State surveyors inspected 65 of Rhode Island's 72 nursing homes in the 12 months from August 2025 through July 2026 and cited 586 health deficiencies, according to CMS's nursing home health citation file, processed September 1, 2026. The most cited was F658, which CMS words as “ensure services provided by the nursing facility meet professional standards of quality”, at 39 of those buildings (60%). 34 of the citations were immediate jeopardy, the most serious level CMS has.
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Rhode Island, the 12 months from August 2025 through July 2026, from CMS's nursing home health citation file.
August 2025 through July 2026. Source: CMS's nursing home health citation file, processed September 1, 2026.
| Rank | Tag | Citations | Buildings cited |
|---|---|---|---|
| 1 | F658Ensure services provided by the nursing facility meet professional standards of quality | 58 | 39 (60%) |
| 2 | F684Provide appropriate treatment and care according to orders, resident’s preferences and goals | 42 | 33 (51%) |
| 3 | F760Ensure that residents are free from significant medication errors | 31 | 23 (35%) |
| 4 | F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents | 28 | 25 (38%) |
| 5 | F880Provide and implement an infection prevention and control program | 25 | 22 (34%) |
| 6 | F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards | 25 | 21 (32%) |
| 7 | F686Provide appropriate pressure ulcer care and prevent new ulcers from developing | 17 | 17 (26%) |
| 8 | F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody | 17 | 16 (25%) |
| 9 | F695Provide safe and appropriate respiratory care for a resident when needed | 17 | 16 (25%) |
| 10 | F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being | 17 | 15 (23%) |
| 11 | F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards | 14 | 12 (18%) |
| 12 | F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs | 13 | 13 (20%) |
| 13 | F757Ensure each resident’s drug regimen must be free from unnecessary drugs | 12 | 12 (18%) |
| 14 | F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections | 10 | 10 (15%) |
| 15 | F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities | 9 | 9 (14%) |
| 16 | F881Implement a program that monitors antibiotic use | 9 | 9 (14%) |
| 17 | F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured | 8 | 8 (12%) |
| 18 | F692Provide enough food/fluids to maintain a resident's health | 8 | 8 (12%) |
| 19 | F610Respond appropriately to all alleged violations | 8 | 7 (11%) |
| 20 | F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public | 8 | 7 (11%) |
| 21 | F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals | 7 | 7 (11%) |
| 22 | F759Ensure medication error rates are not 5 percent or greater | 7 | 7 (11%) |
| 23 | F552Ensure that residents are fully informed and understand their health status, care and treatments | 6 | 6 (9%) |
| 24 | F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies | 6 | 6 (9%) |
| 25 | F677Provide care and assistance to perform activities of daily living for any resident who is unable | 6 | 6 (9%) |
| Rank | Tag | Citations | Buildings cited |
|---|---|---|---|
| 26 | F698Provide safe, appropriate dialysis care/services for a resident who requires such services | 6 | 6 (9%) |
| 27 | F838Conduct 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 | 6 | 5 (8%) |
| 28 | F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights | 5 | 5 (8%) |
| 29 | F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions | 5 | 5 (8%) |
| 30 | F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies | 5 | 5 (8%) |
| 31 | F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift | 5 | 5 (8%) |
| 32 | F940Develop, implement, and/or maintain an effective training program for all new and existing staff members | 5 | 5 (8%) |
| 33 | F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services | 5 | 4 (6%) |
| 34 | F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death | 4 | 4 (6%) |
| 35 | F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident | 4 | 4 (6%) |
| 36 | F641Ensure each resident receives an accurate assessment | 4 | 4 (6%) |
| 37 | F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason | 4 | 4 (6%) |
| 38 | F699Provide care or services that was trauma informed and/or culturally competent | 4 | 4 (6%) |
| 39 | F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail | 4 | 4 (6%) |
| 40 | F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care | 4 | 4 (6%) |
| 41 | F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures | 4 | 4 (6%) |
| 42 | F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs | 4 | 4 (6%) |
| 43 | F865Have a plan that describes the process for conducting QAPI and QAA activities | 4 | 4 (6%) |
| 44 | F558Reasonably accommodate the needs and preferences of each resident | 3 | 3 (5%) |
| 45 | F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made | 3 | 3 (5%) |
| 46 | F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive | 3 | 3 (5%) |
| 47 | F602Protect each resident from the wrongful use of the resident's belongings or money | 3 | 3 (5%) |
| 48 | F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function | 3 | 3 (5%) |
