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CMS Nursing Home Compare · August 2026

Heritage Hills Nursing & Rehabilitation Center

80 Douglas Pike, Smithfield, RI 02917

Heritage Hills Nursing & Rehabilitation Center, a 100-bed for profit - corporation nursing facility in Smithfield, RI, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #41 of 71 rated homes in RI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 4012312700

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2 / 5
Below average · CMS overall · nat'l 3.0
#41 of 71
In-state rank among rated RI homes
3.74
About average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 4 serious

The verdict

Heritage Hills Nursing & Rehabilitation Center, a 100-bed for profit - corporation nursing facility in Smithfield, RI, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #41 of 71 rated homes in RI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#41 of 71
In-state rank among rated RI homes
3.74
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 4 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 72 RI nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

2/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
415039
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
100
Residents
87
In Hospital
No
County
Providence
Last Inspection
Sep 18, 2025

Staffing Data

How the 3.74 total nursing hours per resident-day are staffed:

RN Hours
0.56 (nat'l avg: 0.69)
LPN Hours
1.02
CNA Hours
2.16
Total Nursing Hours
3.74 (nat'l avg: 3.86)
PT Hours
0.02
Nursing Turnover
39.8%
RN Turnover
68.8%

What the CMS Record Reveals About Heritage Hills Nursing & Rehabilitation Center

According to CMS Nursing Home Compare, Heritage Hills Nursing & Rehabilitation Center ranks #41 of 71 rated nursing homes in RI on overall stars (tie-broken by health+staffing+quality, then fewer fines). Heritage Hills Nursing & Rehabilitation Center operates 100 certified beds in Smithfield, RI with approximately 87 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 1★ · staffing 2★ · quality 5★).

The inspection file contains 50 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $9K. Reported nurse staffing runs 3.74 total hours per resident day (national average 3.86); RN hours specifically are 0.56 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Heritage Hills Nursing & Rehabilitation Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 39.8% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D - Isolated - Minimal harm Jun 16, 2026 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 30, 2026

E - Pattern - Minimal harm Jun 16, 2026 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 30, 2026

G - Isolated - Actual harm Jun 16, 2026 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 30, 2026

D - Isolated - Minimal harm Feb 6, 2026 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 16, 2026

D - Isolated - Minimal harm Jan 14, 2026 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 6, 2026

D - Isolated - Minimal harm Jan 14, 2026 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 6, 2026

D - Isolated - Minimal harm Jan 14, 2026 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 6, 2026

D - Isolated - Minimal harm Sep 18, 2025 Tag: 0919

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

Category: Environmental Deficiencies

Corrected: Oct 18, 2025

D - Isolated - Minimal harm Sep 18, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 18, 2025

D - Isolated - Minimal harm Sep 18, 2025 Tag: 0847

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

Category: Administration Deficiencies

Corrected: Oct 18, 2025

D - Isolated - Minimal harm Sep 18, 2025 Tag: 0811

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 18, 2025

D - Isolated - Minimal harm Sep 18, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Oct 18, 2025

D - Isolated - Minimal harm Sep 18, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 18, 2025

E - Pattern - Minimal harm Sep 18, 2025 Tag: 0865

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

Category: Administration Deficiencies

Corrected: Oct 18, 2025

E - Pattern - Minimal harm Sep 18, 2025 Tag: 0838

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.

Category: Administration Deficiencies

Corrected: Oct 18, 2025

E - Pattern - Minimal harm Sep 18, 2025 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 18, 2025

E - Pattern - Minimal harm Sep 18, 2025 Tag: 0725

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

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 18, 2025

E - Pattern - Minimal harm Sep 18, 2025 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 18, 2025

E - Pattern - Minimal harm Sep 18, 2025 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Oct 18, 2025

F - Widespread - Minimal harm Sep 18, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Oct 18, 2025

J - Isolated - Jeopardy Sep 18, 2025 Tag: 0805

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

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 18, 2025

J - Isolated - Jeopardy Sep 18, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 18, 2025

D - Isolated - Minimal harm Aug 1, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 18, 2025

E - Pattern - Minimal harm Apr 2, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 18, 2025

E - Pattern - Minimal harm Jan 23, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 30, 2025

E - Pattern - Minimal harm Jan 10, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 30, 2025

D - Isolated - Minimal harm Jan 6, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 30, 2025

D - Isolated - Minimal harm Jan 6, 2025 Tag: 0574

The resident has the right to receive notices in a format and a language he or she understands.

