SNF
Elmwood Nursing and Rehabilitation Center
CCN: 415072 · Providence, RI 02907 · Providence County
Overview
- Address
- 225 Elmwood Avenue, Providence, RI 02907
- Phone
- 4012720600
- Certified beds
- 70
- Avg daily residents
- 64 (92% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1979-08-01
- Setting
- Urban
2 /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 | 3.43 | 3.26 | 4.06 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.69 | 0.57 | 0.82 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.30 | 0.72 | 0.35 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.44 | 1.96 | 2.89 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 0.99 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.11 | — | — | — |
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)
3.09
hrs / resident / day
RN (weekend)
0.50
hrs / resident / day
Total nurse (adjusted, weekend)
3.66
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
32.1%
annual
RN turnover
27.3%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.15
higher acuity than avg
Case-Mix Index Ratio
0.84
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) | 2025-09-05 | 9 | 7 | 2 | 64 | 2 | 96 |
| Cycle 2/3 (prior) | 2024-08-29 | 3 | 0 | 3 | 24 | 0 | 24 |
Total weighted health score
78.0
lower is better
Deficiencies (17)
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).
17 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | 2026-01-14 | 2026-02-13 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-01-14 | 2026-02-13 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-09-05 | 2025-11-28 |
| 0675 | Honor each resident's preferences, choices, values and beliefs. | E | 2025-09-05 | 2025-10-05 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-09-05 | 2025-10-05 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-09-05 | 2025-10-05 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-09-05 | 2025-10-05 |
| 0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | 2025-09-05 | 2025-10-05 |
| 0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | 2025-09-05 | 2025-10-05 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-12-16 | 2025-01-15 |
| 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. | F | 2024-12-16 | 2025-01-15 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-12-07 | 2024-01-06 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-09-22 | 2023-10-22 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-09-22 | 2023-10-22 |
| 0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2023-09-22 | 2023-10-22 |
| 0699 | Provide care or services that was trauma informed and/or culturally competent. | E | 2023-09-22 | 2023-10-22 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-09-22 | 2023-10-22 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 3.2% Medicaid 66.1% Other 30.7%
Operating performance
Operating Margin
-19.9%
Total Margin
-6.0%
Occupancy Rate
89.8%
Cost per Resident Day
$39
Revenue & costs
Net Patient Revenue
$7.1M
Total Costs
$899K
Net Income
-$482K
Balance sheet
Total Assets
$1.9M
Total Liabilities
$7.6M
Fund Balance
-$5.7M
Current Ratio
0.36
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: HEALTH CONCEPTS, LTD.
- Chain ID
255- Facilities in chain
- 5
- Legal business name
- ELMWOOD HEALTH CENTER INC
Chain-average star ratings (for peer context)
Overall
4.0
Health
4.2
Staffing
3.4
QM
2.4
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| HEALTH CONCEPTS LTD | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/1985 |
Owner / manager individuals (4)
| Name | Role | Association |
|---|---|---|
| RYAN, DAVID | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 10/26/1975 |
| ARNOLD, KELLY | OPERATIONAL/MANAGERIAL CONTROL | since 01/20/2017 |
| CARRAGHER, TERRY | CORPORATE OFFICER | since 01/01/2004 |
| LEWIS, ERICA | W-2 MANAGING EMPLOYEE | since 06/01/2023 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $39 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.36 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 66.1% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 3.2% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-481,562 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $7,095,649 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 89.8% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -19.9% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $1,914,591 | metrics.total_assets |
| Cost Report | Total Costs ($) | $898,915 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-5,711,812 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $7,626,403 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -6.0% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.35175 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.89275 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.81663 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.06113 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.66219 | 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 | 64.1 | 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 | 0.72275 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 1.96428 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.56969 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.25672 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 2.87045 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 4.2 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 4.0 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 2.4 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.4 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 255 | Chain ID |
| Provider Information | Chain Name | HEALTH CONCEPTS, LTD. | Chain Name |
| Provider Information | City/Town | Providence | City/Town |
| Provider Information | CMS Certification Number (CCN) | 415072 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Providence | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1979-08-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 41.8067 | Latitude |
| Provider Information | Legal Business Name | ELMWOOD HEALTH CENTER INC | Legal Business Name |
| Provider Information | Location | 225 Elmwood Avenue,Providence,RI,02907 | Location |
| Provider Information | Long-Stay QM Rating | 1 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -71.425 | 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 | 70 | 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 | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.15371 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.83745 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | 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 | 225 Elmwood Avenue | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Elmwood Nursing and Rehabilitation Center | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 030 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 1 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 64 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 32 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 2 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 2 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 7 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-09-05 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 96 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 9 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 0 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-08-29 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 24 | 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 | 3 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 0 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 24 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 3 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.49729 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 27.3 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 0.98553 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.29670 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.44005 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.10613 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.68883 | 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 | 3.42559 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 2 | 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 | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | RI | State |
| Provider Information | Telephone Number | 4012720600 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.08908 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 32.1 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 78.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 02907 | ZIP Code |