Home / Rhode Island / Bristol
One Dawn Hill Road, Bristol, RI 02809 · Bristol County · (401) 253-2300
133 certified beds, about 120 residents a day · For profit - Corporation · Medicare and Medicaid since 1977
CMS Care Compare ratings, data as of September 1, 2026 · CCN 415050 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 4, 2026, inspectors cited 3 health deficiencies (the Rhode Island average is 9.3, the national average 9.2).
Of 32 health citations since December 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $33,765 in the last three years; the largest was $21,378, and the latest is dated October 15, 2024.
Nurses and nurse aides worked 3.70 hours per resident per day, against 3.71 across Rhode Island and 3.86 nationally. Registered nurses accounted for 0.65 of those hours.
50.0% of nursing staff left within the year CMS measured (Rhode Island average 40.6%).
CMS links it to Green Tree Healthcare Management, an affiliated group of 4 nursing homes.
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.
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 32 health citations on file.
Inspectors wroteBased on clinical record review and staff interview the facility failed to provide appropriate treatment and services for 1 of 1 resident reviewed with an indwelling foley catheter (a flexible tube that collects urine from the bladder and empties the urine into a drainage bag), Resident ID #14.
Inspectors wroteBased on surveyor observation, clinical record review, and staff interview, the facility failed to ensure that services were provided in accordance with professional standards of quality by failing to implement and follow physician orders. Specifically, the facility failed to follow a physician's order for a cancer center referral for 1 of 1 resident reviewed, Resident ID #102, and failed to appropriately manage and follow physician orders related to a peripherally inserted central catheter (PICC) line-a thin, flexible tube inserted into a peripheral vein in the upper arm and advanced to a large central vein near the heart-for 1 of 1 resident reviewed with a PICC line, Resident ID #138.
Inspectors wroteBased on surveyor observation, clinical record review, and staff interview, the facility failed to ensure each resident's medication regimen is free from a medication error rate of 5% or greater. Based on 26 opportunities for error observed during the medication administration task, there were 2 errors resulting in an error rate of 7.69% affecting Resident ID #s 51 and 75.
Inspectors wroteBased on clinical record review, staff, and resident representative interview, the facility failed to immediately inform the resident's representative of a significant change in condition, which included an injury of unknown origin as the resident was found to have sustained fractures of his/her right ankle for 1 of 2 residents reviewed, Resident ID #1.
Inspectors wroteBased on clinical record review and staff interviews, the facility failed to ensure that all alleged violations including injuries of unknown origin, were reported to the Rhode Island Department of Health (RIDOH) immediately, but not later than 2 hours after the injuries were identified, for 1 of 1 resident reviewed who sustained an injury of unknown origin, Resident ID #1.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to ensure that an injury of unknown origin was thoroughly investigated for 1 of 1 resident reviewed who sustained fractures to his/her right ankle, Resident ID #1.
Inspectors wroteBased on a review of the clinical record and staff interviews, the facility failed to ensure that services were provided in accordance with professional standards of quality by not following the physician's orders. This failure involved 1 of 1 resident reviewed who was prescribed a medication to prevent an adverse reaction after being served food to which the resident had a known allergy, Resident ID #2. According to Mosby's 4th Edition, Fundamentals of Nursing, page 314 states, The physician is responsible for directing medical treatment. Nurses are obligated to follow physician's orders unless they believe the orders are in error or would harm the clients. Review of a community reported complaint submitted to the Rhode Island Department of Health on 1/27/2026 alleges that Resident ID #2 experienced an acute medical episode as a result of an allergic reaction. [...]
Inspectors wroteBased on clinical record and staff interview, the facility served food to a resident that s/he had a known allergy to, Resident ID #2.
