Elder Care Record

Rhode Island › Providence County › East Providence

Adviniacare Orchard, LLC

135 Tripps Lane, East Providence, RI 02915

CCN 415059 · For-profit, corporation · 166 certified beds · chain Athena Healthcare Systems

Special Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Adviniacare Orchard, LLC is a For-profit, corporation nursing home in East Providence, Rhode Island, certified for 166 beds and caring for about 30 residents a day.

CMS gives it 1 of 5 stars overall, below the Rhode Island median of 3; the health inspection rating is 1, staffing 1 and quality measures 2.

Inspectors recorded 58 health deficiencies across the three most recent survey cycles (17, 19, 22 by cycle, most recent first), 11 of them at the actual-harm or immediate-jeopardy level. That is 34.9 per 100 beds, more than the state median of 24.8.

CMS lists 5 penalties in the period covered: fines totalling $104K.

Reported nurse staffing is 4.2 hours per resident per day (1.0 RN), close to the Rhode Island median of 3.6; nursing staff turnover is 20.2%.

CMS flags that the facility is a Special Focus Facility candidate.

58health deficiencies, 3 survey cycles11 at actual harm or worse
$104Kfines listed by CMS5 penalties in period
4.2nurse hours per resident per daystate median 3.6
18%occupancy (residents ÷ beds)30 residents a day

Compared with county, state and nation

MeasureThis facilityProvidence Co. medianRhode Island medianUS average
Overall star rating1233.0
Health citations, 3 cycles58272528.7
Citations per 100 beds34.925.524.826.8
Total nurse hours per resident day4.23.73.63.9
RN hours per resident day1.00.70.70.7
Nursing staff turnover20.2%36.5%39.3%45.8%
Fines listed$103,744$40,295$22,205—

County and state figures are medians across facilities (41 in the county, 72 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)17
Cycle 219
Cycle 322

Dark bar: this facility. Grey bar: Rhode Island average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Jun 2025, 26 Jun 2024.

Severity mix: J ×7 L ×2 G ×2 D ×27 E ×9 F ×9 C ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
23 Jan 2026F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.CComplaint investigation29 May 2026
12 Jan 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.LComplaint investigation19 Jan 2026
12 Jan 2026F0880Provide and implement an infection prevention and control program.LComplaint investigation19 Jan 2026
12 Jan 2026F0814Dispose of garbage and refuse properly.FComplaint investigation7 Jan 2026
12 Jan 2026F0837Establish 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.EComplaint investigation19 Jan 2026
24 Sep 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation14 Oct 2025
17 Sep 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.EComplaint investigation6 Oct 2025
13 Aug 2025F0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.DComplaint investigation29 Aug 2025
26 Jun 2025F0760Ensure that residents are free from significant medication errors.GComplaint investigation26 Jul 2025
26 Jun 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey26 Jul 2025
26 Jun 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FStandard survey26 Jul 2025
26 Jun 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey26 Jul 2025
26 Jun 2025F0880Provide and implement an infection prevention and control program.EStandard survey26 Jul 2025
26 Jun 2025F0908Keep all essential equipment working safely.EStandard survey26 Jul 2025
26 Jun 2025F0924Put firmly secured handrails on each side of hallways.EStandard survey26 Jul 2025
26 Jun 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey26 Jul 2025
26 Jun 2025F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard survey26 Jul 2025
2 Apr 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation9 May 2025
2 Apr 2025F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DComplaint investigation9 May 2025
2 Apr 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation9 May 2025
2 Apr 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DComplaint investigation9 May 2025
27 Mar 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint investigation9 May 2025
3 Dec 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation17 Dec 2024
24 Oct 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation6 Nov 2024
12 Sep 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation12 Sep 2024
12 Sep 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation12 Sep 2024
2 Jul 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation22 Jul 2024
26 Jun 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey22 Jul 2024
26 Jun 2024F0880Provide and implement an infection prevention and control program.EStandard survey22 Jul 2024
26 Jun 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation22 Jul 2024
26 Jun 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey22 Jul 2024
26 Jun 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey22 Jul 2024
26 Jun 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey22 Jul 2024
26 Jun 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey22 Jul 2024
26 Jun 2024F0730Observe each nurse aide's job performance and give regular training.DStandard survey22 Jul 2024
26 Jun 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey22 Jul 2024
26 Jun 2024F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard survey22 Jul 2024
23 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation16 May 2024
15 Feb 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation5 Mar 2024
15 Feb 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedFComplaint investigation5 Mar 2024
3 Jan 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation24 Jan 2024
3 Jan 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation24 Jan 2024
5 Dec 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation21 Dec 2023
9 Nov 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation30 Nov 2023
6 Jul 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.JStandard survey5 Aug 2023
6 Jul 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JStandard survey5 Aug 2023
6 Jul 2023F0692Provide enough food/fluids to maintain a resident's health.JStandard survey5 Aug 2023
6 Jul 2023F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.JStandard survey5 Aug 2023
6 Jul 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.FStandard survey5 Aug 2023
6 Jul 2023F0699Provide care or services that was trauma informed and/or culturally competent.FStandard survey5 Aug 2023
6 Jul 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey5 Aug 2023
6 Jul 2023F0880Provide and implement an infection prevention and control program.FStandard survey5 Aug 2023
6 Jul 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard survey5 Aug 2023
6 Jul 2023F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey5 Aug 2023
6 Jul 2023F0641Ensure each resident receives an accurate assessment.DStandard survey5 Aug 2023
6 Jul 2023F0685Assist a resident in gaining access to vision and hearing services.DStandard survey5 Aug 2023
6 Jul 2023F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard survey5 Aug 2023
6 Jul 2023F0761Ensure 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.DStandard survey5 Aug 2023

