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Greenville Operations Ri LLC Dba Greenville Skille

735 Putnam Pike, Greenville, RI 02828 · Providence County · (401) 949-1200

131 certified beds, about 68 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1990

Special Focus Facility candidate Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 415087 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 12, 2026, inspectors cited 14 health deficiencies (the Rhode Island average is 9.3, the national average 9.2).

Of 48 health citations since December 2023, 7 were rated as actual harm or immediate jeopardy to residents (4 immediate jeopardy).

CMS lists 4 fines totaling $336,776 in the last three years; the largest was $233,282, and the latest is dated March 12, 2026.

Nurses and nurse aides worked 3.62 hours per resident per day, against 3.71 across Rhode Island and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.

34.9% 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.

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 48 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
3K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
19D
16E
6F
Potential for minimal harm
0A
0B
0C
March 12, 2026Standard inspection · 14 citations
  1. K
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · Nutrition and Dietary · Immediate jeopardy to resident health or safety, pattern · Corrected (the home has a date of correction) April 8, 2026
    Inspectors wroteBased on surveyor observation, clinical record review, and staff interview, the facility failed to ensure a system was in place to prepare and serve food and fluids in a form designed to meet residents' prescribed dietary needs. Specifically, the facility failed to ensure nectar thick liquids (mildly thick fluid consistency required to promote safe swallowing) were prepared according to physician orders for 3 of 4 residents reviewed who were prescribed nectar thick liquids ,Resident ID #s 30, 17, and 39. This failure reflects a breakdown in the facility's system for implementing and monitoring prescribed diet modifications and placed residents at risk for choking, aspiration, and other serious complications related to swallowing impairment.
  2. F
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 8, 2026
    Inspectors wroteBased on surveyor observation, clinical record review, and staff and resident interviews, the facility failed to provide an ongoing activity program on the weekends to support residents in their choice of activities based on the comprehensive assessment, care plan, and preferences. This affected all residents in the facility specifically for 5 of 9 residents reviewed, Resident ID #s 7, 42, 49, 70, and 71.
  3. F
    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.
    F838 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 8, 2026
    Inspectors wroteBased on clinical record review and staff interview, the facility failed to implement all required components of the facility-wide assessment and failed to annually review the facility's policies and procedures.
  4. E
    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, pattern · Corrected (the home has a date of correction) April 8, 2026
    Inspectors wroteBased on clinical record review and staff interview, the facility failed to ensure that nursing staff have the appropriate competencies and skill sets to provide nursing and related services to assure resident safety to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident, as determined by resident assessments, and considering the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment as required for 5 of 5 nursing staff reviewed related to appropriately thickening liquids, Staff A, B, C and F, and the Director of Nursing Services (DNS). Additionally, 3 of 5 staff members failed to follow and explain the difference between contact and enhanced barrier precautions (EBP), Staff E, G, and H; [...]
  5. E
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 8, 2026
    Inspectors wroteBased on surveyor observation, clinical record review, resident and staff interview, the facility failed to accommodate the residents' food preferences for 4 of 4 residents reviewed who verbalized concerns regarding their food preferences, Resident ID #s 11, 13, 31, and 65.
  6. D
    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 · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 8, 2026
    Inspectors wroteBased on surveyor observation, clinical record review, staff and resident interview, the facility failed to ensure residents are free from neglect relative to providing meals for 1 of 1 resident reviewed who had a recent diet order change, Resident ID #30.
  7. 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) April 8, 2026
    Inspectors wroteBased on 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 physician's orders for 1 of 2 resident's reviewed for pressure ulcers, Resident ID #10.
  8. 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) April 8, 2026
    Inspectors wroteBased on surveyor observation, clinical record review, and staff interview, the facility failed to ensure the residents receive treatment and care in accordance with professional standards of practice related to a wound vacuum device system (wound vac - a medical-grade suction system used for negative pressure wound therapy to accelerate the healing of chronic or acute, complex wounds) for 1 of 1 resident reviewed, Resident ID #79.
  9. 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 · Corrected (the home has a date of correction) April 8, 2026
    Inspectors wroteBased on clinical record review and staff interview, the facility failed to ensure that a resident with pressure ulcers receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing relative to weekly wound documentation and having a wound treatment in place for 1 of 1 resident observed with a stage 3 pressure ulcer (deep, open wound exposing the subcutaneous tissue caused by pressure on the skin for an extended period time), Resident ID #10.
  10. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 8, 2026
    Inspectors wroteBased on surveyor observation, clinical record review, and staff interview, the facility failed to provide respiratory care consistent with professional standards of practice for 2 of 4 residents reviewed for oxygen use, Resident ID #s 9 and 80.
  11. 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) April 8, 2026
    Inspectors wroteBased on clinical record review and staff interview, 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, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 2 residents reviewed for fluid management related to dialysis, Resident ID #11.
  12. D
    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, isolated · Corrected (the home has a date of correction) April 8, 2026
