Coventry Operations Ri LLC DBA Respiratory and Reh

10 Woodland Drive · Coventry, RI · 02816 · 4018262000

210 certified beds For profit - Corporation Chain: Genesis Healthcare

Why this verdict

  • On the federal Special Focus list of the most persistently poor performers.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (4 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $211,408 in fines in the last 24 months.
  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

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Red flags

Special Focus Facility

CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.

4 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.

Cited under the freedom-from-abuse rule

Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

4 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

$211,408 in federal fines in the last 24 months

3 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 0
Serious harm & abuse 20% 0
Staffing 20% 80
Federal penalties 15% 0
Trend 10% 77
Context 5% 0

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated

Total nurse hours / resident-day4.123.48 min · 4.1 strong
RN hours / resident-day1.040.55–0.75
Weekend hours / resident-day3.74≈ weekday level
Nursing turnover / year58%median 45%
Fines (3-yr window)7 · $358,559

Inspection citations (67 in the current record)

  • Potential for harm · D April 27, 2026 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected May 22, 2026 · Resident Rights

  • Potential for harm · D April 27, 2026 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 22, 2026 · Quality of Life and Care

  • Potential for harm · E November 19, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 10, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · J October 28, 2025 · found via complaint

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected November 24, 2025 · Quality of Life and Care

  • Immediate jeopardy · J October 28, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected November 24, 2025 · Pharmacy Service

  • Actual harm · G October 28, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 24, 2025 · Quality of Life and Care

  • Actual harm · G October 28, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected November 24, 2025 · Nursing and Physician Services

  • Actual harm · H October 28, 2025 · found via complaint

    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.

    Corrected November 24, 2025 · Nursing and Physician Services

  • Potential for harm · E October 28, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 24, 2025 · Quality of Life and Care

  • Potential for harm · D October 28, 2025 · found via complaint

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    Corrected November 24, 2025 · Nursing and Physician Services

  • Potential for harm · F October 28, 2025 · found via complaint

    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.

    Corrected November 24, 2025 · Administration

  • Potential for harm · D October 28, 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 November 24, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · J June 30, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected July 13, 2025 · Quality of Life and Care

  • Immediate jeopardy · J June 30, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected July 13, 2025 · Pharmacy Service

  • Actual harm · G June 30, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected July 13, 2025 · Resident Rights

  • Potential for harm · D April 15, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected April 28, 2025 · Quality of Life and Care

  • Potential for harm · D March 21, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected April 17, 2025 · Resident Rights

  • Potential for harm · E March 21, 2025

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Corrected April 17, 2025 · Resident Rights

  • Potential for harm · E March 21, 2025

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected April 17, 2025 · Resident Rights

  • Potential for harm · D March 21, 2025

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected April 17, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E March 21, 2025

    Ensure each resident receives an accurate assessment.

    Corrected April 17, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 21, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected April 17, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 21, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected April 17, 2025 · Quality of Life and Care

  • Potential for harm · E March 21, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected April 17, 2025 · Pharmacy Service

  • Potential for harm · D March 21, 2025

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected April 17, 2025 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
April 14, 2026Fine$27,378
October 28, 2025Fine$136,040
August 22, 2024Fine$47,990
August 22, 2024Payment Denial4 days
April 8, 2024Fine$8,824
April 8, 2024Fine$120,182
February 6, 2024Fine$8,827
December 26, 2023Fine$9,318

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 415078 · certified since February 8, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.