
Report
TheVardellReport
Heritage Hills Nursing & Rehabilitation Center
Skilled nursing facility and nursing facility
80 Douglas Pike
Smithfield, RI 02917

TheVardellReport
Skilled nursing facility and nursing facility
80 Douglas Pike
Smithfield, RI 02917
Life by Vardell Presents
The deeper story, beautifully organized. Available records, historical context, and questions worth asking.
This report is free. Vardell does not certify, grade or endorse; it shows what the record documents.
The Essentials
Across 18 inspections from October 2023 to June 2026, state surveyors documented 65 findings at Heritage Hills Nursing & Rehabilitation Center; 65 have a recorded correction; CMS lists 2 enforcement actions in the window.
* Partial year, through October 1, 2026.
| Year | Inspections | Findings | Of which, actual harm (level G or above) |
|---|---|---|---|
| 2023 | 3 | 16 | 0 |
| 2024 | 6 | 21 | 1 |
| 2025 | 6 | 21 | 2 |
| 2026 | 3 | 7 | 1 |
Chronology
Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
15 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
13 findings
Enforcement Action
Denial of payment imposed September 16, 2025. Status: Closed, October 18, 2025. CMS does not tie a penalty to a survey; listed with the standard health inspection of September 13, 2024, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
13 findings
Enforcement Action
Civil money penalty, $8,827 imposed May 9, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of October 16, 2023, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.
Context
A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.
Inspectors cited F658 in October 2023, July 2024, September 2024, January 2025, January 2025, September 2025 and January 2026. This citation covers whether the home’s services meet professional standards of quality. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F684 in October 2023, November 2023, August 2024, September 2024, January 2025 and February 2026. This citation covers whether residents receive the treatment their orders, preferences and goals call for. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F686 in October 2023, September 2024, April 2025 and June 2026. This citation covers how the home prevents and treats pressure injuries (bedsores). The most serious of these was recorded at level G (actual harm). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F689 in May 2024, August 2024, August 2025 and September 2025. This citation covers whether residents are protected from accident hazards and supervised closely enough to prevent accidents, including falls. The most serious of these was recorded at level J (immediate jeopardy). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F880 in October 2023, August 2024, September 2024 and September 2025. This citation covers hand hygiene, isolation practice and the home’s infection-prevention program. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F726 in April 2024, September 2024 and September 2025. The agency describes it this way: 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. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F600 in October 2023 and January 2026. This citation covers whether residents are protected from abuse and neglect by anyone. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F677 in October 2023 and September 2025. This citation covers help with bathing, dressing, eating and toileting for residents who cannot manage alone. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F725 in September 2024 and September 2025. This citation covers whether there are enough nurses and aides to meet residents’ needs, with a licensed nurse in charge on each shift. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F759 in September 2024 and September 2025. This citation covers whether medication errors stayed under 5 percent when inspectors watched medications being given. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F761 in October 2023 and June 2024. This citation covers how drugs are labeled and kept locked, including controlled drugs. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F842 in September 2024 and January 2026. This citation covers whether resident records are complete, accurate and kept confidential. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F881 in October 2023 and September 2024. This citation covers the home’s program for monitoring antibiotic use. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
For Your Next Visit
Bring these to the tour. Each one comes from something in the record; the reason is under the question.
How do you check that nurses and aides follow professional standards, and what happens when they do not?
Professional Standards: cited in seven inspections, most seriously at level E.
How do nurses make sure a doctor’s orders are carried out, and how are families told when something is missed?
Quality of Care: cited in six inspections, most seriously at level E.
How often are residents checked for pressure injuries and repositioned, and who is responsible for it?
Pressure Injury Care: cited in four inspections, most seriously at level G.
What changed in fall prevention and supervision after the last citation, and how do you check that it is still working?
Accident Hazards and Supervision: cited in four inspections, most seriously at level J.
Who leads infection control here, and how often are hand-hygiene and isolation practices audited?
Infection Control: cited in four inspections, most seriously at level F.
What changed after F726 was cited, and how do you check it now?
Citation F726: cited in three inspections, most seriously at level E.
What happened after the abuse or neglect citation, and what changed in training or supervision?
Protection From Abuse and Neglect: cited in two inspections, most seriously at level D.
How long do residents usually wait for help with bathing, dressing or the bathroom, and how is that tracked?
Help With Daily Living: cited in two inspections, most seriously at level E.
How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?
Nursing Staff Levels: cited in two inspections, most seriously at level E.
How are medication passes checked, and what happens when an error is found?
Medication Error Rate: cited in two inspections, most seriously at level E.
How are medications stored and secured, and who checks the medication carts?
Medication Labeling and Storage: cited in two inspections, most seriously at level D.
How can a family request a resident’s records, and how are they kept accurate?
Medical Records: cited in two inspections, most seriously at level D.
How do you track antibiotic use and decide when one is needed?
Antibiotic Use: cited in two inspections, most seriously at level F.
What led to the 2025 denial of payment, and what would you want a family to know about it?
Denial of payment was imposed September 16, 2025; it ended October 18, 2025. The record holds two enforcement actions in the window.
The Evidence
Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the Rhode Island state survey agency.
Rhode Island state survey agency
Inspection Oct 4, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Rhode Island state survey agency
Inspection Oct 16, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Rhode Island state survey agency
Inspection Nov 2, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Rhode Island state survey agency
Inspection Apr 2, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Rhode Island state survey agency
Inspection May 9, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Rhode Island state survey agency
Inspection Jun 18, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Rhode Island state survey agency
Inspection Jul 31, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Rhode Island state survey agency
Inspection Aug 16, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Rhode Island state survey agency
Inspection Sep 13, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Rhode Island state survey agency
Inspection Jan 6, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Rhode Island state survey agency
Inspection Jan 10, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Rhode Island state survey agency
Inspection Jan 23, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Rhode Island state survey agency
Inspection Apr 2, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Rhode Island state survey agency
Inspection Aug 1, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Rhode Island state survey agency
Inspection Sep 18, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Rhode Island state survey agency
Inspection Jan 14, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Rhode Island state survey agency
Inspection Feb 6, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Rhode Island state survey agency
Inspection Jun 16, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services · 415039
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Record windowOctober 4, 2023 – October 1, 2026
Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.
Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.