| 49 | F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge | 3 | 3 (5%) |
| 50 | F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months | 3 | 3 (5%) |
| 51 | F679Provide activities to meet all resident's needs | 3 | 3 (5%) |
| 52 | F697Provide safe, appropriate pain management for a resident who requires such services | 3 | 3 (5%) |
| 53 | F730Observe each nurse aide's job performance and give regular training | 3 | 3 (5%) |
| 54 | F770Provide timely, quality laboratory services/tests to meet the needs of residents | 3 | 3 (5%) |
| 55 | F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service | 3 | 3 (5%) |
| 56 | F883Develop and implement policies and procedures for flu and pneumonia vaccinations | 3 | 3 (5%) |
| 57 | F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube | 3 | 2 (3%) |
| 58 | F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services | 3 | 2 (3%) |
| 59 | F567Honor the resident's right to manage his or her financial affairs | 2 | 2 (3%) |
| 60 | F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home | 2 | 2 (3%) |
| 61 | F583Keep residents' personal and medical records private and confidential | 2 | 2 (3%) |
| 62 | F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | 2 | 2 (3%) |
| 63 | F687Provide appropriate foot care | 2 | 2 (3%) |
| 64 | F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist | 2 | 2 (3%) |
| 65 | F791Provide or obtain dental services for each resident | 2 | 2 (3%) |
| 66 | F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options | 2 | 2 (3%) |
| 67 | F814Dispose of garbage and refuse properly | 2 | 2 (3%) |
| 68 | F825Provide or get specialized rehabilitative services as required for a resident | 2 | 2 (3%) |
| 69 | F554Allow residents to self-administer drugs if determined clinically appropriate | 1 | 1 (2%) |
| 70 | F555Honor the resident's right to choose his or her attending physician | 1 | 1 (2%) |
| 71 | F565Honor the resident's right to organize and participate in resident/family groups in the facility | 1 | 1 (2%) |
| 72 | F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records | 1 | 1 (2%) |
| 73 | F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered | 1 | 1 (2%) |
| 74 | F584Honor 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 | 1 | 1 (2%) |
| 75 | F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances | 1 | 1 (2%) |
| 76 | F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room) | 1 | 1 (2%) |
| 77 | F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment | 1 | 1 (2%) |
| 78 | F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft | 1 | 1 (2%) |
| 79 | F637Assess the resident when there is a significant change in condition | 1 | 1 (2%) |
| 80 | F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment | 1 | 1 (2%) |
| 81 | F675Honor each resident's preferences, choices, values and beliefs | 1 | 1 (2%) |
| 82 | F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives | 1 | 1 (2%) |
| 83 | F685Assist a resident in gaining access to vision and hearing services | 1 | 1 (2%) |
| 84 | F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents | 1 | 1 (2%) |
| 85 | F745Provide medically-related social services to help each resident achieve the highest possible quality of life | 1 | 1 (2%) |
| 86 | F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results | 1 | 1 (2%) |
| 87 | F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them | 1 | 1 (2%) |
| 88 | F790Provide routine and 24-hour emergency dental care for each resident | 1 | 1 (2%) |
| 89 | F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician | 1 | 1 (2%) |
| 90 | F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident | 1 | 1 (2%) |
| 91 | F811Ensure 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 | 1 | 1 (2%) |
| 92 | F813Have a policy regarding use and storage of foods brought to residents by family and other visitors | 1 | 1 (2%) |
| 93 | F837Establish 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 | 1 | 1 (2%) |
| 94 | F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse | 1 | 1 (2%) |
| 95 | F908Keep all essential equipment working safely | 1 | 1 (2%) |
| 96 | F919Make sure that a working call system is available in each resident's bathroom and bathing area | 1 | 1 (2%) |
| 97 | F924Put firmly secured handrails on each side of hallways | 1 | 1 (2%) |
| 98 | F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members | 1 | 1 (2%) |
| 99 | F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation | 1 | 1 (2%) |
A tag is ranked by how many times it was cited. “Buildings cited” counts the inspected buildings that drew the tag at least once, and its percentage is of every building inspected; we print a percentage only where 20 or more buildings were inspected. “Rank a year earlier” is the same ranking over August 2024 through July 2025. CMS publishes citations months after the survey, so the newest months are still filling in: compare ranks across the two years, not counts. Immediate jeopardy is CMS severity J, K or L; actual harm is G, H or I. No building is named on this page: open a building for its own inspections.
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