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 The Friendly Home during CMS and state inspections, most recent first.
A deficiency was cited due to the facility not ensuring an area was free from accident hazards and not providing adequate supervision to prevent accidents. The report highlights insufficient safety measures and lack of proper oversight, but does not specify particular incidents or resident details.
A resident with recent spinal surgery did not receive prescribed pain medications as ordered. The Buprenorphine patch was not available and was falsely documented as administered, while Dilaudid was given at half the prescribed dose on two occasions. Staff interviews and record reviews confirmed these discrepancies, and the DON acknowledged the failure to follow physician orders.
A facility failed to properly store and document controlled medications, as a Nursing Assistant improperly signed for Buprenorphine patches meant for a resident with chronic pain. The patches were not recorded in the controlled substance count book, and the nurse on duty did not recall receiving them. The Director of Nursing confirmed the breach in protocol.
A resident with hypertension and C. diff was administered Hydralazine outside of prescribed blood pressure parameters and received Senna Plus despite having diarrhea and an active C. diff infection. The facility staff failed to follow physician orders, and the APRN and Assistant Director of Nursing were unaware of these deviations.
A facility failed to notify a resident's representative of significant changes in medical treatment, including new medications and the insertion of a foley catheter, for a resident with moderately impaired cognition. Despite the facility's policy requiring such notifications, there was no evidence that the representative was informed. Interviews confirmed the lack of communication, with the representative expressing dissatisfaction, particularly regarding the foley catheter insertion.
The facility failed to ensure nursing staff had the necessary competencies for wound VAC, PICC line, and IV medication administration. Several RNs and LPNs hired between 2021 and 2023 lacked documented training and competency assessments. The Staff Development Coordinator and DON could not provide evidence of completed training during a surveyor's investigation.
The facility was found to have multiple food safety and hygiene deficiencies, including improper cold holding temperatures for meals, failure of staff to wear required beard restraints, and improper storage of staff lunches with resident desserts. These issues were acknowledged by the Food Service Director during the survey.
The facility did not conduct a thorough facility-wide assessment to determine necessary resources for resident care during routine and emergency operations. The assessment lacked details on resident care needs, staff competencies, physical environment, and cultural considerations. It also failed to document resources like equipment, services, personnel, and third-party agreements. The Administrator acknowledged these deficiencies.
The facility failed to follow physician's orders for wound care and monitoring, resulting in deficiencies for several residents. A resident with multiple diagnoses did not receive required body audits and wound care treatments, while another with mild cognitive impairment had unaddressed edema. Additionally, a resident with severe cognitive impairment had a skin tear without proper documentation or provider notification. These issues highlight lapses in care and monitoring by the facility staff.
The facility failed to follow physician's orders for two residents. One resident, with diagnoses including failure to thrive and malnutrition, had orders to offload heels while in bed, but observations showed this was not done. Another resident, with diabetes, had orders for blood sugar checks with specific reporting parameters, but elevated levels were not reported to the provider. The DNS confirmed these failures, with no explanations provided.
Two residents in an LTC facility did not receive proper pressure ulcer care. One resident with severe cognitive impairment was not consistently using a Heelz-up device as ordered, and records falsely indicated compliance. Another resident's wound care deviated from the physician's order, using an incorrect dressing. Staff interviews confirmed these discrepancies, and the DON could not explain the failures.
A facility failed to properly manage a resident's PICC line and IV antibiotic administration. The resident, with multiple health issues, had a PICC line dressing saturated with dried blood, which was not changed despite acknowledgment by an LPN. Additionally, an RN did not follow IV priming protocol, resulting in medication spillage and improper handling of IV tubing. The Director of Nursing expected adherence to protocols, which was not observed.
The facility failed to maintain proper infection control during wound care for two residents. An LPN and SDC did not adhere to contact precautions, failing to perform hand hygiene and clean equipment. In another case, an RN exited a resident's room wearing a soiled gown and used a gloved finger to pack a wound dressing. The DNS confirmed these lapses, indicating a deficiency in the infection prevention and control program.
A facility failed to conduct weekly skin audits for a resident as per physician's orders, despite signing off on them as completed. The resident, with diagnoses including tinea cruris and type 2 diabetes, was hospitalized for wounds and a change in mental status, indicating neglect in wound care. The DON acknowledged the missed audits, which contributed to the deficiency.
Failure to Maintain Safe Environment and Adequate Supervision
Penalty
Summary
A deficiency was identified in the facility's failure to ensure that an area was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment did not meet safety standards, and supervision was insufficient to prevent potential accidents. Specific actions or omissions by staff or management that led to this deficiency are not detailed in the report, nor are any particular incidents or resident conditions described.
