Home / Rhode Island / Pascoag
Bayberry Commons
181 Davis Drive, Pascoag, RI 02859 · Providence County · (401) 568-0600
110 certified beds, about 97 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1985
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
1 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 415080 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 18, 2025, inspectors cited 4 health deficiencies (the Rhode Island average is 9.3, the national average 9.2).
Of 20 health citations since June 2023, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 3 fines totaling $51,948 in the last three years; the largest was $24,794, and the latest is dated February 20, 2025.
Nurses and nurse aides worked 3.49 hours per resident per day, against 3.71 across Rhode Island and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.
45.6% of nursing staff left within the year CMS measured (Rhode Island average 40.6%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
306/23
607/24
108/24
208/24
112/24
202/25
107/25
407/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 20 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
11D
6E
0F
Potential for minimal harm
0A
0B
0C
July 18, 2025Standard inspection · 4 citations
- E Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure a resident's drug regimen was reviewed and acted upon by the attending physician, when irregularities were identified during the monthly Pharmacist Medication Regimen Review (MRR) for 3 of 5 residents reviewed, Resident ID #s 10, 92, and 107.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to maintain an infection prevention and control program to help prevent the transmission of communicable diseases and infections, for 3 of 3 residents reviewed for transmission-based precautions (TBP) Resident ID #s 3, 91, and 105.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to provided services that meet professional standards of quality for 1 of 1 resident reviewed for a psychiatric recommendation that was not implemented, Resident ID #107.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on surveyor observation, record review and staff interview, it has been determined that the facility failed to maintain medical records for all residents that are accurately documented in accordance with professional standards and practices for 1 of 2 residents reviewed with a physician's order for aspiration precautions (practices designed to prevent food, fluids, or secretions from entering the airway), Resident ID #112.
July 3, 2025Complaint inspection · 1 citation
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that the comprehensive care plan was reviewed and revised by the interdisciplinary team after an incident of resident-to-resident abuse for 2 of 3 residents reviewed, Resident ID #s 3 and 4.
February 20, 2025Complaint inspection · 2 citations
- G Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to immediately consult with the resident's physician and notify them when there is a significant change in the resident's condition, for 1 of 1 resident reviewed who experienced a change in condition, Resident ID #2.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to meet professional standards of quality relative to following physician's orders for 1 of 1 resident reviewed for the refusal of medications, Resident ID #2.
December 19, 2024Complaint inspection · 1 citation
- J Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review and staff and resident interview, it has been determined that the facility failed to ensure that residents are free from sexual abuse, for 1 of 2 residents reviewed, Resident ID #1.
August 15, 2024Complaint inspection · 2 citations
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to provide respiratory care consistent with professional standards of practice for 1 of 3 residents reviewed for oxygen (O2), Resident ID #1.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to maintain medical records that are accurately documented in accordance with professional standards and practices for 1 of 3 residents reviewed relative to oxygen therapy, Resident ID #1.
August 5, 2024Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that residents receive assistance devices to prevent accidents for 1 of 2 residents reviewed who utilize hip protectors, Resident ID #1.
July 11, 2024Standard inspection · 6 citations
- E Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on surveyor observation, record review, staff and resident interview, it has been determined that the facility failed to ensure that residents are free from physical restraints that are not required to treat the resident's medical symptoms. Additionally, the facility failed to document ongoing re-evaluation of the need for restraints for 1 of 2 residents reviewed for alarms, Resident ID #8.
- E Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to conduct a comprehensive assessment using the resident assessment instrument (RAI), for 5 of 6 residents reviewed, Resident ID #s 7, 25, 39, 53 and 89, and for 1 of 4 residents reviewed related to a Significant Change Assessment, Resident ID #50.
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that the assessment accurately reflected the resident's status for 1 of 1 resident reviewed for position alarms, Resident ID #8, 1 of 1 resident reviewed for smoking, Resident ID #19, 1 of 3 residents reviewed for a multi-drug resistant organism (MDRO, a bacteria that is resistant to antibiotics), Resident ID #25, and 1 of 2 residents reviewed for an indwelling catheter (a tube that is placed in the body to drain and collect urine from the bladder), Resident ID #56.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to maintain an infection prevention and control program to help prevent the transmission of communicable diseases and infections for 1 of 3 residents reviewed relative to Multi-drug Resistant Organisms (MDRO), Resident ID #s 39.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice for 1 of 1 resident reviewed for falls while receiving an anticoagulant (a medication that prevents blood from clotting, that can increase your risk of severe or fatal bleeding), Resident ID #83.
- D Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on surveyor observation, record review, resident and staff interview, it has been determined that the facility failed to provide food prepared in a form designed to meet individual needs for 1 of 2 residents reviewed for a mechanical soft diet, Resident ID #6.