    Inspectors wroteBased on clinical record review and staff interview, the facility failed to address pharmacy recommendations in a timely manner for 2 of 5 residents reviewed for the January pharmacy recommendations, Resident ID #s 11 and 52.
  13. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 8, 2026
    Inspectors wroteBased on clinical record review and staff interview, the facility failed to ensure that residents are free from any significant medication error, for 1 of 1 resident reviewed related to warfarin therapy (a medication prescribed to reduce the blood's ability to clot, preventing or treating blood clots), Resident ID #13.
  14. 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 · Corrected (the home has a date of correction) April 8, 2026
    Inspectors wroteBased on surveyor observation, clinical record review, and staff interview, the facility failed to store drugs and biologicals in accordance with currently accepted professional principles for 1 of 2 medication rooms and 1 of 3 medication carts observed.
December 2, 2025Complaint inspection · 1 citation
  1. D
    Provide or obtain dental services for each resident.
    F791 · 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) December 31, 2025
    Inspectors wroteBased on record review, and staff and resident's family interview, the facility failed to provide dental services for 1 of 1 resident with dentures, Resident ID #1. Additionally, the facility failed to have a policy that addressed instances when a resident's dentures were lost or damaged.
December 1, 2025Complaint inspection · 1 citation
  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) December 26, 2025
    Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, relative to the main kitchen.
April 18, 2025Complaint inspection · 2 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 29, 2025
    Inspectors wroteBased on record review, staff and resident interview, it has been determined that the facility failed to ensure that each resident receives adequate care to prevent an accident for 1 of 1 resident reviewed with an injury of unknown origin, Resident ID #2, and for 1 of 1 resident reviewed who experienced an actual fall, Resident ID #3.
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) April 29, 2025
    Inspectors wroteBased on record review, staff and resident interview it has been determined that the facility failed to treat each resident with respect and dignity in an environment that promotes maintenance of his or her quality of life for 1 of 3 residents reviewed, Resident ID #1.
December 5, 2024Standard inspection · 5 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) January 3, 2025
    Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety relative to the main kitchen.
  2. E
    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, pattern · Corrected (the home has a date of correction) January 3, 2025
    Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that residents who require dialysis (a procedure to remove waste products and excess fluids from the blood when the kidneys stop working properly) receive such services, consistent with professional standards of practice for 2 of 2 residents reviewed, Resident ID #s 11 and 32.
  3. E
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 3, 2025
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that the resident's drug regimen is free from unnecessary drugs for 1 of 1 resident reviewed for a medication with parameters, Resident ID #23.
  4. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 3, 2025
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to establish an Infection Prevention and Control Program (IPCP) that must include an antibiotic stewardship program for antibiotic use protocols and a system to monitor antibiotic usage for 2 of 3 residents, Resident ID #s 23 and 27.
  5. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 3, 2025
    Inspectors wroteBased on surveyor observation, record review, resident and staff interview, it has been determined that the facility failed to accommodate residents' food preferences for 2 of 5 residents, Resident ID #s 28 and 30.
May 8, 2024Complaint inspection · 12 citations
  1. K
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure residents have the right to be free from any physical restraint, not required to treat the resident's medical symptoms, for 2 of 3 residents reviewed, Resident ID #s 2 and 7.
  2. K
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on surveyor observation, record review and staff interview it has been determined that the facility failed to provide evidence that all alleged violations of abuse are thoroughly investigated and reported to the State Survey Agency (Department of Health) for Resident ID #1 and failed to prevent further potential abuse while an investigation was in progress for Resident ID #2.
  3. J
    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 · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on surveyor observation, record review, and staff interview it has been determined that the facility failed to protect the resident's right to be free from abuse for 1 of 1 resident observed for abuse, Resident ID #2.
  4. F
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on record review and staff interview it has been determined that the facility's Quality Assessment and Assurance Improvement (QAPI) committee failed to develop and implement appropriate plans of action to correct the identified quality deficiencies relative to resident abuse and resident rights.
  5. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 30, 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 restraints, for 5 of 7 staff reviewed, Staff D, E, G, H, and I.
  6. 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) May 30, 2024
    Inspectors wroteBased on record review and staff interview, it has been determined the pharmacist failed to report irregularities to the attending physician, the facility's Medical Director, and the Director of Nursing Services (DNS) for 1 of 3 residents reviewed for monthly drug regimen reviews, Resident ID #8.
  7. E
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · 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) May 30, 2024
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure a resident's drug regimen is free from unnecessary psychotropic drugs who have as needed psychotropic medication orders extending beyond 14 days, for 1 of 3 residents reviewed for unnecessary medication, Resident ID #8.
  8. E
    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
    F941 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that all direct care staff completed mandatory effective communication training, for 5 out of 7 staff reviewed, Staff D, E, G, H, and I.
  9. E
    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
