Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Pawtucket Falls Healthcare Center
Pawtucket, RI · 154 certified beds · Last Life Safety survey May 11, 2026
CMS Certification Number 415064 · first certified December 1979
Ownership
Operated by THE MAYER FAMILY · For profit - Limited Liability company
- Ownership changed January 1, 2024 (change of ownership)from PAWTUCKET SNF OPERATOR LLC
Position within RI
14 citations — more than 87% of the 72 certified nursing homes in RI. Compared within RI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 6 citations; the earlier surveys on file averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens April 2027 — about 5 months from now. This facility’s last Life Safety survey was May 2026. Facilities in RI are typically surveyed 12–14 months after the last one (median 12), measured over 113 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured
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2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
3 of the 14 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 14 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in RI, and nationally. Surveyors differ markedly between states, so the RI figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 14 |
| Median facility in RI | 4 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| December 13, 2023 | 5 |
| December 12, 2024 | 3 |
| May 11, 2026 | 6 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0712 | Have simulated fire drills held at unexpected times. | 3 | 2026-05-11 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 2 | 2026-05-11 |
| K-0351 | Install an approved automatic sprinkler system. | 1 | 2023-12-13 |
| K-0923 | Have proper medical gas storage and administration areas. | 1 | 2024-12-12 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2023-12-13 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2023-12-13 |
| E-0029 | Develop a communication plan. | 1 | 2026-05-11 |
| E-0036 | Establish emergency prep training and testing. | 1 | 2026-05-11 |
What the citations cover
- Miscellaneous Deficiencies 4
- Smoke Deficiencies 3
- Gas, Vacuum, and Electrical Systems Deficiencies 3
- Emergency Preparedness Deficiencies 3
- Other 1
| Category | Citations |
|---|---|
| Miscellaneous Deficiencies | 4 |
| Smoke Deficiencies | 3 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 3 |
| Emergency Preparedness Deficiencies | 3 |
| Egress Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
May 11, 2026 — 6 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0013 | Develop Emergency Preparedness policies and procedures. | Deficient, Provider has date of correction (June 10, 2026) |
| E-0029 | Develop a communication plan. | Deficient, Provider has date of correction (June 10, 2026) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (June 10, 2026) |
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (June 10, 2026) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (June 10, 2026) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (June 10, 2026) |
December 12, 2024 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (January 10, 2025) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (January 10, 2025) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (January 10, 2025) |
December 13, 2023 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (December 28, 2023) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (December 28, 2023) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (December 28, 2023) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (December 28, 2023) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (December 28, 2023) |
Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.