CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 4150592026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Adviniacare Orchard, Llc

135 Tripps Lane · East Providence, RI 02915 · Providence County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds166CMS provider file
Recent citation rows75current CMS citation release
Penalty rows5current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-06-26172025-06-2610
Cycle 22024-06-26192024-06-263
Cycle 32023-07-06222023-07-064
02 / CITATION DETAIL

75 rows in the current release

11 rows carry G–L scope/severity codes; 9 carry J–L. 14 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-01-23 · HEALTHF0921Severity C · widespread; potential for minimal harm

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Correction field: Deficient, Provider has date of correction · 2026-05-29 · complaint
2026-01-12 · HEALTHF0689Severity L · widespread immediate jeopardy

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-01-19 · complaint
2026-01-12 · HEALTHF0814Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

Correction field: Past Non-Compliance · 2026-01-07 · complaint
2026-01-12 · HEALTHF0837Severity E · pattern; potential for more than minimal harm

Administration Deficiencies

Establish 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.

Correction field: Deficient, Provider has date of correction · 2026-01-19 · complaint
2026-01-12 · HEALTHF0880Severity L · widespread immediate jeopardy

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-01-19 · complaint
2026-01-09 · FIREK0211Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: Past Non-Compliance · 2026-01-08 · complaint
2026-01-09 · FIREK0324Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2026-01-19 · complaint
2026-01-09 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2026-01-19 · complaint
2026-01-09 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2026-01-19 · complaint
2025-09-24 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-10-14 · complaint
2025-09-17 · HEALTHF0698Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Correction field: Deficient, Provider has date of correction · 2025-10-06 · complaint
2025-08-13 · HEALTHF0776Severity D · isolated; potential for more than minimal harm

Administration Deficiencies

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Correction field: Deficient, Provider has date of correction · 2025-08-29 · complaint
2025-06-26 · HEALTHF0689Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-07-26
2025-06-26 · HEALTHF0697Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-07-26
2025-06-26 · HEALTHF0760Severity G · isolated actual harm

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Deficient, Provider has date of correction · 2025-07-26 · complaint
2025-06-26 · HEALTHF0812Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2025-07-26
2025-06-26 · HEALTHF0835Severity D · isolated; potential for more than minimal harm

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Correction field: Deficient, Provider has date of correction · 2025-07-26
2025-06-26 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-07-26
2025-06-26 · HEALTHF0908Severity E · pattern; potential for more than minimal harm

Environmental Deficiencies

Keep all essential equipment working safely.

Correction field: Deficient, Provider has date of correction · 2025-07-26
2025-06-26 · HEALTHF0924Severity E · pattern; potential for more than minimal harm

Environmental Deficiencies

Put firmly secured handrails on each side of hallways.

Correction field: Deficient, Provider has date of correction · 2025-07-26
2025-06-26 · HEALTHF0925Severity F · widespread; potential for more than minimal harm

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Correction field: Deficient, Provider has date of correction · 2025-07-26
2025-06-26 · FIREK0223Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Correction field: Deficient, Provider has date of correction · 2025-08-27
2025-06-26 · FIREK0324Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2025-07-26
2025-06-26 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2025-07-26
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2026-01-12Fine$23,4850
2026-01-12Fine$25,4850
2024-09-12Fine$23,9230
2024-04-23Fine$16,8010
2024-02-15Fine$14,0500
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • CHAKALOS-SANTILLI, VALERIEIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    6% · since 09/30/2013
  • MOSIER, MICHAELIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    7% · since 09/30/2013
  • SANTILLI, LAWRENCEIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    68% · since 07/01/2020
  • MOSIER, MICHAELIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 09/30/2013
  • ATHENA HEALTH CARE ASSOCIATES, INC.Organization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/30/2013

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours4.20per resident day
RN hours0.99per resident day
Weekend nurse hours3.51per resident day
Staff turnover20.2%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.