Heritage Hills Nursing & Rehabilitation Center
80 Douglas Pike · Smithfield, RI · 02917 · 4012312700
100 certified beds For profit - Corporation Chain: Marquis Health Services
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
Red flags
2 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.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.89 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.64 | 0.55–0.75 |
| Weekend hours / resident-day | 3.45 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | 2 · $17,475 |
Inspection citations (73 in the current record)
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Potential for harm · D February 6, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 16, 2026 · Quality of Life and Care
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Potential for harm · D January 14, 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 February 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 14, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 14, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 6, 2026 · Resident Assessment and Care Planning
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Immediate jeopardy · J September 18, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 18, 2025 · Quality of Life and Care
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Immediate jeopardy · J September 18, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected October 18, 2025 · Nutrition and Dietary
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Potential for harm · E September 18, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 18, 2025 · Resident Rights
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Potential for harm · F September 18, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected October 18, 2025 · Resident Rights
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Potential for harm · D September 18, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 18, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 18, 2025 · Quality of Life and Care
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Potential for harm · E September 18, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 18, 2025 · Nursing and Physician Services
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Potential for harm · E September 18, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected October 18, 2025 · Nursing and Physician Services
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Potential for harm · D September 18, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected October 18, 2025 · Pharmacy Service
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Potential for harm · D September 18, 2025
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
Corrected October 18, 2025 · Nutrition and Dietary
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Potential for harm · E September 18, 2025
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected October 18, 2025 · Administration
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Potential for harm · D September 18, 2025
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected October 18, 2025 · Administration
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Potential for harm · E September 18, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected October 18, 2025 · Administration
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Potential for harm · D September 18, 2025
Provide and implement an infection prevention and control program.
Corrected October 18, 2025 · Infection Control
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Potential for harm · D September 18, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected October 18, 2025 · Environmental
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Potential for harm · D August 1, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 18, 2025 · Quality of Life and Care
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Potential for harm · E April 2, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 18, 2025 · Quality of Life and Care
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Potential for harm · E January 23, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 10, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 30, 2025 · Quality of Life and Care
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Potential for harm · D January 6, 2025 · found via complaint
The resident has the right to receive notices in a format and a language he or she understands.
Corrected January 30, 2025 · Resident Rights
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Potential for harm · D January 6, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 30, 2025 · 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 |
|---|---|---|
| September 16, 2025 | Payment Denial | 3 days |
| May 9, 2024 | Fine | $8,827 |
| June 28, 2023 | Fine | $8,648 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 415039 · certified since March 31, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.