Adviniacare Pawtucket Pleasant Rehab Center, LLC
544 Pleasant Street, Pawtucket, RI 02860 · Providence County · 129 certified beds · avg 122 residents/day · certified since Jun 1, 1969
Part of chain: ADVINIACARE (11 facilities, chain avg rating 2.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Aug 15, 2025 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 28, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 15, 2025 · F-0825
The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them.
Why it matters: Without needed therapy, a resident may fail to recover strength or skills they could have regained.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 28, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 2, 2024 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 30, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (36)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 22, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Aug 15, 2025 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 15, 2025 | ▲ G · Actual harm, one-off | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. |
| Aug 15, 2025 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Aug 15, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 15, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 7, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Mar 27, 2025 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Oct 2, 2024 | ▲ G · Actual harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Oct 2, 2024 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Jul 19, 2024 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 19, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 19, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jul 19, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jul 19, 2024 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Jul 19, 2024 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint |
| Jul 19, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jul 19, 2024 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Jun 6, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Oct 5, 2023 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Sep 13, 2023 | F · Potential for harm, facility-wide | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jun 19, 2023 | F · Potential for harm, facility-wide | The facility did not honor residents' right to manage their own money and financial affairs. |
| Jun 19, 2023 | F · Potential for harm, facility-wide | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jun 19, 2023 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jun 19, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 19, 2023 | F · Potential for harm, facility-wide | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. |
| Jun 19, 2023 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jun 19, 2023 | E · Potential for harm, repeated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Jun 19, 2023 | D · Potential for harm, one-off | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Jun 19, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jun 19, 2023 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Jun 19, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jun 19, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jun 19, 2023 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Jun 19, 2023 | C · Minimal risk, facility-wide | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Jun 19, 2023 | B · Minimal risk, repeated | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 17 | 0 | F |
| 2024 | 11 | 1 | G ▲ |
| 2025 | 7 | 2 | G ▲ |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $21,964.
| Date | Type | Amount / length |
|---|---|---|
| Oct 2, 2024 | Fine | $12,035 |
| Sep 13, 2023 | Fine | $9,929 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Rhode Island avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.81 | 3.88 | 3.95 | bottom 3% in Rhode Island; bottom 8% in the U.S. |
| Registered Nurse hours | 0.24 | 0.80 | 0.69 | bottom 1% in Rhode Island; bottom 5% in the U.S. |
| Weekend total nurse staffing | 2.56 | 3.48 | 3.50 | bottom 3% in Rhode Island; bottom 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.19 | 0.55 | 0.48 | bottom 1% in Rhode Island; bottom 10% in the U.S. |
| Total nursing staff turnover (%) | 40.2 | 40.6 | 45.8 | bottom 46% in Rhode Island; top 37% in the U.S. |
| RN turnover (%) | 61.5 | 37.9 | 42.9 | bottom 12% in Rhode Island; bottom 20% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.41, RN 0.30, weekend 3.11. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Berkowitz, Benjamin | Individual | Direct Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| David a Berkowitz Revoc Tr David Berkowitz Ttee | Organization | Direct Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| Frederick S Frankel Trust | Organization | Direct Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| Yosef Meystel Declaration of Tr of Yosef Meystel Ttee | Organization | Direct Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| Berkowitz, Benjamin | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Berkowitz, Benjamin | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Berkowitz, David | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/13/2025 |
| Curis Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Frankel, Frederick | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/13/2025 |
| Labella, Caterina | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2025 |
| Labella, Caterina | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Labella, Caterina | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Meystel, Yosef | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/13/2025 |
| Montessi, Belinda | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2025 |
| Montessi, Belinda | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Montessi, Belinda | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Pointe Group Care LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Pointe Group Care LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/13/2025 |
| Russo, Olivia | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Russo, Olivia | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Adviniacare Summit Commons, LLC | 0.7 mi | Providence, RI | ★☆☆☆☆ | 1/5 | abuseSFF |
| Jeanne Jugan Residence | 0.8 mi | Pawtucket, RI | ★★★★★ | 5/5 | |
| Mansion Nursing and Rehab Center | 1.4 mi | Central Falls, RI | ★★☆☆☆ | 2/5 | |
| Pawtucket Falls Healthcare Center | 1.6 mi | Pawtucket, RI | ★☆☆☆☆ | 1/5 | |
| Harris Health Care Center North | 2.2 mi | Central Falls, RI | ★☆☆☆☆ | 1/5 | |
| Bethany Home of Rhode Island | 2.4 mi | Providence, RI | ★★★☆☆ | 3/5 | |
| Berkshire Place | 2.8 mi | Providence, RI | ★★☆☆☆ | 2/5 | abuse |
| Eastgate Nursing & Rehabilitation Center | 3.0 mi | East Providence, RI | ★★★★★ | 5/5 | |
| Grandview Center | 3.1 mi | Cumberland, RI | ★★★★★ | 4/5 | |
| Elmhurst Rehabilitation and Healthcare Center | 3.2 mi | Providence, RI | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 415027.