Home / Rhode Island / East Providence
Tockwotton on the Waterfront
500 Waterfront Drive, East Providence, RI 02914 · Providence County · (401) 272-5280
52 certified beds, about 49 residents a day · Non profit - Corporation · Medicare and Medicaid since 1992
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 415113 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 16, 2026, inspectors cited 2 health deficiencies (the Rhode Island average is 9.3, the national average 9.2).
Of 12 health citations since February 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,628 in the last three years; the largest was $8,628, and the latest is dated February 13, 2025.
Nurses and nurse aides worked 4.86 hours per resident per day, against 3.71 across Rhode Island and 3.86 nationally. Registered nurses accounted for 1.10 of those hours.
29.1% 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.
202/24
602/25
202/25
204/26
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 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
9D
1E
1F
Potential for minimal harm
0A
0B
0C
April 16, 2026Standard inspection · 2 citations
- E Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to ensure that hospice services meet professional standards of principles that apply to individuals providing services in the facility for 2 of 2 residents reviewed who are receiving hospice services, Resident ID #s 6 and 8.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to provide appropriate treatment and services related to monitoring output for 2 of 4 residents reviewed with an indwelling catheter (a flexible tube that collects urine from the bladder and leads to a drainage bag), Resident ID #s 9 and 10.
February 25, 2025Complaint inspection · 2 citations
- G Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that residents are free of any significant medication errors for 1 of 1 resident reviewed, Resident ID #1 relative to Metoprolol use (a medication prescribed to treat high blood pressure and to control heart rate), resulting in hospitalization due to extremely low heart rate from an overdose of Metoprolol which caused bradycardia ((a severely low heart rate) that can deprive the brain and other organs of oxygen in the body from the reduced blood circulation).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to follow a physician's order relative to a significant change in condition for 1 of 1 resident reviewed whom experienced bradycardia (a low heart rate), Resident ID #1.
February 13, 2025Standard inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to prepare, store, and distribute food according to professional standards of food service safety, relative to the main kitchen.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that residents with pressure ulcers receive the necessary treatment and services, consistent with professional standards of practice, to promote healing for 1 of 1 resident reviewed with a pressure ulcer (skin and tissue injuries caused by constant pressure to a specific area of the body), Resident ID #250.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that residents are free from any significant medication errors for 1 of 2 residents reviewed with a sliding scale insulin (Insulin dosage based on blood glucose reading), Resident ID #6, and 1 of 4 residents observed during the medication administration task, Resident ID #13.
- D Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to provide and prepare food in a form designed to meet individual needs for 1 of 2 residents reviewed with a physician's order for thickened consistency fluids, Resident ID #301.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that medical records are accurately documented for 1 of 2 residents reviewed for sliding scale insulin (Insulin dosage based on blood glucose reading), Resident ID #6, and for 1 of 4 residents observed during the medication administration task, Resident ID #13.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to maintain an infection prevention and control program to help prevent the transmission of communicable diseases and infection, relative to droplet/contact precautions (utilized when a resident is known or expected to be infected to prevent the spread of germs that can be transmitted through respiratory droplets expelled when a person coughs, sneezes, or speaks) for 1 of 2 residents reviewed on droplet/contact precautions for influenza (a highly contagious respiratory illness caused by the influenza viruses which spreads through respiratory droplets), Resident ID #19.
February 29, 2024Standard inspection · 2 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that services provided meet professional standards of quality, relative to following a physician's order for 1 of 1 resident reviewed relative to a respiratory diagnosis, Resident ID #19.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and staff interview it has been determined that the facility failed to maintain medical records on each resident that are accurately documented and complete for 1 of 1 resident reviewed for falls, Resident ID #18, and 1 of 1 resident reviewed for a Foley catheter, Resident ID #18.
Fire safety inspections
4 fire safety citations on file: 3 on April 16, 2026, 1 on February 13, 2025.
