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Nursing home report card · Smithfield, RI

Heritage Hills Nursing & Rehabilitation Center

80 Douglas Pike, Smithfield, RI 02917

Call this home: (401) 231-2700

View this home on Medicare.gov ↗

Infection-control problems noted

Quick summary

Below-average Medicare rating

Overall rating is 2 of 5 stars. Its health-inspection rating is 1 of 5. Read the dated inspection findings and separate staffing and care ratings below.

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
Sep 18, 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.

Overall rating
2out of 5

Combines inspection, staffing, and care measures.

Below-average Medicare rating

Health inspections
1out of 5

Based on problems found during health inspections.

Among the lowest Medicare ratings

Nursing staff
2out of 5

Based on staffing levels and related measures.

Below-average Medicare rating

Health and care results
5out of 5

Based on reported health and care results.

Among the highest Medicare ratings

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.

Learn about the records and their limits →

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 and safety problems
69

Care, safety, and resident-rights issues on recent inspections

Fire-safety problems
2

Building, alarms, exits, and related safety citations

Reported fines
$8,827

Total fine amounts in the imported penalty records

Medicare file prepared
Aug 1, 2026

Medicare home ID: 415039

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 · isolated case

    Sep 18, 2025 · Inspection rule F0805

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

  • Immediate danger to residents · isolated case

    Sep 18, 2025 · 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 · isolated case

    May 9, 2024 · Inspection rule F0689

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

Read the inspection history →

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.

Registered nurses (RNs)
0.56hours per resident per day

about 33 minutes per resident per day

All nursing staff
3.74hours per resident per day

about 3 hr 44 min per resident per day

Registered nurse time on weekends
0.44hours per resident per day

about 26 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 September 18, 2025 and wrote up 23 health problems. The same visit also found 1 fire-safety problem. Looking across recent visits: 23 on visit 1, then 21 on visit 2, then 25 on visit 3.

Top issue areas on the latest visit

  • Quality of life & care: 5
  • Assessment & care planning: 5
  • Administration: 3
  • Resident rights: 2
  • Nutrition & dietary: 2
  • Nursing & physician services: 2
VisitHealth check dateHealth problemsFire-safety dateFire problems
#12025-09-18232025-09-181
#22024-09-13212024-09-131
#32023-10-16252023-10-160

How this home compares

Compared with state and national averages. The numbers may cover different periods.

  • Overall CMS rating: 2 stars — worse than the state average (2.9 stars)
  • Health inspection rating: 1 stars — worse than the state average (2.8 stars)
  • Staffing rating: 2 stars — worse than the state average (3.2 stars)
  • Registered nurse time per resident: 0.56 hours/day
  • Total nurse time per resident: 3.74 hours/day
  • The latest health inspection listed 23 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
  • 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 residents3 citations
  • Caused actual harm1 citation
  • Could have caused harm67 citations

Why inspectors showed up

Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.

Complaints
0
Routine
69
Fire safety
2
Other
0

Who owns it

Names CMS lists as owners or managers · reported as For profit - Corporation.

  • 5% OR GREATER SECURITY INTEREST · Organization · NOT APPLICABLE · since 11/01/2022
  • INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF · Individual · NOT APPLICABLE · since 03/13/2025
  • CORPORATE DIRECTOR · Individual · NOT APPLICABLE · since 02/09/2025
  • ADP OF THE SNF · Individual · NOT APPLICABLE · since 02/19/2025
  • MANAGING CONTROL - GOVERNING BODY · Individual · NOT APPLICABLE · since 02/09/2025
  • OPERATIONAL/MANAGERIAL CONTROL · Individual · NOT APPLICABLE · since 02/09/2025
  • INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF · Individual · NOT APPLICABLE · since 03/13/2025
  • INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF · Individual · NOT APPLICABLE · since 03/13/2025
  • ADP OF THE SNF · Organization · NOT APPLICABLE · since 03/10/2025
  • OPERATIONAL/MANAGERIAL CONTROL · Organization · NOT APPLICABLE · since 11/01/2022
  • ADP OF THE SNF · Organization · NOT APPLICABLE · since 11/01/2022
  • CORPORATE DIRECTOR · Individual · NOT APPLICABLE · since 11/01/2022
  • CORPORATE OFFICER · Individual · NOT APPLICABLE · since 11/01/2022
  • ADP OF THE SNF · Individual · NOT APPLICABLE · since 11/01/2022
  • ADP OF THE SNF · Organization · NOT APPLICABLE · since 11/01/2022
  • ADP OF THE SNF · Organization · NOT APPLICABLE · since 09/18/2025
  • OPERATIONAL/MANAGERIAL CONTROL · Organization · NOT APPLICABLE · since 11/01/2022
  • INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF · Individual · NOT APPLICABLE · since 09/16/2025
  • INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF · Individual · NOT APPLICABLE · since 03/13/2025
  • ADP OF THE SNF · Organization · NOT APPLICABLE · since 11/01/2022
  • ADP OF THE SNF · Organization · NOT APPLICABLE · since 11/01/2022
  • DIRECT OWNERSHIP INTEREST · Organization · NOT APPLICABLE · since 11/01/2022
  • ADP OF THE SNF · Individual · NOT APPLICABLE · since 11/01/2022
  • OPERATIONAL/MANAGERIAL CONTROL · Individual · NOT APPLICABLE · since 11/01/2022
  • ADP OF THE SNF · Organization · NOT APPLICABLE · since 11/01/2022
  • ADP OF THE SNF · Organization · NOT APPLICABLE · since 11/01/2022
  • ADP OF THE SNF · Organization · NOT APPLICABLE · since 11/01/2022
  • ADP OF THE SNF · Organization · NOT APPLICABLE · since 11/01/2022
  • ADP OF THE SNF · Organization · NOT APPLICABLE · since 11/01/2022

Other homes in this group: All Marquis Health Services nursing homes

Inspection history

Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.

