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 Mount St Rita Health Centre during CMS and state inspections, most recent first.
The facility failed to maintain a sanitary and comfortable environment when surveyors observed multiple brown-stained ceiling tiles on two floors, including in main hallways, above a resident room doorway, above a utility room doorway, and in the hallway and doorway areas leading to shower rooms. These findings followed a community complaint alleging plumbing problems, leaking ceilings and heating systems, and widespread water stains in ceiling tiles. During the survey, the Maintenance Director acknowledged the stained tiles and that they required replacement.
A resident with a history of falls and mobility limitations exited the facility unsupervised during severe weather, after previously demonstrating attempts to leave. The care plan was not updated to address wandering or elopement risk, and staff were unaware of the resident's absence until the individual was found outside with frostbite and injuries, requiring hospitalization. The facility failed to provide adequate supervision and did not revise the care plan following earlier incidents.
The facility failed to ensure proper care for a resident with dementia by not having an order for a wanderguard bracelet, despite the resident's risk for wandering. Additionally, two residents experienced changes in condition without timely provider notification. One resident with Alzheimer's developed pitting edema, and another with iron deficiency anemia showed bruising after a procedure, yet neither case was reported to the provider as required.
The facility failed to properly store and label medications, with expired drugs found on a medication cart and in medication rooms. LPNs acknowledged the expired medications, including vitamin supplements and Ativan Intensol. Additionally, ice accumulation was observed in medication storage fridges on all floors, with the DON unsure of the last defrosting.
A resident admitted with a pressure ulcer on the left heel did not receive necessary wound care for seven days due to an incorrectly transcribed treatment order. Required wound assessments and documentation were delayed until eleven days after admission, as confirmed by facility staff, including the wound nurse and DON.
A facility failed to implement an effective antibiotic stewardship program, leading to incorrect administration of Bactroban 2% for a resident. The medication, intended for a left heel wound, was applied to the nares for 11 days. The Infection Preventionist and DON acknowledged the error and the absence of an antibiotic timeout, highlighting deficiencies in monitoring and managing antibiotic use.
A resident receiving end-of-life care was administered an incorrect dose of morphine, receiving only half of the prescribed amount on two occasions. The error was confirmed by an LPN and the DON, who acknowledged the discrepancy between the administered dose and the physician's order.
Stained Ceiling Tiles and Unsanitary Environmental Conditions
Penalty
Summary
The facility failed to maintain a sanitary and comfortable environment for residents, staff, and the public, as evidenced by multiple stained ceiling tiles on two of three floors. A community complaint submitted to the state health department alleged serious plumbing issues, leaking ceilings and heating systems, and water stains throughout the building’s ceiling tiles. During a survey of the first floor, the surveyor observed a brown-stained ceiling tile approximately 6 inches long in the main hallway across from the chapel; another brown-stained tile spanning about 8 inches directly above the doorway to a resident room on the South unit; a brown-stained tile approximately 6 to 8 inches long above the doorway to a utility room on the South unit; and three adjacent ceiling tiles, each with circular brown stains 12 to 18 inches in diameter, in the hallway leading to the shower rooms on the South unit. On the second-floor South unit, the surveyor observed a ceiling tile with a semi-circular brown stain approximately 18 inches wide above the doorway to a shower room. During observations and an interview with the Maintenance Director, he acknowledged that these ceiling tiles were stained and needed to be replaced. No additional resident-specific clinical information or medical history was provided in relation to this deficiency.
Failure to Provide Adequate Supervision Resulting in Resident Elopement and Injury
Penalty
Summary
A deficiency occurred when a resident with a history of falls, partial weight bearing status, and an amputation was able to exit the facility unsupervised during inclement weather. The resident had previously demonstrated attempts to leave the building, including an incident where the resident attempted to exit the facility and refused to return to the unit, but the care plan was not updated to address this behavior. There was no evidence that an elopement evaluation was completed after the initial incident, nor was the care plan revised to include interventions for wandering or elopement risk prior to the subsequent event. On the day of the incident, the resident exited the building in the early morning hours without staff knowledge, during a snowstorm with freezing temperatures. The resident fell outside after dropping a cane and was unable to get up, remaining outside for approximately an hour. The resident was found by staff after calling for help, presenting with significant frostbite and blisters on both hands, and was subsequently hospitalized for further evaluation and treatment. Staff interviews revealed that the resident was able to disengage the alarm system using the emergency exit button, and that staff were not aware of the resident's absence until the resident was discovered outside. The facility's policy required adequate supervision and individualized care planning for residents at risk of wandering or elopement. However, the resident's care plan did not reflect the risk behaviors observed, and staff, including the Administrator and DON, were unaware of the prior incident and did not implement additional supervision or interventions. The lack of timely assessment and care plan updates contributed to the resident's ability to leave the facility undetected, resulting in an unwitnessed fall and frostbite injuries.