Failure to Administer Pain Medications per Physician Orders
Penalty
Summary
A deficiency was identified when a resident, recently readmitted with diagnoses including spinal fusion and orthopedic aftercare, did not receive prescribed pain management medications according to physician orders. The resident was ordered to receive a Buprenorphine patch on a specific date, but the medication was not available in the facility at the time, and a nurse signed off on the administration despite it not being given. This was confirmed through staff interviews and record reviews, which showed the patch was not applied as ordered. Additionally, the same resident was prescribed Dilaudid 4 mg by mouth every six hours as needed for pain, but records revealed that only 2 mg doses were administered on two occasions, contrary to the physician's order. Staff interviews confirmed that the lower dose was given, and the Medication Administration Record inaccurately reflected the administration of the full prescribed dose. The Director of Nursing acknowledged that the resident did not receive the medications as ordered.
Improper Handling of Controlled Medications
Penalty
Summary
The facility failed to store drugs and biologicals in accordance with currently accepted professional principles, as evidenced by the mishandling of controlled medications. A review of the facility's policies revealed that only authorized, licensed nursing and pharmacy personnel should have access to controlled medications. However, a pharmacy shipping manifest showed that a Nursing Assistant (NA), Staff A, signed for the delivery of Buprenorphine patches, a controlled opioid medication, which is against the facility's policy. The controlled substance count book did not show evidence that the Buprenorphine patches had been received and added to the count, indicating a lapse in the proper documentation and handling of controlled substances. The incident involved a resident who was admitted to the facility with a chronic inguinal wound and pain to the left hip, for which a physician had ordered Buprenorphine patches. The patches were delivered to the facility, but the nurse on duty, Staff B, did not recall receiving them, and the NA who signed for them acknowledged that he should not have done so. The Director of Nursing Services confirmed that the NA improperly signed for the medication and that the controlled medication was not documented as received in the narcotic book, as required by the facility's policy.
Failure to Follow Physician Orders and Inappropriate Medication Administration
Penalty
Summary
The facility failed to provide treatment and care in accordance with professional standards of practice by not adhering to physician orders for a resident with hypertension and an active diagnosis of C. diff. The resident was admitted with diagnoses including hypertension and adult failure to thrive. A physician's order was in place for Hydralazine to be administered as needed for systolic blood pressure above 145. However, the medication was administered multiple times when the resident's blood pressure readings were below the specified parameters, indicating a failure to follow the physician's order. The Nurse Practitioner was unaware of this deviation, and the Assistant Director of Nursing could not provide evidence that the staff followed the order as written. Additionally, the resident was administered Senna Plus, a laxative, daily despite having diarrhea and a positive test result for C. diff. The administration of Senna Plus continued even after the resident's representative reported several loose stools, and a new physician's order was obtained to test for C. diff. The APRN stated that Senna Plus should not be administered during an active C. diff infection and was unaware that the resident was receiving it. The Assistant Director of Nursing confirmed that the medication was given despite the active diagnosis of C. diff and ongoing diarrhea, further highlighting the facility's failure to adhere to appropriate treatment protocols.
Failure to Notify Resident's Representative of Medical Changes
Penalty
Summary
The facility failed to notify the resident's representative of significant changes in the medical treatment of a resident with moderately impaired cognition, as indicated by a BIMS score of 9 out of 15. The resident, who was admitted with diagnoses including dementia and cognitive communication deficit, experienced several changes in medical treatment, including the initiation of new medications for high blood pressure and prostatitis, as well as the insertion of a foley catheter. Despite the facility's policy requiring notification of the resident's representative in such cases, there was no evidence that the representative was informed of these changes. Interviews with the resident's representative and facility staff confirmed the lack of communication regarding the resident's medical status changes. The representative expressed dissatisfaction with the facility's failure to communicate, particularly regarding the insertion of the foley catheter, which they would not have agreed to. Staff interviews revealed that the facility's policy mandates notifying the resident's representative of changes in medical status, especially for cognitively impaired residents, but this was not adhered to in this case.
Deficiency in Nursing Staff Competency and Training
Penalty
Summary
The facility failed to ensure that nursing staff possessed the necessary competencies and skills to provide safe and effective care to residents, as required by resident assessments and individual care plans. Specifically, the facility did not have evidence of completed competencies and skills sets for wound vacuum-assisted closure (Wound VAC) device management, peripherally inserted central catheter (PICC) line dressing changes, and intravenous (IV) medication administration for several licensed nurses. This deficiency was identified during a surveyor's review of records and interviews with staff members. The surveyor's investigation revealed that Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) hired between 2021 and 2023 had not completed the necessary training and competency assessments for these critical care procedures. During interviews, both the Staff Development Coordinator and the Director of Nursing Services were unable to provide evidence that the required education and competencies were completed before these nurses provided care. This lack of documentation and training was brought to the facility's attention by the surveyor, indicating a significant oversight in staff training and competency verification processes.
