Berkshire Place
455 Douglas Avenue, Providence, RI 02908 · Providence County · 220 certified beds · avg 207 residents/day · certified since May 3, 1995
Abuse citation flag (CMS)
Part of chain: GREEN TREE HEALTHCARE MANAGEMENT (4 facilities, chain avg rating 2.3★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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 · Apr 30, 2026 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: May 23, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, repeated · Sep 4, 2025 · F-0688
The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Why it matters: Without this care, residents can develop stiff, contracted joints and lose the ability to move on their own.
Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Sep 30, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 4, 2025 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
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: Sep 30, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 8, 2023 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
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: Jul 8, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 8, 2023 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
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: Jul 8, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (38)
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 |
|---|---|---|
| Apr 30, 2026 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 30, 2026 | 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 |
| Apr 2, 2026 | E · Potential for harm, repeated | 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. · from a complaint |
| Sep 4, 2025 | ▲ H · Actual harm, repeated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Sep 4, 2025 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Sep 4, 2025 | 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. |
| Sep 4, 2025 | 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. |
| Sep 4, 2025 | 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. |
| Sep 4, 2025 | E · Potential for harm, repeated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Sep 4, 2025 | E · Potential for harm, repeated | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Sep 4, 2025 | D · Potential for harm, one-off | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| May 20, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| May 20, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Mar 27, 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. · from a complaint |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint |
| Jan 17, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. · from a complaint |
| Nov 6, 2024 | 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. · from a complaint |
| Nov 6, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Oct 8, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jul 26, 2024 | E · Potential for harm, repeated | 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. |
| Jul 26, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jul 26, 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 |
| Jul 26, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jul 26, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jul 26, 2024 | 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. · from a complaint |
| Nov 14, 2023 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint |
| Aug 1, 2023 | E · Potential for harm, repeated | 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 |
| Jun 8, 2023 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jun 8, 2023 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jun 8, 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 8, 2023 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jun 8, 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 8, 2023 | E · Potential for harm, repeated | 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 8, 2023 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jun 8, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jun 8, 2023 | D · Potential for harm, one-off | 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 8, 2023 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 12 | 2 | G ▲ |
| 2024 | 9 | 0 | F |
| 2025 | 14 | 2 | H ▲ |
| 2026 | 3 | 1 | G ▲ |
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)
11 fines totaling $59,978.
| Date | Type | Amount / length |
|---|---|---|
| Jan 22, 2024 | Fine | $14,814 |
| Jan 8, 2024 | Fine | $4,938 |
| Jan 2, 2024 | Fine | $4,587 |
| Dec 11, 2023 | Fine | $13,409 |
| Nov 20, 2023 | Fine | $3,882 |
| Nov 13, 2023 | Fine | $3,529 |
| Nov 6, 2023 | Fine | $3,176 |
| Oct 30, 2023 | Fine | $2,823 |
| Oct 23, 2023 | Fine | $2,470 |
| Oct 17, 2023 | Fine | $2,117 |
| Sep 25, 2023 | Fine | $4,233 |
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) | 3.21 | 3.88 | 3.95 | bottom 15% in Rhode Island; bottom 22% in the U.S. |
| Registered Nurse hours | 0.45 | 0.80 | 0.69 | bottom 12% in Rhode Island; bottom 30% in the U.S. |
| Weekend total nurse staffing | 2.84 | 3.48 | 3.50 | bottom 16% in Rhode Island; bottom 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.39 | 0.55 | 0.48 | bottom 28% in Rhode Island; top 50% in the U.S. |
| Total nursing staff turnover (%) | 47.0 | 40.6 | 45.8 | bottom 20% in Rhode Island; bottom 44% in the U.S. |
| RN turnover (%) | 61.3 | 37.9 | 42.9 | bottom 14% 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 3.47, RN 0.49, weekend 3.07. Staffing rating: 2/5.
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: 2/5 · long-stay residents: 3/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Dasay 2019 Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 01/14/2020 |
| Gamta 2020 Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/21/2020 |
| Gri SNF Investors LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 11/04/2020 |
| Mri SNF Investors LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 11/04/2020 |
| Rhode Island Healthcare Holdco 3 LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/11/2020 |
| Stern, Aharon | Individual | 5% or Greater Indirect Ownership Interest | — | 11/10/2020 |
| Dasari, Naresh | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Dasari, Naresh | Individual | ADP of the SNF | NOT APPLICABLE | 04/24/2025 |
| Stern, Aharon | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Stern, Aharon | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Stern, Simon | Individual | Corporate Officer | NOT APPLICABLE | 11/10/2020 |
| Stern, Simon | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Stern, Simon | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Thompson, Amanda | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/09/2024 |
| Thompson, Amanda | Individual | ADP of the SNF | NOT APPLICABLE | 04/22/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "What mental health services do you provide on-site, and who delivers them?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
- "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 |
|---|---|---|---|---|---|
| Elmhurst Rehabilitation and Healthcare Center | 0.5 mi | Providence, RI | ★★☆☆☆ | 2/5 | |
| Golden Crest Nursing Centre | 1.4 mi | North Providence, RI | ★★★★☆ | 4/5 | |
| Adviniacare Providence Dodge Rehab Center, LLC | 2.0 mi | Providence, RI | ★★☆☆☆ | 2/5 | abuse |
| Adviniacare Summit Commons, LLC | 2.0 mi | Providence, RI | ★☆☆☆☆ | 1/5 | abuseSFF |
| Jeanne Jugan Residence | 2.2 mi | Pawtucket, RI | ★★★★★ | 5/5 | |
| Steere House Nursing and Rehabilitation Center | 2.2 mi | Providence, RI | ★★★★☆ | 3/5 | |
| Bethany Home of Rhode Island | 2.4 mi | Providence, RI | ★★★☆☆ | 3/5 | |
| Elmwood Nursing and Rehabilitation Center | 2.5 mi | Providence, RI | ★★★☆☆ | 3/5 | |
| Lincolnwood Rehabilitation and Healthcare Center | 2.6 mi | North Providence, RI | ★★☆☆☆ | 2/5 | |
| Tockwotton on the Waterfront | 2.7 mi | East Providence, RI | ★★★★★ | 5/5 | |
| Adviniacare Pawtucket Pleasant Rehab Center, LLC | 2.8 mi | Pawtucket, RI | ★★☆☆☆ | 3/5 | |
| Cherry Hill Manor | 2.8 mi | Johnston, RI | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 415119.