Providence County, Rhode Island · Nursing home
AdviniaCare Orchard, LLC
1 of 5 overall from CMS
135 Tripps Lane, East Providence, RI 02915
At a glance
- Overall rating 1 of 5 Below the state average of 2.9
- Nurse time per resident, per day 4.20 hours Above the state average of 3.71
- Nursing staff who left in a year 20.2% Below the state average of 40.6%
- Health citations in 3 years 58 11 at the harm level or above
- Fines in 3 years $103,744 5 fines
- Certified beds in use 18.1% of 166 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
AdviniaCare Orchard, LLC is a 166-bed nursing home in East Providence, Rhode Island (Providence County). CMS rates it 1 of 5 stars overall as of Aug 2026. It reports 4.20 nurse staffing hours per resident per day, above the Rhode Island average of 3.71. CMS lists 5 fines totaling $103,744 in the past three years.
- Certified beds
- 166
- Residents per day (average)
- 30.1
- Certified since
- 1978 (48 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Athena Healthcare Systems (22 homes)CMS Special Focus: SFF Candidate
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings. Flags are shown as published by CMS; see Medicare.gov Care Compare for their definitions.
Questions to ask AdviniaCare Orchard, LLC
Chosen from this home's public data.
- CMS lists this home as "SFF Candidate" in its Special Focus Facility program. What is the improvement plan, and what has changed so far?Special Focus status in CMS data
- CMS lists 5 fines totaling $103,744 in the past three years. What changed after the most recent one?Penalties in CMS data
- The latest standard inspection (Jun 26, 2025) cited 17 health deficiencies; the Rhode Island average is 9.2. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Rhode Island average 2.9
- Health inspections 1 of 5 Rhode Island average 2.8
- Staffing 1 of 5 Rhode Island average 3.2
- Quality measures 2 of 5 Rhode Island average 3.1
The vertical line marks the Rhode Island average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.20 h Rhode Island average 3.71
- Nurse aides 2.54 h Rhode Island average 2.46
- Licensed practical nurses 0.67 h Rhode Island average 0.49
- Registered nurses 0.99 h Rhode Island average 0.76
- All staff, weekends 3.51 h Rhode Island average 3.34
How much nurse staffing is enough? All bars share one scale, 0 to 6 hours. The vertical line marks the Rhode Island average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover20.2%
- Rhode Island average40.6%
- Registered nurse turnover10.5%
- Rhode Island average37.9%
- Administrators who left1
Inspection history
Inspectors cited 58 health deficiencies in the past three years. Of these, 9 were at the immediate jeopardy level and 2 involved actual harm; the rest were graded as no actual harm. 27 followed a complaint investigation. The most recent citation at the harm level or above was on Jan 12, 2026: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Inspection date | Health | Fire safety |
|---|---|---|
| Jun 26, 2025 | 17 | 10 |
| Jun 26, 2024 | 19 | 3 |
| Jul 6, 2023 | 22 | 4 |
Rhode Island homes averaged 9.2 health deficiencies in the latest cycle; the national average is 9.3.
Health citations, past three years (58)
-
CPotential for minimal harm, widespread
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Complaint inspection · Environmental · Deficient, Provider has date of correction (May 29, 2026)
-
LImmediate jeopardy, widespread
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint inspection · Quality of Life and Care · Deficient, Provider has date of correction (Jan 19, 2026)
-
LImmediate jeopardy, widespread
Provide and implement an infection prevention and control program.
Complaint inspection · Infection Control · Deficient, Provider has date of correction (Jan 19, 2026)
-
FPotential for more than minimal harm, widespread
Dispose of garbage and refuse properly.
Complaint inspection · Nutrition and Dietary · Past Non-Compliance (Jan 7, 2026)
-
EPotential for more than minimal harm, pattern
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Complaint inspection · Administration · Deficient, Provider has date of correction (Jan 19, 2026)
Show 25 more
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DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint inspection · Quality of Life and Care · Deficient, Provider has date of correction (Oct 14, 2025)
-
EPotential for more than minimal harm, pattern
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Complaint inspection · Quality of Life and Care · Deficient, Provider has date of correction (Oct 6, 2025)
-
DPotential for more than minimal harm, isolated
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Complaint inspection · Administration · Deficient, Provider has date of correction (Aug 29, 2025)
-
GActual harm, isolated
Ensure that residents are free from significant medication errors.
