Rhode Island › Providence County › Smithfield
Heritage Hills Nursing & Rehabilitation Center
80 Douglas Pike, Smithfield, RI 02917
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.
Heritage Hills Nursing & Rehabilitation Center, in Smithfield, Rhode Island, is certified for 100 beds under for-profit, corporation ownership and belongs to the Marquis Health Services chain.
CMS gives it 2 of 5 stars overall, below the Rhode Island median of 3; the health inspection rating is 1, staffing 2 and quality measures 5.
Inspectors recorded 69 health deficiencies across the three most recent survey cycles (23, 21, 25 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 69.0 per 100 beds, more than the state median of 24.8.
CMS lists 2 penalties in the period covered: fines totalling $9K and 1 payment denial.
Reported nurse staffing is 3.7 hours per resident per day (0.6 RN), close to the Rhode Island median of 3.6; nursing staff turnover is 39.8%.
Compared with county, state and nation
| Measure | This facility | Providence Co. median | Rhode Island median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 69 | 27 | 25 | 28.7 |
| Citations per 100 beds | 69.0 | 25.5 | 24.8 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.7 | 3.6 | 3.9 |
| RN hours per resident day | 0.6 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 39.8% | 36.5% | 39.3% | 45.8% |
| Fines listed | $8,827 | $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
Dark bar: this facility. Grey bar: Rhode Island average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 Sep 2025, 13 Sep 2024.
Severity mix: J ×3 G ×1 D ×40 E ×20 F ×5
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 16 Jun 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 30 Jun 2026 |
| 16 Jun 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 30 Jun 2026 |
| 16 Jun 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 30 Jun 2026 |
| 6 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 16 Feb 2026 |
| 14 Jan 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 6 Feb 2026 |
| 14 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 6 Feb 2026 |
| 14 Jan 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 6 Feb 2026 |
| 18 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 18 Oct 2025 |
| 18 Sep 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | J | Standard survey | 18 Oct 2025 |
| 18 Sep 2025 | F0584 | Honor 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. | F | Standard survey | 18 Oct 2025 |
| 18 Sep 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 18 Oct 2025 |
| 18 Sep 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 18 Oct 2025 |
| 18 Sep 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 18 Oct 2025 |
| 18 Sep 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 18 Oct 2025 |
| 18 Sep 2025 | F0838 | Conduct 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. | E | Standard survey | 18 Oct 2025 |
| 18 Sep 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard survey | 18 Oct 2025 |
| 18 Sep 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 18 Oct 2025 |
| 18 Sep 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 18 Oct 2025 |
| 18 Sep 2025 | F0811 | Ensure 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. | D | Standard survey | 18 Oct 2025 |
| 18 Sep 2025 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard survey | 18 Oct 2025 |
| 18 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 18 Oct 2025 |
| 18 Sep 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 18 Oct 2025 |
| 1 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 18 Aug 2025 |
| 2 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 18 Apr 2025 |
| 23 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 30 Jan 2025 |
| 10 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 30 Jan 2025 |
| 6 Jan 2025 | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | D | Complaint investigation | 30 Jan 2025 |
| 6 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 30 Jan 2025 |
| 13 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 13 Oct 2024 |
| 13 Sep 2024 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 13 Oct 2024 |
| 13 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 13 Oct 2024 |
| 13 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 13 Oct 2024 |
| 13 Sep 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 13 Oct 2024 |
| 13 Sep 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 13 Oct 2024 |
| 13 Sep 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 13 Oct 2024 |
| 13 Sep 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 13 Oct 2024 |
| 13 Sep 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 13 Oct 2024 |
| 13 Sep 2024 | F0675 | Honor each resident's preferences, choices, values and beliefs. | D | Standard survey | 13 Oct 2024 |
| 13 Sep 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 13 Oct 2024 |
| 13 Sep 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 13 Oct 2024 |
| 13 Sep 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 13 Oct 2024 |
| 16 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 30 Aug 2024 |
| 16 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 30 Aug 2024 |
| 16 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 30 Aug 2024 |
| 31 Jul 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 30 Aug 2024 |
| 18 Jun 2024 | F0761 | Ensure 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. | D | Complaint investigation | 14 May 2024 |
