St Antoine Residence

    10 Rhodes Ave No, North Smithfield, RI, 02896
    4.3 · 77 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    4.0

    Excellent care but staffing concerns

    I had a mostly positive experience. Rehab/OT-PT and nursing care were excellent - compassionate, attentive staff who treated residents like family, a very clean facility with beautiful grounds, lots of activities, strong dementia and end-of-life support. That said, I saw worrying issues: understaffing (nights/weekends), occasional poor treatment or staff not listening, misplaced belongings, safety lapses (wandering) and signs of mismanagement; it's also pricey. I would recommend it with caution - great care and people, but monitor staffing, safety, and personal items.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.34 · 77 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.2
    • Staff

      4.4
    • Meals

      3.6
    • Amenities

      4.4
    • Value

      2.3

    Pros

    • Caring, compassionate and professional nursing staff
    • Skilled dementia care and memory-care expertise
    • Strong end-of-life and hospice support
    • Engaging social and recreational activities (bingo, movies, singing, happy hour)
    • Quaint on-site chapel with daily Mass and regular church services
    • Robust rehabilitation services (OT/PT) and effective rehab unit
    • Full medical team including doctors and nurses
    • Clean, well-maintained facility with attractive grounds
    • Spacious single-room options available
    • Consistency of care and many staff viewed as family-like
    • Supportive social work and case management (named staff praised)
    • Room meal delivery and multiple cafeteria/dining areas
    • Real chef / many reviewers report good food
    • Positive spiritual/Catholic environment with daily access to Mass
    • Activities that encourage independence and social participation
    • Willingness of staff to discuss concerns and involve families
    • Low staff turnover reported by some reviewers
    • Many reviewers highly recommend the facility
    • Accessible rehabilitative-to-home guidance and discharge planning
    • Warm, welcoming atmosphere and individualized attention
    • Cleanliness both inside and out
    • Windowed rooms for residents
    • Accommodation for family events and special needs
    • Multilingual / culturally positive feedback (Spanish comments)
    • Comprehensive services (assisted living, memory care, skilled nursing)

    Cons

    • Intermittent or chronic understaffing (weekday, weekend, nighttime, Covid-related)
    • Reports of inconsistent staff visibility and insufficient direct care at times
    • Some reviewers report poor or bland meals tied to dietary restrictions
    • Lunchtime short-staffing and meal service delays
    • Occasional misplacement or loss of laundry and personal belongings
    • Mixed reports about room size; some rooms small and some doubles in nursing unit
    • Safety incidents reported (wandering episode leading to alert installation)
    • At least one allegation of serious management/staff misconduct and retaliation against CNAs
    • Allegations of low accountability, penalization, unpaid days for frontline workers
    • Claims of poor value / high cost for some families (reported $12,000/month)
    • Reports of isolated mismanagement, incompetence, and communication failures
    • Some reviewers experienced negligent or insufficient care leading to safety concerns
    • Instances where staff were perceived as unresponsive or not listening
    • Anecdotal report of adverse outcome (patient death due to infection) from one reviewer
    • Dated decor in parts of the facility
    • Resident challenging behaviors (aggression, verbal abuse) noted as an issue to manage
    • Family members advised to monitor care in some cases
    • Variability in experiences—highly positive for many but seriously negative for some

    Summary review

    Overall sentiment across the reviews of St Antoine Residence is predominantly positive but with notable and recurring concerns. A large number of reviewers praise the facility for compassionate, professional nursing staff, strong dementia-care expertise, and excellent end-of-life support. Multiple accounts emphasize that staff treat residents with dignity, offer individualized attention, and provide a warm, family-like atmosphere. The rehabilitation services (OT/PT) and the skilled rehab unit receive frequent commendation, and many families reported effective recovery after falls and good discharge guidance for home safety. The presence of a full medical team, supportive social work, and hospice options contributes to reviewers' confidence in medical continuity and specialized care.

    Facility and environment are frequently described as clean, attractive, and well maintained. Reviewers highlight lovely, gorgeous grounds, plentiful windows in resident rooms, and an inviting chapel that offers daily Mass and regular church services — an important feature for many families seeking a Catholic environment. Activity programming appears robust, with bingo, movies, singing groups, happy hour, rosary, and other social events that support resident engagement and independence. Dining impressions are mixed but often positive: several reviewers compliment a real chef, good food, multiple cafeteria sections, and the convenience of room meal delivery; others describe bland meals tied to dietary restrictions or occasional poor meal quality.