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 drugs for 2 of 3 residents reviewed receiving an antihypertensive (a medication prescribed to lower blood pressure) medication, Resident ID #s 1 and 2.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that adequate pain management was provided to a resident who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 3 residents reviewed for pain, Resident ID #1.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that residents are free of any significant medication errors for 1 of 3 residents reviewed for medication administration, Resident ID #1.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to accurately maintain the resident's medical record in accordance with accepted professional standards and practices for 1 of 1 newly admitted resident reviewed, Resident ID #1.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to provide care consistent with professional standards of practice for 1 of 2 residents reviewed with an ostomy (colostomy/ileostomy; a surgical procedure that creates an opening (stoma) in the abdomen to divert waste products from the body to an external pouch), Resident ID #1.
Inspectors wroteBased on surveyor observation and staff interview, it has been determined that the facility failed to store and label drugs and biologicals in accordance with currently accepted professional standards for 2 of 3 medication storage rooms observed.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to maintain professional standards of practice relative to a peripherally inserted central catheter (PICC - a type of vascular access device [VAD] used to deliver medications directly to the large central veins near the heart) to 1 of 1 resident observed for intravenous (IV) antibiotic administration via a PICC line, Resident ID #321, and 1 of 3 residents reviewed who receive medication in crushed form, Resident ID #77.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to provide appropriate treatment and services to 1 of 2 residents reviewed with a Suprapubic Catheter (SPC) (a flexible plastic tube inserted into your bladder via a surgical opening in the abdomen), Resident ID #67.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to maintain medical records that are complete and accurately documented on each resident, in accordance with accepted professional standards and practices, for 1 of 4 residents reviewed related to urinary catheter (a flexible tube inserted into the bladder to drain urine), and for 1 of 3 residents reviewed related to advance directives, Resident ID #105.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to be adequately equipped 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 1 of 3 residents reviewed related to calling for assistance for pain, Resident ID #75.
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 following physician orders for obtaining weights for 2 of 3 residents reviewed, Resident ID #s 1 and 2.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to obtain complete admission orders for the resident's immediate care for 1 of 1 resident reviewed who was not administered the prescribed medications after being readmitted to the nursing facility from the hospital, Resident ID #1.
Inspectors wroteBased on record review and staff 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.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that residents are free of any significant medication errors for 1 of 1 resident reviewed for insulin use, Resident ID #1.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to maintain medical records on each resident that are complete and accurately documented, in accordance with accepted professional standards and practices, for 1 of 3 residents reviewed, Resident ID #1.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that hospice services meet professional standards of principles that apply to individuals providing services in the facility for 1 of 2 residents reviewed who are receiving hospice services, Resident ID #1.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure residents are free from abuse for 1 of 3 residents reviewed, Resident ID # 1.
Inspectors wroteBased on surveyor observations, record review, and staff interview, it has been determined that the facility failed to provide a safe and sanitary environment to help prevent the transmission of infections relative to disinfecting glucometers (a device used to monitor blood glucose) for 3 of 4 residents observed who require blood glucose monitoring, Resident ID #s 43, 317 and 108.
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.
Inspectors wroteBased on surveyor observation, record review and staff interview, it has been determined that the facility failed to ensure that services provided by the facility meet professional standards of quality for 1 of 1 resident reviewed relative to the use of an upper extremity splint and for 1 of 5 residents reviewed for offloading heels while in bed, Residents ID #s 13 and 24.
Inspectors wroteBased on surveyor observation, record review and staff interview, it has been determined that the facility failed to provide food prepared in a form designed to meet individual needs for 1 of 2 residents reviewed for foods being served in a form to meet their individual nutritional needs. Resident ID #62.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to provide special adaptive eating equipment and utensils for 2 of 5 residents reviewed who require special eating equipment, Resident ID #s 60 and 11.
Inspectors wroteBased on surveyor observation, record review, resident, and staff interview, it has been determined that the facility failed to maintain medical records that are accurately documented in accordance with professional standards and practices for 2 of 6 residents reviewed for inaccurate documentation, relative to the usage of an upper extremity splint and offloading heels while in bed, Residents ID #s 13 and 24.
Inspectors wroteBased on record review and staff interview it has been determined that the facility failed to protect the resident's right to be free from physical abuse for 1 of 4 resident's reviewed, Resident ID #2.
