Facility profile · CCN 415078
Coventry Operations Ri Llc Dba Respiratory And Reh
65 federal citations on record , including 11 at the Immediate Jeopardy level, and 8 federal enforcement actions totaling $565,376.
Record summary
Federal record · Q1 202665
Total citations
60
Last 3 years
16
Actual harm+
8
Federal penalties
$565,376
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
65 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 19, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Oct 28, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Oct 28, 2025 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Complaint |
| Oct 28, 2025 | F760 | Ensure that residents are free from significant medication errors. | J | Complaint |
| Oct 28, 2025 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | K | Complaint |
| Oct 28, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | G | Complaint |
| Oct 28, 2025 | F710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Complaint |
| Oct 28, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Oct 28, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Oct 28, 2025 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint |
| Jun 30, 2025 | F760 | Ensure that residents are free from significant medication errors. | J | Complaint |
| Jun 30, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Jun 30, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Complaint |
| Apr 15, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Mar 21, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Mar 21, 2025 | F881 | Implement a program that monitors antibiotic use. | E | Standard |
| Mar 21, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Mar 21, 2025 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard |
| Mar 21, 2025 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | Standard |
| Mar 21, 2025 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Mar 21, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Mar 21, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Mar 21, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Mar 21, 2025 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Mar 21, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| Mar 21, 2025 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard |
| Mar 21, 2025 | F568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard |
| Mar 21, 2025 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Aug 22, 2024 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Complaint |
| Aug 22, 2024 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Complaint |
| Aug 22, 2024 | F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | Complaint |
| Aug 22, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Aug 22, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | F | Complaint |
| Jul 18, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Jul 18, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Jul 11, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint |
| Jun 6, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint |
| Jun 6, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | K | Complaint |
| May 23, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| May 23, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| May 23, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| May 23, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| May 14, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | Complaint |
| May 14, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | K | Complaint |
| Apr 26, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint |
| Apr 26, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Apr 8, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint |
| Apr 8, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Apr 8, 2024 | F710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Standard |
| Apr 8, 2024 | F693 | Ensure 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. | G | Standard |
| Mar 1, 2024 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint |
| Mar 1, 2024 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | J | Complaint |
| Feb 6, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| Dec 26, 2023 | F760 | Ensure that residents are free from significant medication errors. | J | Complaint |
| Nov 15, 2023 | F825 | Provide or get specialized rehabilitative services as required for a resident. | E | Complaint |
| Nov 15, 2023 | F710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Complaint |
| Nov 15, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Nov 7, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Nov 7, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Aug 8, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Jan 26, 2023 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | Standard |
| Jan 26, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jan 26, 2023 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard |
| Jan 26, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Jan 26, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
Federal enforcement history
Federal regulators have imposed 8 enforcement actions against this facility, including 6 civil money penalties totaling $565,376 and 2 payment-denial actions spanning 14 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Oct 28, 2025 | Fine | $370,235 | — |
| Oct 28, 2025 | Payment Denial | — | Nov 14, 2025 · 10 days |
| Aug 22, 2024 | Payment Denial | — | Sep 13, 2024 · 4 days |
| Aug 22, 2024 | Fine | $47,990 | — |
| Apr 8, 2024 | Fine | $120,182 | — |
| Apr 8, 2024 | Fine | $8,824 | — |
| Feb 6, 2024 | Fine | $8,827 | — |
| Dec 26, 2023 | Fine | $9,318 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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