Penalties

DateTypeAmountDetail
12 Jan 2026Fine$25,485
12 Jan 2026Fine$23,485
12 Sep 2024Fine$23,923
23 Apr 2024Fine$16,801
15 Feb 2024Fine$14,050

Staffing

Total nursing4.2 h
Nurse aides2.54 h
LPN0.67 h
RN0.99 h
Weekend total3.51 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Rhode Island average. Turnover: nursing staff 20.2%, RNs 10.5%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityRhode Island medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay11.9%19.7%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.9%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.5%2.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.2%3.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.9%1.6%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay24.3%16.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.5%4.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay31.7%22.5%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Athena Orchard View Llc. Chain: Athena Healthcare Systems (22 facilities).

OrganisationRole in the CMS recordInterestSince
Athena Health Care Associates, Inc.Operational/managerial controlNOT APPLICABLE09/30/2013

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Providence County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Briarcliffe ManorJohnston12255543.3—11 Jun 2026
Cedar Crest Nursing Centre IncCranston1565452314.7$14K23 Jun 2026
Cherry Hill ManorJohnston171554137.6$6K20 Apr 2026
Eastgate Nursing & Rehabilitation CenterEast Providence605541220.0—19 Feb 2026
Grandview CenterCumberland725432230.6—9 Sep 2025
Jeanne Jugan ResidencePawtucket4955436.1—2 Apr 2026
Tockwotton On the WaterfrontEast Providence525551223.1$9K16 Apr 2026
Evergreen House Health CenterEast Providence1604442012.5—23 Apr 2026

All 41 facilities in Providence County

Questions and answers

How many deficiencies has Adviniacare Orchard, LLC been cited for?

58 health deficiencies across the three most recent survey cycles, 11 at the actual-harm or immediate-jeopardy level. The Rhode Island median is 25 per facility.

Has Adviniacare Orchard, LLC been fined?

Yes. CMS lists fines totalling $104K in the period covered.

How does staffing at Adviniacare Orchard, LLC compare?

Reported total nurse staffing is 4.2 hours per resident per day against a Rhode Island median of 3.6 and a national average of 3.9.

Who operates Adviniacare Orchard, LLC?

It is part of the Athena Healthcare Systems chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Athena Health Care Associates, Inc.. Individual owners and managers are not listed on this site.

When was Adviniacare Orchard, LLC last inspected?

The most recent survey or investigation in the CMS record is dated 23 Jan 2026; the most recent standard health survey was 26 Jun 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.