Grace Barker Nursing Center
54 Barker Avenue, Warren, RI 02885 · Bristol County · 86 certified beds · avg 81 residents/day · certified since Mar 28, 1967
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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, repeated · Sep 29, 2023 · F-0835 · triggered by a complaint
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Oct 20, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Sep 29, 2023 · F-0728 · triggered by a complaint
The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training.
Why it matters: Aides provide most hands-on daily care, and untrained aides raise the risk of injuries and neglect.
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: Oct 20, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 29, 2023 · F-0658 · triggered by a complaint
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Why it matters: Care that falls below professional standards can directly harm a resident's health and recovery.
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 20, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 29, 2023 · F-0689 · triggered by a complaint
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 (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 20, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (14)
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 | 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. |
| Feb 5, 2025 | 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. |
| Feb 5, 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. |
| Feb 5, 2025 | 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. |
| Feb 5, 2025 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Jul 15, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Mar 7, 2024 | 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 |
| Feb 23, 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. |
| Feb 23, 2024 | E · Potential for harm, repeated | 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. |
| Feb 23, 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 29, 2023 | ▲ K · Immediate jeopardy, repeated | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Sep 29, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training. · from a complaint |
| Sep 29, 2023 | ▲ G · Actual 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 29, 2023 | ▲ G · Actual 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 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 4 | K ▲ |
| 2024 | 5 | 0 | E |
| 2025 | 4 | 0 | E |
| 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)
1 fine totaling $114,806.
| Date | Type | Amount / length |
|---|---|---|
| Sep 29, 2023 | Fine | $114,806 |
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) | 4.12 | 3.88 | 3.95 | top 30% in Rhode Island; top 35% in the U.S. |
| Registered Nurse hours | 0.69 | 0.80 | 0.69 | bottom 39% in Rhode Island; top 38% in the U.S. |
| Weekend total nurse staffing | 3.41 | 3.48 | 3.50 | top 44% in Rhode Island; top 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.55 | 0.48 | bottom 23% in Rhode Island; bottom 45% in the U.S. |
| Total nursing staff turnover (%) | 37.9 | 40.6 | 45.8 | top 45% in Rhode Island; top 31% in the U.S. |
| RN turnover (%) | 16.7 | 37.9 | 42.9 | top 9% in Rhode Island; top 9% 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 3.87, RN 0.64, weekend 3.20. 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: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lescault, Mark | Individual | 5% or Greater Direct Ownership Interest | 50% | 11/28/2007 |
| Lescault, Mary | Individual | 5% or Greater Direct Ownership Interest | 50% | 03/31/2006 |
| Lescault, Mark | Individual | W-2 Managing Employee | NOT APPLICABLE | 11/28/2007 |
| Lescault, Mark | Individual | Corporate Director | NOT APPLICABLE | 11/28/2007 |
| Lescault, Mark | Individual | Corporate Officer | NOT APPLICABLE | 12/12/1996 |
| Lescault, Mary | Individual | W-2 Managing Employee | NOT APPLICABLE | 03/31/2006 |
| Lescault, Mary | Individual | Corporate Director | NOT APPLICABLE | 03/31/2006 |
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 were the findings behind this administration citation, and what has leadership changed since?"
- "What training and competency checks do your nurse aides go through, and how do you keep their skills current?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "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?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "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 |
|---|---|---|---|---|---|
| Crestwood Nursing & Rehabilitation Center INC | 0.6 mi | Warren, RI | ★★★★★ | 5/5 | |
| Warren Operations Ri, LLC DBA Warren Center | 1.0 mi | Warren, RI | ★★★★☆ | 4/5 | |
| Country Gardens Health and Rehabilitation | 2.5 mi | Swansea, MA | ★☆☆☆☆ | 1/5 | |
| The Dawn Hill Home for Rehab and Healthcare | 2.8 mi | Bristol, RI | ★★★★☆ | 4/5 | |
| Silver Creek Rehab and Healthcare Center | 3.4 mi | Bristol, RI | ★★☆☆☆ | 2/5 | |
| Clifton Rehabilitation Nursing Center | 5.0 mi | Somerset, MA | ★★★★☆ | 4/5 | |
| Somerset Ridge Center | 5.3 mi | Somerset, MA | ★★★★☆ | 4/5 | |
| Avalon Nursing Home INC | 5.8 mi | Warwick, RI | ★★☆☆☆ | 3/5 | |
| Mill Brook Rehabilitation and Healthcare Center | 6.1 mi | Fall River, MA | ★★★★☆ | 3/5 | |
| Adviniacare Orchard, LLC | 6.4 mi | East Providence, RI | ★☆☆☆☆ | 1/5 | SFF |
| Fall River Jewish Home | 6.4 mi | Fall River, MA | ★☆☆☆☆ | 2/5 | |
| Fall River Healthcare | 6.7 mi | Fall River, MA | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 415014.