All states › Rhode Island › East Providence › AdviniaCare Orchard
135 Tripps Lane East Providence, RI 02915 · Providence County
All 7 nursing homes in East Providence, RI (7 take Medicaid)
CMS certification number 415059 · See this home on Medicare Care Compare
Is AdviniaCare Orchard a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for AdviniaCare Orchard as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Rhode Island average of 2.9.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
About this nursing home
Paying for care at AdviniaCare Orchard: Medicare and Medicaid
AdviniaCare Orchard is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Rhode Island's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 26, 2025 and found 8 deficiencies, plus 7 from complaint inspections in the same period. In total, inspectors issued 59 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 59 citations at AdviniaCare Orchard across 20 inspection dates, 28 of them from complaint investigations. 9 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 12, 2026 (complaint inspection). The most common areas cited were quality of life and care (21) and resident assessment and care planning (9). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level L, January 12, 2026). 2 citations were under CMS's abuse, neglect and exploitation rules.
August 21, 2026 · 1 citation · includes complaint inspection
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
January 23, 2026 · 1 citation · includes complaint inspection
CMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
January 12, 2026 · 4 citations, includes immediate jeopardy · includes complaint inspection
LEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
LProvide and implement an infection prevention and control program.
FDispose of garbage and refuse properly.
EEstablish 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.
September 24, 2025 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
September 17, 2025 · 1 citation · includes complaint inspection
EProvide safe, appropriate dialysis care/services for a resident who requires such services.
August 13, 2025 · 1 citation · includes complaint inspection
DProvide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
June 26, 2025 · 9 citations, includes actual harm · includes complaint inspection
GEnsure that residents are free from significant medication errors.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide and implement an infection prevention and control program.
EKeep all essential equipment working safely.
EPut firmly secured handrails on each side of hallways.
DProvide safe, appropriate pain management for a resident who requires such services.
DAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
April 2, 2025 · 4 citations · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
March 27, 2025 · 1 citation · includes complaint inspection
EMake sure that a working call system is available in each resident's bathroom and bathing area.
December 3, 2024 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
October 24, 2024 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
September 12, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
July 2, 2024 · 1 citation · includes complaint inspection
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
June 26, 2024 · 10 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DObserve each nurse aide's job performance and give regular training.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
April 23, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
February 15, 2024 · 2 citations, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
FCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
January 3, 2024 · 2 citations · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
December 5, 2023 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 9, 2023 · 1 citation · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
July 6, 2023 · 14 citations, includes immediate jeopardy
JEnsure services provided by the nursing facility meet professional standards of quality.
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
JProvide enough food/fluids to maintain a resident's health.
JObtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
FEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProvide care or services that was trauma informed and/or culturally competent.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DAllow residents to self-administer drugs if determined clinically appropriate.
DEnsure each resident receives an accurate assessment.
DAssist a resident in gaining access to vision and hearing services.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
DEnsure 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.
Questions to ask on a tour of AdviniaCare Orchard
- Inspectors cited the home at the immediate-jeopardy level on January 12, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on September 12, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
5 penalties in the last three years, including $103,744 in fines.
| Date | Type | Amount or length |
|---|---|---|
| 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 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 2/5 |
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Location
Hospitals near AdviniaCare Orchard
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.7 mi
-
3.2 mi
Rhode Island Hospital ProvidenceEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 4h 18m for patients treated and sent home
-
3.3 mi
Women and Infants Hospital of Rhode Island ProvidenceEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 54m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near AdviniaCare Orchard › All nursing homes in East Providence ›
Compare AdviniaCare Orchard with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Eastgate Nursing & Rehabilitation Center · East Providence · 5 stars · 2.3 mi
- Tockwotton on the Waterfront · East Providence · 5 stars · 2.4 mi
- Jeanne Jugan Residence · Pawtucket · 5 stars · 5.6 mi
- Cedar Crest Nursing Centre · Cranston · 5 stars · 6.3 mi
Other Adviniacare nursing homes in Rhode Island
- Adviniacare Pawtucket Pleasant Rehab Center · Pawtucket · 2 stars
- AdviniaCare Waterview Villas · East Providence · 2 stars
- Adviniacare Providence Dodge Rehab Center · Providence · 2 stars
- AdviniaCare Summit Commons · Providence · 1 stars
- AdviniaCare Oakland Grove · Woonsocket · 1 stars
- AdviniaCare Newport · Newport · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 14 Adviniacare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.