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Nursing home report

Heritage Hills Nursing & Rehabilitation Center

Smithfield, RI · Medicare-certified · 100 beds

Needs attention
Special Focus candidateFor-profitChain member
2 of 5 overall

Heritage Hills Nursing & Rehabilitation Center has an overall rating of 2 out of 5 stars, with a 1-star health inspection rating and 2-star staffing rating despite a 5-star quality measures rating. It is a Special Focus Facility candidate/attention-flagged facility, has had $8,827 in fines in the last 24 months, and reported nurse staffing of 3.89 hours per resident per day below the 4.1 benchmark.

Facility ratings

Health inspections

Staffing

3.8896 hrs/resident/day

Quality measures

Last inspection: February 6, 2026Penalties, last 24 months: $8,827special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8896.

Staffing detail

Registered nurses
0.64
Licensed practical nurses
1.01
Nurse aides
2.25
Weekend nursing
3.45

Hours per resident per day.

Total staff turnover: 47%
Registered nurse turnover: 53%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

20.8%15.6%Improving

Residents with a fall causing major injury

0%1.4%Worsening

Residents with pressure ulcers (bedsores)

3.8%1.9%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

6.2%3.3%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

6.3%23.7%Worsening

Residents whose ability to walk got worse

5.2%21.7%Worsening

Long-stay residents on antianxiety or sleep medication

9.1%8.2%Improving

Short-stay residents newly given an antipsychotic

1.7%3.7%Worsening

Residents with a long-term catheter

0%2.1%Worsening

Residents with new or worsening incontinence

24.2%22%Improving

Residents with depressive symptoms

46.2%58.7%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

94.9%

Long-stay residents given the pneumonia vaccine

98.6%98.6%No change

Short-stay residents given the seasonal flu vaccine

75.6%

Short-stay residents given the pneumonia vaccine

81.2%91.4%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to ensure residents received food prepared in a form that met their individual needs. Cited September 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 805 — 42 CFR §483.60 — S/S: J

The nursing home failed to ensure residents were free from significant medication errors. Cited June 2023 — isolated incident, actual harm.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited September 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: F

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 15 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal payment denial was recorded.

  6. PENALTY

    A federal fine of $8,827 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $17,475 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Sep 16, 2025

    3 days
  • Federal fine

    May 9, 2024

    $8,827
  • Federal fine

    Jun 28, 2023

    $8,648

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of MARQUIS HEALTH SERVICES · 88 homes · 3 stars avg
Occupancy
87.5 residents on an average day (88% of 100 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 52 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.