Deficiencies in Resident Care and Provider Notification
Penalty
Summary
The facility failed to ensure that Resident ID #56 received treatment and care in accordance with professional standards of practice regarding the use of a wanderguard bracelet. The resident, who was admitted with a diagnosis of dementia and resides on an unsecured unit, was identified as being at risk for wandering and elopement. Despite this, there was no evidence of an order for a wanderguard in the resident's medical record, nor were there orders to check the placement and function of the wanderguard as per the facility's policy. The resident exhibited wandering and exit-seeking behaviors on multiple occasions, and staff acknowledged the absence of necessary orders during the surveyor's observation and interviews. The facility also failed to notify the provider of a change in condition for Resident ID #60, who was admitted with Alzheimer's Disease. The resident developed pitting edema in both legs, which was documented in progress notes, but there was no evidence that the provider was notified until the surveyor brought it to the facility's attention. Staff interviews confirmed that the edema was a change in condition requiring notification, and the physician expected to be informed when the edema was first noted. Similarly, the facility did not notify the provider of a change in condition for Resident ID #280, who was admitted with iron deficiency anemia and had recently undergone a procedure involving stent placement. The resident developed bruising around the genitals and groin area, which was noted in progress notes, but there was no evidence of provider notification. Staff interviews revealed awareness of the bruising, and the physician expected to be informed when it was first observed.
Medication Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to store and label drugs and biologicals in accordance with currently accepted professional principles. During a surveyor observation of the 1st floor medication cart, several expired medications were found, including vitamin B complex, cranberry supplement, ferate tablets, aspirin, and a multivitamin. The Licensed Practical Nurse (LPN) present acknowledged that these medications were expired and should have been discarded. Additionally, in the 2nd and 3rd floor medication rooms, bottles of liquid Ativan Intensol were found to be opened and expired, with the LPNs on duty confirming the oversight. Furthermore, the surveyor observed an accumulation of ice in the medication storage fridges on all three floors. The LPNs acknowledged the presence of ice, and the Director of Nursing Services admitted uncertainty about the last defrosting of the freezers. The Director also expressed an expectation that staff should discard expired medications and maintain the freezers properly.
Failure to Provide Timely Pressure Ulcer Care
Penalty
Summary
The facility failed to provide necessary treatment and services for a newly admitted resident with a pressure ulcer, as required by professional standards of practice. The resident was admitted with a diagnosis of pressure-induced deep tissue damage on the left heel, which was documented in the hospital discharge paperwork as receiving daily wound treatment. However, upon admission to the facility, there was no evidence of wound care being provided to the resident's left heel until seven days later. Additionally, the required wound assessments, including measurements and documentation of the wound's condition, were not conducted until eleven days after admission. Interviews with facility staff revealed that the lack of treatment and documentation was due to an incorrectly transcribed treatment order. The Unit Manager, who is also the facility's wound nurse, acknowledged that the resident did not receive the expected wound care and assessments upon admission and weekly thereafter. The Director of Nursing Services confirmed that the resident's pressure wound should have been addressed and documented weekly, indicating a failure in the facility's wound care protocol adherence.
Failure in Antibiotic Stewardship and Medication Administration
Penalty
Summary
The facility failed to establish an Infection Prevention and Control Program (IPCP) that includes an antibiotic stewardship program with protocols and a system to monitor antibiotic use. This deficiency was identified during a review of records and staff interviews, specifically concerning a resident who was admitted with conditions including pressure-induced deep tissue damage of the left heel and peripheral vascular disease. The hospital discharge summary indicated an order for Bactroban 2% to be applied to a left heel wound, but the facility's treatment administration record showed that the medication was incorrectly applied to the resident's nares for 11 days. The Infection Preventionist and the Director of Nursing Services both acknowledged the error in medication administration and the lack of an antibiotic timeout, which is a critical component of the antibiotic stewardship program. The failure to perform an antibiotic timeout and the incorrect application of the medication highlight the facility's deficiency in monitoring and managing antibiotic use as per the established protocols.
Significant Medication Error in Morphine Administration
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors, specifically concerning the administration of morphine. The resident, who was receiving end-of-life care and had diagnoses including Alzheimer's disease and diabetes, was assessed by hospice and had their morphine dosage increased. The physician's order specified that the resident should receive 0.25 milliliters of morphine every hour as needed for shortness of breath or severe pain. However, on two occasions, the resident was administered only 0.125 milliliters of morphine, which is half of the prescribed dose. The error was confirmed during a surveyor interview with the LPN who administered the doses and the Director of Nursing Services. The LPN acknowledged administering the incorrect dose, and the Director of Nursing confirmed that the resident received the wrong amount of morphine, contrary to the physician's order. The narcotic logbook and medical records failed to provide evidence that the correct dosage was administered, highlighting a significant medication error in the resident's care.
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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 Cumberland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Woonsocket Health Center | 4.2 mi | — | 0 | 0 |
| Madonna Manor Nursing Home | 4.3 mi | — | 6 | 0 |
| Adviniacare Oakland Grove Llc | 4.5 mi | — | 12 | 0 |
| Cedarwood Gardens | 4.8 mi | — | 0 | 0 |
| Alliance Health At Maples | 5.2 mi | — | 6 | 0 |
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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.