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Heritage Hills Nursing & Rehabilitation Center

All states › Rhode Island › Smithfield › Heritage Hills Nursing & Rehabilitation Center

80 Douglas Pike Smithfield, RI 02917 · Providence County

(401) 231-2700

All 2 nursing homes in Smithfield, RI (2 take Medicaid)

Accepts Medicare Accepts Medicaid 100 certified beds For profit

CMS certification number 415039 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 65 citations in the last three years. CMS imposed 2 penalties, including $8,827 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

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.

Nursing care per resident per day 3.59 hours
About the Rhode Island median Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.67 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.34 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 42.7% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 63.2% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds100
Residents per day 93 About 93% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceMarch 1974
Part of a chainMarquis Health Services
Legal business nameHERITAGE HILLS OPERATOR LLC

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.

Actual harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Jun 30, 2026)

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Jun 30, 2026)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Complaint inspection · Deficient, Provider has date of correction (Jun 30, 2026)

February 6, 2026 · 1 citation · includes complaint inspection

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Feb 16, 2026)

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.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Feb 6, 2026)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Feb 6, 2026)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Feb 6, 2026)

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.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Oct 18, 2025)

JEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Immediate jeopardy · Nutrition and Dietary Deficiencies · Tag F0805 · Deficient, Provider has date of correction (Oct 18, 2025)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Oct 18, 2025)

EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Oct 18, 2025)

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Oct 18, 2025)

EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Deficient, Provider has date of correction (Oct 18, 2025)

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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Deficient, Provider has date of correction (Oct 18, 2025)

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.

Potential for more than minimal harm · Administration Deficiencies · Tag F0838 · Deficient, Provider has date of correction (Oct 18, 2025)

EHave a plan that describes the process for conducting QAPI and QAA activities.

Potential for more than minimal harm · Administration Deficiencies · Tag F0865 · Deficient, Provider has date of correction (Oct 18, 2025)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Oct 18, 2025)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Oct 18, 2025)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0811 · Deficient, Provider has date of correction (Oct 18, 2025)

DInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Potential for more than minimal harm · Administration Deficiencies · Tag F0847 · Deficient, Provider has date of correction (Oct 18, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Oct 18, 2025)

DMake sure that a working call system is available in each resident's bathroom and bathing area.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0919 · Deficient, Provider has date of correction (Oct 18, 2025)

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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Aug 18, 2025)

April 2, 2025 · 1 citation · includes complaint inspection

EProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Apr 18, 2025)

January 23, 2025 · 1 citation · includes complaint inspection

EEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Jan 30, 2025)

January 10, 2025 · 1 citation · includes complaint inspection

EProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Jan 30, 2025)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0574 · Complaint inspection · Deficient, Provider has date of correction (Jan 30, 2025)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Jan 30, 2025)

September 13, 2024 · 13 citations

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Oct 13, 2024)

FImplement a program that monitors antibiotic use.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0881 · Deficient, Provider has date of correction (Oct 13, 2024)

EEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Oct 13, 2024)

EProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Oct 13, 2024)

EProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Oct 13, 2024)

EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Deficient, Provider has date of correction (Oct 13, 2024)

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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Deficient, Provider has date of correction (Oct 13, 2024)

EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Oct 13, 2024)

EEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Oct 13, 2024)

DHonor each resident's preferences, choices, values and beliefs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0675 · Deficient, Provider has date of correction (Oct 13, 2024)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Oct 13, 2024)

DProvide safe, appropriate pain management for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0697 · Deficient, Provider has date of correction (Oct 13, 2024)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Oct 13, 2024)

August 16, 2024 · 3 citations · includes complaint inspection

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Aug 30, 2024)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Aug 30, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Aug 30, 2024)

July 31, 2024 · 1 citation · includes complaint inspection

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Aug 30, 2024)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Past Non-Compliance (May 14, 2024)

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.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (May 9, 2024)

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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Complaint inspection · Past Non-Compliance (Mar 27, 2024)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Past Non-Compliance (Mar 27, 2024)

November 2, 2023 · 1 citation · includes complaint inspection

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Nov 3, 2023)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Nov 3, 2023)

FImplement a program that monitors antibiotic use.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0881 · Deficient, Provider has date of correction (Nov 3, 2023)

EDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Nov 3, 2023)

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Deficient, Provider has date of correction (Nov 3, 2023)

DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 · Deficient, Provider has date of correction (Nov 3, 2023)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Nov 3, 2023)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Nov 3, 2023)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Nov 3, 2023)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Nov 3, 2023)

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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Nov 3, 2023)

DProvide for the safe, appropriate administration of IV fluids for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0694 · Deficient, Provider has date of correction (Nov 3, 2023)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Nov 3, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Nov 3, 2023)

October 4, 2023 · 2 citations · includes complaint inspection

EEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Nov 3, 2023)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Nov 3, 2023)

Questions to ask on a tour of Heritage Hills Nursing & Rehabilitation Center

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on January 14, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Several administrators left in the past year. What has changed for residents since then?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. 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.

DateTypeAmount or length
Sep 16, 2025 Payment Denial 3 days of payments denied
May 9, 2024 Fine $8,827

Rating history

CMS monthOverallInspectionStaffingQuality
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 Providence
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 3h 13m for patients treated and sent home
  • 3.4 mi
    Roger Williams Medical Center Providence
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 3h 32m for patients treated and sent home
  • 3.6 mi
    Providence VA Medical Center Providence
    Emergency room ★★★★☆ Medicare overall 4 of 5

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Lincolnwood Rehabilitation and Healthcare Center North Providence · 0.8 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 200 beds · Medicaid
Golden Crest Nursing Centre North Providence · 1.8 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 152 beds · Medicaid
Cherry Hill Manor Johnston · 2.8 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 171 beds · Medicaid
Berkshire Place Providence · 3.2 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 2/5 220 beds · Medicaid
Elmhurst Rehabilitation and Healthcare Center Providence · 3.3 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 206 beds · Medicaid

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

Other Marquis Health Services nursing homes in Rhode Island

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.

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https://www.nursinghomesineachstate.com/rhode-island/smithfield/heritage-hills-nursing-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.