Elmwood Nursing and Rehabilitation Center

Name: Elmwood Nursing and Rehabilitation Center
Address: 225 Elmwood Avenue, Providence, RI, 02907, US
Telephone: 4012720600

225 Elmwood Avenue, Providence, RI 02907 · Providence County · 70 certified beds · avg 65 residents/day · certified since Aug 1, 1979

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.79

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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.

All citations in the current public record (18)

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 17, 2026	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. · from a complaint
Jan 14, 2026	E · Potential for harm, repeated	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint
Jan 14, 2026	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 5, 2025	F · Potential for harm, facility-wide	The facility did not develop or maintain an effective training program for its direct care staff, including training on how to communicate effectively with residents.
Sep 5, 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 5, 2025	E · Potential for harm, repeated	The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care.
Sep 5, 2025	E · Potential for harm, repeated	The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members.
Sep 5, 2025	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.
Sep 5, 2025	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.
Sep 5, 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.
Dec 16, 2024	F · Potential for harm, facility-wide	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
Dec 16, 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
Dec 7, 2023	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
Sep 22, 2023	E · Potential for harm, repeated	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Sep 22, 2023	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.
Sep 22, 2023	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.
Sep 22, 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.
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.

Inspection trend by year

Year	Citations	Worst severity that year
2023	6	E
2024	2	F
2025	7	F
2026	3	E

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)

No fines or payment denials in the published 3-year window.

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 44% in Rhode Island; top 49% in the U.S.
Registered Nurse hours	0.83	0.80	0.69	top 44% in Rhode Island; top 25% in the U.S.
Weekend total nurse staffing	3.33	3.48	3.50	top 46% in Rhode Island; bottom 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.43	0.55	0.48	bottom 35% in Rhode Island; top 43% in the U.S.
Total nursing staff turnover (%)	27.5	40.6	45.8	top 12% in Rhode Island; top 10% in the U.S.
RN turnover (%)	42.9	37.9	42.9	bottom 35% in Rhode Island; bottom 49% 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 3.33, RN 0.73, weekend 2.93. 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: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Ryan, David	Individual	5% or Greater Direct Ownership Interest	100%	10/26/1975
Arnold, Kelly	Individual	Operational/Managerial Control	NOT APPLICABLE	01/20/2017
Carragher, Terry	Individual	Corporate Officer	NOT APPLICABLE	01/01/2004
Health Concepts LTD	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/1985
Lewis, Erica	Individual	W-2 Managing Employee	NOT APPLICABLE	06/01/2023
Lewis, Erica	Individual	ADP of the SNF	NOT APPLICABLE	11/18/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you explain health changes and treatment options to residents and their families?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What ongoing training do your direct care staff receive each year?"
"How do you learn each resident's personal preferences and make sure staff actually follow them?"
"What training do new hires get before working with residents, and what ongoing training do all staff receive?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"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 Providence Dodge Rehab Center, LLC	0.5 mi	Providence, RI	★★☆☆☆	2/5	abuse
Steere House Nursing and Rehabilitation Center	0.9 mi	Providence, RI	★★★★☆	3/5
Tockwotton on the Waterfront	1.9 mi	East Providence, RI	★★★★★	5/5
Elmhurst Rehabilitation and Healthcare Center	2.2 mi	Providence, RI	★★☆☆☆	2/5
Scandinavian Home INC	2.5 mi	Cranston, RI	★★★★☆	5/5
Berkshire Place	2.5 mi	Providence, RI	★★☆☆☆	2/5	abuse
Morgan Health Center	2.6 mi	Johnston, RI	★★★☆☆	2/5
Bethany Home of Rhode Island	2.6 mi	Providence, RI	★★★☆☆	3/5
Adviniacare Waterview Villas, LLC	2.7 mi	East Providence, RI	★★☆☆☆	2/5
Eastgate Nursing & Rehabilitation Center	3.0 mi	East Providence, RI	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Providence →

Facility data as of CMS processing date 2026-08-01. CCN 415072.

The Care File

Visit checklist — Elmwood Nursing and Rehabilitation Center

225 Elmwood Avenue, Providence, RI 02907 · 4012720600

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What ongoing training do your direct care staff receive each year?"
☐ "How do you learn each resident's personal preferences and make sure staff actually follow them?"
☐ "What training do new hires get before working with residents, and what ongoing training do all staff receive?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 415072 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)