    F944 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to provide mandatory training to all their staff, that outlines and informs staff of the elements and goals of the facility's QAPI (Quality Assurance and Performance Improvement) program, for 5 out of 7 staff reviewed, Staff D, E, G, H, and I.
  10. E
    Provide training in compliance and ethics.
    F946 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to provide mandatory training to all their staff, that outlines compliance and ethics, including an effective way to communicate the program's standards, policies, and procedures, for 5 out of 7 staff reviewed, Staff D, E, G, H, and I.
  11. E
    Provide behavior health training consistent with the requirements and as determined by a facility assessment.
    F949 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to provide all staff with behavioral health training, for 5 out of 7 staff reviewed, Staff D, E, G, H, and I.
  12. 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 · found on a complaint visit · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to treat each resident with respect and dignity in a manner and in an environment that promotes maintenance of his or her quality of life, for 2 of 2 residents reviewed, Resident ID #s 2 and 7.
February 19, 2024Complaint inspection · 1 citation
  1. D
    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 · 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, 2024
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to protect the residents' right to be free from neglect for 1 of 3 residents reviewed relative to incontinence care, Resident ID #2.
January 24, 2024Complaint inspection · 2 citations
  1. D
    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 · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 23, 2024
    Inspectors wroteBased on surveyor observation, record review, resident and staff interview it has been determined that the facility failed to protect the resident's right to be free from staff to resident abuse for 1 of 3 residents reviewed, Resident ID #1.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 23, 2024
    Inspectors wroteBased on record review, resident and staff interview, it has been determined that the facility failed to ensure that all alleged violations involving abuse are reported immediately, but not later than 2 hours after the allegation is made to the State Agency in accordance with State law for 1 of 3 residents reviewed, Resident ID #1.
January 17, 2024Complaint inspection · 3 citations
  1. G
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 15, 2024
    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 relative to assessing for injury after a fall, for 1 of 1 resident reviewed, Resident ID #2.
  2. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 15, 2024
    Inspectors wroteBased on surveyor observation, record review and staff interview, it has been determined that the facility failed to ensure a resident's environment remains as free of accident hazards and provide assistive devices to prevent an avoidable accident for 1 of 1 resident reviewed who sustained major injuries after falling from his/her wheelchair, while being assisted by a staff member without the use of foot pedals, Resident ID #2.
  3. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · 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) February 15, 2024
    Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to immediately consult with the resident's physician when there is an accident involving the resident which results in injury and has the potential for requiring physician intervention, for 1 of 1 resident reviewed for falls, Resident ID #2.
December 21, 2023Standard inspection · 7 citations
  1. F
    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.
    F838 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 20, 2024
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to document a facility-wide assessment to determine what resources are necessary to care for its residents competently during both day-to-day operations and emergencies which must be reviewed and updated as necessary, and at least annually. Additionally, the facility failed to review and update the assessment whenever there is, or the facility plans for, any change that would require a substantial modification to any part of this assessment.
  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) January 20, 2024
    Inspectors wroteBased on surveyor observation, 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 maintain the highest practicable physical well-being for 3 of 7 residents observed on the dementia unit, Resident ID #s 35, 43, and 61.
  3. E
    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, pattern · Corrected (the home has a date of correction) January 20, 2024
    Inspectors wroteBased on surveyor observation and staff interview, it has been determined that the facility failed to ensure that medication bottles were dated and discarded per the manufacturer's instructions when expired in 2 of 3 medication carts and 2 of 3 medication rooms observed, and that the refrigerator in 1 of 3 medication rooms observed was kept clean.
  4. E
    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, pattern · Corrected (the home has a date of correction) January 20, 2024
    Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that the facility stores, distributes, and serves food in accordance with professional standards for food safety relative to the main kitchen and 2 of 3 dining areas.
  5. 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) January 20, 2024
    Inspectors wroteBased on record review, surveyor observation, staff and resident 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 an unidentified respiratory illness for 2 of 3 nursing units and affecting Resident ID #s 5, 7, 8, 16, 34, 46, 54, 63, 68, 72, 77, and 285.
  6. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 20, 2024
    Inspectors wroteBased on surveyor observation and staff interview, it has been determined that the facility failed to maintain a safe, clean, comfortable, and homelike environment relative to 1 of 3 units, the [NAME] unit.
  7. 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) January 20, 2024
    Inspectors wroteBased on surveyor observation, record review and staff interview, it has been determined that the facility failed to develop and implement a baseline care plan for each resident within 48 hours of a resident's admission, that includes the instructions needed to provide effective and person-centered care for the resident that meets professional standards of quality care relative to MRSA (methicillin-resistant Staphylococcus aureus - a bacteria that does not get better with the type of antibiotics that usually cure staph infections) in a vascular wound (wounds on your skin that develop because of problems with blood circulation) and a condom catheter (a urine collection device), for 1 of 2 residents reviewed for baseline care plans, Resident ID #235.