Category: Resident Rights Deficiencies

Corrected: Jan 30, 2025

D - Isolated - Minimal harm Sep 13, 2024 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 13, 2024

D - Isolated - Minimal harm Sep 13, 2024 Tag: 0697

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 13, 2024

D - Isolated - Minimal harm Sep 13, 2024 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 13, 2024

D - Isolated - Minimal harm Sep 13, 2024 Tag: 0675

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 13, 2024

E - Pattern - Minimal harm Sep 13, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Oct 13, 2024

E - Pattern - Minimal harm Sep 13, 2024 Tag: 0756

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

Category: Pharmacy Service Deficiencies

Corrected: Oct 13, 2024

E - Pattern - Minimal harm Sep 13, 2024 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 13, 2024

E - Pattern - Minimal harm Sep 13, 2024 Tag: 0725

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

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 13, 2024

E - Pattern - Minimal harm Sep 13, 2024 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 13, 2024

E - Pattern - Minimal harm Sep 13, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 13, 2024

E - Pattern - Minimal harm Sep 13, 2024 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 13, 2024

F - Widespread - Minimal harm Sep 13, 2024 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Oct 13, 2024

F - Widespread - Minimal harm Sep 13, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 13, 2024

D - Isolated - Minimal harm Aug 16, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 30, 2024

D - Isolated - Minimal harm Aug 16, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 30, 2024

D - Isolated - Minimal harm Aug 16, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 30, 2024

D - Isolated - Minimal harm Jul 31, 2024 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 30, 2024

D - Isolated - Minimal harm Jun 18, 2024 Tag: 0761

Ensure 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.

Category: Pharmacy Service Deficiencies

Corrected: May 14, 2024

J - Isolated - Jeopardy May 9, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: May 9, 2024

D - Isolated - Minimal harm Apr 2, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Mar 27, 2024

D - Isolated - Minimal harm Apr 2, 2024 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 27, 2024

D - Isolated - Minimal harm Nov 2, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 3, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 12.0% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.3% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 14.1% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 19.3% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 3.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 63.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.7% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 9.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 94.9% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 21.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 94.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 75.6% No

Penalty History 1 penalties totaling $9K

Date Type Amount
Sep 16, 2025 Payment Denial -
May 9, 2024 Fine $9K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Heritage Hills Nursing & Rehabilitation Center, both outside RI so the neighborhoods are not the same-state geography list below.

What the CMS records show for Heritage Hills Nursing & Rehabilitation Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The RI registry aggregates state averages and the highest-rated homes in this cohort. View RI registry
  • Peer homes near 100 beds show how CMS stars vary at a similar scale in RI. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Heritage Hills Nursing & Rehabilitation Center?
Heritage Hills Nursing & Rehabilitation Center has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (5★).
Where does Heritage Hills Nursing & Rehabilitation Center rank among nursing homes in RI?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Heritage Hills Nursing & Rehabilitation Center ranks 41st among 71 rated nursing homes in RI (#41 of 71). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Heritage Hills Nursing & Rehabilitation Center?
Heritage Hills Nursing & Rehabilitation Center reports 3.74 total nursing hours per resident day (national average: 3.86). RN hours are 0.56 per resident day (national average: 0.69). Nursing staff turnover is 39.8%.
How many beds does Heritage Hills Nursing & Rehabilitation Center have?
Heritage Hills Nursing & Rehabilitation Center has 100 certified beds with approximately 87 residents. The facility is located at 80 Douglas Pike, Smithfield, RI 02917.
Does Heritage Hills Nursing & Rehabilitation Center have any deficiencies on record?
Yes, Heritage Hills Nursing & Rehabilitation Center has 50 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has Heritage Hills Nursing & Rehabilitation Center received any fines or penalties?
Yes, Heritage Hills Nursing & Rehabilitation Center has received 1 penalties totaling $9K.
Who owns Heritage Hills Nursing & Rehabilitation Center?
Heritage Hills Nursing & Rehabilitation Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Heritage Hills Nursing & Rehabilitation Center last inspected?
The most recent health inspection for Heritage Hills Nursing & Rehabilitation Center was on Sep 18, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Heritage Hills Nursing & Rehabilitation Center?
Heritage Hills Nursing & Rehabilitation Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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