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Elmhurst Rehabilitation and Healthcare Center

50 Maude Street, Providence, RI 02908 · Providence County · (401) 456-2600

206 certified beds, about 192 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1989

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 415084 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 15, 2026, inspectors cited 3 health deficiencies (the Rhode Island average is 9.3, the national average 9.2).

Of 47 health citations since September 2023, 6 were rated as actual harm or immediate jeopardy to residents (4 immediate jeopardy).

CMS lists 4 fines totaling $153,202 in the last three years; the largest was $68,256, and the latest is dated April 7, 2026.

Nurses and nurse aides worked 3.59 hours per resident per day, against 3.71 across Rhode Island and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.

42.8% of nursing staff left within the year CMS measured (Rhode Island average 40.6%).

CMS links it to Marquis Health Services, an affiliated group of 90 nursing homes.

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.

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 47 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
3J
1K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
28D
10E
3F
Potential for minimal harm
0A
0B
0C
April 24, 2026Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on clinical record review and staff interview, the facility failed to provide adequate supervision and failed to ensure an effective elopement prevention system for 1 of 1 resident reviewed, Resident #1. The resident, who resides on a secured unit due to impaired safety awareness and a high risk for elopement, requires a wander guard device (a safety mechanism intended to monitor and prevent at-risk residents from exiting unsupervised). Despite this intervention, the facility failed to prevent unsafe exit-seeking behaviors. The resident was able to self-propel while in his/her wheelchair to a stairwell door, manipulate the handle until it released, and exited into the stairwell, resulting in him/her falling down approximately 10 stairs with the wheelchair positioned over him/her. [...]
April 7, 2026Complaint inspection · 1 citation
  1. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 17, 2026
    Inspectors wroteBased on clinical record review, and resident and staff interview, the facility failed to maintain accurate and complete medical records in accordance with accepted professional standards and practices for 1 of 3 residents reviewed related to medication administration, Resident ID #1. Specifically, the facility failed to ensure accurate, timely, and consistent documentation of the administration of Mounjaro, a medication prescribed to treat type 2 diabetes mellitus.
March 9, 2026Complaint inspection · 1 citation
  1. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 20, 2026
    Inspectors wroteBased on record review, interviews with the home care agency staff, the complainant, and facility staff, the facility failed to ensure that the appropriate resident information was communicated to the receiving health care providers at the time of discharge for 1 of 1 resident reviewed for discharge, Resident ID #1. Specifically, the facility failed to communicate that the resident's primary care physician (PCP) was a new provider who would be unable to sign home health orders until the resident was established as a patient in that practice. Additionally, the facility failed to respond to requests of the home care agency to have the facility's Medical Director sign homecare orders to enable to resident to receive skilled nursing and therapy services as ordered, following his/her discharge.
January 15, 2026Standard inspection · 3 citations
  1. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 3, 2026
    Inspectors wroteBased on surveyor observation, clinical record review, and staff interview the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice relative to the care of a central venous catheter (CVC, a long thin tube that is inserted through a vein and passed through to the larger veins into the heart), for 3 of 3 residents reviewed with a CVC, Resident ID #s 23, 161, and 206, and for 1 of 1 resident reviewed for mouth care, Resident ID #2.
  2. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 3, 2026
    Inspectors wroteBased on clinical record review, resident and staff interview, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice for 3 of 3 residents reviewed for not following physician's orders, Resident ID #s 2, 17 and 208.
  3. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 3, 2026
    Inspectors wroteBased on surveyor observation, clinical record review, and staff interview, the facility failed to ensure that each resident's medication regimen is free from a medication error rate of 5% or greater. Based on 27 opportunities for errors observed during the medication administration task, there were 2 errors resulting in an error rate of 7.41%, involving Resident ID #s 56 and 161.
December 17, 2025Complaint inspection · 1 citation
  1. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 2, 2026
    Inspectors wroteBased on surveyor observation, clinical record review, staff and resident interviews, the facility failed to treat a resident with respect and dignity, for 1 of 1 resident reviewed, Resident ID# 1.
December 1, 2025Complaint inspection · 1 citation
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 3, 2025
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to provide the necessary treatment and care in accordance with professional standards of practice relative to implementing a surgical wound treatment order for 1 of 1 resident reviewed, Resident ID #1.
July 31, 2025Standard inspection · 6 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 13, 2025
    Inspectors wroteBased on surveyor observation and staff interview, it has been determined that the facility failed to ensure that food is stored and distributed in accordance with professional standards for food service safety, relative to the main kitchen.
  2. E
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 13, 2025
    Inspectors wroteBased on surveyor observation, record review, resident, and staff interview, it has been determined that the facility failed to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area for 4 of 4 residents observed with their call lights out of reach who were requesting staff assistance, Resident ID #s 1, 105, 162, and 175.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 13, 2025
    Inspectors wroteBased on surveyor observation, record review, staff, and resident representative interview, it has been determined that the facility failed to treat each resident with respect and dignity for 1 of 1 resident reviewed relative to incontinence care prior to a leave of absence (LOA), Resident ID #18.
  4. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 13, 2025
    Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, relative to 1 of 1 resident reviewed for a urology consult, Resident ID #1, and for 1 of 1 resident reviewed for dietary restrictions, Resident ID #103.
