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
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.
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.61 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 3.18 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 11 · $59,978 |
Inspection citations (38 in the current record)
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Actual harm · G April 30, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G April 30, 2026 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected May 23, 2026 · Quality of Life and Care
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Potential for harm · E April 2, 2026 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 12, 2026 · Quality of Life and Care
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Actual harm · H September 4, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected September 30, 2025 · Quality of Life and Care
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Actual harm · G September 4, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected September 30, 2025 · Quality of Life and Care
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Potential for harm · E September 4, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 4, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 30, 2025 · Quality of Life and Care
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Potential for harm · E September 4, 2025
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected September 30, 2025 · Administration
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Potential for harm · D September 4, 2025
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected September 30, 2025 · Nutrition and Dietary
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Potential for harm · F September 4, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 30, 2025 · Nutrition and Dietary
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Potential for harm · F September 4, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected September 30, 2025 · Administration
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Potential for harm · D May 20, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 20, 2025 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected June 19, 2025 · Pharmacy Service
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Potential for harm · D March 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 26, 2025 · Quality of Life and Care
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Potential for harm · D January 17, 2025 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected February 16, 2025 · Resident Rights
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Potential for harm · D January 17, 2025 · found via complaint
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected February 16, 2025 · Resident Rights
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Potential for harm · D January 17, 2025 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected February 16, 2025 · Resident Rights
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Potential for harm · E November 6, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 6, 2024 · Nutrition and Dietary
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Potential for harm · F November 6, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 6, 2024 · Nutrition and Dietary
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Potential for harm · D October 8, 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 November 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 26, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 26, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 25, 2024 · Quality of Life and Care
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Potential for harm · D July 26, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 25, 2024 · Quality of Life and Care
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Potential for harm · E July 26, 2024
Ensure that residents are free from significant medication errors.
Corrected August 25, 2024 · Pharmacy Service
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Potential for harm · D July 26, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 25, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 22, 2024 | Fine | $14,814 |
| January 8, 2024 | Fine | $4,938 |
| January 2, 2024 | Fine | $4,587 |
| December 11, 2023 | Fine | $13,409 |
| November 20, 2023 | Fine | $3,882 |
| November 13, 2023 | Fine | $3,529 |
| November 6, 2023 | Fine | $3,176 |
| October 30, 2023 | Fine | $2,823 |
| October 23, 2023 | Fine | $2,470 |
| October 17, 2023 | Fine | $2,117 |
| September 25, 2023 | Fine | $4,233 |
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 415119 · certified since May 3, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.