Adviniacare Orchard, LLC
135 Tripps Lane · East Providence, RI · 02915 · 4014382250
166 certified beds For profit - Corporation Chain: Athena Healthcare Systems
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $23,923 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.41 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.71 | 0.55–0.75 |
| Weekend hours / resident-day | 3.11 | ≈ weekday level |
| Nursing turnover / year | 20% | median 45% |
| Fines (3-yr window) | 4 · $132,654 |
Inspection citations (59 in the current record)
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Immediate jeopardy · L January 23, 2026 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected May 29, 2026 · Environmental
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Immediate jeopardy · L January 12, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 19, 2026 · Quality of Life and Care
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Immediate jeopardy · L January 12, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 19, 2026 · Infection Control
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Potential for harm · F January 12, 2026 · found via complaint
Dispose of garbage and refuse properly.
Corrected January 7, 2026 · Nutrition and Dietary
-
Potential for harm · E January 12, 2026 · found via complaint
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected January 19, 2026 · Administration
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Potential for harm · D September 24, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 14, 2025 · Quality of Life and Care
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Potential for harm · E September 17, 2025 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected October 6, 2025 · Quality of Life and Care
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Potential for harm · D August 13, 2025 · found via complaint
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected August 29, 2025 · Administration
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Actual harm · G June 26, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected July 26, 2025 · Pharmacy Service
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Potential for harm · E June 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 26, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected July 26, 2025 · Quality of Life and Care
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Potential for harm · F June 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 26, 2025 · Nutrition and Dietary
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Potential for harm · D June 26, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected July 26, 2025 · Administration
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Potential for harm · E June 26, 2025
Provide and implement an infection prevention and control program.
Corrected July 26, 2025 · Infection Control
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Potential for harm · E June 26, 2025
Keep all essential equipment working safely.
Corrected July 26, 2025 · Environmental
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Potential for harm · E June 26, 2025
Put firmly secured handrails on each side of hallways.
Corrected July 26, 2025 · Environmental
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Potential for harm · F June 26, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected July 26, 2025 · Environmental
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Potential for harm · D April 2, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 2, 2025 · found via complaint
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected May 9, 2025 · Nutrition and Dietary
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Potential for harm · D April 2, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 2, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected May 9, 2025 · Environmental
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Potential for harm · E March 27, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected May 9, 2025 · Environmental
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Potential for harm · D December 3, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 24, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 6, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J September 12, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 12, 2024 | Fine | $23,923 |
| April 23, 2024 | Fine | $16,801 |
| February 15, 2024 | Fine | $14,050 |
| July 6, 2023 | Fine | $77,880 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 415059 · certified since October 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.