Map showing the location of Elderwood Of Scallop Shell at Wakefield in South Kingstown, Rhode Island
55 Scallop Shell Way, South Kingstown, RI, 02883

Overall Score

CMS Five-Star Quality Rating
2/5Below averageCMS Five-Star overall rating
  1. Much below average
  2. Below average
  3. Average
  4. Above average
  5. Much above average

Where it ranks

  • Rhode IslandAbove only 17% of peers72 rated homes · average 3.1★
  • Washington CountyLowest tier among peers9 rated homes · average 3.8★
  • United StatesAbove only 20% of peers14,574 rated homes · average 3.0★

How the rating is built

  • Health inspectionsStarting point2★−0.9 vs RI avg
  • StaffingCan add or remove a star3★−0.4 vs RI avg
  • Quality measuresCan add or remove a star3★−0.4 vs RI avg

CMS starts from the health inspection stars, then adds or subtracts a star for staffing and for quality measures. Stars are assigned relative to other facilities in the same state.

Ratings & measures

Tap a row to see what it means
Health inspection ratingCMS stars from the last three on-site inspection cycles2★Above only 18% of peersRI avg2.9★U.S. avg2.8★
What is health inspection rating?

Stars assigned from the last three standard surveys and every complaint investigation in that window, weighted toward the most recent and the most serious findings. CMS assigns these stars relative to other facilities in the same state.

Why it matters

It carries the most weight in the overall rating and is the only domain based on what trained inspectors saw on site rather than what the facility reported.

Staffing ratingCMS stars from payroll-reported hours and turnover3★Above only 25% of peersRI avg3.4★U.S. avg2.9★
What is staffing rating?

Nurse and aide hours per resident day from payroll records CMS collects every quarter, adjusted for how much care residents need, plus staff turnover and weekend coverage.

Why it matters

More hours and lower turnover are the strongest predictors of fewer falls, pressure sores, and avoidable hospital stays.

Quality measures ratingCMS stars from clinical outcomes and resident assessments3★Above only 24% of peersRI avg3.4★U.S. avg3.6★
What is quality measures rating?

Clinical outcomes from resident assessments and Medicare claims: falls with injury, pressure ulcers, hospitalizations, antipsychotic use, and more, for both short-stay and long-stay residents.

Why it matters

It shows whether care is working, but part of it comes from the facility’s own assessments, so read it alongside the inspection results.

Total nurse hoursPer resident per day, all nursing staff3.61hrsAbove 50% of peersRI avg3.72Benchmark4.10
What is total nurse hours?

All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.

Why it matters

Federal research links 4.1 hours a day to fewer avoidable harms. Below about 3 hours, residents wait longer for help with basics like toileting and repositioning.

RN hoursPer resident per day, registered nurses only1.38hrsTop 1%RI avg0.77Benchmark0.75
What is rn hours?

Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.

Why it matters

RN coverage is the staffing measure most tied to fewer hospital transfers and infections, and it is where thinly staffed facilities cut first.

Nursing staff turnoverShare of nursing staff who left within a year · lower is better60%Above only 6% of peersRI avg40%RN turnover54%
What is nursing staff turnover?

The share of nursing staff who left within the past year, from the same payroll data.

Why it matters

High turnover means residents are cared for by people who do not know them, and it is one of the strongest predictors of inspection problems.

Fines in the last three yearsCivil money penalties imposed by CMS · lower is better$70,499Above only 32% of peersRI avg$67,464Fines · denials1 · 0
What is fines in the last three years?

Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.

Why it matters

Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.

Inspection history

Last three inspection cycles
25citations
6inspection dates
5actual harm (G–I)
1immediate jeopardy (J–L)
Nov 20, 2025most recent

Citations by monthAug 2023 – Nov 2025

  • No actual harm (D–F)
  • Actual harm (G–I)
  • Immediate jeopardy (J–L)
  • $Fine or payment denial

Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.

