Nursing home report card · East Providence, RI
AdviniaCare Orchard, LLC
135 Tripps Lane, East Providence, RI 02915
Call this home: (401) 438-2250
View this home on Medicare.gov ↗
Quick summary
This home is listed for extra oversight
Status: SFF Candidate. Special Focus Facility homes have a history of serious quality problems and get extra oversight.
Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.
How recent is this information?
- Medicare file prepared
- Aug 1, 2026
- Our record last updated
- Sep 17, 2026
- Last routine health inspection
- Jun 26, 2025
These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.
Medicare ratings
One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.
Combines inspection, staffing, and care measures.
Among the lowest Medicare ratings
Based on problems found during health inspections.
Among the lowest Medicare ratings
Based on staffing levels and related measures.
Among the lowest Medicare ratings
Based on reported health and care results.
Below-average Medicare rating
What do the ratings and warnings mean?
- Medicare ratings
- One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
- Inspection problems
- Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
- Abuse warning
- Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
- Nursing staff time
- Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.
At a glance
These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.
Care, safety, and resident-rights issues on recent inspections
Building, alarms, exits, and related safety citations
Total fine amounts in the imported penalty records
Medicare home ID: 415059
Inspection findings to read first
Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.
Immediate danger to residents · widespread case
Jan 12, 2026 · Inspection rule F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents · widespread case
Jan 12, 2026 · Inspection rule F0880
Provide and implement an infection prevention and control program.
Immediate danger to residents · isolated case
Sep 12, 2024 · Inspection rule F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nursing staff time
These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.
about 1 hour per resident per day
about 4 hr 12 min per resident per day
about 33 minutes per resident per day
Latest inspection summary
A summary of the most recent routine inspections. You can open the dated findings below.
Inspectors last checked the home’s day-to-day care on June 26, 2025 and wrote up 17 health problems. The same visit also found 10 fire-safety problems. Looking across recent visits: 17 on visit 1, then 19 on visit 2, then 22 on visit 3.
Top issue areas on the latest visit
- smoke: 5
- Quality of life & care: 5
- Environment: 4
- Administration: 3
- gas and vacuum and electrical systems: 3
- egress: 2
| Visit | Health check date | Health problems | Fire-safety date | Fire problems |
|---|---|---|---|---|
| #1 | 2025-06-26 | 17 | 2025-06-26 | 10 |
| #2 | 2024-06-26 | 19 | 2024-06-26 | 3 |
| #3 | 2023-07-06 | 22 | 2023-07-06 | 4 |
How this home compares
Compared with state and national averages. The numbers may cover different periods.
- Overall CMS rating: 1 stars — worse than the state average (2.9 stars)
- Health inspection rating: 1 stars — worse than the state average (2.8 stars)
- Staffing rating: 1 stars — worse than the state average (3.2 stars)
- Registered nurse time per resident: 0.99 hours/day
- Total nurse time per resident: 4.2 hours/day
- The latest health inspection listed 17 problems. State and national averages can cover different inspection periods and are not a like-for-like comparison with this inspection.
See the dates used for these averages
Medicare file dates: this home Aug 1, 2026; Rhode Island averages Aug 1, 2026; U.S. averages Oct 1, 2026.
Other concerns in the records
These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.
- Overall star rating is 2 or lower
- Health inspection rating is 2 stars or lower
- Recent citations include infection-control problems
- Inspectors have listed an unusually high number of problems
- Several recent fire-safety problems are on record
- CMS has fined this home in the recent reporting period
How serious were the problems?
Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.
- Immediate danger to residents9 citations
- Caused actual harm2 citations
- Could have caused harm62 citations
- Low risk of harm2 citations
Why inspectors showed up
Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.
- Complaints
- 0
- Routine
- 58
- Fire safety
- 17
- Other
- 0
Who owns it
Names CMS lists as owners or managers · reported as For profit - Corporation.