Fire safety inspections

8 fire safety citations on file: 1 on December 5, 2024, 7 on December 21, 2023.

Every fire safety citation8 citations
  1. F
    Install corridor and hallway doors that block smoke.
    K 363 · December 5, 2024 · Corrected (the home has a date of correction)
  2. F
    Install an approved automatic sprinkler system.
    K 351 · December 21, 2023 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 21, 2023 · Corrected (the home has a date of correction)
  4. F
    Have simulated fire drills held at unexpected times.
    K 712 · December 21, 2023 · Corrected (the home has a date of correction)
  5. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 21, 2023 · Corrected (the home has a date of correction)
  6. E
    Have properly located and lighted "Exit" signs.
    K 293 · December 21, 2023 · Corrected (the home has a date of correction)
  7. E
    Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.
    K 928 · December 21, 2023 · Corrected (the home has a date of correction)
  8. D
    Ensure proper usage of power strips and extension cords.
    K 920 · December 21, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
March 12, 2026Fine $77,615
April 18, 2025Fine $12,840
May 8, 2024Fine $233,282
December 21, 2023Fine $13,039

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)3.623.713.86
Registered nurses0.690.770.69
All nursing staff on weekends3.403.343.42
Nurse aides2.32
Licensed practical nurses0.60
Nursing staff turnover (share who left in a year)34.9%40.6%45.8%
Registered nurse turnover33.3%37.9%42.9%
Administrators who left0

CMS expects 3.56 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 3.70 on weekdays and 3.40 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 17.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.82 in April to June 2025 to 3.62 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.620.693.703.40 17.2%0 of 9068
Oct to Dec 20253.540.683.583.44 11.6%0 of 9266
Jul to Sep 20253.520.783.613.29 3.6%0 of 9263
Apr to Jun 20253.820.963.943.52 3.9%0 of 9164
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.

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
26.319.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.62.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.83.63.2
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
12.516.814.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.24.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
19.122.515.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
7.024.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
0.014.612.0

Owners and operators

Legal business name: GREENVILLE OPERATIONS RI LLC.

NameRoleTypeShareSince
Mayflower Healthcare LLC5% or greater direct ownership interestOrganization100%05/23/2025
Ohi Asset (ct) Lender, LLC5% or greater security interestOrganization01/01/2012
Greenville Operations Ri LLCOperational/managerial controlOrganization05/23/2025
Mayflower Healthcare LLCOperational/managerial controlOrganization05/23/2025
Juma, RobertOperational/managerial controlIndividual05/23/2025
Olaosu, ModesolaOperational/managerial controlIndividual05/23/2025
Schwartz, ZevOperational/managerial controlIndividual05/23/2025
Stafford, LoreOperational/managerial controlIndividual05/23/2025
Tabe, JuliusOperational/managerial controlIndividual07/01/2024
Greenville Operations Ri LLCAdp of the SNFOrganization05/23/2025
Ohi Asset (ct) Lender, LLCAdp of the SNFOrganization01/01/2012
Rgw Consulting LLCAdp of the SNFOrganization05/23/2025
Juma, RobertAdp of the SNFIndividual05/23/2025
Stafford, LoreAdp of the SNFIndividual09/17/2025
Tabe, JuliusAdp of the SNFIndividual07/01/2024

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 10 problems in this area, most recently on March 12, 2026: "Provide activities to meet all resident's needs."
  2. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 7 problems in this area, most recently on March 12, 2026: "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."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 7 problems in this area, most recently on March 12, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on March 12, 2026: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."

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 Greenville Operations Ri LLC Dba Greenville Skille's Medicare star rating?
CMS rates Greenville Operations Ri LLC Dba Greenville Skille 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Greenville Operations Ri LLC Dba Greenville Skille get at its last inspection?
14 health deficiencies at the standard inspection on March 12, 2026. The Rhode Island average is 9.3.
Has Greenville Operations Ri LLC Dba Greenville Skille been fined?
Yes. CMS lists 4 fines totaling $336,776 in the last three years.
Does Greenville Operations Ri LLC Dba Greenville Skille 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 Greenville Operations Ri LLC Dba Greenville Skille?
CMS lists 15 owners and managers. Legal business name: GREENVILLE OPERATIONS RI LLC.

Sources

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