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Office of Health Systems Development

Mission

To prevent unnecessary duplication of medical services, facilities, and equipment; and promote access, safe and adequate treatment, and quality improvement in healthcare facilities.

What we do

Initial Licensure

Licensure as a health care facility in Rhode Island requires approval by the Department of Health. This includes freestanding emergency care facilities, outpatient kidney treatment centers, organized ambulatory care facilities, and outpatient birth centers. more

Certificate of Need

The Certificate of Need process is designed to prevent unnecessary duplication of expensive medical services and equipment. The review process has two-steps: a Letter of Intent (LOI) with a deadline of 26 April 2014 (for non expeditious applications) and the Certificate of Need (CON) application with a deadline of 10 June 2014 (for non expeditious applications). more

Change in Effective Control

A change in ownership, control, or lease of a healthcare facility in Rhode Island requires approval by the Department of Health. This includes hospitals, nursing homes, organized ambulatory care facilities, outpatient kidney dialysis facilities, outpatient hospice care facilities, freestanding emergency care facilities, home health care providers, etc. more

Current Applications/Requests

  • 12/09/2014 15:39 EST
    For Change in Effective Control of 8 nursing facilities: (1)Kent Regency Center (660 Commonwealth Avenue Operations LLC) in Warwick; (2) Grandview Center (100 Chambers Street Operations LLC) in Cumberland; (3)Grand Islander Center (333 Green End Avenue Operations LLC) in Middletown; (4) Coventry Skilled Nursing and Rehabilitation (10 Woodland Drive Operations LLC) in Coventry; (5) Greenville Skilled Nursing and Rehabilitation (735 Putnam Pike Operations LLC) in Greenville; (6) Pawtucket Skilled Nursing and Rehabilitation (70 Gill Avenue Operations LLC) in Pawtucket; (7) Warren Skilled Nursing and Rehabilitation (642 Metacom Avenue Operations LLC) in Warren; (8)Greenwood Center (Harborside Rhode Island Limited Partnership) in Warwick. All written comments by affected persons should be received via e-mail by: Michael.Dexter@health.ri.gov by 8 January 2015, when practicable.
    11/25/2014 12:12 EST
    For Change in Effective Control of Odyssey Healthcare Operating B, LP (a licensed hospice agency provider in Warwick, Rhode Island) which is presently a wholly-owned subsidiary of Gentiva Health Services, Inc.
    10/30/2014 14:25 EDT
    For a Certificate of Need to establish a home care provider in Warwick. This review is pursuant to Chapter 23-15 of the General Laws of Rhode Island. All comments submitted by affected persons should be received via e-mail by: Michael.Dexter@health.ri.gov by 20 December 2014, when practicable.
    10/30/2014 13:55 EDT
    For Change in Effective Control of Senior Helpers of Rhode Island, LLC, a home care provider in Warwick. This review is pursuant to Chapter 23-17 of the General Laws of Rhode Island. All comments submitted by affected persons should be received via e-mail by: Michael.Dexter@health.ri.gov by 30 November 2014, when practicable.
    10/16/2014 15:12 EDT
    For Change in Effecive Control of Mout St. Rita Health Centre, a skilled nursing facility in Cumberland. This review is pursuant to Chapter 23-17 of the General Laws of Rhode Island. All comments submitted by affected persons should be received via e-mail by: Michael.Dexter@health.ri.gov by 30 November 2014, when practicable.
    09/29/2014 09:14 EDT
    For a Change in Effective Control of Life Care at Home of Rhode Island, Inc. d/b/a Life Care at Home, a home health provider located at 63 Sockanosset Crossroad in Cranston.
    07/17/2014 09:18 EDT
    For Change in Effective Control of Coram Healthcare Corporation of Massachusetts d/b/a Coram Specialty Infusion Services, a home nursing care provider at 1240 Pawtucket Avenue in East Providence.
