Coventry Operations Ri LLC DBA Respiratory and Reh
Medicare withholds the star rating from every home in its Special Focus Facility program. This rating is not missing. It is withheld.
Staffing
Where the benchmark comes from
Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.
Medicare attached a note to this home’s staffing figure, numbered 18. Medicare does not publish what its staffing note numbers mean, so we cannot tell you why it is there, only that it is. Treat the hours above, and the gap we work out from them, with that in mind.
What inspectors found
Inspectors visit every nursing home and write up what they find. This home has 81 findings on record going back to 2023, 50 of them after someone filed a complaint.
The 18 serious findings here
Breathing care missed
The home did not give a resident safe and proper care for their breathing when they needed it.
The home fixed this on June 15, 2026.
Medicare’s wording
Federal tag F695Provide safe and appropriate respiratory care for a resident when needed.
Food not chopped or softened
The home did not serve food chopped, ground, or softened for residents who needed it that way.
The home fixed this on May 6, 2026.
Medicare’s wording
Federal tag F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Not enough staff
The home did not have enough nursing staff to care for its residents.
The home fixed this on November 24, 2025.
Medicare’s wording
Federal tag F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Staff lacked skills
The home did not make sure its nurses and aides had the skills needed to care for its residents.
The home fixed this on November 24, 2025.
Medicare’s wording
Federal tag F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Accidents and supervision
The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.
The home fixed this on November 24, 2025.
Medicare’s wording
Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Medication errors
The home did not keep a resident free of a significant medication error.
The home fixed this on November 24, 2025.
Medicare’s wording
Federal tag F760Ensure that residents are free from significant medication errors.
CPR rules not met
The home did not provide basic life support, including CPR, before emergency responders arrived, where the resident’s own doctor’s orders and advance directives called for it.
The home fixed this on November 24, 2025.
Medicare’s wording
Federal tag F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel, subject to physician orders and the resident’s advance directives.
Doctor and spokesperson not told
The home did not quickly tell the doctor, or the person who speaks for the resident, about a major change.
The home fixed this on July 13, 2025.
Medicare’s wording
Federal tag F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of care
A resident did not get treatment and care that followed their orders, their own preferences and their goals.
The home fixed this on July 13, 2025.
Medicare’s wording
Federal tag F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Medication errors
The home did not keep a resident free of a significant medication error.
The home fixed this on July 13, 2025.
Medicare’s wording
Federal tag F760Ensure that residents are free from significant medication errors.
Accidents and supervision
The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.
The home fixed this on September 17, 2024.
Medicare’s wording
Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Breathing care missed
The home did not give a resident safe and proper care for their breathing when they needed it.
The home fixed this on June 19, 2024.
Medicare’s wording
Federal tag F695Provide safe and appropriate respiratory care for a resident when needed.
Quality of care
A resident did not get treatment and care that followed their orders, their own preferences and their goals.
The home fixed this on June 18, 2024.
Medicare’s wording
Federal tag F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Poorly run
The home was not managed in a way that let it provide proper care.
The home fixed this on June 13, 2024.
Medicare’s wording
Federal tag F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Not enough staff
The home did not have enough nursing staff to care for its residents.
The home fixed this on June 13, 2024.
Medicare’s wording
Federal tag F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Feeding tube rules broken
The home used a feeding tube without a medical reason, or did not care for the tube properly.
The home fixed this on May 8, 2024.
Medicare’s wording
Federal tag F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Information not passed on
The home did not pass on the information the resident and their next care provider needed for a planned move.
The home fixed this on March 15, 2024.
Medicare’s wording
Federal tag F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Medication errors
The home did not keep a resident free of a significant medication error.
The home fixed this on January 15, 2024.
Medicare’s wording
Federal tag F760Ensure that residents are free from significant medication errors.
Everything on record
71 of the 72 nursing homes in Rhode Island have fewer findings of harm or immediate jeopardy on record than this one.
Medicare has blocked payment for new admissions at this home 2 times, for 43 days in total. The most recent block lasted 39 days and started May 7, 2026.
What these levels mean
JImmediate jeopardy The most serious finding there is. Medicare’s words: noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death. About 2 in every 100 findings nationally.
GActual harm A resident was really hurt, not just put at risk. About 3 in every 100 findings.
The letter is Medicare’s own code for how many residents were involved. Immediate jeopardy covers J, K and L. Actual harm covers G, H and I. The later the letter, the more residents were affected.
The plain-English line under each finding describes the rule the inspector cited. It is not an account of what happened. Medicare’s own wording of the rule is printed with it, and the full inspection report is the record of the incident.
This home has 3 findings under three federal tags that are counted together, and they do not all mean abuse: F600 is abuse or neglect, F602 is the wrongful use of a resident’s belongings or money, and F603 is involuntary seclusion. Medicare also publishes a separate abuse warning icon, which is narrower and time-limited, and this home also carries it.
What you can do
Numbers only go so far. These are two things most families do not know they can do.
Ask for today’s staffing sheet
Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.
Call the ombudsman before you decide
Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.
Where this comes from
Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 415078.
Medicare’s provider file allows 50 characters for a home’s name, and this one reaches that limit, so the name above may be cut short of the full legal name.
What these numbers do not say
Fines can be appealed and reduced. The amount shown is what CMS had recorded as of this release. Medicare’s penalties file covers a rolling window of the last few years rather than a home’s whole history, so this is what Medicare publishes today and not everything this home has ever been fined. The year beside the figure above is the earliest fine Medicare still lists for it.
The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.
Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.