Home / Rhode Island / Warren
Grace Barker Nursing Center
54 Barker Avenue, Warren, RI 02885 · Bristol County · (401) 245-9100
86 certified beds, about 81 residents a day · For profit - Corporation · Medicare and Medicaid since 1967
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 415014 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 30, 2026, inspectors cited 1 health deficiency (the Rhode Island average is 9.3, the national average 9.2).
Of 14 health citations since September 2023, 4 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $114,806 in the last three years; the largest was $114,806, and the latest is dated September 29, 2023.
Nurses and nurse aides worked 3.87 hours per resident per day, against 3.71 across Rhode Island and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
37.9% 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.
409/23
302/24
103/24
107/24
402/25
104/26
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 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
1K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
6D
4E
0F
Potential for minimal harm
0A
0B
0C
April 30, 2026Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on surveyor observation, clinical record review, and staff interview, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections relative to following proper infection control practices consistent with professional standards of practice for 1 of 1 resident observed with a disconnected indwelling catheter (a flexible tube inserted into your bladder that drains urine into a collection bag), who requires enhanced barrier precautions (EBP, personal protective equipment worn in addition to standard precautions that requires a gown and gloves for all residents with infection or colonization of a multidrug resistant organism [MDRO] and for residents with wounds or indwelling medical devices), Resident [...]
February 5, 2025Standard inspection · 4 citations
- 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 designed to provide a safe, sanitary environment, and to help prevent the development and transmission of communicable diseases and infections for 2 of 2 residents observed during the use of a glucose meter to obtain a blood sugar, Resident ID #s 52 and 48, for 1 of 1 resident observed during a dressing change, Resident ID #179 and for 1 of 1 resident receiving an inhaler, Resident ID #278.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to provide services that meet professional standards of practice for 1 of 1 resident observed relative to wound care, Resident ID #23.
- 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 with a respiratory illness, Resident ID #13.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on surveyor observation, record review and staff interview, it has been determined that the facility failed to provide the appropriate treatment and services to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 1 of 4 residents reviewed with a diagnosis of dementia, Resident ID #23.
July 15, 2024Complaint inspection · 1 citation
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record review, resident, and staff interview, it has been determined that the facility failed to ensure that all alleged violations involving sexual abuse are thoroughly investigated for 1 of 2 residents reviewed, Resident ID #2.
March 7, 2024Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that events that do not involve abuse and do not result in serious bodily injury (i.e. accident resulting in hospitalization admission, elopement) were reported to other officials (Department of Health), in accordance with State law for 1 of 1 resident reviewed for elopement, Resident ID #1.
February 23, 2024Standard inspection · 3 citations
- E 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 provide care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices relative to assessment and implementation of the bowel protocol for 7 of 20 residents reviewed, Resident ID #s 9, 26, 42, 54, 68, 71, and 189.
- 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 that the Clinical Consultant Pharmacist identified irregularities during the monthly pharmacist Medication Regimen Review (MRR) for 1 of 5 residents reviewed for unnecessary medications, Resident ID #38.
- E Ensure that residents are free from significant medication errors.
Inspectors wroteBased on surveyor observation, record review and staff interview it has been determined that the facility failed to ensure that residents are free from significant medication errors for 4 out 18 residents reviewed for medication administration, Resident ID #s 9, 38, 187, and 188.
September 29, 2023Complaint inspection · 4 citations
- K Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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 ensuring that it's Nursing Assistants were licensed.
- J Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that employed Nursing Aides that worked in the facility as a nurse aide for more than 4 months, on a full-time basis, completed a training and competency evaluation program, or a competency evaluation program approved by the State, for 9 of 30 Nursing Aides reviewed who were employed at the facility and listed on the working schedule.
- G 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 ensure that services provided meet professional standards of quality for 1 of 1 resident reviewed who sustained a fracture following an incident, relative to the nursing scope of practice of a Licensed Practical Nurse (LPN), Resident ID #1.