| 9 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 9 May 2024 |
| 2 Apr 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 27 Mar 2024 |
| 2 Apr 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 27 Mar 2024 |
| 2 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 3 Nov 2023 |
| 16 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 3 Nov 2023 |
| 16 Oct 2023 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 3 Nov 2023 |
| 16 Oct 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 3 Nov 2023 |
| 16 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 3 Nov 2023 |
| 16 Oct 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 3 Nov 2023 |
| 16 Oct 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 3 Nov 2023 |
| 16 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 3 Nov 2023 |
| 16 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 3 Nov 2023 |
| 16 Oct 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 3 Nov 2023 |
| 16 Oct 2023 | F0693 | Ensure 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. | D | Standard survey | 3 Nov 2023 |
| 16 Oct 2023 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 3 Nov 2023 |
| 16 Oct 2023 | F0761 | Ensure 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. | D | Standard survey | 3 Nov 2023 |
| 16 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 3 Nov 2023 |
| 4 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 3 Nov 2023 |
| 4 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 3 Nov 2023 |
| 13 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 25 Sep 2023 |
| 13 Sep 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint investigation | 25 Sep 2023 |
| 24 Aug 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 5 Sep 2023 |
| 24 Aug 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 5 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 16 Sep 2025 | Payment denial | — | 3 days |
| 9 May 2024 | Fine | $8,827 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Rhode Island average. Turnover: nursing staff 39.8%, RNs 68.8%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Rhode Island median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.0% | 19.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.2% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.3% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.1% | 1.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.1% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.9% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.3% | 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: Heritage Hills Operator Llc. Chain: Marquis Health Services (87 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Skilled Venture LLC | Direct ownership interest | NOT APPLICABLE | 11/01/2022 |
| Cibc Bank USA | 5% or greater security interest | NOT APPLICABLE | 11/01/2022 |
| Marquis Limited LLC | Operational/managerial control | NOT APPLICABLE | 11/01/2022 |
| Reliant Pro Rehab LLC | Operational/managerial control | NOT APPLICABLE | 11/01/2022 |
| Marquis Limited LLC | Adp of the snf | NOT APPLICABLE | 03/10/2025 |
| Nfr 2020 Irrv Tr | Adp of the snf | NOT APPLICABLE | 11/01/2022 |
| Quinto Nexgen LLC | Adp of the snf | NOT APPLICABLE | 11/01/2022 |
| Reliant Pro Rehab LLC | Adp of the snf | NOT APPLICABLE | 09/18/2025 |
| Rsbrmk Holdings LLC | Adp of the snf | NOT APPLICABLE | 11/01/2022 |
| Tryko Nexgen Holdings LLC | Adp of the snf | NOT APPLICABLE | 11/01/2022 |
| Uak 2020 Irrv Tr | Adp of the snf | NOT APPLICABLE | 11/01/2022 |
| Ukr Nexgen LLC | Adp of the snf | NOT APPLICABLE | 11/01/2022 |
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
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Briarcliffe Manor | Johnston | 122 | 5 | 5 | 5 | 4 | 3.3 | — | 11 Jun 2026 |
| Cedar Crest Nursing Centre Inc | Cranston | 156 | 5 | 4 | 5 | 23 | 14.7 | $14K | 23 Jun 2026 |
| Cherry Hill Manor | Johnston | 171 | 5 | 5 | 4 | 13 | 7.6 | $6K | 20 Apr 2026 |
| Eastgate Nursing & Rehabilitation Center | East Providence | 60 | 5 | 5 | 4 | 12 | 20.0 | — | 19 Feb 2026 |
| Grandview Center | Cumberland | 72 | 5 | 4 | 3 | 22 | 30.6 | — | 9 Sep 2025 |
| Jeanne Jugan Residence | Pawtucket | 49 | 5 | 5 | 4 | 3 | 6.1 | — | 2 Apr 2026 |
| Tockwotton On the Waterfront | East Providence | 52 | 5 | 5 | 5 | 12 | 23.1 | $9K | 16 Apr 2026 |
| Evergreen House Health Center | East Providence | 160 | 4 | 4 | 4 | 20 | 12.5 | — | 23 Apr 2026 |
All 41 facilities in Providence County
Questions and answers
How many deficiencies has Heritage Hills Nursing & Rehabilitation Center been cited for?
69 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Rhode Island median is 25 per facility.
Has Heritage Hills Nursing & Rehabilitation Center been fined?
Yes. CMS lists fines totalling $9K in the period covered, plus 1 payment denial.
How does staffing at Heritage Hills Nursing & Rehabilitation Center compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Rhode Island median of 3.6 and a national average of 3.9.
Who operates Heritage Hills Nursing & Rehabilitation Center?
It is part of the Marquis Health Services chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Skilled Venture LLC, Marquis Limited LLC and Reliant Pro Rehab LLC. Individual owners and managers are not listed on this site.
When was Heritage Hills Nursing & Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 16 Jun 2026; the most recent standard health survey was 18 Sep 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.