SNF
The Dawn Hill Home for Rehab and Healthcare
CCN: 415050 · Bristol, RI 02809 · Bristol County
Overview
- Address
- One Dawn Hill Road, Bristol, RI 02809
- Phone
- 4012532300
- Certified beds
- 133
- Avg daily residents
- 125 (94% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1977-02-21
- Setting
- Urban
3 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.73 | 3.70 | 3.89 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.68 | 0.65 | 0.71 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.54 | 0.82 | 0.56 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.51 | 2.23 | 2.62 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.22 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.04 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.07
hrs / resident / day
RN (weekend)
0.51
hrs / resident / day
Total nurse (adjusted, weekend)
3.20
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
57.5%
annual
RN turnover
57.7%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.31
higher acuity than avg
Case-Mix Index Ratio
0.95
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-12-19 | 8 | 4 | 4 | 40 | 1 | 40 |
| Cycle 2/3 (prior) | 2024-01-22 | 19 | 7 | 13 | 166 | 1 | 166 |
Total weighted health score
71.5
lower is better
Deficiencies (30)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
28 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
1 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2025-06-05 | 2025-07-05 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-03-13 | 2025-04-12 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2025-03-13 | 2025-04-12 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-03-13 | 2025-04-12 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-01-28 | 2025-02-27 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-12-19 | 2025-01-18 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-12-19 | 2025-01-18 |
| 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. | E | 2024-12-19 | 2025-01-18 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-12-19 | 2025-01-18 |
| 0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-12-19 | 2025-01-18 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-12-10 | 2025-01-09 |
| 0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | G | 2024-10-31 | 2024-11-30 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-10-15 | 2024-11-14 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2024-10-15 | 2024-11-14 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-10-15 | 2024-11-14 |
| 0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2024-10-15 | 2024-11-14 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-07-19 | 2024-08-18 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-01-22 | 2024-02-13 |
| 0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2024-01-22 | 2024-02-13 |
| 0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2024-01-22 | 2024-02-13 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-01-22 | 2024-02-13 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-01-22 | 2024-02-13 |
| 0880 | Provide and implement an infection prevention and control program. | J | 2024-01-22 | 2024-02-13 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-12-27 | 2024-01-18 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-08-08 | 2023-09-07 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-04-18 | 2023-05-04 |
| 0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | 2023-04-18 | 2023-05-04 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2023-04-03 | 2023-04-21 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2022-11-17 | 2022-12-16 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2022-11-17 | 2022-12-16 |
Penalties (3)
Fines issued
2
last 3 years
Total fines
$33,765
Payment denials
1
| Date | Type | Fine amount |
|---|---|---|
| 2024-10-15 | Fine | $12,387 |
| 2023-12-27 | Fine | $21,378 |
| 2023-12-27 | Payment Denial | — |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 5.2% Medicaid 60.7% Other 34.1%
Operating performance
Operating Margin
-0.9%
Total Margin
-0.9%
Occupancy Rate
92.7%
Cost per Resident Day
$32
Revenue & costs
Net Patient Revenue
$15.6M
Total Costs
$1.5M
Net Income
-$145K
Balance sheet
Total Assets
$8.0M
Total Liabilities
$3.2M
Fund Balance
$4.8M
Current Ratio
2.37
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: GREEN TREE HEALTHCARE MANAGEMENT
- Chain ID
241- Facilities in chain
- 5
- Legal business name
- GREENTREE NURSING AND REHAB LLC
Chain-average star ratings (for peer context)
Overall
2.4
Health
2.2
Staffing
2.2
QM
3.8
Owner / manager organizations (5)
| Organization | Role | Association |
|---|---|---|
| RHODE ISLAND HEALTHCARE HOLDCO 2 LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 11/09/2020 |
| DASAY 2019 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/14/2020 |
| GAMTA 2020 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/21/2020 |
| GRI SNF INVESTORS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/04/2020 |
| MRI SNF INVESTORS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/04/2020 |
Owner / manager individuals (7)
| Name | Role | Association |
|---|---|---|
| STERN, AHARON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/04/2020 |
| STERN, SIMON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/04/2020 |
| DASARI, NARESH | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2021 |
| KLEIN, DOUGLAS | OPERATIONAL/MANAGERIAL CONTROL | since 10/28/2024 |
| STERN, AHARON | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2021 |
| STERN, SIMON | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2021 |
| STERN, SIMON | CORPORATE OFFICER | since 11/04/2020 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Both
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $32 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 2.37 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 60.7% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 5.2% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-144,812 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $15,588,790 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 92.7% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -0.9% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $8,005,528 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,459,848 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $4,772,476 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $3,233,052 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -0.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.56112 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.62081 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.70785 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.88978 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.20180 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 125.0 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.82056 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.23011 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.64678 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.69746 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.25892 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.2 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.4 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.8 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.2 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 241 | Chain ID |
| Provider Information | Chain Name | GREEN TREE HEALTHCARE MANAGEMENT | Chain Name |
| Provider Information | City/Town | Bristol | City/Town |
| Provider Information | CMS Certification Number (CCN) | 415050 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Bristol | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1977-02-21 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | 22 | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 41.6875 | Latitude |
| Provider Information | Legal Business Name | GREENTREE NURSING AND REHAB LLC | Legal Business Name |
| Provider Information | Location | One Dawn Hill Road,Bristol,RI,02809 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -71.27 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 133 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 5 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 2 | Number of Fines |
| Provider Information | Number of Payment Denials | 1 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.30984 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.95078 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | One Dawn Hill Road | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | The Dawn Hill Home for Rehab and Healthcare | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 000 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 40 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 4 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 4 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-12-19 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 40 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 8 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 7 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-01-22 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 166 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 13 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 166 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 19 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.50554 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 57.7 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.21524 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.53736 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.50985 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.04121 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.67788 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.72509 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | RI | State |
| Provider Information | Telephone Number | 4012532300 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 33765.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.06623 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 3 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 57.5 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 71.500 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Both | With a Resident and Family Council |
| Provider Information | ZIP Code | 02809 | ZIP Code |