Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Harris Health Care Center North during CMS and state inspections, most recent first.
A resident with Alzheimer’s disease, dementia, severe cognitive impairment (BIMS 99), and daily wandering behaviors was involuntarily secluded when an RN placed a medication cart in front of the resident’s doorway to prevent roaming while the resident had COVID-19. The DON documented that the cart blocked the room exit, and later interviews revealed the cart had been secured in place with a cord wrapped around a wall-mounted glove box, fully obstructing the resident’s ability to leave the room.
A resident at risk for pressure ulcers did not receive timely skin assessments or treatment, leading to a deep tissue injury on the left heel. The facility failed to conduct weekly skin checks for eight weeks, and there was a delay in implementing the Wound Physician's treatment recommendations. Staff interviews revealed a lack of documentation and follow-through on treatment orders.
A facility failed to provide trauma-informed care to a resident with PTSD and a history of sexual abuse and childhood trauma. The resident's care plan lacked interventions to address trauma, and the PTSD screening was incomplete. Staff interviews revealed a lack of awareness and action regarding the resident's trauma history, with no evidence of further assessment or evaluation by a psychiatric provider.
The facility failed to document bowel movements for two residents with constipation. One resident, with multiple sclerosis, had no BM recorded for two extended periods, while another, with a history of stroke, had no BM documented for 24 days. Despite staff expectations to record BMs each shift, documentation was missing, and the residents experienced discomfort and required assistance.
The facility failed to create comprehensive care plans for two residents who are smokers. One resident, admitted with schizoaffective disorder and other conditions, lacked a smoking evaluation and care plan. Another resident, with anxiety disorder and vascular dementia, also had no care plan despite being identified as a smoker. Staff interviews confirmed the absence of these plans.
The facility failed to prevent significant medication errors for two residents. A resident with multiple sclerosis and other conditions missed several doses of Baclofen, with staff unable to explain the omissions. Another resident with cognitive impairment and anxiety did not receive a recommended gradual dose reduction of Quetiapine, as the evening dose was discontinued instead. The DNS acknowledged these issues without providing explanations.
The facility failed to meet professional standards in wound care and medication administration. A resident with chronic venous ulcers did not receive consistent weekly assessments as ordered by a physician, with missing documentation on several occasions. Additionally, a medication technician prepared medications for two residents at once, contrary to facility policy. Interviews with staff confirmed these deficiencies.
The facility did not follow its smoking policy for a resident with mental health diagnoses, failing to conduct required smoking evaluations upon admission and quarterly. Interviews with staff confirmed the absence of these assessments.
Surveyors found expired medications in the facility's storage room, including lactulose, carbamide peroxide, magnesium, loratadine, and simethicone. Staff acknowledged the oversight, and the DON expected proper disposal of expired items, but the facility's policy was not followed.
Resident Involuntarily Secluded by Medication Cart Blocking Room Exit
Penalty
Summary
Facility staff failed to protect a resident from involuntary seclusion when a medication cart was used to block the resident’s room exit. The resident had been admitted with Alzheimer’s disease and dementia and had a Minimum Data Set (MDS) assessment indicating severe cognitive impairment (BIMS coded 99) and daily wandering behaviors. A facility-reported incident documented that Registered Nurse Staff A placed a medication cart in front of the resident’s doorway, preventing the resident from leaving the room. A progress note by the Director of Nursing Services (DNS) recorded that the resident was found with the medication cart blocking the doorway. Further review of a statement from the DNS showed that Staff A admitted she positioned the cart to prevent the resident from roaming the facility while the resident had COVID-19. During an interview, the Maintenance Director reported that when he attempted to remove the cart, he observed a cord attached to the cart, with the other end wrapped several times around a wall-mounted glove box outside the door, securing the cart in place. In a surveyor interview, the DNS acknowledged that while assisting the Maintenance Director to remove the cart, it was determined that the cart had been tied in place, blocking the resident’s ability to leave the room.
