St Antoine Residence

10 Rhodes Avenue · North Smithfield, RI · 02896 · 4017673500

260 certified beds Non profit - Corporation

Why this verdict

  • Federal penalties on record: $25,665 in fines in the last 24 months.
  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

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.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 47
Serious harm & abuse 20% 60
Staffing 20% 72
Federal penalties 15% 27
Trend 10% 87
Context 5% 100

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

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.863.48 min · 4.1 strong
RN hours / resident-day0.630.55–0.75
Weekend hours / resident-day3.20≈ weekday level
Nursing turnover / year39%median 45%
Fines (3-yr window)3 · $38,519

Inspection citations (22 in the current record)

  • Potential for harm · D January 30, 2026

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

    Corrected February 20, 2026 · Quality of Life and Care

  • Potential for harm · D January 30, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 20, 2026 · Quality of Life and Care

  • Potential for harm · E January 30, 2026

    Implement a program that monitors antibiotic use.

    Corrected February 20, 2026 · Infection Control

  • Actual harm · G September 16, 2025 · found via complaint

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

    Corrected October 6, 2025 · Quality of Life and Care

  • Potential for harm · D July 1, 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 July 18, 2025 · Administration

  • Potential for harm · D July 1, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected July 18, 2025 · Infection Control

  • Actual harm · G April 8, 2025 · found via complaint

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

    Corrected April 18, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J March 24, 2025 · found via complaint

    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 4, 2025 · Pharmacy Service

  • Immediate jeopardy · J March 24, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected April 4, 2025 · Pharmacy Service

  • Potential for harm · E October 24, 2024

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

    Corrected November 20, 2024 · Quality of Life and Care

  • Potential for harm · D October 24, 2024

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

    Corrected November 20, 2024 · Nursing and Physician Services

  • Potential for harm · F October 24, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 20, 2024 · Nutrition and Dietary

  • Potential for harm · E October 24, 2024

    Provide and implement an infection prevention and control program.

    Corrected November 20, 2024 · Infection Control

  • Actual harm · G January 12, 2024

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

    Corrected February 6, 2024 · Quality of Life and Care

  • Potential for harm · D January 12, 2024

    Respond appropriately to all alleged violations.

    Corrected February 6, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 12, 2024

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Corrected January 3, 2024 · Quality of Life and Care

  • Potential for harm · D January 12, 2024

    Provide enough food/fluids to maintain a resident's health.

    Corrected February 6, 2024 · Quality of Life and Care

  • Potential for harm · F January 12, 2024

    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 February 6, 2024 · Nursing and Physician Services

  • Potential for harm · E January 12, 2024

    Provide or obtain dental services for each resident.

    Corrected February 6, 2024 · Quality of Life and Care

  • Potential for harm · F January 12, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 6, 2024 · Nutrition and Dietary

  • Potential for harm · E January 12, 2024

    Provide and implement an infection prevention and control program.

    Corrected February 6, 2024 · Infection Control

  • Potential for harm · E January 12, 2024

    Keep all essential equipment working safely.

    Corrected February 6, 2024 · Environmental

Federal penalties

DateTypeAmount / length
March 24, 2025Fine$10,764
March 24, 2025Fine$14,901
March 24, 2025Payment Denial7 days
January 12, 2024Fine$12,854

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 415106 · certified since January 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.