Lincolnwood Rehabilitation And Healthcare Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Based on surveyor observation, clinical record review, staff and resident interviews, the facility failed to provide the residents with an environment that remains as free of accident hazards as is possible and that each resident receives adequate supervision to prevent accidents for 1 of 1 newly admitted resident who started a fire with a lighter, Resident ID # 1. Findings are as follows:Record review of a community reported complaint report submitted to the Rhode Island Department of Health on 12/29/2025 alleges that a resident had ignited their oxygen tubing while using a lighter. Record review revealed that Resident ID #1 was admitted to the facility in December of 2025 with diagnoses including but not limited to multiple fractures of ribs and a history of falling. Record review of the hospital documentation revealed Resident ID #1 is a smoker. During a surveyor interview with the Regional Director of Clinical Services, the Regional Director of Operations, and the [NAME] President of Operations, on 12/29/2025 at approximately 10:10 AM, they revealed that an incident had occurred just before 4:00 AM in Resident ID # 1's room. Resident ID #1 used
a lighter to locate his /her shoes in the dark when s/he accidentally ignited his/her oxygen tubing which caused minor fire damage to the floor and the oxygen concentrator. The Regional Director of Clinical Services indicated that the facility was aware the resident was a smoker at the time of his/her admission.
During a surveyor observation on 12/29/2025 at approximately 11:10 AM of Resident ID #1s room revealed
a discolored area of the floor that was approximately 9 inches by 12 inches in size. During a surveyor
interview with the Regional Director of Operations at the time of the above observation, he revealed that the burnt oxygen tubing and the damaged oxygen concentrator had been removed from the room prior to this survey. Additional surveyor observations on 12/30/2025 at approximately 2:00 PM revealed photos obtained from the local fire department which revealed burnt melted oxygen tubing still in place on the floor and burn marks to the front of the oxygen concentrator. During a surveyor interview with Resident ID #1, on 12/30/2025 at approximately 11:35 AM, s/he revealed that s/he was using his/her personal lighter to find his/her shoes when s/he got the lighter too close to the oxygen tubing and it caught fire. During a surveyor
interview with the Regional Director of Clinical Services on 12/30/2025 at approximately 1:35 PM, she was unable to provide evidence that the facility provided the residents with an environment that remains as free of accident hazards as possible.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Lincolnwood Rehabilitation and Healthcare Center in North Providence, RI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in North Providence, RI, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Lincolnwood Rehabilitation and Healthcare Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.