Map showing the location of Tockwotton on the Waterfront in East Providence, Rhode Island
500 Waterfront Drive, East Providence, RI, 02914

Overall Score

CMS Five-Star Quality Rating
4/5Above 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 55% of peers72 rated homes · average 3.1★
  • Providence CountyAbove 53% of peers41 rated homes · average 3.0★
  • United StatesAbove 61% of peers14,574 rated homes · average 3.0★

How the rating is built

  • Health inspectionsStarting point3★+0.1 vs RI avg
  • StaffingCan add or remove a star5★+1.6 vs RI avg
  • Quality measuresCan add or remove a star4★+0.6 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 cycles3★Above only 41% 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 turnover5★Above 82% 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 assessments4★Above 56% 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 staff5.00hrsTop 4%RI 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 only1.07hrsAbove 84% of peersRI 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 better34%Above 67% of peersRI avg40%RN turnover53%
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$8,628Above 68% 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
12citations
4inspection dates
1actual harm (G–I)
0immediate jeopardy (J–L)
Feb 25, 2025most recent

Citations by monthJan 2023 – Feb 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.

Feb 25, 20252 citationsCycle 1worst G · actual harm$8,628
  1. F658Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care PlanningD · isolatedCorrected Mar 1, 2025
  2. F760Ensure that residents are free from significant medication errors.Pharmacy ServiceG · isolatedCorrected Mar 1, 2025
Feb 13, 20256 citationsCycle 1worst F · no actual harm$8,628
  1. F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and CareD · isolatedCorrected Mar 13, 2025
  2. F760Ensure that residents are free from significant medication errors.Pharmacy ServiceD · isolatedCorrected Mar 13, 2025
  3. F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Nutrition and DietaryD · isolatedCorrected Mar 13, 2025
  4. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryF · widespreadCorrected Apr 7, 2025
  5. 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 Mar 13, 2025
  6. F880Provide and implement an infection prevention and control program.Infection ControlD · isolatedCorrected Mar 13, 2025
Feb 29, 20242 citationsCycle 2worst D · no actual harm
  1. F658Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care PlanningD · isolatedCorrected Mar 15, 2024
  2. 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 Mar 15, 2024
Jan 13, 20232 citationsCycle 3worst F · no actual harm
  1. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryF · widespreadCorrected Feb 10, 2023
  2. F908Keep all essential equipment working safely.EnvironmentalD · isolatedCorrected Feb 10, 2023

Staffing

From quarterly payroll reports

Hours per resident per day

  • All nursing staffRNs, LPNs and aides combined5.00hrsTop 4%+1.28 vs RI avg
  • Registered nursesRN hours only1.07hrsAbove 84% of peers+0.30 vs RI avg
  • Licensed practical nursesLPN hours0.61hrs
  • Nurse aidesCNA hours3.32hrs
  • Weekend nursingAll staff on Saturdays and Sundays4.25hrs
  • Rhode Island average
  • Research benchmark (4.10 total, 0.75 RN)

Turnover & capacity

  • Nursing staff turnoverShare who left within a year · lower is better34%Above 67% of peersRI avg 40%
  • RN turnoverRegistered nurses only53%Not ranked by CMS
  • Administrators who leftIn the past year1Leadership changed
  • Occupancy52 certified beds · ~49 residents a day94%Above 83% of peersRI avg 85%

Fines & penalties

Roughly the past three years

Enforcement summary

  • $8,628In fines
  • 1Fine
  • 0Payment denials
  • $67,464RI avg in fines
Above 68% of peersFewer fines than 68% of rated homes in Rhode Island

Actions on record

  1. Feb 13, 2025Civil money penalty$8,628

Ownership

As filed with CMS

Structure

Ownership type
Non profit - Corporation
Chain
Independent
Certification
Medicare and Medicaid
Location type
Urban
Ownership change
None in the last 12 months

People and entities on file

Operational or managerial control
  • Christopher McGee
Corporate directors
  • Gregory Allen
  • James Atchison
  • Lonnie Barham
  • Arthur Bone
  • Alyssa Boss
  • Emilia Dasilva-Tavarez
  • Debora Heidtman
  • David Kroessler
  • +4 more
Corporate officers
  • Christopher McGee

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 415113 · 500 Waterfront Drive, East Providence, RI, 02914.
  • Percentiles compare this facility with every rated nursing home in Rhode Island and Providence 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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