Failure to Provide Timely Pressure Ulcer Care
Penalty
Summary
The facility failed to provide necessary treatment and services to promote wound healing and prevent new ulcers for a resident with a pressure ulcer. The resident, who was admitted with a diagnosis including paranoid schizophrenia, was identified as at risk for developing pressure ulcers according to a Braden Scale assessment. However, the facility did not conduct weekly skin assessments for eight consecutive weeks, as required by their policy. This lack of monitoring led to the development of a deep tissue injury on the resident's left heel, which was not properly documented or treated in a timely manner. The Director of Nursing Services (DNS) observed the resident's left heel as mushy shortly after admission and requested a skin prep order, but there was no evidence of a wound assessment or treatment order until two months later. The wound was eventually assessed by a Wound Physician, who identified it as an unstageable deep tissue injury and recommended treatment. However, the recommended treatment was not initiated promptly, and there was a delay in implementing the physician's orders, including the use of Silvadene, which was not started until eight days after it was recommended. Interviews with staff revealed a lack of documentation and follow-through on treatment orders. The DNS and a registered nurse were unable to provide evidence of wound measurements or treatment orders prior to the Wound Physician's assessment. Additionally, there was a failure to document the location of the treatment application in the physician's orders. The resident acknowledged having a wound on the left heel but was unable to recall when or how it developed.
Failure to Provide Trauma-Informed Care for Resident with PTSD
Penalty
Summary
The facility failed to provide trauma-informed and culturally competent care to a resident with a history of trauma, specifically sexual abuse and childhood trauma. The resident, admitted with multiple psychiatric diagnoses including anxiety disorder, schizoaffective disorder, bipolar type, major depressive disorder, personality disorder, and autistic disorder, was not given a comprehensive care plan that addressed trauma-informed care. The Primary Care PTSD Screen conducted on the resident was incomplete, and there was no evidence of further assessment or evaluation by a psychiatric provider to address the resident's trauma. Interviews with facility staff revealed a lack of awareness and action regarding the resident's trauma history. The Administrator and Director of Nursing Services acknowledged the resident's history of trauma but failed to ensure a trauma care plan was in place. The Social Services Designee admitted to incomplete trauma assessments and the absence of interventions to mitigate triggers for re-traumatization. Additionally, the Psychiatric Nurse Practitioner was unaware of the resident's childhood trauma and had not discussed it with the resident, despite being aware of the sexual abuse history.
Failure to Document Bowel Movements for Residents with Constipation
Penalty
Summary
The facility failed to accurately document bowel movements (BM) in the medical records of two residents, both of whom were reviewed for constipation. Resident ID #1, admitted with multiple sclerosis and constipation, showed no documented BM in the electronic medical record for two significant periods: 18 days and 6 days. Despite the resident's intact cognition and dependency on staff for toileting, the Director of Nursing Services (DNS) could not provide evidence of BM documentation during these periods. Similarly, Resident ID #5, with a history of transient cerebral ischemic attack and major depressive disorder, had no BM documented for 24 days. The resident, who is bowel incontinent and requires substantial assistance, reported experiencing discomfort and not being offered medications for constipation. Interviews with staff, including a Nursing Assistant and a Registered Nurse, confirmed the expectation to document BMs each shift, yet acknowledged the lack of documentation for this resident. The DNS also confirmed the absence of documentation and the resident's regular pattern of not having BMs for 3 to 5 days.
Failure to Develop Smoking Care Plans for Residents
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for two residents who are smokers. Resident ID #10 was admitted in April 2024 with diagnoses including schizoaffective disorder, bipolar type, anxiety disorder, and autistic disorder. Despite being identified as a smoker, there was no evidence of a smoking evaluation completed upon admission or quarterly, nor was there a comprehensive care plan addressing smoking safety interventions. During an interview, the resident confirmed being a smoker. Similarly, Resident ID #23, admitted in August 2024 with anxiety disorder, vascular dementia, and muscle weakness, was identified as a smoker through an admission smoking evaluation. However, there was no comprehensive care plan in place to address smoking safety interventions. Interviews with a registered nurse and the Director of Nursing Services confirmed the absence of care plans related to smoking for both residents, acknowledging the expectation that such plans should have been developed upon admission.