Food Safety and Hygiene Deficiencies
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as evidenced by several deficiencies observed during a survey. Firstly, the cold holding temperatures for turkey sandwiches and chef's salads were found to be significantly above the acceptable range, with temperatures recorded at 60 degrees F and 59 degrees F, respectively. This was observed during a lunch meal service on the North unit, and the Food Service Director acknowledged the discrepancy in temperature control. Additionally, the facility did not comply with the requirement for food employees to wear hair and beard restraints. A Dietary Aide, identified as Staff I, was observed on multiple occasions without a beard restraint while handling food and serving beverages. Furthermore, the facility improperly stored staff lunches in the same refrigerator as resident desserts, which is against the Rhode Island Food Code that mandates separate storage to prevent contamination. The Food Service Director confirmed the improper storage practice during an interview.
Facility Fails to Document Comprehensive Resource Assessment
Penalty
Summary
The facility failed to conduct and document a comprehensive facility-wide assessment to determine the necessary resources for competent resident care during both routine operations and emergencies. The assessment, dated [DATE], was found lacking in several critical components. It did not adequately address the care required by the resident population, considering their diseases, conditions, physical and cognitive disabilities, and overall acuity. Additionally, the assessment failed to identify the staff competencies needed to provide the required level and types of care for the residents. Furthermore, the assessment did not include essential details about the physical environment, equipment, services, and other physical plant considerations necessary for resident care. It also overlooked any ethnic, cultural, or religious factors that might affect the care provided, including activities and food and nutrition services. The document lacked evidence of the facility's resources, such as medical and non-medical equipment, services like physical therapy and pharmacy, personnel details, and agreements with third parties for services or equipment during normal and emergency operations. During an interview, the Administrator acknowledged these deficiencies in the facility assessment.
Deficiencies in Wound Care and Monitoring
Penalty
Summary
The facility failed to provide appropriate treatment and care according to physician's orders for several residents, leading to deficiencies in wound care and monitoring. Resident ID #273, who was readmitted with multiple diagnoses including an abscess and cellulitis, did not receive the required admission and weekly body audits as ordered. Additionally, the wound care treatments for this resident's right foot and heel were not completed as per the physician's orders, resulting in a lack of wound dressing changes for several days. Staff C admitted to signing off on these tasks without completing them, and was unaware of the resident's wound conditions due to not performing any assessments or treatments. Another deficiency was identified with Resident ID #64, who was admitted with hypertension and exhibited mild cognitive impairment. The resident was observed with mild edema in the lower legs and ankles over several days, yet there was no documentation or interventions recorded in the resident's file. Staff D was unaware of the edema and had not notified the resident's provider, leading to a delay in obtaining necessary physician's orders to address the condition. Resident ID #90, with severe cognitive impairment and neuropathy, was found with a bandage on the left shin without any documentation or orders explaining its presence. The bandage covered a scab and a skin tear, which appeared wet and soggy. Staff D acknowledged the lack of documentation and provider notification regarding the open area. The facility only obtained treatment orders for the skin tear after the surveyor brought it to their attention, indicating a failure to monitor and address the resident's skin integrity as per the care plan.
Failure to Follow Physician's Orders for Heel Offloading and Glucose Monitoring
Penalty
Summary
The facility failed to ensure that residents received treatment and care in accordance with professional standards of practice by not following physician's orders for two residents. Resident ID #73, who was readmitted with diagnoses including adult failure to thrive and malnutrition, had a physician's order to offload bilateral heels while in bed. However, surveyor observations over several days revealed that the resident's heels were not offloaded and were resting directly on the mattress. Interviews with the registered nurse and the Director of Nursing Services (DNS) confirmed the failure to follow the physician's order, with no explanation provided for the oversight. Additionally, Resident ID #85, admitted with a diagnosis of diabetes, had a physician's order for blood sugar checks twice a day with instructions to call the provider if levels were below 50 mg/dl or above 250 mg/dl. The September 2024 Treatment Administration Record showed multiple instances of blood sugar levels exceeding 250 mg/dl, yet there was no evidence that these were reported to the provider as required. The DNS acknowledged that the elevated blood sugar levels were not reported to the physician, despite expectations that staff would adhere to the physician's order.
