The Dawn Hill Home for Rehab and Healthcare
One Dawn Hill Road, Bristol, RI 02809 · Bristol County · 133 certified beds · avg 120 residents/day · certified since Feb 21, 1977
Part of chain: GREEN TREE HEALTHCARE MANAGEMENT (4 facilities, chain avg rating 2.3★)
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, one-off · Jan 22, 2024 · F-0880
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.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
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: Feb 13, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 31, 2024 · F-0635 · triggered by a complaint
The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted.
Why it matters: Without admission orders, a new resident may miss critical medications or treatments during their first days.
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: Nov 30, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (33)
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 4, 2026 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jun 4, 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. |
| Jun 4, 2026 | 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. |
| Mar 24, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Mar 24, 2026 | 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 |
| Mar 24, 2026 | 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 |
| Feb 5, 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 |
| Feb 5, 2026 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint |
| Jun 5, 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. · from a complaint |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Mar 13, 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 |
| Mar 13, 2025 | 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 |
| Jan 28, 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. · from a complaint |
| Dec 19, 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. |
| Dec 19, 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. |
| Dec 19, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Dec 19, 2024 | 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. |
| Dec 19, 2024 | D · Potential for harm, one-off | 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. |
| Dec 10, 2024 | 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 |
| Oct 31, 2024 | ▲ G · Actual harm, one-off | The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. · from a complaint |
| Oct 15, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Oct 15, 2024 | 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 |
| Oct 15, 2024 | 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 |
| Oct 15, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Jul 19, 2024 | 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 |
| Jan 22, 2024 | ▲ J · Immediate jeopardy, 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. |
| Jan 22, 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. |
| Jan 22, 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. |
| Jan 22, 2024 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Jan 22, 2024 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
| Jan 22, 2024 | 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. |
| Dec 27, 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 |
| Aug 8, 2023 | 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. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 18 | 2 | J ▲ |
| 2025 | 5 | 0 | E |
| 2026 | 8 | 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.
Fines and enforcement (last 3 years)
2 fines totaling $33,765, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Oct 15, 2024 | Fine | $12,387 |
| Dec 27, 2023 | Fine | $21,378 |
| Dec 27, 2023 | Payment Denial | 3 days from Feb 10, 2024 |
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) | 3.65 | 3.88 | 3.95 | top 49% in Rhode Island; bottom 44% in the U.S. |
| Registered Nurse hours | 0.65 | 0.80 | 0.69 | bottom 32% in Rhode Island; top 42% in the U.S. |
| Weekend total nurse staffing | 3.03 | 3.48 | 3.50 | bottom 28% in Rhode Island; bottom 32% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.48 | 0.55 | 0.48 | bottom 44% in Rhode Island; top 36% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 40.6 | 45.8 | bottom 17% in Rhode Island; bottom 38% in the U.S. |
| RN turnover (%) | 63.0 | 37.9 | 42.9 | bottom 9% in Rhode Island; bottom 17% 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 3.70, RN 0.65, weekend 3.07. Staffing rating: 2/5.
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: 2/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Dasay 2019 Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 01/14/2020 |
| Gamta 2020 Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/21/2020 |
| 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 2 LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/09/2020 |
| Stern, Aharon | Individual | 5% or Greater Indirect Ownership Interest | — | 11/04/2020 |
| Dasari, Naresh | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Dasari, Naresh | Individual | ADP of the SNF | NOT APPLICABLE | 04/24/2025 |
| Klein, Douglas | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/28/2024 |
| Klein, Douglas | Individual | ADP of the SNF | NOT APPLICABLE | 04/09/2025 |
| 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 | 11/04/2020 |
| Stern, Simon | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Stern, Simon | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "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 |
|---|---|---|---|---|---|
| Silver Creek Rehab and Healthcare Center | 0.7 mi | Bristol, RI | ★★☆☆☆ | 2/5 | |
| Warren Operations Ri, LLC DBA Warren Center | 1.8 mi | Warren, RI | ★★★★☆ | 4/5 | |
| Grace Barker Nursing Center | 2.8 mi | Warren, RI | ★★★★☆ | 4/5 | |
| Crestwood Nursing & Rehabilitation Center INC | 3.2 mi | Warren, RI | ★★★★★ | 5/5 | |
| Country Gardens Health and Rehabilitation | 5.2 mi | Swansea, MA | ★☆☆☆☆ | 1/5 | |
| Mill Brook Rehabilitation and Healthcare Center | 5.3 mi | Fall River, MA | ★★★★☆ | 3/5 | |
| Clifton Rehabilitation Nursing Center | 5.7 mi | Somerset, MA | ★★★★☆ | 4/5 | |
| Avalon Nursing Home INC | 5.8 mi | Warwick, RI | ★★☆☆☆ | 3/5 | |
| Somerset Ridge Center | 6.3 mi | Somerset, MA | ★★★★☆ | 4/5 | |
| Fall River Jewish Home | 6.7 mi | Fall River, MA | ★☆☆☆☆ | 2/5 | |
| Kimwell Nursing and Rehabilitation | 7.0 mi | Fall River, MA | ★☆☆☆☆ | 2/5 | |
| The Grove at Carvalho | 7.1 mi | Fall River, MA | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 415050.