June 16, 20263 findings
  • Resident Assessment and Care Planning problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0656 · code E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0641 · code D

    Ensure each resident receives an accurate assessment.

  • Quality of Life and Care problems
    Caused actual harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0686 · code G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

February 6, 20261 finding
  • Quality of Life and Care problems
    Could 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.

January 14, 20263 findings
  • Resident Assessment and Care Planning problems
    Could 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.

  • Resident Assessment and Care Planning problems
    Could 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.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0600 · code D

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

September 18, 202516 findings
  • Resident Rights problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0584 · code F

    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.

  • Nursing and Physician Services problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0725 · code E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  • Miscellaneous problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Fire-safety inspection · CMS tag K0761 · code F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  • Nursing and Physician Services problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0726 · code E

    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.

  • Administration problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0838 · code E

    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.

  • Administration problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0865 · code E

    Have a plan that describes the process for conducting QAPI and QAA activities.

  • Quality of Life and Care problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0677 · code E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0759 · code D

    Ensure medication error rates are not 5 percent or greater.

  • Nutrition and Dietary problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0811 · code D

    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.

  • Administration problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0847 · code D

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

  • Infection Control problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0880 · code D

    Provide and implement an infection prevention and control program.

  • Environmental problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0919 · code D

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

  • Resident Assessment and Care Planning problems
    Could 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.

  • Resident Rights problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0550 · code E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • Quality of Life and Care problems
    Immediate 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.

  • Nutrition and Dietary problems
    Immediate danger to residents · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0805 · code J

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

August 1, 20251 finding
  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0689 · code D

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

April 2, 20251 finding
  • Quality of Life and Care problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0686 · code E

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

January 23, 20251 finding
  • Resident Assessment and Care Planning problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0658 · code E

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

January 10, 20251 finding
  • Quality of Life and Care problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0684 · code E

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

January 6, 20252 findings
  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0574 · code D

    The resident has the right to receive notices in a format and a language he or she understands.

  • Resident Assessment and Care Planning problems
    Could 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 13, 202414 findings
  • Pharmacy Service problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0756 · code E

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • Infection Control problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0880 · code F

    Provide and implement an infection prevention and control program.

  • Infection Control problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0881 · code F

    Implement a program that monitors antibiotic use.

  • Resident Assessment and Care Planning problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0658 · code E

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

  • Quality of Life and Care problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0684 · code E

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

  • Quality of Life and Care problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0686 · code E

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • Nursing and Physician Services problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0725 · code E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  • Nursing and Physician Services problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0726 · code E

    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.

  • Pharmacy Service problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0759 · code E

    Ensure medication error rates are not 5 percent or greater.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0675 · code D

    Honor each resident's preferences, choices, values and beliefs.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0695 · code D

    Provide safe and appropriate respiratory care for a resident when needed.

  • Quality of Life and Care problems
    Could 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.

  • Resident Assessment and Care Planning problems
    Could 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.

  • Miscellaneous problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Fire-safety inspection · CMS tag K0712 · code F

    Have simulated fire drills held at unexpected times.

August 16, 20243 findings
  • Infection Control problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0880 · code D

    Provide and implement an infection prevention and control program.

  • Quality of Life and Care problems
    Could 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.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0689 · code D

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

July 31, 20241 finding
  • Resident Assessment and Care Planning problems
    Could 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.

Fines & penalties

These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.

  • Payment Denial · Sep 16, 2025Unavailable
  • Fine · May 9, 2024$8,827

Other homes in this chain

Marquis Health Services · other locations in Rhode Island

Related topics

Questions about Heritage Hills Nursing & Rehabilitation Center

What is Heritage Hills Nursing & Rehabilitation Center's Medicare star rating?
As of August 1, 2026, Heritage Hills Nursing & Rehabilitation Center in Smithfield, Rhode Island has an overall CMS rating of 2 out of 5 stars. Other CMS scores: health inspection 1 of 5, staffing 2 of 5, quality measures 5 of 5. These are CMS ratings based on inspection, staffing, and quality information, not consumer reviews.
Has Heritage Hills Nursing & Rehabilitation Center been fined?
As of August 1, 2026, the imported penalty records list $8,827 in reported fines for Heritage Hills Nursing & Rehabilitation Center. The individual penalty dates can differ from the Medicare file date; a listed fine does not establish that it was paid.
Does Heritage Hills Nursing & Rehabilitation Center have a Medicare abuse warning?
No. The current CMS Care Compare extract does not show an abuse warning icon for Heritage Hills Nursing & Rehabilitation Center in Smithfield, Rhode Island.
How does Heritage Hills Nursing & Rehabilitation Center compare with other nursing homes in Rhode Island?
Its overall CMS rating is 2 out of 5. The published Rhode Island average is 2.9 in the same Medicare file (2026-08-01). Inspection totals, fines, and staffing hours may cover different periods; compare their dates separately.

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