7 Creek Lane, Bristol, RI 02809 (opens Google Maps) · Bristol County · (401) 253-3000· 128 certified beds · avg 114 residents/day · certified since Jan 13, 1971 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: GREEN TREE HEALTHCARE MANAGEMENT (4 facilities, chain avg rating 2.3★)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Immediate jeopardy, widespread · Jan 27, 2025 · 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 (L): Immediate jeopardy to resident health or safety was cited. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 12, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Aug 13, 2024 · 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 (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Aug 22, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Aug 13, 2024 · F-0610 · triggered by a complaint
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.
Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Aug 22, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Aug 2, 2024 · 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 (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Aug 22, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, pattern · Oct 31, 2024 · F-0691
The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy.
Why it matters: Poor ostomy care leads to skin breakdown, infection, pain, and embarrassment for the resident.
Severity (H): Actual harm was cited, below immediate jeopardy. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 30, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Dec 28, 2023 · F-0684 · triggered by a complaint
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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jan 27, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Dec 28, 2023 · F-0686 · triggered by a complaint
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jan 27, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Aug 16, 2023 · F-0692 · triggered by a complaint
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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Sep 15, 2023 (Deficient, Provider has date of correction)
Showing the latest 3 of 29 inspection findings. Open the full record below to read every finding.
The facility did not honor residents' right to manage their own money and financial affairs. F-0567
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. F-0658
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. F-0761
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 23, 2026 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' right to manage their own money and financial affairs. · F-0567 |
| Jan 23, 2026 | E · Potential for more than minimal harm, pattern | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Jan 23, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Jan 23, 2026 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · F-0557 |
| Jan 23, 2026 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Jan 23, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jan 23, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0688 |
| Jan 23, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Jan 23, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide timely, quality laboratory tests to meet residents' needs. · F-0770 |
| Jan 23, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Jan 23, 2026 | C · Potential for minimal harm, widespread | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. · F-0577 |
| Jan 27, 2025 | ▲ L · Immediate jeopardy, widespread | 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 · F-0689 |
| Oct 31, 2024 | ▲ H · Actual harm, pattern | The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. · F-0691 |
| Oct 31, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0686 |
| Aug 13, 2024 | ▲ J · Immediate jeopardy, isolated | 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 · F-0600 |
| Aug 13, 2024 | ▲ J · Immediate jeopardy, isolated | 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 · F-0610 |
| Aug 2, 2024 | ▲ J · Immediate jeopardy, isolated | 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 · F-0689 |
| Aug 2, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0600 |
| Dec 28, 2023 | ▲ G · Actual harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Dec 28, 2023 | ▲ G · Actual harm, isolated | 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. · from a complaint · F-0686 |
| Nov 2, 2023 | E · Potential for more than minimal harm, pattern | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Nov 2, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Nov 2, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Nov 2, 2023 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Nov 2, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Nov 2, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0686 |
| Nov 2, 2023 | D · Potential for more than minimal harm, isolated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · F-0919 |
| Aug 16, 2023 | ▲ G · Actual harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint · F-0692 |
Citations from standard inspections increased between the last two inspection cycles (3 → 11).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 10 | 3 | G ▲ |
| 2024 | 7 | 4 | J ▲ |
| 2025 | 1 | 1 | L ▲ |
| 2026 | 11 | 0 | 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.
How to file a complaint about care →
4 fines totaling $207,610.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Jan 27, 2025 | Fine | $15,873 |
| Oct 31, 2024 | Fine | $68,640 |
| Aug 2, 2024 | Fine | $92,267 |
| Dec 28, 2023 | Fine | $30,830 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Rhode Island avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.35 | 3.88 | 3.95 | bottom 30% in Rhode Island; bottom 29% in the U.S. |
| Registered Nurse hours | 0.68 | 0.80 | 0.69 | bottom 36% in Rhode Island; top 38% in the U.S. |
| Weekend total nurse staffing | 3.03 | 3.48 | 3.50 | bottom 29% in Rhode Island; bottom 33% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.55 | 0.55 | 0.48 | top 39% in Rhode Island; top 28% in the U.S. |
| Total nursing staff turnover (%) | 39.3 | 40.6 | 45.8 | top 49% in Rhode Island; top 35% in the U.S. |
| RN turnover (%) | 27.8 | 37.9 | 42.9 | top 26% in Rhode Island; top 25% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.39, RN 0.69, weekend 3.08.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.39 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Silver Creek Rehab and Healthcare Center. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Dasay 2019 Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 04/01/2021 |
| Gamta 2020 Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 04/01/2021 |
| 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 1 LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/03/2020 |
| Stern, Aharon | Individual | 5% or Greater Indirect Ownership Interest | — | 11/02/2020 |
| Blundo, Nathan | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/02/2024 |
| Blundo, Nathan | Individual | ADP of the SNF | NOT APPLICABLE | 04/09/2025 |
| 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 | 11/02/2020 |
| Stern, Simon | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Stern, Simon | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
All 15 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Green Tree Healthcare Management — 4 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| The Dawn Hill Home for Rehab and Healthcare | 0.7 mi | Bristol, RI | ★★★★☆ | 4/5 | |
| Warren Operations Ri, LLC DBA Warren Center | 2.4 mi | Warren, RI | ★★★★☆ | 4/5 | |
| Grace Barker Nursing Center | 3.4 mi | Warren, RI | ★★★★☆ | 4/5 | |
| Crestwood Nursing & Rehabilitation Center INC | 3.8 mi | Warren, RI | ★★★★★ | 5/5 | |
| Mill Brook Rehabilitation and Healthcare Center | 5.5 mi | Fall River, MA | ★★★★☆ | 3/5 | |
| Avalon Nursing Home INC | 5.8 mi | Warwick, RI | ★★☆☆☆ | 3/5 | |
| Country Gardens Health and Rehabilitation | 5.8 mi | Swansea, MA | ★☆☆☆☆ | 1/5 | |
| Clifton Rehabilitation Nursing Center | 6.3 mi | Somerset, MA | ★★★★☆ | 4/5 | |
| Somerset Ridge Center | 6.9 mi | Somerset, MA | ★★★★☆ | 4/5 | |
| Fall River Jewish Home | 7.2 mi | Fall River, MA | ★☆☆☆☆ | 2/5 | |
| West Shore Health Center INC | 7.4 mi | Warwick, RI | ★★★★☆ | 4/5 | |
| Kimwell Nursing and Rehabilitation | 7.5 mi | Fall River, MA | ★☆☆☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 415031.
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