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 13, 2025
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for 1 of 1 resident reviewed for daily weights, Resident ID #192.
  6. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 13, 2025
    Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that each resident's medication regimen is free from medication error rates of 5% or greater. Based on 28 opportunities for error observed during the medication administration task, there were 3 errors resulting in a 10.71% error rate involving Resident ID #s 24 and 135.
June 11, 2025Complaint inspection · 5 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to keep a resident free from physical abuse for 1 of 3 residents reviewed, Resident ID #2.
  2. D
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    F627 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on record review and staff interview it has been determined that the facility failed to provide and document sufficient preparation and orientation to residents to ensure a safe and orderly discharge from the facility for 1 of 1 resident reviewed who left the facility, Resident ID #1.
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that residents receive adequate supervision to ensure the safety of 1 of 1 resident reviewed who left the facility, Resident ID #1.
  4. D
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on record review and staff interview it has been determined that the facility failed to be administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident relative to 1 of 1 resident reviewed who left the facility, Resident ID #1.
  5. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that resident records are complete and accurately documented, relative to medication administration, for 1 of 1 resident reviewed who left the facility, Resident ID #1.
February 6, 2025Standard inspection · 9 citations
  1. G
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · Actual harm, isolated · Corrected (the home has a date of correction) March 4, 2025
    Inspectors wroteBased on surveyor observation, record review, resident and staff interviews, it has been determined that the facility failed to ensure that services provided meet professional standards of quality relative to 1 of 1 resident reviewed for use of a baclofen pump (a small device that is placed under the skin on one side of the abdomen near the hip bone. It is used to deliver baclofen, a medication prescribed to treat muscle spasms, directly into the spinal canal), Resident ID #35, and for 2 of 2 residents reviewed for medications with parameters, Resident ID #s 71 and 137, and for 1 of 5 residents reviewed for antibiotic use, Resident ID #76.
  2. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 4, 2025
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that each resident receives the necessary care and services to attain or maintain the highest practicable physical well-being for 4 of 5 residents reviewed relative to follow up appointments, Resident ID #s 71, 111, 117, and 19, and for 1 of 2 residents reviewed for non-pressure wounds, Resident ID #135.
  3. E
    Try 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.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 4, 2025
    Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to complete resident assessments and entrapment assessments (an assessment which determines the risk of a resident being caught, trapped, or entangled in the space in or around the bed/side rail) in their entirety for 3 of 3 floors affecting Resident ID #s 4, 20, 23, 25, 40, 43, 48, 50, 55, 57, 61, 65, 71, 73, 87, 93, 105, 109, 111, 114, 117, 120, 129, 137, 156, 157, 178, 333, and 387.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 4, 2025
    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, relative to contact precautions (utilized when a resident is known or suspected to be infected with a Multidrug Resistant Organism [MDRO] that can be transmitted by direct contact with the resident or indirect contact with environmental surfaces in the resident's room, and for Respiratory Syncytial Virus [RSV; [...]
  5. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 4, 2025
    Inspectors wroteBased on record review, resident and staff interview, it has been determined that the facility failed to ensure that a resident's right to communication and access to persons and services inside and outside the facility to promote a dignified existence was promoted for 1 of 2 residents reviewed for reviewed for communication, Resident ID #333.
  6. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 4, 2025
    Inspectors wroteBased on record review, resident and staff interview, it has been determined that the facility failed to ensure that each baseline care plan included PASARR recommendations for 1 of 2 residents reviewed for Preadmission Screening and Resident Review (PASARR), Resident ID #333.
  7. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 4, 2025
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that residents who require dialysis (a treatment that removes excess fluid, waste, and toxins from the blood when the kidneys are no longer functioning properly) receive such services, consistent with professional standards of practice for 1 of 1 resident reviewed for dialysis, Resident ID #43.
  8. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 4, 2025
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biological's) to meet the needs of each resident for 1 of 1 resident reviewed for dialysis (a treatment that removes excess fluid, waste, and toxins from the blood when the kidneys are no longer functioning properly), Resident ID #43. Record review revealed Resident ID #43 was readmitted to the facility with diagnoses including, but not limited to, end stage renal disease and the dependence on renal dialysis. Record review of a nursing progress note dated 1/9/2025 revealed, the resident returned from dialysis with a bottle of Velphoro 500 milligrams: [...]
  9. D
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    F810 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 4, 2025
    Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to provide a scoop plate (a plate with raised, curved edges that helps guide food onto a utensil) for 1 of 1 resident reviewed who requires adaptive eating equipment, Resident ID #4.
January 28, 2025Complaint inspection · 4 citations
  1. K
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 17, 2025
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that residents are free from unnecessary medications for 1 of 2 residents reviewed who have cancer diagnoses, Resident ID #1.
  2. J
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 17, 2025
    Inspectors wroteBased on record review and staff interview, it has been determined the facility failed to ensure that medication irregularities were identified by the pharmacist during the monthly drug regimen review for 1 of 4 residents reviewed, Resident ID # 1.
  3. E
    Have a plan that describes the process for conducting QAPI and QAA activities.