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that each resident receive adequate supervision to prevent an accident for 1 of 1 resident reviewed with major injury, Resident ID #1.
Fire safety inspections
6 fire safety citations on file: 3 on April 30, 2026, 3 on February 5, 2025.
Every fire safety citation6 citations
- F Develop a communication plan.
- F Establish emergency prep training and testing.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have proper medical gas storage and administration areas.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 29, 2023 | Fine | $114,806 |
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) | 3.87 | 3.71 | 3.86 |
| Registered nurses | 0.64 | 0.77 | 0.69 |
| All nursing staff on weekends | 3.20 | 3.34 | 3.42 |
| Nurse aides | 2.94 | ||
| Licensed practical nurses | 0.28 | ||
| Nursing staff turnover (share who left in a year) | 37.9% | 40.6% | 45.8% |
| Registered nurse turnover | 16.7% | 37.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.60 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 4.14 on weekdays and 3.20 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.78 in April to June 2025 to 3.87 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 | 3.87 | 0.64 | 4.14 | 3.20 | 4.6% | 0 of 90 | 81 |
| Oct to Dec 2025 | 3.80 | 0.61 | 4.06 | 3.14 | 5.9% | 0 of 92 | 82 |
| Jul to Sep 2025 | 3.81 | 0.60 | 4.03 | 3.23 | 4.9% | 0 of 92 | 82 |
| Apr to Jun 2025 | 3.78 | 0.61 | 4.00 | 3.24 | 4.5% | 0 of 91 | 83 |
| 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 | 13.2 | 19.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.6 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.7 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.9 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.6 | 16.8 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.4 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.9 | 22.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.5 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.5 | 14.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.7 | 1.8 |
Owners and operators
Legal business name: GRACE BARKER NURSING CENTER, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lescault, Mark | 5% or greater direct ownership interest | Individual | 50% | 11/28/2007 |
| Lescault, Mary | 5% or greater direct ownership interest | Individual | 50% | 03/31/2006 |
| Lescault, Mark | W-2 managing employee | Individual | 11/28/2007 | |
| Lescault, Mary | W-2 managing employee | Individual | 03/31/2006 | |
| Lescault, Mark | Corporate director | Individual | 11/28/2007 | |
| Lescault, Mary | Corporate director | Individual | 03/31/2006 | |
| Lescault, Mark | Corporate officer | Individual | 12/12/1996 |
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.
- 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 February 5, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
- 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 April 30, 2026: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on February 5, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on July 15, 2024: "Respond appropriately to all alleged violations."
- 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
- Crestwood Nursing & Rehabilitation Center Inc Warren, 0.6 mi · 5 of 5 stars · 4 citations
- Warren Operations Ri, LLC Dba Warren Center Warren, 1 mi · 4 of 5 stars · 21 citations
- Country Gardens Health and Rehabilitation Swansea, 2.4 mi · 1 of 5 stars · 58 citations
- The Dawn Hill Home for Rehab and Healthcare Bristol, 2.8 mi · 4 of 5 stars · 32 citations
- Silver Creek Rehab and Healthcare Center Bristol, 3.4 mi · 2 of 5 stars · 28 citations
- Clifton Rehabilitation Nursing Center Somerset, 5 mi · 4 of 5 stars · 27 citations
- Somerset Ridge Center Somerset, 5.3 mi · 4 of 5 stars · 16 citations
- Avalon Nursing Home Inc Warwick, 5.8 mi · 3 of 5 stars · 27 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 Grace Barker Nursing Center's Medicare star rating?
- CMS rates Grace Barker Nursing Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Grace Barker Nursing Center get at its last inspection?
- 1 health deficiency at the standard inspection on April 30, 2026. The Rhode Island average is 9.3.
- Has Grace Barker Nursing Center been fined?
- Yes. CMS lists 1 fine totaling $114,806 in the last three years.
- Does Grace Barker Nursing 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 Grace Barker Nursing Center?
- CMS lists 7 owners and managers. Legal business name: GRACE BARKER NURSING CENTER, INC..
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.