All states › Rhode Island › Smithfield › Heritage Hills Nursing & Rehabilitation Center
80 Douglas Pike Smithfield, RI 02917 · Providence County
All 2 nursing homes in Smithfield, RI (2 take Medicaid)
CMS certification number 415039 · See this home on Medicare Care Compare
Is Heritage Hills Nursing & Rehabilitation Center 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 Heritage Hills Nursing & Rehabilitation Center 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
Nursing staff spend about 3.59 hours per resident per day at Heritage Hills Nursing & Rehabilitation Center, about the same as the Rhode Island median of 3.61 (US median: 3.72). About 0.67 of those hours are from registered nurses. On weekends it falls to 3.34 hours, 7% below its all-week average. 42.7% of nursing staff left within a year (Rhode Island median 40.3%). 2 administrators left in the past year.
About this nursing home
Paying for care at Heritage Hills Nursing & Rehabilitation Center: Medicare and Medicaid
Heritage Hills Nursing & Rehabilitation Center 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 September 18, 2025 and found 15 deficiencies, plus 7 from complaint inspections in the same period. In total, inspectors issued 65 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 65 citations at Heritage Hills Nursing & Rehabilitation Center across 18 inspection dates, 24 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 18, 2025. The most common areas cited were quality of life and care (22) and resident assessment and care planning (12). 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 J, September 18, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
June 16, 2026 · 3 citations · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure each resident receives an accurate assessment.
February 6, 2026 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
January 14, 2026 · 3 citations · includes complaint inspection
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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
September 18, 2025 · 15 citations, includes immediate jeopardy
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
JEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
FHonor 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.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EConduct 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.
EHave a plan that describes the process for conducting QAPI and QAA activities.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure medication error rates are not 5 percent or greater.
DEnsure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
DInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
DProvide and implement an infection prevention and control program.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
August 1, 2025 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 2, 2025 · 1 citation · includes complaint inspection
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
January 23, 2025 · 1 citation · includes complaint inspection
EEnsure services provided by the nursing facility meet professional standards of quality.
January 10, 2025 · 1 citation · includes complaint inspection
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
January 6, 2025 · 2 citations · includes complaint inspection
DThe resident has the right to receive notices in a format and a language he or she understands.
DEnsure services provided by the nursing facility meet professional standards of quality.
September 13, 2024 · 13 citations
FProvide and implement an infection prevention and control program.
FImplement a program that monitors antibiotic use.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
EEnsure medication error rates are not 5 percent or greater.
DHonor each resident's preferences, choices, values and beliefs.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate pain management for a resident who requires such services.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
August 16, 2024 · 3 citations · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide and implement an infection prevention and control program.
July 31, 2024 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
June 18, 2024 · 1 citation · includes complaint inspection
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.
May 9, 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.
April 2, 2024 · 2 citations · includes complaint inspection
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DEnsure that residents are free from significant medication errors.
November 2, 2023 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
October 16, 2023 · 13 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FImplement a program that monitors antibiotic use.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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 enough food/fluids to maintain a resident's health.
DEnsure 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.
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.
DProvide and implement an infection prevention and control program.
October 4, 2023 · 2 citations · includes complaint inspection
EEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
Questions to ask on a tour of Heritage Hills Nursing & Rehabilitation Center
- Inspectors cited the home at the immediate-jeopardy level on September 18, 2025 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 January 14, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Several administrators left in the past year. What has changed for residents since then?
- 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
2 penalties in the last three years, including $8,827 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Sep 16, 2025 | Payment Denial | 3 days of payments denied |
| May 9, 2024 | Fine | $8,827 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 4/5 |
| August 2026 | 2/5 | 1/5 | 2/5 | 5/5 |
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Location
Hospitals near Heritage Hills Nursing & Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
1.5 mi
Our Lady of Fatima Hospital North ProvidenceEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 13m for patients treated and sent home
-
3.4 mi
Roger Williams Medical Center ProvidenceEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 32m for patients treated and sent home
- 3.6 mi
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 Heritage Hills Nursing & Rehabilitation Center › All nursing homes in Smithfield ›
Compare Heritage Hills Nursing & Rehabilitation Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Cherry Hill Manor · Johnston · 5 stars · 2.8 mi
- Jeanne Jugan Residence · Pawtucket · 5 stars · 3.7 mi
- Grandview Center · Cumberland · 5 stars · 4.3 mi
- Stillwater Assisted Living and Skilled Nursing Community · Greenville · 5 stars · 4.4 mi
Other Marquis Health Services nursing homes in Rhode Island
- Morgan Health Center · Johnston · 3 stars
- Westerly Health Center · Westerly · 3 stars
- Elmhurst Rehabilitation and Healthcare Center · Providence · 2 stars
- Bayview Rehabilitation and Healthcare Center · North Kingstown · 2 stars
- Lincolnwood Rehabilitation and Healthcare Center · North Providence · 2 stars
- Riverview Healthcare Community · Coventry · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 90 Marquis Health Services 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.