Nursing HomeMedicaid Needs closer review

Adviniacare Orchard, LLC

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

135 Tripps Lane, Riverside · East Providence, RI 02915|166 beds|Licensed & active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

3.1/5

based on 47 Google reviews

(401) 438-2250 Directions Website

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5flags

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Public Medicare Flags to Review

These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.

Special Focus Facility (under heightened CMS scrutiny)
Low overall rating (1/5 stars)
Low health inspection rating (1/5 stars)
4 Medicare penalties on record
Above-median findings in the latest survey (17 vs median 7)

Staff turnover reported at 20%

Source: Medicare data

What this means for your family

Medicare Special Focus status indicates a history of serious quality problems and heightened oversight. Review the latest inspection records, ask what corrective actions remain open, and visit in person before deciding.

Google Reviews

47 public Google reviews available

AdviniaCare Orchard, LLC receives highly polarized feedback, with some families praising the rehab therapy and individual staff members, while others report severe neglect and systemic failures. Common complaints include poor hygiene, unresponsive communication, and inadequate staffing, leading to significant concerns regarding resident safety and basic care standards.

Quality Themes

Tap a score for details

Strengths

Effective physical therapy and rehabilitation
Helpful and friendly ambassador program
Some dedicated and caring individual staff members

Concerns

Neglect of basic hygiene and resident cleanliness (mentioned by 6 reviewers)
Poor communication and unresponsiveness to family inquiries (mentioned by 5 reviewers)
Understaffing and lack of professional care (mentioned by 5 reviewers)
Allegations of lying or covering up incidents/injuries (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 41 analyzed

How They Respond to Reviews

80%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1I noticed that communication is a high priority for families; what is your specific process for updating us on any changes in our loved one's health or daily status?
2Given the importance of hygiene and resident comfort, could you walk us through the daily routine for assisting residents with personal grooming and room cleanliness?
3I see that your rehabilitation and physical therapy programs are highly regarded; how do you integrate those services into the daily schedule for residents who need extra support?
4In light of the recent focus on transparency, what is your protocol for documenting and informing families immediately if an unexpected injury or incident occurs?
5I appreciate that you actively engage with online feedback; how do you use that family input to make tangible improvements to the dining experience and meal quality?
6With a capacity of 166 residents, how does your nursing team ensure that individual needs for medication management and professional care are met consistently throughout the day and night?

Personalized based on this facility's data

Key Review Excerpts

“My mom is a resident and has been treated so horribly! A COPD patient in a room that is 90 plus degrees, complaining she cannot breath. When family members brought this to the staffs attention we were assured that she would be moved on Monday.”

Long-term resident's family · 2023★☆☆☆☆

“My dad has dementia with recent aggressive tendencies emerging, so proper administration of his meds is crucial for his and everyone else's safety. My dad has a propensity to cheek/spit out his meds. Upon meeting the med tech for my first visit there, she asked me what to do about this.”

Memory care family member · 2025★☆☆☆☆

Source: 41 Google reviews in the current analysis set; Google reports 47 total

Staffing

Staffing Hours

per resident/day · Medicare public data

RN Hours

0.71hrs

95%

Registered nurses for medical care

Total Nursing

3.41hrs

83%

All nurses + aides combined

Staff Turnover

20%

Lower is better (< 30% = good)

RN Turnover

10%

Lower is better (< 30% = good)

Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.

Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Long-Stay Residents

Residents on antipsychotic medication

↓ Lower is better

This Facility31.9%

Worse than Avg

Here

31.9%

15.5%

22.8%

Providence

23.8%

Residents with depression symptoms

↓ Lower is better

This Facility2.4%

Better than Avg

Here

2.4%

12.1%

15.7%

Providence

12.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Residents whose walking got worse

↓ Lower is better

This Facility25.0%

Worse than Avg

Here

25.0%

15.3%

17.7%

Providence

16.1%

Residents needing more daily help over time

↓ Lower is better

This Facility11.3%

Better than Avg

Here

11.3%

14.4%

19.7%

Providence

18.4%

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

93.7%

Providence

93.1%

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility25.1%

Worse than Avg

Here

25.1%

19.4%

22.6%

Providence

21.2%

Short-Stay Residents (Rehab / Post-Acute)

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility94.2%

Better than Avg

Here

94.2%

81.8%

77.9%

Providence

75.1%

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility96.1%

Better than Avg

Here

96.1%

79.8%

78.2%

Providence

77.7%

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility3.7%

Worse than Avg

Here

3.7%

1.6%

2.0%

Providence

1.7%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

Detailed Medicare record · up to 3-year lookback

76findings in history

4penalties

Latest survey: 17 · well above RI avg (8.7)

32 complaint-triggered findings

$132,654 in fines

This facility shows a concerning pattern with 38 complaint-triggered deficiencies across 22 surveys, indicating families have regularly filed reports about care issues. The most recurring problems involve accident prevention and safety hazards, infection control, and care planning quality. Issues persist across multiple years in the same areas, including recent 2024-2026 complaints about resident protection from abuse and safety hazards, suggesting ongoing challenges with fundamental care standards despite correction plans.

Jan 23, 2026Complaint1 finding

0921Immediate jeopardy · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Jan 12, 2026Complaint4 findings

0689Immediate jeopardy · WidespreadCorrected

Quality of Life and Care Deficiencies

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

0880Immediate jeopardy · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0814Potential for harm · WidespreadResolved (past non-compliance)

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0837Potential for harm · PatternCorrected

Administration Deficiencies

Establish 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.

Jan 9, 2026Complaint4 findings

0211Potential for harm · WidespreadResolved (past non-compliance)

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Sep 24, 2025Complaint1 finding

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Sep 17, 2025Complaint1 finding

0698Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Aug 13, 2025Complaint1 finding

0776Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Federal Penalties

Fine

Sep 12, 2024

$23,923

Fine

Apr 23, 2024

$16,801

Fine

Feb 15, 2024

$14,050

Fine

Jul 6, 2023

$77,880

Ownership & Operations

Who Operates This Facility

Owner / Operator

Adviniacare Orchard, LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Athena Healthcare Systems

Chain Size

24 facilities nationwide

Chain avg rating: 1.7/5 · Rank 24 of 24 (Lowest rating)

Ownership & Management

Owners

Chakalos-Santilli, Valerie

Owner

Mosier, Michael

Owner

Santilli, Lawrence

Owner

68%

Key personnel

Mosier, MichaelW-2 Managing EmployeeAthena Health Care Associates, INC.Manager

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

(401) 438-2250

adviniacare.com

135 Tripps Lane

East Providence, RI 02915

Get Directions View on Google Maps

References & Resources

Medicare Care Compare

Official Medicare quality ratings, inspections & staffing data

Google Maps

Photos, directions & neighborhood info

Google Reviews

47 reviews from families & visitors

Official Website

Visit adviniacare.com

Medicare data downloads

Original nursing home datasets

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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