Complaint inspection · Pharmacy Service · Deficient, Provider has date of correction (Jul 26, 2025)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jul 26, 2025)
-
FPotential for more than minimal harm, widespread
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · Deficient, Provider has date of correction (Jul 26, 2025)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 26, 2025)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 26, 2025)
-
EPotential for more than minimal harm, pattern
Keep all essential equipment working safely.
Environmental · Deficient, Provider has date of correction (Jul 26, 2025)
-
EPotential for more than minimal harm, pattern
Put firmly secured handrails on each side of hallways.
Environmental · Deficient, Provider has date of correction (Jul 26, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 26, 2025)
-
DPotential for more than minimal harm, isolated
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · Deficient, Provider has date of correction (Jul 26, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 9, 2025)
-
DPotential for more than minimal harm, isolated
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Complaint inspection · Nutrition and Dietary · Deficient, Provider has date of correction (May 9, 2025)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 9, 2025)
-
DPotential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Complaint inspection · Environmental · Deficient, Provider has date of correction (May 9, 2025)
-
EPotential for more than minimal harm, pattern
Make sure that a working call system is available in each resident's bathroom and bathing area.
Complaint inspection · Environmental · Deficient, Provider has date of correction (May 9, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 17, 2024)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 6, 2024)
-
JImmediate jeopardy, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 12, 2024)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint inspection · Quality of Life and Care · Deficient, Provider has date of correction (Sep 12, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint inspection · Quality of Life and Care · Deficient, Provider has date of correction (Jul 22, 2024)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jul 22, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 22, 2024)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 22, 2024)
Showing the 30 most recent of 58.
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jan 12, 2026 | Fine | $23,485 |
| Jan 12, 2026 | Fine | $25,485 |
| Sep 12, 2024 | Fine | $23,923 |
| Apr 23, 2024 | Fine | $16,801 |
| Feb 15, 2024 | Fine | $14,050 |
Rhode Island homes averaged 2.1 fines and $65,018 in fine amounts; the national averages are 0.9 and $31,093.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Rhode Island
- Size12 of 72 by certified beds
- Rhode Island average residents per day98.3
- ChainAthena Healthcare Systems
- Chain average overall rating1.5 of 5
- Resident or family councilResident
- Homes in Providence County41
Common questions
What is the CMS star rating for AdviniaCare Orchard, LLC?
AdviniaCare Orchard, LLC has an overall rating of 1 of 5 stars from CMS as of Aug 2026. Its health inspection rating is 1, staffing is 1 and quality measures is 2.
How many beds does AdviniaCare Orchard, LLC have?
AdviniaCare Orchard, LLC has 166 certified beds. It averages 30.1 residents per day, about 18.1% of its certified beds.
How much nursing care do residents get at AdviniaCare Orchard, LLC?
The home reports 4.20 hours of nurse staffing per resident per day, including 0.99 hours from registered nurses. The Rhode Island average is 3.71 hours and 0.76 hours from registered nurses.
Has AdviniaCare Orchard, LLC been fined?
Yes. CMS lists 5 fines totaling $103,744 in the past three years.
Does AdviniaCare Orchard, LLC accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Nearest nursing homes
- 4 of 5 Hattie Ide Chaffee Home 69beds 97.2%in use 5.39nurse hours a day
- 4 of 5 Evergreen House Health Center 160beds 90.3%in use 3.92nurse hours a day
- 2 of 5 AdviniaCare Waterview Villas, LLC 132beds 94.5%in use 3.14nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Providence County
Who to call in Rhode Island
These offices serve residents of every nursing home in Rhode Island.
- Long-term care ombudsman Office of the Rhode Island State Long Term Care Ombudsman 1-888-351-0808 A free advocate for residents and their families.
- File a complaint about a nursing home Rhode Island Department of Health, Complaint Unit 401-222-5960 The state agency that inspects nursing homes.
Rhode Island staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Aug 1, 2026. CMS Certification Number 415059. Check the official record on Medicare.gov
See something shown incorrectly? Tell us. To change the underlying record, the home must contact CMS or its state survey agency.