Medication Administration Errors and Non-Compliance with GDR
Penalty
Summary
The facility failed to ensure that residents were free from significant medication errors, as evidenced by the missed administration of prescribed medications for two residents. Resident ID #1, who was admitted with multiple sclerosis, bladder cancer, constipation, and generalized muscle weakness, had several doses of Baclofen missed over the course of August, September, and October 2024. Despite the documentation of these missed doses, staff members, including a registered nurse and a certified medication technician, were unable to provide explanations for the omissions. The Director of Nursing Services (DNS) also acknowledged the missed doses and could not provide evidence that the medication was administered as ordered. Additionally, the facility did not follow the pharmacy's recommendation for a gradual dose reduction (GDR) of Quetiapine for Resident ID #23, who had diagnoses including complete traumatic amputation, mild cognitive impairment, COPD, dementia, generalized muscle weakness, and anxiety. The pharmacy consultant recommended reducing the evening dose of Quetiapine, which was approved by the resident's physician. However, the facility failed to implement this GDR, and instead, the evening dose was discontinued without a gradual reduction. The DNS confirmed that the GDR was not implemented and could not explain the discontinuation of the evening dose.
Deficiencies in Wound Care and Medication Administration
Penalty
Summary
The facility failed to ensure that services provided met professional standards of practice for wound care and medication administration. For Resident ID #22, who was admitted with cellulitis and non-pressure chronic venous ulcers, the facility did not adhere to the physician's order to conduct weekly assessments of the ulcers, including measurements and descriptions. The Treatment Administration Records indicated that these assessments were not consistently documented, and there was no evidence of assessments on specific dates, including the resident's readmission date. The Director of Nursing Services and a Registered Nurse confirmed the lack of documentation and adherence to the physician's orders during interviews. In a separate incident, the facility did not follow its policy for medication administration. A Certified Medication Technician was observed preparing medications for two residents simultaneously, which is against the facility's policy and professional standards. The technician admitted to holding medications for another resident while administering medications to Resident ID #16. Interviews with the resident and nursing staff confirmed that medications should be prepared and administered to one resident at a time, and the Director of Nursing Services acknowledged the expectation for compliance with this policy.
Failure to Implement Smoking Policy for Resident
Penalty
Summary
The facility failed to implement its smoking policy in accordance with federal, state, and local laws for a resident identified as a smoker. The policy requires that residents who wish to smoke be evaluated by the interdisciplinary team for their ability to smoke safely upon admission and at least quarterly. However, there was no evidence of a smoking evaluation for the resident upon admission or quarterly, despite the resident being admitted with diagnoses including schizoaffective disorder, bipolar type, anxiety disorder, and autistic disorder. Interviews with the resident, a registered nurse, and the Director of Nursing Services confirmed the absence of the required smoking assessments.
Expired Medications Found in Storage Room
Penalty
Summary
The facility failed to store and label drugs and biologicals in accordance with currently accepted professional principles, as observed during a surveyor inspection of the medication storage room. The surveyor, accompanied by a Certified Medication Technician, identified several expired medications, including four 16-ounce bottles of lactulose, two sealed 0.5 fluid ounce bottles of carbamide peroxide 6.5%, one bottle of magnesium 250 mg, one opened bottle of loratadine 10 mg with 18 tablets remaining, and one bottle of simethicone 80 mg chewable tablets. These medications were found to be stored beyond their manufacturer's expiration date. During interviews with the staff, both the Certified Medication Technician and the Director of Nursing Services acknowledged the presence of expired medications. The Director of Nursing Services expressed that she expected the staff to discard expired medications appropriately, following the manufacturer's instructions. However, the facility's policy on the storage and expiration dating of medications and biologicals was not adhered to, leading to the retention of expired medications in the storage room.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Central Falls
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mansion Nursing And Rehab Center | 0.8 mi | — | 3 | 0 |
| Grandview Center | 0.9 mi | — | 1 | 0 |
| Jeanne Jugan Residence | 2.1 mi | — | 3 | 0 |
| Adviniacare Pawtucket Pleasant Rehab Center, Llc | 2.2 mi | — | 1 | 0 |
| Adviniacare Summit Commons, Llc | 2.7 mi | — | 15 | 2 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.