    07/15/2014 12:41 EDT
    For Change in Effective Control of: (1) Ocean State Endoscopy, a Freestanding Ambulatory Surgery Center located at 148 West River Street in Providence; (2) Bayside Endoscopy Center, a Freestanding Ambulatory Surgery Center located at 33 Saniford Street in Providence; (3) East Greenwich Endoscopy Center, a Freestanding Ambulatory Surgery Center located at 1405 South County Trail in East Greenwich
    07/15/2014 12:38 EDT
    For initial licensure of an Organized Ambulatory Care Facility at 289 North Main Street in Providence.
    07/07/2014 10:11 EDT
    For Change in Effective Control of Kindred Transitional Care and Rehabilitation - Oak Hill in Pawtucket, RI. This review is pursuant to Chapter 23-17 of the General Laws of Rhode Island. Next Meeting: 10 July 2014.
    06/11/2014 15:19 EDT
    For a Certificate of Need to establish a home care provider in South Kingstown. This review is pursuant to Chapter 23-15 of the General Laws of Rhode Island. All comments submitted by affected persons should be received via e-mail by: Michael.Dexter@health.ri.gov by 29 August 2014, when practicable. Requests for a public meeting must be received via e-mail by: Michael.Dexter@health.ri.gov by 25 July 2014.
    06/11/2014 15:18 EDT
    For a Certificate of Need to establish a home nursing care provider in Warwick. This review is pursuant to Chapter 23-15 of the General Laws of Rhode Island. All comments submitted by affected persons should be received via e-mail by: Michael.Dexter@health.ri.gov by 29 August 2014, when practicable. Requests for a public meeting must be received via e-mail by: Michael.Dexter@health.ri.gov by 25 July 2014.
    06/11/2014 13:50 EDT
    For a Certificate of Need for the expansion of service to provide primary and elective angioplasty and construction of lab to support the service. This review is pursuant to Chapter 23-15 of the General Laws of Rhode Island. All comments submitted by affected persons should be received via e-mail by: Michael.Dexter@health.ri.gov by 29 August 2014, when practicable. Requests for a public meeting must be received via e-mail by: Michael.Dexter@health.ri.gov by 25 July 2014.
    06/11/2014 13:48 EDT
    For a Certificate of Need to establish a home nursing care provider in West Greenwich. This review is pursuant to Chapter 23-15 of the General Laws of Rhode Island. All comments submitted by affected persons should be received via e-mail by: Michael.Dexter@health.ri.gov by 29 August 2014, when practicable. Requests for a public meeting must be received via e-mail by: Michael.Dexter@health.ri.gov by 25 July 2014.
    06/11/2014 13:42 EDT
    For a Certificate of Need to establish a 36-bed resident-directed nursing facility in Cranston.
    05/20/2014 10:40 EDT
    For initial licensure for 7 Organized Ambulatory Care Facilities at: 1054 Cass Avenue in Woonsocket; 681 Reservoir Avenue in Cranston; 120 Eddie Dowling Highway in North Smithfield; 1285 S. County Trail in East Greenwich; 799 Hope Street in Providence; 11 Main Street in Wakefield; and 151 Franklin Street in Westerly. This review is pursuant to Chapter 23-17 of the General Laws of Rhode Island. All comments submitted by affected persons should be received by e-mail by Michael.Dexter@health.ri.gov by 5 April 2014, when practicable.
    05/15/2014 13:05 EDT
    Change Order Request to the 2011 Certificate of Need approval to consolidate building operations on the Pastore Campus in Cranston.
    05/09/2014 14:16 EDT
    For Changes in Effective Control of: (1) Roger Williams Medical Center, a 220-bed hospital located at 825 Chalkstone Avenue in Providence; (2) Our Lady of Fatima Hospital, a 278-bed hospital located at 200 High Service Road in North Providence; (3) Elmhurst Extended Care Facilities, Inc. a 194-bed nursing facility located at 50 Maude Street in Providence; (4) Roger Williams Sleep Disorders Center, an Organized Ambulatory Care Facility at 1539 Atwood Avenue in Johnston; and (5) CharterCARE Home Health Services, a Home Nursing Care Provider at 50 Maude Street in Providence. This review is pursuant to Chapter 23-17 of the General Laws of Rhode Island. All written comments by affected persons should be received via e-mail by: Michael.Dexter@health.ri.gov by 12 March 2014, when practicable.