    F865 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 17, 2025
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to implement and maintain an effective Quality Assurance and Performance Improvement (QAPI) program with a focus related to medication administration. Additionally, the facility failed to provide evidence that new orders were audited per their QAPI plan.
  4. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 17, 2025
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that the resident records are complete and accurately documented, relative to medication transcription errors, for 1 of 4 residents reviewed, Resident ID # 1.
December 26, 2024Complaint inspection · 1 citation
  1. D
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 13, 2025
    Inspectors wroteBased on surveyor observation, resident and staff interview, it has been determined that the facility failed have sufficient nursing staff to assure resident safety for 1 of 2 residents reviewed related to call light response, Resident ID #4.
August 28, 2024Complaint inspection · 1 citation
  1. E
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · deficient, provider has
    Inspectors wroteBased on surveyor observation, record review, staff, and resident interview, it has been determined that the facility failed to ensure that a resident who is continent of bladder and bowel on admission receives services and assistance to maintain continence and prevent a urinary tract infection (UTI), for 1 of 1 resident reviewed for continence, Resident ID #539. The facility further failed to provide appropriate treatment and services for 2 of 3 resident's reviewed with a suprapubic catheter (SP catheter - a device inserted through the abdomen into the bladder to drain urine), Resident ID #s 10 and 68.
May 21, 2024Complaint inspection · 2 citations
  1. D
    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.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 13, 2024
    Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that nursing staff have the appropriate skill sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical well-being of each resident, as determined by resident assessments and individual plans of care, relative to intravenous (IV) administration of fluids, for 2 of 4 staff reviewed, Staff A and B.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 13, 2024
    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 1 resident reviewed for the Multidrug-resistant Organism (MDRO), Methicillin-resistant Staphylococcus aureus (MRSA), Resident ID #1.
November 21, 2023Complaint inspection · 1 citation
  1. E
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 8, 2023
    Inspectors wroteBased on surveyor observation, record review, and resident and staff interview, it has been determined that the facility failed to ensure that residents who are trauma survivors, receive culturally competent, trauma-informed care in accordance with professional standards of practice and accounting for residents experiences, and preferences, in order to eliminate, or mitigate triggers that may cause re-traumatization of the resident for 1 of 3 residents reviewed for Trauma-informed care, Resident ID #3.
November 14, 2023Complaint inspection · 2 citations
  1. J
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 8, 2023
    Inspectors wroteBased on record review, resident and staff interview it has been determined that the facility failed to ensure that residents are free from significant medication errors for 1 of 2 residents reviewed who exhibited symptoms of an opioid overdose which required hospitalization in the critical care unit after being administered medication, methadone 60 mg, intended for another resident, Resident ID #1; and for 1 of 2 residents who missed a dose of medication and was not assessed for opiate withdrawal, Resident ID #2.
  2. F
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) December 8, 2023
    Inspectors wroteBased on record review and resident and staff interviews, it has been determined that the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently to attain the highest practicable physical, mental, and psychosocial well-being of each resident for 1 of 1 resident reviewed who exhibited symptoms of an opioid overdose, which required a hospitalization in the critical care unit after being administered medication, methadone [an opioid pain medication used to treat substance abuse] 60 mg [milligrams], intended for another resident, Resident ID #1, and for 1 of 1 resident who missed a dose of medication, causing the resident to experience symptoms of opiate withdrawal, Resident ID #2.
September 11, 2023Complaint inspection · 8 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 4, 2023
    Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that food is stored, served and distributed, in accordance with professional standards for food service safety, relative to the main kitchen.
  2. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 4, 2023
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that the residents' drug regimens were reviewed and acted upon when irregularities were identified during the monthly pharmacist Medication Regimen Review (MRR) for 2 of 5 residents reviewed, Resident ID #s 62 and 105.
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 4, 2023
    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 relative to staff wearing appropriate personal protective equipment (PPE) for COVID-19 (SARS-CoV-2) for 3 of 4 Covid-19 positive residents observed, Resident ID #s 22, 395, and 399.
  4. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 4, 2023
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that services being provided meet professional standards of quality relative to following physician's orders, for 1 of 1 resident reviewed relative to medications administered via a gastrostomy tube (a surgically placed device used to give direct access the stomach for supplemental feeding, hydration or medicine), Resident ID #23.
  5. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 4, 2023
    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 7 residents reviewed for pressure ulcers (a localized injury to the skin or the underlying tissue due to pressure), Resident ID #135.
  6. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 4, 2023
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that a resident's environment remains as free of accident hazards as possible for 1 of 6 residents reviewed for falls, Resident ID #23 and 1 of 1 residents reviewed for supervision with meals, Resident ID #55.
  7. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 4, 2023
    Inspectors wroteBased on surveyor observation, record review, 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 2 of 4 medication storage rooms and 1 of 6 medication carts observed.
  8. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 4, 2023
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to maintain medical records in accordance with professional standards and practices for 1 of 2 residents reviewed relative to the controlled substances record, Resident ID #247.