- OPERATIONAL/MANAGERIAL CONTROL · Organization · NOT APPLICABLE · since 09/30/2013
- 5% OR GREATER DIRECT OWNERSHIP INTEREST · Individual · 6% · since 09/30/2013
- 5% OR GREATER DIRECT OWNERSHIP INTEREST · Individual · 7% · since 09/30/2013
- W-2 MANAGING EMPLOYEE · Individual · NOT APPLICABLE · since 09/30/2013
- 5% OR GREATER DIRECT OWNERSHIP INTEREST · Individual · 68% · since 07/01/2020
Other homes in this group: All Athena Healthcare Systems nursing homes
Inspection history
Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.
January 23, 20261 finding
- Environmental problemsLow risk of harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag F0921 · code C
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
January 12, 20264 findings
- Nutrition and Dietary problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag F0814 · code F
Dispose of garbage and refuse properly.
- Administration problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0837 · code E
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.
- Quality of Life and Care problemsImmediate danger to residents · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag F0689 · code L
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Infection Control problemsImmediate danger to residents · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag F0880 · code L
Provide and implement an infection prevention and control program.
January 9, 20264 findings
- Egress problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0211 · code F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- Smoke problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0353 · code F
Inspect, test, and maintain automatic sprinkler systems.
- Smoke problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0345 · code F
Have approved installation, maintenance and testing program for fire alarm systems.
- Smoke problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0324 · code F
Provide properly protected cooking facilities.
September 24, 20251 finding
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0684 · code D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
September 17, 20251 finding
- Quality of Life and Care problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0698 · code E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
August 13, 20251 finding
- Administration problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0776 · code D
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
June 26, 202515 findings
- Smoke problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0345 · code F
Have approved installation, maintenance and testing program for fire alarm systems.
- Environmental problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0924 · code E
Put firmly secured handrails on each side of hallways.
- Smoke problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0324 · code F
Provide properly protected cooking facilities.
- Environmental problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag F0925 · code F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Quality of Life and Care problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0689 · code E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Infection Control problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0880 · code E
Provide and implement an infection prevention and control program.
- Environmental problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0908 · code E
Keep all essential equipment working safely.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0697 · code D
Provide safe, appropriate pain management for a resident who requires such services.
- Administration problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0835 · code D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- Egress problemsCould have caused harm · isolated case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0223 · code D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- Gas, Vacuum, and Electrical Systems problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0923 · code F
Have proper medical gas storage and administration areas.
- Gas, Vacuum, and Electrical Systems problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0920 · code F
Ensure proper usage of power strips and extension cords.
- Gas, Vacuum, and Electrical Systems problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0918 · code F
Have generator or other power source capable of supplying service within 10 seconds.
- Pharmacy Service problemsCaused actual harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0760 · code G
Ensure that residents are free from significant medication errors.
- Nutrition and Dietary problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag F0812 · code F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
April 2, 20254 findings
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0658 · code D
Ensure services provided by the nursing facility meet professional standards of quality.
- Nutrition and Dietary problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0808 · code D
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.
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0842 · code D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Environmental problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0921 · code D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
March 27, 20251 finding
- Environmental problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0919 · code E
Make sure that a working call system is available in each resident's bathroom and bathing area.
December 3, 20241 finding
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0658 · code D
Ensure services provided by the nursing facility meet professional standards of quality.
October 24, 20241 finding
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0658 · code D
Ensure services provided by the nursing facility meet professional standards of quality.
September 12, 20242 findings
- Freedom from Abuse, Neglect, and Exploitation problemsImmediate danger to residents · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0600 · code J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Quality of Life and Care problemsImmediate danger to residents · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0689 · code J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Fines & penalties
These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.
- Fine · Jan 12, 2026$23,485
- Fine · Jan 12, 2026$25,485
- Fine · Sep 12, 2024$23,923
- Fine · Apr 23, 2024$16,801
- Fine · Feb 15, 2024$14,050
Other homes in this chain
Athena Healthcare Systems · other locations in Rhode Island
Related topics
Questions about AdviniaCare Orchard, LLC
What is AdviniaCare Orchard, LLC's Medicare star rating?
Has AdviniaCare Orchard, LLC been fined?
Does AdviniaCare Orchard, LLC have a Medicare abuse warning?
How does AdviniaCare Orchard, LLC compare with other nursing homes in Rhode Island?
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