    03/07/2014 10:00 EST
    Change Order requests to Certificates of Need to provide radiation therapy at South County Hospital and Woonsocket (to modify conditions of approval). DECISION: 03/07/2014, decision on-line at: https://docs.google.com/file/d/0B9lx-sHDAL9qb1dJa2pjcW91c3M/edit
    03/03/2014 14:26 EST
    The report referenced in the Post Remand Decision is available on-line at: https://docs.google.com/file/d/0B9lx-sHDAL9qa0VKUTM5OEljblk/edit
    02/12/2014 13:26 EST
    For a Certificate of Need to establish a hospice provider at 99 Hillside Avenue in Providence to provide outpatient hospice services. This review is pursuant to Chapter 23-15 of the General Laws of Rhode Island. All comments submitted by affected persons should be received via e-mail by: Michael.Dexter@health.ri.gov by 1 April 2014, when practicable. Requests for a public meeting must be received via e-mail by: Michael.Dexter@health.ri.gov by 25 February 2014.
    02/10/2014 14:12 EST
    For Changes in Effective Control of 8 nursing facilities of FC-GEN Operations Investment, LLC: (1) 660 Commonwealth Avenue Operations, LLC d/b/a Kent Regency Center a 153-bed nursing facility at 660 Commonwealth Avenue in Warwick; (2) 100 Chambers Street Operations, LLC d/b/a Grandview Center a 72-bed nursing facility at 100 Chambers Street in Cumberland; (3) 333 Green End Avenue Operations, LLC d/b/a Grand Islander Center a 148-bed nursing facility at 333 Green End Avenue in Middletown; (4) 10 Woodland Drive Operations, LLC d/b/a Coventry Skilled Nursing and Rehabilitation a 210-bed nursing facility at 10 Woodland Drive in Coventry; (5) 735 Putnam Pike Operations, LLC d/b/a Greenville Skilled Nursing and Rehabilitation a 131-bed nursing facility at 735 Putnam Pike in Greenville; (6) 70 Gill Avenue Operations, LLC d/b/a Pawtucket Skilled Nursing and Rehabilitation a 154-bed nursing facility at 70 Gill Avenue in Pawtucket; (7) 642 Metacom Avenue Operations, LLC d/b/a Warren Skilled Nursing and Rehabilitation a 63-bed nursing facility at 642 Metacom Avenue in Warren; and (8) Harborside Rhode Island Limited Partnership d/b/a Greenwood Center a 130-bed facility at 1139 Main Avenue in Warwick.
    01/28/2014 16:21 EST
    To establish a Freestanding Ambulatory Surgery Center to provide gastroenterological endoscopy procedures at 44 West River Street in Providence
    01/17/2014 14:39 EST
    To establish a Home Care Provider at 510 Post Road in Warwick
    01/07/2014 16:38 EST
    To remand the Rhode Island Department of Health's decision back to the Health Services Council to make a finding of need consistent with the statutory and regulatory requirements
    11/26/2013 11:34 EST
    For a Certificate of Need to establish a Home Care Provider at 515 Waterman Avenue in East Providence
    06/05/2013 08:32 EDT
    Certificate of Need application to establish an Organized Ambulatory Care Facility to provide radiation therapy services. State Agency's Decision: 03/05/2013 - approved with conditions. Request for reconsideration on 04/04/2013 by Steward Saint Anne's Hospital Corporation [Steward Health Care System] and Raymond Dugal, MD. Request for reconsideration denied on 06/04/2013: https://docs.google.com/file/d/0B9lx-sHDAL9qZFZaWjFJZkxHcVk/edit
    05/03/2013 08:17 EDT
    Certificate of Need application to establish adult and pediatric bone marrow transplantation program. The review is pursuant to Chapter 23-15 of the General Laws of Rhode Island. Review Commenced: 07/10/2008; Comment Period (when practicable): 08/29/2008 Please submit comments to: Valentina.Adamova@health.ri.gov or call (401) 222-2788 for alternative methods of submitting comments.