Fire safety inspections

2 fire safety citations on file: 2 on February 6, 2025.

Every fire safety citation2 citations
  1. E
    Have simulated fire drills held at unexpected times.
    K 712 · February 6, 2025 · Corrected (the home has a date of correction)
  2. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 6, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
April 7, 2026Fine $27,378
January 28, 2025Fine $68,256
January 28, 2025Payment Denial 14 days from February 18, 2025
August 28, 2024Fine $33,579
August 28, 2024Payment Denial 5 days from September 19, 2024
November 14, 2023Fine $23,989
November 14, 2023Payment Denial 7 days from December 1, 2023

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.

MeasureThis homeRhode IslandUnited States
All nursing staff (RN, LPN and aides)3.593.713.86
Registered nurses0.440.770.69
All nursing staff on weekends3.203.343.42
Nurse aides2.28
Licensed practical nurses0.86
Nursing staff turnover (share who left in a year)42.8%40.6%45.8%
Registered nurse turnover50.0%37.9%42.9%
Administrators who left0

CMS expects 4.20 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 3.75 on weekdays and 3.20 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.87 in April to June 2025 to 3.59 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.590.443.753.20 0.5%0 of 90192
Oct to Dec 20253.700.423.843.35 0.5%0 of 92181
Jul to Sep 20253.820.464.003.35 0.8%0 of 92176
Apr to Jun 20253.870.534.043.46 0.6%0 of 91181
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Rhode Island, Jan to Mar 20263.670.693.823.305.4%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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Rhode Island

JobMedianMiddle halfEmployed
Rhode Island, all employers
CNAs (nursing assistants)$22.33$21.52 to $22.8210,220
LPNs and LVNs$38.51$37.45 to $39.021,290
Registered nurses$48.39$39.35 to $51.4910,090
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Elmhurst Rehabilitation and Healthcare Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeRhode IslandUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
21.619.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
2.10.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.52.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.03.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.32.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
23.816.814.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.34.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
23.122.515.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
29.624.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.414.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.91.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
4.01.71.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Elmhurst Rehabilitation and Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (57.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

57.3% this home

No different from the national rate

US median of homes 51.5% · Rhode Island: 24 better, 1 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 97 eligible stays.

