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Nursing homeFAID #11418

Adviniacare Orchard

135 TRIPPS LANE, EAST PROVIDENCE, RI, 02915
(401) 438-2250
166 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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Bed capacity
166
CMS facility ID
415059
Care type
Nursing home
County
Providence
Facility name
Adviniacare Orchard
Street address
135 TRIPPS LANE
City / state / ZIP
East Providence, RI 02915
Phone
(401) 438-2250

Adviniacare Orchard is a Medicare/Medicaid-certified skilled nursing facility in East Providence, Rhode Island. It is licensed for 166 beds — above the median for skilled nursing facilities in Rhode Island (120 beds).

It is one of 11 senior care facilities in East Providence and 72 skilled nursing facilities across Rhode Island. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Adviniacare Orchard 75 times across 25 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $103,744 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Athena Healthcare Systems
Ownership type
For profit - Corporation

Registered owners & officers

Santilli, Lawrence
Direct owner — 68% stake — since 2020
Mosier, Michael
Direct owner · Managing employee — 7% stake — since 2013
Chakalos-santilli, Valerie
Direct owner — 6% stake — since 2013
Athena Health Care Associates, Inc.
Operational control — since 2013

Regulatory standing

Licensed / certified since
1978-10-01
CMS overall rating
1 of 5 stars
Health deficiencies
17 at the last standard inspection
Federal fines
$103,744 total
Last standard inspection
2025-06-26
Nurse staffing
4.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$557 per day (≈ $16,930/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
66% Medicaid · 5% Medicare · 30% private/other
Occupancy
71% (fiscal year 2023)
Vs. state median
37% above the RI median of $406/day — full state cost breakdown

Services & coverage

Licensed beds
166
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-01-23Health inspectionComplaint-triggered1 citation
F-0921
C · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2026-05-29
2026-01-12Health inspectionComplaint-triggered4 citations
F-0689
L · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-19
F-0814
F · No harm foundFood safetyFrom a complaint
Dispose of garbage and refuse properly.
Corrected 2026-01-07
F-0837
E · No harm foundFrom a complaint
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.
Corrected 2026-01-19
F-0880
L · Immediate jeopardyFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-01-19
21 earlier / fire-safety inspections (70 citations)
2025-09-24Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-14
2025-09-17Health inspectionComplaint-triggered1 citation
F-0698
E · No harm foundFrom a complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-10-06
2025-08-13Health inspectionComplaint-triggered1 citation
F-0776
D · No harm foundFrom a complaint
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2025-08-29
2025-06-26Health inspectionComplaint-triggered9 citations
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-26
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-07-26
F-0760
G · Actual harmFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-07-26
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-26
F-0835
D · No harm found
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-07-26
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-07-26
F-0908
E · No harm found
Keep all essential equipment working safely.
Corrected 2025-07-26
F-0924
E · No harm found
Put firmly secured handrails on each side of hallways.
Corrected 2025-07-26
F-0925
F · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-07-26
2025-04-02Health inspectionComplaint-triggered4 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-09
F-0808
D · No harm foundFood safetyFrom a complaint
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2025-05-09
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-09
F-0921
D · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-05-09
2025-03-27Health inspectionComplaint-triggered1 citation
F-0919
E · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-05-09
2024-12-03Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-12-17
2024-10-24Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-06
2024-09-12Health inspectionComplaint-triggered2 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-09-12
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-12
2024-07-02Health inspectionComplaint-triggered1 citation
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-22
2024-06-26Health inspectionComplaint-triggered10 citations
F-0577
C · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-07-22
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-22
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-22
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-22
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-22
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-07-22
F-0730
D · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2024-07-22
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-07-22
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-22
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-07-22
2024-04-23Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-16
2024-02-15Health inspectionComplaint-triggered2 citations
F-0655
F · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-03-05
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-05
2024-01-03Health inspectionComplaint-triggered2 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-01-24
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-01-24
2023-12-05Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-21
2023-11-09Health inspectionComplaint-triggered1 citation
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-30
2023-07-06Health inspection14 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-08-05
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-08-05
F-0658
J · Immediate jeopardy
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-05
F-0684
J · Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-05
F-0685
D · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2023-08-05
F-0689
F · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-05
F-0690
E · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-08-05
F-0692
J · Immediate jeopardy
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-08-05
F-0694
D · No harm found
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-08-05
F-0699
F · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2023-08-05
F-0710
J · Immediate jeopardy
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2023-08-05
F-0761
D · No harm found
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.
Corrected 2023-08-05
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-05
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-08-05
2026-01-09Fire-safety inspectionComplaint-triggered4 citations
K-0211
F · No harm foundFrom a complaint
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-01-08
K-0324
F · No harm foundFrom a complaint
Provide properly protected cooking facilities.
Corrected 2026-01-19
K-0345
F · No harm foundFrom a complaint
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-01-19
K-0353
F · No harm foundFrom a complaint
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-19
2025-06-26Fire-safety inspection6 citations
K-0223
D · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-08-27
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2025-07-26
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-26
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-27
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-07-26
K-0923
F · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-07-26
2024-06-26Fire-safety inspection3 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-07-22
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-07-22
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-22
2023-07-06Fire-safety inspection4 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2023-08-05
K-0271
E · No harm found
Have exits that are accessible at all times.
Corrected 2023-08-05
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-08-05
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-05

Federal penalties

2026-01-12Fine$23,485
2026-01-12Fine$25,485
2024-09-12Fine$23,923
2024-04-23Fine$16,801
2024-02-15Fine$14,050
Total fines$103,744
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 415059.
What people say on Google.
3.147 ratings on Google
★Tracy · 2026-01-08 · via Google

“If I could leave no stars I would! Here is the email I sent to ch 10 news! Please don't put your love one in this place they would be better off in a homeless shelter! Hello my name is Tracy Granados my dad is a resident at Orchard view Manor his name is Gary Ethier and is on the C unit. He has been there about 6 months and in the 6 months he has been there they have only had one working elevator…”

★Christopher Brown · 2025-11-22 · via Google

“Worst nursing home I am ever had a relative at. Not cleaning patients properly, or moving patients preventing bed sores. Multiple patients soaked in their own urine and feces. I don't condone sending anybody here and should be shut down.”

★Dawn Hvolbeck · 2025-09-05 · via Google

“Sorry for the long review however, we had a terrible experience here with my dad. I probably wouldn't be writing this review if it they would have returned one of my multiple messages that I left. My dad has dementia with recent aggressive tendencies emerging, so proper administration of his meds is crucial for his and everyone else's safety. My dad has a propensity to cheek/spit out his meds. …”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 75 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered