Eleven nursing homes across Rhode Island sit under the operational footprint of Advinia Care

Eleven nursing homes across Rhode Island sit under the operational footprint of Advinia Care, sparking an urgent pushback from the Attorney General over debt risks and patient care standards.

Attorney General Peter Neronha urged the Rhode Island Department of Health to deny Advinia Care’s application to acquire three additional skilled nursing facilities or else attach conditions to any approval.

The Health Services Council recommended that the health department approve the acquisition despite written objections submitted by the attorney general’s office.

Advinia Care is known for using related entities that divert resources away from patient care to line the pockets of owners, according to the public comment letter submitted by Attorney General Neronha on November 2, 2026.

“Long-term care centers play a crucial role in our state’s health care system, and we must ensure that our centers remain available and viable for Rhode Islanders, particularly when considering the devastating impacts of for-profit acquisition and ownership of health care facilities this State has experienced,” said Attorney General Peter Neronha.

For several years, the attorney general has raised concerns about privately-owned for-profit nursing home chains saddling care facilities with high debt obligations. These ownership models frequently separate real estate holdings from facility operations, using complex webs of affiliated entities to channel money away from residents and into private pockets.

Advinia Care’s footprint in Rhode Island encompasses 11 of the approximately 75 licensed skilled nursing facilities in the state. The Attorney General expressed concerns that this consolidation could create systemic financial risks that impact patient care.

If the health department approves the transaction, Neronha recommends it should attach conditions to ensure sufficient resources are dedicated to patient care at the facilities. These include related-party disclosures, funded escrow accounts for insolvency risks, limitations on rent and management fee increases, independent financial monitoring, restrictions on owner distributions, and strict resident care protections.

Rhode Island Attorney General Opposes Advinia Care Nursing Home Acquisition

This ongoing debate over corporate ownership in the elder care sector follows the Health Care Capacity Assessment performed by Health Management Associates (HMA) and published in May 2025. That assessment detailed Rhode Island’s history of nursing home closures and a higher-than-average composition of for-profit nursing home chains.

“My Office will continue to use every tool at our disposal to ensure that we are protecting Rhode Islanders’ health care interests,” Neronha said.

The Rhode Island Department of Health will make the final determination on whether to accept the Health Services Council recommendation, deny the transfer outright, or impose the conditions outlined in the attorney general’s comment letter.