June 22, 2023Standard inspection · 3 citations
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to provide necessary treatment and services, consistent with professional standards of practice, to promote wound healing and prevent new ulcers from developing for 1 of 3 residents reviewed with pressure ulcers, Resident ID #392.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that residents are free from any significant medication errors for 1 of 1 dialysis resident reviewed for medication administration, Resident ID #22.
- D 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.
Inspectors wroteBased on surveyor observation and staff interview, it has been determined that the facility failed to store and label drugs and biological's in accordance with currently accepted professional principles for 1 of 2 medication storage rooms observed, the Sunset Villa Unit.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 20, 2025 | Fine | $19,136 |
| December 19, 2024 | Fine | $24,794 |
| July 11, 2024 | Fine | $8,018 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Rhode Island | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.49 | 3.71 | 3.86 |
| Registered nurses | 0.61 | 0.77 | 0.69 |
| All nursing staff on weekends | 3.06 | 3.34 | 3.42 |
| Nurse aides | 2.43 | ||
| Licensed practical nurses | 0.46 | ||
| Nursing staff turnover (share who left in a year) | 45.6% | 40.6% | 45.8% |
| Registered nurse turnover | 35.7% | 37.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.77 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.66 on weekdays and 3.06 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 13.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.46 in April to June 2025 to 3.49 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.49 | 0.61 | 3.66 | 3.06 | 13.3% | 0 of 90 | 97 |
| Oct to Dec 2025 | 3.51 | 0.56 | 3.67 | 3.10 | 6.2% | 0 of 92 | 95 |
| Jul to Sep 2025 | 3.57 | 0.57 | 3.75 | 3.13 | 7.8% | 0 of 92 | 96 |
| Apr to Jun 2025 | 3.46 | 0.64 | 3.64 | 3.01 | 10.2% | 0 of 91 | 97 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Rhode Island, Jan to Mar 2026 | 3.67 | 0.69 | 3.82 | 3.30 | 5.4% | 1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Rhode Island | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 34.4 | 19.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.2 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.0 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.9 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.0 | 16.8 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.9 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 35.9 | 22.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.5 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.6 | 14.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 1.7 | 1.8 |
Owners and operators
Legal business name: BURRILLVILLE HEALTH CENTER.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| David Ryan Family Associates LLC | 5% or greater direct ownership interest | Organization | 99% | 12/20/2007 |
| Altongy-Boudjouk, Jennifer | W-2 managing employee | Individual | 09/13/2021 | |
| Keene, Debra | W-2 managing employee | Individual | 02/14/1985 | |
| Carragher, Terry | Corporate officer | Individual | 01/01/2005 | |
| Ryan, David | Corporate officer | Individual | 01/01/2005 | |
| David Ryan Family Associates LLC | Operational/managerial control | Organization | 12/20/2007 | |
| Health Concepts Ltd | Operational/managerial control | Organization | 12/20/2007 | |
| Arnold, Kelly | Operational/managerial control | Individual | 01/20/2017 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on July 18, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on August 15, 2024: "Provide safe and appropriate respiratory care for a resident when needed."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on July 18, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on July 18, 2025: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.06 hours per resident per day, below the Rhode Island average of 3.34.
Other nursing homes nearby
- Crystal Lake Rehabilitation and Care Center Pascoag, 0.2 mi · 1 of 5 stars · 59 citations
- Overlook Nursing and Rehabilitation Center Pascoag, 1.7 mi · 3 of 5 stars · 23 citations
- Greenville Operations Ri LLC Dba Greenville Skille Greenville, 6.8 mi · 1 of 5 stars · 48 citations
- Cedar Haven Operations LLC Dba Lake Forest Health Smithfield, 7 mi · 1 of 5 stars · 42 citations
- Stillwater Assisted Living and Skilled Nursing Com Greenville, 7.8 mi · 5 of 5 stars · 17 citations
- St. Antoine Residence North Smithfield, 8.8 mi · 4 of 5 stars · 24 citations
- Matulaitis Rehabilitation & Skilled Care Putnam, 8.9 mi · 5 of 5 stars · 15 citations
- The Friendly Home Woonsocket, 9.1 mi · 2 of 5 stars · 38 citations
Rhode Island contacts for a concern about a nursing home
These are the official offices in Rhode Island. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Office of the RI State Long Term Care Ombudsman, Alliance for Better Long Term Care, (401) 785-3340. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: RIDOH Online License Verification, facility search, where Rhode Island publishes its own records on licensed homes.
Common questions
- What is Bayberry Commons's Medicare star rating?
- CMS rates Bayberry Commons 2 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bayberry Commons get at its last inspection?
- 4 health deficiencies at the standard inspection on July 18, 2025. The Rhode Island average is 9.3.
- Has Bayberry Commons been fined?
- Yes. CMS lists 3 fines totaling $51,948 in the last three years.
- Does Bayberry Commons accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Bayberry Commons?
- CMS lists 8 owners and managers. Legal business name: BURRILLVILLE HEALTH CENTER.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.