Potentially preventable readmissions

9.0% this home

No different from the national rate

US median of homes 10.7% · Rhode Island: 0 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 156 eligible stays.

Infections that led to a hospital stay

5.9% this home

No different from the national rate

US median of homes 7.1% · Rhode Island: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 52 eligible stays.

Self-care and mobility at discharge

65.2% this home

Median of homes: Rhode Island59.1% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 46 residents counted.

Falls with major injury

0.0% this home

Median of homes: Rhode Island0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 64 residents counted.

New or worsened pressure ulcers

6.3% this home

Median of homes: Rhode Island2.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 64 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Rhode Island100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 20 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: ELMHURST OPERATOR LLC. CMS links this home to Marquis Health Services, a group of 90 nursing homes averaging 3.1 stars overall.

NameRoleTypeShareSince
Cibc Bank USA5% or greater security interestOrganization08/14/2020
Bouchard, LindseyManaging control - governing bodyIndividual07/12/2024
Norton, NathanManaging control - governing bodyIndividual01/16/2019
Viroja, YogeshManaging control - governing bodyIndividual01/01/2022
Bouchard, LindseyCorporate directorIndividual07/12/2024
Posen, MindeeCorporate officerIndividual12/21/2016
Marquis Limited LLCOperational/managerial controlOrganization01/01/2021
Nutraco LLCOperational/managerial controlOrganization01/30/2025
Reliant Pro Rehab LLCOperational/managerial controlOrganization12/13/2017
Akhtar, AliOperational/managerial controlIndividual12/21/2016
Bouchard, LindseyOperational/managerial controlIndividual07/12/2024
Marquis Limited LLCAdp of the SNFOrganization04/30/2025
Nfr 2020 Irrv TrAdp of the SNFOrganization12/31/2021
Nutraco LLCAdp of the SNFOrganization06/17/2025
Pharmerica Drug Systems LLCAdp of the SNFOrganization05/19/2025
Quinto Holdings LLCAdp of the SNFOrganization12/22/2016
Reliant Pro Rehab LLCAdp of the SNFOrganization05/01/2025
Rsbrmk Holdings LLCAdp of the SNFOrganization12/31/2021
Sk 2013 Delta TrustAdp of the SNFOrganization12/31/2021
Sora Kohn Fam Tr Uad 120120Adp of the SNFOrganization12/31/2025
Tryko Holdings, LLCAdp of the SNFOrganization12/22/2016
Uak 2020 Irrv TrAdp of the SNFOrganization12/31/2021
Ukr Consulting LLCAdp of the SNFOrganization12/22/2016
Valley Stream Property LLCAdp of the SNFOrganization01/01/2021
Yr 2013 Delta Tr Ua 03252013Adp of the SNFOrganization12/31/2021
Akhtar, AliAdp of the SNFIndividual12/21/2016
Bouchard, LindseyAdp of the SNFIndividual07/12/2024
Norton, NathanAdp of the SNFIndividual01/16/2019
Posen, MindeeAdp of the SNFIndividual12/21/2016
Viroja, YogeshAdp of the SNFIndividual01/01/2022

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on April 24, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 10 problems in this area, most recently on April 7, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 8 problems in this area, most recently on January 15, 2026: "Ensure medication error rates are not 5 percent or greater."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on March 9, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.20 hours per resident per day, below the Rhode Island average of 3.34.

Other nursing homes nearby

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.

Common questions

What is Elmhurst Rehabilitation and Healthcare Center's Medicare star rating?
CMS rates Elmhurst Rehabilitation and Healthcare Center 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Elmhurst Rehabilitation and Healthcare Center get at its last inspection?
3 health deficiencies at the standard inspection on January 15, 2026. The Rhode Island average is 9.3.
Has Elmhurst Rehabilitation and Healthcare Center been fined?
Yes. CMS lists 4 fines totaling $153,202 in the last three years.
Does Elmhurst Rehabilitation and Healthcare Center 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 Elmhurst Rehabilitation and Healthcare Center?
CMS lists 30 owners and managers, and links the home to Marquis Health Services. Legal business name: ELMHURST OPERATOR LLC.

Sources

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