Every fire safety citation4 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Provide properly protected cooking facilities.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Have simulated fire drills held at unexpected times.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 13, 2025 | Fine | $8,628 |
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) | 4.86 | 3.71 | 3.86 |
| Registered nurses | 1.10 | 0.77 | 0.69 |
| All nursing staff on weekends | 4.07 | 3.34 | 3.42 |
| Nurse aides | 3.11 | ||
| Licensed practical nurses | 0.64 | ||
| Nursing staff turnover (share who left in a year) | 29.1% | 40.6% | 45.8% |
| Registered nurse turnover | 33.3% | 37.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.72 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 5.18 on weekdays and 4.07 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.87 in April to June 2025 to 4.86 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 | 4.86 | 1.10 | 5.18 | 4.07 | 1.6% | 2 of 90 | 49 |
| Oct to Dec 2025 | 4.96 | 1.17 | 5.24 | 4.23 | 2.3% | 0 of 92 | 50 |
| Jul to Sep 2025 | 5.00 | 1.07 | 5.29 | 4.25 | 7.1% | 0 of 92 | 49 |
| Apr to Jun 2025 | 4.87 | 1.06 | 5.18 | 4.08 | 4.8% | 0 of 91 | 49 |
| 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 | 13.3 | 19.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.5 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.9 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.8 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.3 | 16.8 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.9 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.6 | 22.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 33.6 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.7 | 14.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.7 | 1.8 |
Owners and operators
Legal business name: TOCKWOTTON HOME.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Allen, Gregory | Corporate director | Individual | 05/08/2018 | |
| Atchison, James | Corporate director | Individual | 05/12/2020 | |
| Barham, Lonnie | Corporate director | Individual | 05/12/2015 | |
| Bone, Arthur | Corporate director | Individual | 05/14/2013 | |
| Boss, Alyssa | Corporate director | Individual | 05/14/2019 | |
| Dasilva-Tavarez, Emilia | Corporate director | Individual | 07/01/2022 | |
| Heidtman, Debora | Corporate director | Individual | 05/11/2021 | |
| Kroessler, David | Corporate director | Individual | 05/12/2015 | |
| Lafauci, Brian | Corporate director | Individual | 05/09/2017 | |
| McCance-Katz, Elinore | Corporate director | Individual | 05/11/2021 | |
| Raimondo, Marianne | Corporate director | Individual | 05/10/2016 | |
| Yepez, Rafael | Corporate director | Individual | 05/12/2020 | |
| McGee, Christopher | Corporate officer | Individual | 03/01/2025 | |
| McGee, Christopher | Operational/managerial control | Individual | 03/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on February 25, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on April 16, 2026: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 25, 2025: "Ensure that residents are free from significant medication errors."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on February 13, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Bethany Home of Rhode Island Providence, 1 mi · 3 of 5 stars · 19 citations
- Adviniacare Waterview Villas, LLC East Providence, 1 mi · 2 of 5 stars · 26 citations
- Eastgate Nursing & Rehabilitation Center East Providence, 1 mi · 5 of 5 stars · 12 citations
- Harris Health Center LLC East Providence, 1 mi · 4 of 5 stars · 32 citations
- Steere House Nursing and Rehabilitation Center Providence, 1.1 mi · 4 of 5 stars · 13 citations
- Adviniacare Providence Dodge Rehab Center, LLC Providence, 1.9 mi · 2 of 5 stars · 33 citations
- Elmwood Nursing and Rehabilitation Center Providence, 1.9 mi · 3 of 5 stars · 19 citations
- Hattie Ide Chaffee Home East Providence, 2.2 mi · 4 of 5 stars · 19 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 Tockwotton on the Waterfront's Medicare star rating?
- CMS rates Tockwotton on the Waterfront 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Tockwotton on the Waterfront get at its last inspection?
- 2 health deficiencies at the standard inspection on April 16, 2026. The Rhode Island average is 9.3.
- Has Tockwotton on the Waterfront been fined?
- Yes. CMS lists 1 fine totaling $8,628 in the last three years.
- Does Tockwotton on the Waterfront 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 Tockwotton on the Waterfront?
- CMS lists 14 owners and managers. Legal business name: TOCKWOTTON HOME.
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.