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Complaint Investigation

Greenwood Operations Dba Greenwood Center

Inspection Date: September 11, 2025
Total Violations 2
Facility ID 415008
Location Warwick, RI
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Inspection Findings

F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

when s/he asked.Review of a facility provided statement authored by Registered Nurse (RN) Staff D, dated 9/5/2025 states in part, [Staff A] told [Resident #3] she wasn't changing [him/her] calling [him/her] a b*tch and that [s/he] is disgusting.During a surveyor interview on 9/11/2025 at 1:30 PM with LPN, Staff C, she revealed that she witnessed Staff A walk out of Resident ID #3's room and stated, that stupid b*tch.

Additionally, she revealed that Staff A refused to assist Resident ID #3 with care.During a surveyor

interview on 9/11/2025 at 1:26 PM with the DNS she was unable to provide evidence that Resident ID #s 2 and 3 were kept free from abuse.

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/11/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Greenwood Center

1139 Main Avenue Warwick, RI 02886

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0610

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

her scheduled shift.2. Record review revealed that Resident ID #3 was readmitted to the facility in January of 2025 with diagnoses including, but not limited to, stroke and anxiety.Review of a Minimum Data Set assessment dated [DATE REDACTED] revealed a BIMS score of 15, indicating intact cognition.Review of a progress note dated 9/4/2025 authored by the DNS revealed that Staff B witnessed Staff A, verbally abusing Resident ID #3 stating s/he is a disgusting b*tch.During a surveyor interview on 9/11/2025 at 11:40 AM with Resident ID #3, s/he revealed that Staff A was not nice to him/her and refused to help him/her when s/he asked.During a surveyor interview on 9/11/2025 at 1:30 PM with LPN, Staff C, she revealed that she witnessed Staff A walk out of Resident ID #3's room and she said, that stupid b*tch and refused to perform care on him/her.Review of a facility provided statement authored by Registered Nurse (RN) Staff D, dated 9/5/2025 revealed that it was reported to her by Staff B that Staff A was heard calling residents names including, b*tch, disgusting and fat. Additionally, she revealed that it was reported to her that Staff A was aggressive with residents during care. The statement further revealed that at approximately 9:30 PM Staff A yelled that she was quitting her job and then she told Staff A to leave. Staff A was then found on a different floor and was again asked to leave.Record review of Staff A's time sheet revealed that she punched out of

the facility at 10:55 PM, indicating that she was in the facility for an hour and 25 minutes after being told to leave.During a surveyor interview on 9/11/2025 at 12:31 PM with Staff D, she revealed that Staff A displayed erratic behaviors throughout her shift on 9/4/2025, indicating that she called herself Superman and was flexing her muscles and dancing with a broom. Staff D further revealed that Staff A's behavior was increasingly bad following her lunch break. Staff D acknowledged that she did not tell Staff A to leave following her lunch break even though she appeared to be intoxicated. Additionally, Staff D revealed that

she called the police to escort Staff A off of the property because she was hanging around the facility and was found on different units.During a surveyor interview on 9/11/2025 at 10:03 AM with LPN, Staff E, she revealed that when she came into the facility for her 11:00 PM to 7:00 AM shift she found Staff A at the time clock. Additionally, she revealed that she assisted Staff A with collecting her belongings and escorted her out of the building.During a surveyor interview on 9/11/2025 at 1:26 PM with the DNS she acknowledged that although staff had identified that Staff A appeared to be intoxicated and was witnessed being verbally and physically abusive to residents she was not told to leave immediately.

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📋 Inspection Summary

Greenwood Operations DBA Greenwood Center in Warwick, RI inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 Warwick, 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 Greenwood Operations DBA Greenwood Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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