10 fire safety citations on file: 1 on June 4, 2026, 2 on December 19, 2024, 7 on January 22, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| October 15, 2024 | Fine | $12,387 |
| December 27, 2023 | Fine | $21,378 |
| December 27, 2023 | Payment Denial | 3 days from February 10, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.70 | 3.71 | 3.86 |
| Registered nurses | 0.65 | 0.77 | 0.69 |
| All nursing staff on weekends | 3.07 | 3.34 | 3.42 |
| Nurse aides | 2.52 | ||
| Licensed practical nurses | 0.52 | ||
| Nursing staff turnover (share who left in a year) | 50.0% | 40.6% | 45.8% |
| Registered nurse turnover | 63.0% | 37.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.89 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.96 on weekdays and 3.07 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.94 in April to June 2025 to 3.70 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 | 3.70 | 0.65 | 3.96 | 3.07 | 3.5% | 0 of 90 | 120 |
| Oct to Dec 2025 | 3.72 | 0.58 | 3.95 | 3.12 | 8.2% | 0 of 92 | 123 |
| Jul to Sep 2025 | 3.73 | 0.68 | 3.99 | 3.07 | 8.2% | 0 of 92 | 125 |
| Apr to Jun 2025 | 3.94 | 0.75 | 4.25 | 3.16 | 4.7% | 0 of 91 | 123 |
| 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.
Staff pay reports
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Rhode Island, all employers | |||
| CNAs (nursing assistants) | $22.33 | $21.52 to $22.82 | 10,220 |
| LPNs and LVNs | $38.51 | $37.45 to $39.02 | 1,290 |
| Registered nurses | $48.39 | $39.35 to $51.49 | 10,090 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
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 | 22.5 | 19.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.4 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.1 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.4 | 16.8 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.7 | 22.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.7 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.1 | 14.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 1.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for The Dawn Hill Home for Rehab and Healthcare's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (58.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
58.5% this home
Better than 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. 110 eligible stays.
8.8% 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. 122 eligible stays.
8.7% 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. 60 eligible stays.
56.8% 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. 37 residents counted.
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. 59 residents counted.
2.7% 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. 58 residents counted.
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. 30 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.
Legal business name: GREENTREE NURSING AND REHAB LLC. CMS links this home to Green Tree Healthcare Management, a group of 4 nursing homes averaging 2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Rhode Island Healthcare Holdco 2 LLC | 5% or greater direct ownership interest | Organization | 100% | 11/09/2020 |
| Dasay 2019 Trust | 5% or greater indirect ownership interest | Organization | 01/14/2020 | |
| Gamta 2020 Trust | 5% or greater indirect ownership interest | Organization | 05/21/2020 | |
| Gri SNF Investors LLC | 5% or greater indirect ownership interest | Organization | 11/04/2020 | |
| Mri SNF Investors LLC | 5% or greater indirect ownership interest | Organization | 11/04/2020 | |
| Stern, Aharon | 5% or greater indirect ownership interest | Individual | 11/04/2020 | |
| Stern, Simon | Corporate officer | Individual | 11/04/2020 | |
| Dasari, Naresh | Operational/managerial control | Individual | 04/01/2021 | |
| Klein, Douglas | Operational/managerial control | Individual | 10/28/2024 | |
| Stern, Aharon | Operational/managerial control | Individual | 04/01/2021 | |
| Stern, Simon | Operational/managerial control | Individual | 04/01/2021 | |
| Dasari, Naresh | Adp of the SNF | Individual | 04/24/2025 | |
| Klein, Douglas | Adp of the SNF | Individual | 04/09/2025 | |
| Stern, Aharon | Adp of the SNF | Individual | 04/01/2021 | |
| Stern, Simon | Adp of the SNF | Individual | 04/01/2021 |
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.
Chosen from this home's own inspection record.
These are the official offices in Rhode Island. NursingHomeClear cannot take or act on complaints.