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 December 12, 2024
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
13 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 3 citations; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (November 2025 to January 2026), and past the point by which nine in ten RI facilities have been surveyed. This facility’s last Life Safety survey was December 2024. Facilities in RI are typically surveyed 11–14 months after the last one (median 12), measured over 117 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 three years in Maryland. How the window is measured
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3 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 ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
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 13 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 | 13 |
| Median facility in RI | 4 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| January 23, 2023 | 5 |
| December 13, 2023 | 5 |
| December 12, 2024 | 3 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 2 | 2023-12-13 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 2 | 2023-12-13 |
| K-0712 | Have simulated fire drills held at unexpected times. | 2 | 2024-12-12 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2023-01-23 |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 1 | 2023-12-13 |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | 1 | 2023-01-23 |
| K-0919 | Meet requirements for the use of electrical equipment. | 1 | 2023-01-23 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2024-12-12 |
What the citations cover
- Smoke Deficiencies 7
- Miscellaneous Deficiencies 3
- Gas, Vacuum, and Electrical Systems Deficiencies 3
| Category | Citations |
|---|---|
| Smoke Deficiencies | 7 |
| Miscellaneous Deficiencies | 3 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 3 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
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) |
January 23, 2023 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (February 13, 2023) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (February 13, 2023) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (February 13, 2023) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (February 13, 2023) |
| K-0919 | Meet requirements for the use of electrical equipment. | Deficient, Provider has date of correction (February 13, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.