Failure to Follow Pressure Ulcer Care Protocols
Penalty
Summary
The facility failed to provide appropriate pressure ulcer care for two residents, leading to deficiencies in treatment and prevention of pressure ulcers. Resident ID #35, who has severe cognitive impairment and was readmitted with an unstageable pressure ulcer on the right heel, was observed multiple times with their heels resting directly on the mattress, despite a physician's order to use a Heelz-up device to offload pressure. The treatment administration records inaccurately indicated that the device was used, and there was no evidence of resident refusal. Interviews with staff confirmed the non-compliance with the physician's order, and the Director of Nursing Services could not explain the oversight. Resident ID #103, admitted with a right femur fracture and muscle wasting, had a physician's order for specific wound care involving Vashe, medi-honey mixed with collagen powder, and a foam bordered dressing. However, during an observation, the registered nurse deviated from the prescribed treatment by using Puracol Plus AG with silver instead of the ordered medi-honey and collagen powder mixture. The nurse acknowledged the deviation, and the Director of Nursing Services was unable to provide an explanation for not following the physician's order.
Deficiency in PICC Line Management and IV Administration
Penalty
Summary
The facility failed to adhere to professional standards of practice regarding the management of a peripherally inserted central catheter (PICC) for a resident receiving intravenous (IV) antibiotic treatment. The resident, who was readmitted with conditions including an abscess, cellulitis, an ulcer, and diabetes mellitus, had physician orders for regular assessment of the PICC site and measurement of the external catheter. However, the facility's records showed that these measurements were signed off as completed without documentation. During an observation, the resident's PICC line dressing was found to be saturated with dried blood, and the dressing was not adhering properly to the skin. Despite acknowledgment from a Licensed Practical Nurse (LPN) that the dressing needed changing, there was no evidence that the dressing was changed or that the status of the PICC was documented. Additionally, during a medication administration task, a Registered Nurse (RN) failed to follow the facility's policy for priming the IV tubing, resulting in medication spilling onto the cart. The RN also placed uncapped IV tubing on the resident's bed, which is against protocol. The PICC line dressing was observed to have light red drainage, indicating a need for a dressing change, which was not documented as completed. The Director of Nursing Services expressed that it was expected for the IV to be primed per policy and for the PICC line dressing to be changed when necessary, but these expectations were not met as per the observations and record reviews.
Infection Control Lapses in Wound Care Procedures
Penalty
Summary
The facility failed to maintain proper contact precautions for a resident with MRSA in the nares and VRE in a wound. During a surveyor observation, a Licensed Practical Nurse (LPN) and the Staff Development Coordinator (SDC) were observed conducting wound care without adhering to infection control protocols. The LPN did not remove gloves or perform hand hygiene after handling personal items, and the SDC failed to clean scissors and surfaces before and after the procedure. The SDC also handled wound vac tubing without gloves and did not clean the equipment or surfaces before exiting the resident's room. In another incident, a Registered Nurse (RN) was observed performing wound care on a resident with a displaced fracture of the femur. The RN exited the resident's room wearing a soiled gown to retrieve additional supplies, failing to perform hand hygiene. Upon returning, the RN continued the procedure with the same gown and used a gloved finger to pack the wound dressing instead of a sterile implement like a q-tip. The RN acknowledged these lapses in protocol during a surveyor interview. The Director of Nursing Services (DNS) confirmed that the staff did not follow expected infection control practices. The DNS stated that the LPN and SDC should have performed hand hygiene and cleaned equipment and surfaces, while the RN should have used a q-tip for wound packing and removed the gown before leaving the room. These deficiencies highlight lapses in maintaining an effective infection prevention and control program, particularly in wound care procedures.
Failure to Conduct Weekly Skin Audits
Penalty
Summary
The facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice, specifically regarding skin assessments. A review of the facility's policy on skin protocol indicated that weekly skin observations were required for every resident, with documentation maintained in the residents' medical records. However, for one resident, there were seven weeks of missed skin audits, despite a physician's order for weekly body audits every Friday. These audits were signed off as completed in the Treatment Administration Record, but there was no evidence of the audits being conducted on the specified dates. The resident in question was readmitted to the facility with diagnoses including tinea cruris and type 2 diabetes. A community-reported complaint alleged that the resident was hospitalized for wounds and a change in mental status, suggesting neglect due to improper wound care. The resident was later seen by a wound physician for worsening wounds, resulting in new treatment orders. The Director of Nursing Services acknowledged during an interview that the weekly skin audits were not completed as ordered, contributing to the deficiency in care.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 564 citations issued within 25 miles in the last 12 months — including the 20 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Woonsocket
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St Antoine Residence | 0.3 mi | — | 4 | 0 |
| Cedar Haven Operations Holding Llc Valley View Hea | 1.5 mi | — | 0 | 0 |
| Adviniacare Oakland Grove Llc | 2.3 mi | — | 12 | 0 |
| Woonsocket Health Center | 2.4 mi | — | 0 | 0 |
| Holiday Retirement Home Inc | 3.8 mi | — | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for The Friendly Home.
100% money-back within 48 hours.
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.