    Staffing is a central and complex theme. Many reviewers describe staff as friendly, patient, knowledgeable, and willing to address concerns; certain individuals and departments (CNAs, therapy staff, social worker) are singled out for high praise. Low turnover and long-term staff continuity are noted by some as a strength. At the same time, understaffing is repeatedly mentioned — including weekend and nighttime shortages and Covid-related staffing pressures — which has led to experiences of limited staff visibility, abbreviated meal service, and the need for families to monitor care. There are also serious and divergent complaints about management and workplace culture from a subset of reviewers: allegations include penalization and retaliation against CNAs, unpaid time, lack of accountability, and tolerated resident abuse. These claims contrast sharply with other accounts that describe an admirable working environment and hardworking staff.

    Safety and quality-of-care concerns are specific and important. A wandering incident prompted the installation of an alert system, showing responsiveness but also raising previous safety questions. Other safety-related reports include misplaced laundry and belongings, an allegation of a patient death due to infection, and isolated accounts of inadequate attention or responsiveness by staff. While many families felt their loved ones were safe and well cared for through end of life, a minority felt the care standard dropped significantly at times, suggesting variability in performance or episodic lapses tied to staffing levels and supervision.

    The dining and accommodations picture is mixed: several reviewers rave about food quality and the dining experience, while others note blandness or poor value — one reviewer explicitly called the price high relative to perceived care quality. Room reports vary: some residents have spacious single rooms and appreciated privacy, while others mentioned smaller rooms or double occupancy in the nursing unit. Administrative and operational communication is generally praised when clear — families appreciated transparent updates from nursing and social work — but some reviewers reported mismanagement, lost items, or a need to be more vigilant as advocates for their relatives.

    In summary, St Antoine Residence demonstrates many strengths that repeatedly impress families: compassionate and skilled caregivers, excellent rehab and dementia services, a clean facility with beautiful grounds and chapel-based spiritual programming, and a wide array of meaningful activities. These strengths lead many reviewers to highly recommend the facility. However, there are consistent and serious caveats to consider: intermittent staffing shortages, occasional lapses in direct care and meal service, reports of mismanagement or negative workplace practices from some staff, and isolated but consequential safety and personal-belonging issues. Prospective families should weigh the strong positive trends in clinical and spiritual care and rehabilitation against the variability in staffing and the reported incidents. Visiting in person, asking about current staffing levels, tour of specific unit rooms (single vs double), reviewing incident response protocols (e.g., wandering safeguards), and talking with the social work team about communication and accountability practices would help families make an informed choice based on the mix of overwhelmingly positive experiences and the noteworthy concerns described by reviewers.

    Location

    Map showing location of St Antoine Residence

    About St Antoine Residence

    St Antoine Residence sits on a peaceful 30-acre wooded property in North Smithfield, Rhode Island, and has served people since 1966 as a non-profit corporation, typically caring for about 170 residents each day, and though it has a total of 260 certified beds, it usually keeps a steady resident population, and the facility offers several care options like long-term care in The Residence, assisted living in The Villa, memory care in the secure Primrose Lane unit, and short-term rehab through Easy Street. The place reports 3.73 nurse hours per resident each day and a nurse turnover rate of 32.7%, and while the staff provide 24-hour skilled nursing care, rehabilitation, personal care like bathing and grooming, medication support, and health monitoring for physical, cognitive, and emotional needs, there've been some state inspection concerns, including 28 total deficiencies, issues with pharmacy services like missed monthly drug reviews, two infection-related deficiencies, and problems related to protecting residents from abuse, neglect, and exploitation.

    Therapeutic programs, daily activities, and amenities are available for residents, especially those with memory loss or dementia, with specially trained staff in dedicated spaces meant to keep residents safe and comfortable, and there are walking paths through the grounds, three formal dining rooms, private rooms with bathrooms, safety grab bars, and emergency call lights. The facility has Wi-Fi, high ceilings, wall-to-wall carpeting, resident-controlled thermostats, window drapery, and private bathrooms with emergency pull cords, aiming to keep daily life as comfortable as possible, and pets aren't allowed. There's a dedicated Hospice Suite to serve people at the end of life, with a homelike feel, and residents needing spiritual support get help from pastoral care, daily Eucharist, and quiet time in the chapels-spaces made for reflection and all faiths. St Antoine Residence hosts fundraising and community events, keeps gardens and walking areas nice for fresh air, and aims to offer caring support, but it's important to know the facility has documented inspection problems, and some details about apartment layouts, parking, utilities, and fees aren't published.

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