Mansion Nursing and Rehab Center
104 Clay Street, Central Falls, RI 02863 · Providence County · 62 certified beds · avg 50 residents/day · certified since Apr 3, 1991
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 · Jun 1, 2026 · 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 (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: Jun 19, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (28)
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 |
|---|---|---|
| Jun 1, 2026 | ▲ J · Immediate jeopardy, 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 |
| Jan 21, 2026 | 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 |
| Dec 16, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint |
| Dec 16, 2025 | D · Potential for 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 |
| Jul 18, 2025 | F · Potential for harm, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Jul 18, 2025 | 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. |
| Jul 18, 2025 | 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. |
| Jul 18, 2025 | D · Potential for 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. |
| Jul 18, 2025 | B · Minimal risk, repeated | 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. |
| Jul 5, 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. |
| Jul 5, 2024 | F · Potential for harm, facility-wide | 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 5, 2024 | E · Potential for harm, repeated | 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. |
| Jul 5, 2024 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Jul 5, 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 5, 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 5, 2024 | B · Minimal risk, repeated | The facility did not honor residents' right to manage their own money and financial affairs. |
| Jul 5, 2024 | B · Minimal risk, repeated | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. |
| Jul 5, 2024 | B · Minimal risk, repeated | 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. |
| Jul 5, 2024 | B · Minimal risk, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| Aug 29, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jul 21, 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. |
| Jul 21, 2023 | F · Potential for harm, facility-wide | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
| Jul 21, 2023 | E · Potential for harm, repeated | The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care. |
| Jul 21, 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. |
| Jul 21, 2023 | E · Potential for harm, repeated | The facility did not educate its staff on residents' rights and the facility's responsibilities toward residents. Staff can only respect rights they've been taught about. |
| Jul 21, 2023 | E · Potential for harm, repeated | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. |
| Jul 21, 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. |
| Jul 21, 2023 | C · Minimal risk, facility-wide | The facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 9 | 0 | F |
| 2024 | 10 | 0 | F |
| 2025 | 7 | 0 | F |
| 2026 | 2 | 1 | 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)
1 fine totaling $22,205, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jun 1, 2026 | Fine | $22,205 |
| Jun 1, 2026 | Payment Denial | 9 days from Jun 20, 2026 |
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) | 3.57 | 3.88 | 3.95 | bottom 45% in Rhode Island; bottom 40% in the U.S. |
| Registered Nurse hours | 0.42 | 0.80 | 0.69 | bottom 9% in Rhode Island; bottom 25% in the U.S. |
| Weekend total nurse staffing | 3.42 | 3.48 | 3.50 | top 42% in Rhode Island; top 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.55 | 0.48 | bottom 3% in Rhode Island; bottom 21% in the U.S. |
| Total nursing staff turnover (%) | 43.6 | 40.6 | 45.8 | bottom 32% in Rhode Island; top 46% in the U.S. |
| RN turnover (%) | 0.0 | 37.9 | 42.9 | top 1% in Rhode Island; top 1% 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 3.06, RN 0.36, weekend 2.93. Staffing rating: 3/5.
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: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Chopoorian, John | Individual | 5% or Greater Direct Ownership Interest | 50% | 05/22/1989 |
| Chopoorian, Teresa | Individual | 5% or Greater Direct Ownership Interest | — | 05/22/1989 |
| Mansion, INC | Organization | 5% or Greater Direct Ownership Interest | — | 12/28/2007 |
| Chopoorian, John | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/28/2007 |
| Chopoorian, John | Individual | Corporate Director | NOT APPLICABLE | 05/22/1989 |
| Chopoorian, John | Individual | Corporate Officer | NOT APPLICABLE | 05/22/1989 |
| Chopoorian, Teresa | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/28/2007 |
| Chopoorian, Teresa | Individual | Corporate Director | NOT APPLICABLE | 05/22/1989 |
| Chopoorian, Teresa | Individual | Corporate Officer | NOT APPLICABLE | 05/22/1989 |
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 systems do you use to prevent medication errors, and what happens when one occurs?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What mental health services do you provide on-site, and who delivers them?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
- "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 |
|---|---|---|---|---|---|
| Harris Health Care Center North | 0.8 mi | Central Falls, RI | ★☆☆☆☆ | 1/5 | |
| Jeanne Jugan Residence | 1.3 mi | Pawtucket, RI | ★★★★★ | 5/5 | |
| Adviniacare Pawtucket Pleasant Rehab Center, LLC | 1.4 mi | Pawtucket, RI | ★★☆☆☆ | 3/5 | |
| Grandview Center | 1.7 mi | Cumberland, RI | ★★★★★ | 4/5 | |
| Adviniacare Summit Commons, LLC | 1.8 mi | Providence, RI | ★☆☆☆☆ | 1/5 | abuseSFF |
| Pawtucket Falls Healthcare Center | 2.4 mi | Pawtucket, RI | ★☆☆☆☆ | 1/5 | |
| Berkshire Place | 3.5 mi | Providence, RI | ★★☆☆☆ | 2/5 | abuse |
| Golden Crest Nursing Centre | 3.6 mi | North Providence, RI | ★★★★☆ | 4/5 | |
| Bethany Home of Rhode Island | 3.8 mi | Providence, RI | ★★★☆☆ | 3/5 | |
| Elmhurst Rehabilitation and Healthcare Center | 3.9 mi | Providence, RI | ★★☆☆☆ | 2/5 | |
| Heritage Hills Nursing & Rehabilitation Center | 4.2 mi | Smithfield, RI | ★★☆☆☆ | 1/5 | |
| Lincolnwood Rehabilitation and Healthcare Center | 4.3 mi | North Providence, RI | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 415097.