Nov 20, 20255 citationsCycle 1worst J · immediate jeopardy
  1. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareJ · isolatedCorrected Dec 9, 2025
  2. F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Nursing and Physician ServicesG · isolatedCorrected Dec 9, 2025
  3. Ensure each resident’s drug regimen must be free from unnecessary drugs.Pharmacy ServiceE · patternCorrected Dec 9, 2025
  4. Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and CareG · isolatedCorrected Dec 9, 2025
  5. F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Resident RightsC · widespreadCorrected Dec 9, 2025
Sep 13, 20241 citationCycle 2worst D · no actual harm
  1. F658Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care PlanningD · isolatedCorrected Oct 13, 2024
Sep 6, 20245 citationsCycle 2worst E · no actual harm
  1. F880Provide and implement an infection prevention and control program.Infection ControlE · patternCorrected Oct 6, 2024
  2. Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and CareE · patternCorrected Oct 6, 2024
  3. F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and CareD · isolatedCorrected Oct 6, 2024
  4. F760Ensure that residents are free from significant medication errors.Pharmacy ServiceE · patternCorrected Oct 6, 2024
  5. F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.AdministrationE · patternCorrected Oct 6, 2024
Jan 3, 20241 citationCycle 3worst E · no actual harm
  1. F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Infection ControlE · patternCorrected Jan 22, 2024
Sep 22, 202312 citationsCycle 3worst H · actual harm
  1. Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and CareH · patternCorrected Oct 22, 2023
  2. F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Infection ControlE · patternCorrected Oct 22, 2023
  3. F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Nursing and Physician ServicesE · patternCorrected Oct 22, 2023
  4. F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care PlanningD · isolatedCorrected Oct 22, 2023
  5. F658Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care PlanningE · patternCorrected Oct 22, 2023
  6. F695Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and CareD · isolatedCorrected Oct 22, 2023
  7. F697Provide safe, appropriate pain management for a resident who requires such services.Quality of Life and CareH · patternCorrected Oct 22, 2023
  8. F811Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.Nutrition and DietaryD · isolatedCorrected Oct 22, 2023
  9. F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care PlanningD · isolatedCorrected Oct 22, 2023
  10. F880Provide and implement an infection prevention and control program.Infection ControlD · isolatedCorrected Oct 22, 2023
  11. Ensure each resident’s drug regimen must be free from unnecessary drugs.Pharmacy ServiceG · isolatedCorrected Oct 22, 2023
  12. F881Implement a program that monitors antibiotic use.Infection ControlE · patternCorrected Oct 22, 2023
Aug 24, 20231 citationCycle 3worst D · no actual harm$70,499
  1. F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care PlanningD · isolatedCorrected Sep 23, 2023

Staffing

From quarterly payroll reports

Hours per resident per day

  • All nursing staffRNs, LPNs and aides combined3.61hrsAbove 50% of peers−0.11 vs RI avg
  • Registered nursesRN hours only1.38hrsTop 1%+0.61 vs RI avg
  • Licensed practical nursesLPN hours0.18hrs
  • Nurse aidesCNA hours2.05hrs
  • Weekend nursingAll staff on Saturdays and Sundays3.19hrs
  • Rhode Island average
  • Research benchmark (4.10 total, 0.75 RN)

Turnover & capacity

  • Nursing staff turnoverShare who left within a year · lower is better60%Above only 6% of peersRI avg 40%
  • RN turnoverRegistered nurses only54%Not ranked by CMS
  • Administrators who leftIn the past year0Stable leadership
  • Occupancy80 certified beds · ~64 residents a day80%Above only 20% of peersRI avg 85%

Fines & penalties

Roughly the past three years

Enforcement summary

  • $70,499In fines
  • 1Fine
  • 0Payment denials
  • $67,464RI avg in fines
Above only 32% of peersFewer fines than 32% of rated homes in Rhode Island

Actions on record

  1. Aug 24, 2023Civil money penalty$70,499

Ownership

As filed with CMS

Structure

Ownership type
For profit - Limited Liability company
Chain
Elderwood17 facilities in the chain2.6★ chain average
Certification
Medicare and Medicaid
Location type
Urban
Ownership change
None in the last 12 months

People and entities on file

Direct owners (5%+)
  • Post Acute Partners
Indirect owners (5%+)
  • Warren Cole
  • Jeffrey Rubin
Operational or managerial control
  • Warren Cole
  • Jeffrey Rubin
Corporate officers
  • Warren Cole
  • Jeffrey Rubin
Contracted managers
  • Philip Quillard
  • John Paul Vinkle
Managing employees
  • Marissa Rhyner

Person Organization

Sources & notes

Public data, updated quarterly

Data sources

  • CMS Care Compare · Provider InformationStar ratings, staffing hours, turnover, penalties and flags · processed February 2026.
  • CMS Health CitationsEvery deficiency from the last three inspection cycles, with scope, severity and inspection cycle.
  • CMS Penalties and Ownership filesCivil money penalties, payment denials, and the owners and managers on file.

Notes

  • CMS Certification Number 415057 · 55 Scallop Shell Way, South Kingstown, RI, 02883.
  • Percentiles compare this facility with every rated nursing home in Rhode Island and Washington County. Turnover and fines are inverted so a high percentile is always good.
  • This is an informational summary of public data, not medical, legal, or placement advice. Facilities cannot pay to change it; a facility that believes a record is wrong can dispute it with CMS.

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