Elderwood of Scallop Shell at Wakefield
55 Scallop Shell Way, South Kingstown, RI 02883 · Washington County · 80 certified beds · avg 69 residents/day · certified since Jul 1, 1978
Part of chain: ELDERWOOD (17 facilities, chain avg rating 2.5★)
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)
▲ Immediate jeopardy, one-off · Nov 20, 2025 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 9, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 20, 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: Dec 9, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 20, 2025 · F-0726
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
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: Dec 9, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, repeated · Sep 22, 2023 · 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 (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Oct 22, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, repeated · Sep 22, 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 (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Oct 22, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 22, 2023 · F-0757
The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Why it matters: Unneeded drugs expose residents to side effects, drowsiness, falls, and dangerous interactions.
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 22, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (25)
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 |
|---|---|---|
| Nov 20, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Nov 20, 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. |
| Nov 20, 2025 | ▲ G · Actual harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Nov 20, 2025 | E · Potential for harm, repeated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Nov 20, 2025 | C · Minimal risk, facility-wide | 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. |
| Sep 13, 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 |
| Sep 6, 2024 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Sep 6, 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. |
| Sep 6, 2024 | E · Potential for harm, repeated | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Sep 6, 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. |
| Sep 6, 2024 | 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. |
| Jan 3, 2024 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · from a complaint |
| Sep 22, 2023 | ▲ H · Actual harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Sep 22, 2023 | ▲ H · Actual harm, repeated | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Sep 22, 2023 | ▲ G · Actual harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Sep 22, 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. |
| Sep 22, 2023 | 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. · from a complaint |
| Sep 22, 2023 | E · Potential for harm, repeated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Sep 22, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Sep 22, 2023 | 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. |
| Sep 22, 2023 | 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. |
| Sep 22, 2023 | D · Potential for harm, one-off | The facility did not properly run its feeding assistant program — assessing which residents are appropriate for it, following each resident's care plan, and making sure feeding assistants are trained and supervised. Feeding assistants are trained helpers who assist residents at mealtimes. |
| Sep 22, 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. |
| Sep 22, 2023 | 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. |
| Aug 24, 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. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 13 | 3 | H ▲ |
| 2024 | 7 | 0 | E |
| 2025 | 5 | 3 | J ▲ |
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 $89,882.
| Date | Type | Amount / length |
|---|---|---|
| Nov 20, 2025 | Fine | $19,383 |
| Aug 24, 2023 | Fine | $70,499 |
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) | 3.79 | 3.88 | 3.95 | top 42% in Rhode Island; top 49% in the U.S. |
| Registered Nurse hours | 1.35 | 0.80 | 0.69 | top 4% in Rhode Island; top 6% in the U.S. |
| Weekend total nurse staffing | 3.31 | 3.48 | 3.50 | top 49% in Rhode Island; bottom 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.87 | 0.55 | 0.48 | top 13% in Rhode Island; top 9% in the U.S. |
| Total nursing staff turnover (%) | 55.9 | 40.6 | 45.8 | bottom 12% in Rhode Island; bottom 23% in the U.S. |
| RN turnover (%) | 53.8 | 37.9 | 42.9 | bottom 26% in Rhode Island; bottom 30% 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 3.58, RN 1.28, weekend 3.13. Staffing rating: 4/5.
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: 3/5 · long-stay residents: 3/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cole, Warren | Individual | 5% or Greater Indirect Ownership Interest | 50% | 07/01/2010 |
| Post Acute Partners | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2010 |
| Rubin, Jeffrey | Individual | 5% or Greater Indirect Ownership Interest | 50% | 07/01/2010 |
| Cole, Warren | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2010 |
| Cole, Warren | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2010 |
| Quillard, Philip | Individual | Contracted Managing Employee | NOT APPLICABLE | 11/12/2019 |
| Rhyner, Marissa | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/13/2010 |
| Rubin, Jeffrey | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2010 |
| Rubin, Jeffrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2010 |
| Vinkle, John Paul | Individual | Contracted Managing Employee | NOT APPLICABLE | 11/12/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "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 |
|---|---|---|---|---|---|
| South Kingstown Nurs. & Rehab Ctr | 4.7 mi | West Kingston, RI | ★★☆☆☆ | 2/5 | abuse |
| South County Eden Operations LLC DBA Lakeside Nurs | 7.6 mi | North Kingstown, RI | ★★★★☆ | 4/5 | |
| Roberts Health Centre INC | 8.9 mi | North Kingstown, RI | ★★★★★ | 4/5 | |
| Village House Nursing & Rehabilitation Center | 9.3 mi | Newport, RI | ★★★★☆ | 4/5 | |
| Kingston Center for Rehabilitation and Health Care | 10.0 mi | West Kingston, RI | ★★★★☆ | 5/5 | |
| St Clare Home | 10.0 mi | Newport, RI | ★★★★☆ | 5/5 | |
| Adviniacare Newport, LLC | 10.1 mi | Newport, RI | ★★☆☆☆ | 2/5 | |
| John Clarke Senior Living | 11.6 mi | Middletown, RI | ★★☆☆☆ | 2/5 | |
| Grand Islander Center | 11.8 mi | Middletown, RI | ★★☆☆☆ | 2/5 | |
| Royal Middletown Nursing Center | 12.2 mi | Middletown, RI | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 415057.