AdviniaCare Orchard, LLC
135 Tripps Lane, East Providence, RI 029154014382250166 certified beds · 30 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
19
since 2023
Deficiencies
58
● 2● 45● 11
Penalties · 3 yrs
$103,744
5 fines
Last survey
2026-01-23
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 1
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Rhode Island Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-01-23 | Complaint | 100 | CMS-2567 (Care Compare) | — |
| 2026-01-12 | Complaint | 022 | CMS-2567 (Care Compare) | — |
| 2025-09-24 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-09-17 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-08-13 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-06-26 | Standard | 081 | CMS-2567 (Care Compare) | — |
| 2025-04-02 | Complaint | 040 | CMS-2567 (Care Compare) | — |
| 2025-03-27 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-12-03 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-10-24 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-09-12 | Complaint | 002 | CMS-2567 (Care Compare) | — |
| 2024-07-02 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-06-26 | Standard | 190 | CMS-2567 (Care Compare) | — |
| 2024-04-23 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-02-15 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2024-01-03 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-12-05 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-11-09 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-07-06 | Standard | 0104 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Rhode Island Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity CPaperwork
Environment
Widespread; potential for minimal harm.Corrected 2026-05-29Record 415059-20260123-F921
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity LHarm
Care planningFalls
Widespread; immediate jeopardy to resident health or safety.Corrected 2026-01-19Record 415059-20260112-F689
F880Provide and implement an infection prevention and control program.Scope/severity LHarm
Infection control
Widespread; immediate jeopardy to resident health or safety.Corrected 2026-01-19Record 415059-20260112-F880
F814Dispose of garbage and refuse properly.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-01-07Record 415059-20260112-F814
F837Establish 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.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-19Record 415059-20260112-F837
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-14Record 415059-20250924-F684
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-06Record 415059-20250917-F698
F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 415059-20250813-F776
F760Ensure that residents are free from significant medication errors.Scope/severity GHarm
Medication
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-07-26Record 415059-20250626-F760
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-26Record 415059-20250626-F689
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-26Record 415059-20250626-F697
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-07-26Record 415059-20250626-F812
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-26Record 415059-20250626-F835
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-26Record 415059-20250626-F880
F908Keep all essential equipment working safely.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-26Record 415059-20250626-F908
F924Put firmly secured handrails on each side of hallways.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-26Record 415059-20250626-F924
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-07-26Record 415059-20250626-F925
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 415059-20250402-F658
F808Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 415059-20250402-F808
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 415059-20250402-F842
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 415059-20250402-F921
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 415059-20250327-F919
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-17Record 415059-20241203-F658
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-06Record 415059-20241024-F658
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-09-12Record 415059-20240912-F600
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-09-12Record 415059-20240912-F689
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-22Record 415059-20240702-F686
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-22Record 415059-20240626-F600
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-22Record 415059-20240626-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-22Record 415059-20240626-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-22Record 415059-20240626-F686
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-22Record 415059-20240626-F698
F730Observe each nurse aide's job performance and give regular training.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-22Record 415059-20240626-F730
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-22Record 415059-20240626-F756
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-07-22Record 415059-20240626-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-22Record 415059-20240626-F880
F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2024-07-22Record 415059-20240626-F577
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-05-16Record 415059-20240423-F689
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-03-05Record 415059-20240215-F684
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity FStandard
Care planningRecords
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-05Record 415059-20240215-F655
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-24Record 415059-20240103-F550
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-24Record 415059-20240103-F842
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-21Record 415059-20231205-F689
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-30Record 415059-20231109-F677
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity JHarm
Care planningRecords
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-08-05Record 415059-20230706-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-08-05Record 415059-20230706-F684
F692Provide enough food/fluids to maintain a resident's health.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-08-05Record 415059-20230706-F692
F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.Scope/severity JHarm
Staffing
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-08-05Record 415059-20230706-F710
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-05Record 415059-20230706-F554
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-05Record 415059-20230706-F641
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-05Record 415059-20230706-F685
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity FStandard
Care planningFalls
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-08-05Record 415059-20230706-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-05Record 415059-20230706-F690
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-05Record 415059-20230706-F694
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity FStandard
Care planning
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-08-05Record 415059-20230706-F699
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-05Record 415059-20230706-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-08-05Record 415059-20230706-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-08-05Record 415059-20230706-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-01-12 | Civil money penalty | $23,485 | CMS · Penalties |
| 2026-01-12 | Civil money penalty | $25,485 | CMS · Penalties |
| 2024-09-12 | Civil money penalty | $23,923 | CMS · Penalties |
| 2024-04-23 | Civil money penalty | $16,801 | CMS · Penalties |
| 2024-02-15 | Civil money penalty | $14,050 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.99
Facility
Rhode Island
National
Rhode Island 0.76 · National 0.69
Total nurse hours per resident day4.20
Facility
Rhode Island
National
Rhode Island 3.71 · National 3.86
Weekend total nurse hours3.51
Facility
Rhode Island
National
Rhode Island 3.34 · National 3.42
Total nursing staff turnover20%
Facility
Rhode Island
National
Rhode Island 41% · National 46%
Registered nurse turnover11%
Facility
Rhode Island
National
Rhode Island 38% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Rhode Island | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.5% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.2% | 3.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 31.7% | 22.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.5% | 2.5% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 11.9% | 19.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.7% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 21.2% | 16.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Chakalos-Santilli, Valerie Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | — | — |
| Mosier, Michael Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | — | — |
| Santilli, Lawrence Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 68% | — | — |
| Athena Health Care Associates, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mosier, Michael Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
Part of a chain
Athena Healthcare Systems — 22 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Rhode Island.
No county cost figures on file for Providence.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Hattie Ide Chaffee Home East Providence | 0.4 mi | 2025-06-20 | 0161 |
| Evergreen House Health Center East Providence | 1.3 mi | 2026-04-23 | 0130 |
| AdviniaCare Waterview Villas, LLC East Providence | 1.4 mi | 2026-06-18 | 2186 |
| Harris Health Center LLC East Providence | 2.0 mi | 2026-01-30 | 1301 |
| Eastgate Nursing & Rehabilitation Center East Providence | 2.3 mi | 2026-02-19 | 0120 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |