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Nursing HomeMedicaid Investigative

Heritage Hills Nursing & Rehabilitation Center

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

80 Douglas Pike, Smithfield, RI 02917100 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 123 Google reviews

5
4
3
2
1
Heritage Hills Nursing & Rehabilitation Center Nursing Home in Smithfield, RI — Street View
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8/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (20 vs median 7)
  • High RN turnover (55%)

Below average in RI · Below recommended RN staffing · Above average staffing · Below chain average · $17,475 in fines · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

Heritage Hills offers a clean environment and an active social calendar, which many families appreciate. However, the recurring reports of long response times for call lights and potential medication management errors are serious concerns. We strongly recommend visiting during different shifts and asking management specifically how they handle staffing shortages during nights and weekends.

Google Reviews

Google Reviews

123 reviews on Google
Heritage Hills Nursing & Rehabilitation Center receives highly polarized reviews, with many families praising the compassionate, friendly staff and clean environment, while others report severe concerns regarding neglect and staffing shortages. While some visitors highlight excellent rehabilitation outcomes and attentive nursing care, multiple reviewers have documented significant delays in call-light response times and issues with basic hygiene and medication management. Prospective families should be aware that experiences appear to vary significantly depending on the specific wing and shift.

Quality Themes

Tap a score for details
Food5.0Staff6.0Clean7.0Activities9.0Meds3.0MemoryN/AComms4.0ValueN/A

Strengths

  • Warm, compassionate nursing and CNA staff
  • Clean and well-maintained facility
  • Effective rehabilitation and therapy programs
  • Engaging activities and community events

Concerns

  • Chronic understaffing leading to long call-light response times (mentioned by 9 reviewers)
  • Neglect regarding hygiene, dressing, and basic patient care (mentioned by 7 reviewers)
  • Medication errors and failure to follow medical instructions (mentioned by 4 reviewers)
  • Poor food quality and dining service (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2345.0'14(1)2.03.0'19(2)4.03.9'23(10)4.24.6'25(44)4.4'26(21)

Distribution · 127 analyzed

5
96
4
8
3
4
2
1
1
18

How They Respond to Reviews

10%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I noticed many people mention how warm and compassionate the nursing staff is; how do you ensure that level of personal care is maintained during busy shifts?
  • 2With the focus on rehabilitation here, could you walk us through how the therapy team coordinates with the nursing staff to support a resident's daily progress?
  • 3How does the facility manage medication administration and double-check that all specific medical instructions from doctors are followed accurately?
  • 4What is the process for responding to call lights, and how do you ensure residents receive timely assistance with personal care like dressing and hygiene?
  • 5Could you tell us more about the daily activity calendar and how you keep the community engaged with special events?
  • 6How does the dining team ensure that meal quality and service remain consistent for all residents throughout the day?

Personalized based on this facility's data


Key Review Excerpts

The nursing team are sincere and caring, the activities team is always doing something fun to engage the residents, the front desk staff are friendly, and the new management t

Long-term resident's family · 2026★★★★★

I have peed the bed more times than I have used the bed pan because there is usually a 2 hour wait before anyone answers a bell. And it not always because they are busy.

Rehab patient · 2023☆☆☆☆

My grandfather suffered multiple medication errors where he did not receive crucial medications and then was unable to get the next dose.

Rehab patient's family · 2024☆☆☆☆
Source: 123 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.64hrs
85%
Registered nurses for medical care
Total Nursing
3.89hrs
95%
All nurses + aides combined
Staff Turnover
47%
Lower is better (< 30% = good)
RN Turnover
53%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

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

Medicare Rating
5/ 5
Better Than Avg

9

measures

Worse Than Avg

5

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility59.0%
Worse than Avg
Here
59.0%
US
12.1%
RI
15.5%
Providence
12.5%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility9.3%
Better than Avg
Here
9.3%
US
19.5%
RI
16.6%
Providence
15.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.6%
Better than Avg
Here
10.6%
US
14.4%
RI
19.5%
Providence
18.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.7%
Better than Avg
Here
10.7%
US
15.3%
RI
17.5%
Providence
15.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
93.4%
RI
93.7%
Providence
93.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility20.5%
Mixed vs Avgs
Here
20.5%
US
15.4%
RI
22.7%
Providence
20.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.4%
Better than Avg
Here
90.4%
US
81.8%
RI
77.7%
Providence
75.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility75.6%
Worse than Avg
Here
75.6%
US
79.7%
RI
78.2%
Providence
77.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.1%
Worse than Avg
Here
2.1%
US
1.6%
RI
2.0%
Providence
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

20deficiencies
3penalties
Well above state avg (8.7)
38 complaint-triggered
$17,475 in fines

Nearly half of Heritage Hills' 78 deficiencies stem from family complaints, indicating ongoing resident care concerns. The facility repeatedly struggles with medication management, care quality standards, and accident prevention across multiple surveys, suggesting persistent systemic issues. While all deficiencies show correction dates, the pattern of recurring problems in the same areas—particularly medication errors and care planning—raises questions about lasting improvements.

Feb 6, 2026Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jan 14, 2026Complaint
3
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Sep 18, 2025Routine
16
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0805Immediate jeopardy · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0584Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

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.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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

0726Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

0838Potential for harm · PatternCorrected

Administration Deficiencies

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.

0865Potential for harm · PatternCorrected

Administration Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0811Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure 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.

0847Potential for harm · IsolatedCorrected

Administration Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

Aug 1, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Apr 2, 2025Complaint
2
0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

Jan 23, 2025Complaint
1
0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

Federal Penalties

Payment Denial

Sep 16, 2025

3-day denial

Fine

May 9, 2024

$8,827

Fine

Jun 28, 2023

$8,648

Ownership & Operations

Who Operates This Facility

Owner / Operator

Heritage Hills Nursing & Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Marquis Health Services

Chain Size

88 facilities nationwide

Chain avg rating: 3.0/5 · Rank 61 of 80

Ownership & Management

Owners

Skilled Venture LLC

Owner · Organization

Flagler, Osher

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Kahanow, Aviva

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Levovitz, Tzvi

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Rokeach, Fraide

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Rokowsky, Yitzchok

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Cibc Bank USA5% or Greater Security InterestJohnson, EricManaging Control - Governing BodyJohnson, EricOfficer / DirectorNorton, NathanOfficer / DirectorPosen, MindeeOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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. 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.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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