Home / Rhode Island / Warwick
Avalon Nursing Home Inc
57 Stokes Street, Warwick, RI 02889 · Kent County · (401) 738-1200
31 certified beds, about 30 residents a day · For profit - Corporation · Medicare and Medicaid since 1980
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 415060 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 30, 2025, inspectors cited 7 health deficiencies (the Rhode Island average is 9.3, the national average 9.2).
Of 27 health citations since May 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.91 hours per resident per day, against 3.71 across Rhode Island and 3.86 nationally. Registered nurses accounted for 1.19 of those hours.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
905/23
105/24
605/24
108/24
705/25
303/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 27 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
12D
10E
3F
Potential for minimal harm
0A
1B
0C
March 11, 2026Complaint inspection · 3 citations
- E Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Inspectors wroteBased on record review and staff interview, the facility failed to provide training to their staff, that at a minimum educates staff on, abuse and neglect.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to ensure that alleged violations involving abuse are reported immediately, but not later than 2 hours, after the allegation was made, relative to 1 of 2 residents reviewed for abuse who had a bruise to his/her outer thigh, Resident ID# 1.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to ensure that an allegation of abuse was thoroughly investigated for 1 of 2 residents reviewed, who had a bruise to his/her outer thigh, Resident ID #1. Additionally, the facility failed to prevent further potential abuse while the investigation was in progress.
May 30, 2025Standard inspection · 7 citations
- G Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to maintain acceptable parameters of nutritional status, such as usual body weight, for 1 of 1 resident reviewed, who experienced actual weight loss, Resident ID #3.
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review, surveyor observation, and staff interview, it has been determined that the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, relative to continuous oxygen administration for 2 of 2 residents reviewed, Resident ID #s 18 and 30, for 1 of 1 resident reviewed who had an order to offload their heels, Resident ID #6 and for 1 of 1 resident reviewed for a hand splint, Resident ID #20.
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on surveyor observation and staff interview, it has been determined that the facility failed to maintain a safe, functional, and comfortable environment relative to window air conditioning units, for 4 of 4 air conditioning units observed.
- E Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on record review and staff interview it has been determined that the facility failed to develop, implement, and maintain an effective in-service training program including no less than 12 hours per year, to ensure competence of nurse aides (NAs) with their expected roles for 2 of 4 NAs reviewed, Staff D and E.
- D Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to protect identifying information for 3 of 4 current residents residing in the facility, who were identified in the survey results binder, Resident ID #s 3, 4 and 17.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on surveyor observation and staff interview, it has been determined that the facility failed to store and label drugs and biologicals in accordance with currently accepted professional principles for 2 of 2 medication carts and the 1 of 1 medication storage room observed.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, relative to the main kitchen.
August 28, 2024Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that all alleged violations involving abuse, including injuries of unknown source are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or, no later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to other officials (Rhode Island Department of Health- RIDOH), in accordance with State law, for 2 of 2 residents reviewed for allegations of abuse, Resident ID #s 1 and 2.
May 31, 2024Standard inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that food is stored and distributed in accordance with professional standards for food service safety, relative to the main kitchen.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to maintain an infection prevention and control program (IPCP) to help prevent the transmission of communicable diseases and infections for 2 of 3 residents reviewed for multidrug-resistant Organisms (MDRO), Resident ID #s 6 and 28. Additionally, the facility failed to conduct appropriate infection control practices relative to personal protective equipment during foley catheter (a flexible tube that is inserted through the urethra to help drain urine from the bladder) removal for 1 of 1 resident observed, Resident ID #3. [...]
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that residents who require dialysis (a blood purifying treatment given when kidney function is not optimum) receive such services consistent with professional standards of practice for 1 of 1 resident reviewed for dialysis, Resident ID #19.
- E Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Inspectors wroteBased on record review and staff interview it has been determined that the facility failed to develop, implement, and maintain an effective training program, which includes but is not limited to communication, residents rights, abuse, quality assurance and performance improvement, infection control and behavioral health, for all new and existing staff consistent with their expected roles for 4 of 4 staff members reviewed, Staff C, E, F and G.
- D Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on record review, surveyor observation, resident and staff interview, it has been determined that the facility failed to meet the nutritional needs of residents relative to increased protein for 1 of 1 dialysis resident reviewed, Resident ID #19.
- B Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to provide a written notice of transfer or discharge to the Office of the State Long-Term Care Ombudsman for 2 of 2 sample residents who were discharged to the hospital from the facility, Resident ID #s 13 and 14.
May 16, 2024Complaint inspection · 1 citation
- E Provide activities to meet all resident's needs.
Inspectors wroteBased on surveyor observation, record review, resident and staff interviews, it has been determined that the facility failed to provide an ongoing program to support a resident in their choice of activities designed to meet the interests of and support the well-being of each resident, based on the comprehensive assessment, care plan and preferences for 3 of 5 residents reviewed, Resident ID #s 1, 2, and 3.
May 10, 2023Standard inspection · 9 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that food is stored, prepared, distributed, and served in accordance with professional standards for food service safety.
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that services being provided meet professional standards of quality for 1 of 2 residents reviewed relative to blood sugar monitoring, Resident ID #6.
- E Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on surveyor observation, record review, and staff and resident interview, it has been determined that the facility failed to maintain acceptable parameters of nutritional status relative to dietary supplements for 3 of 5 residents reviewed, Resident ID #s 7, 18, and 28.
- E Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to establish an Infection prevention and control program (IPCP) that must include, at a minimum, an antibiotic stewardship program that includes antibiotic use protocols and a system to monitor antibiotic use, for 2 of 2 resident's reviewed for antibiotic use, Resident IDs # 2 and 8.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on surveyor observation, record review and resident and staff interview, it has been determined that the facility failed to provide reasonable accommodation of resident needs and preferences, relative to individualizing the physical environment of the resident's bedroom, for 1 of 1 residents reviewed for call light accessibility, Resident ID #28.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on record review, surveyor observation, resident, and staff interview, it has been determined that the facility has failed to assure that a resident has the right to self-determination with services inside the facility for 1 of 1 residents reviewed relative to activities, Resident ID #12.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on surveyor observation, record review and staff interview, it has been determined that the facility failed to conduct periodic accurate, standardized reproducible assessments of each resident ' s functional capacity, for 2 of 8 residents reviewed, Resident ID #s 5 and 12.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to implement a comprehensive person-centered care plan for 1 of 1 residents reviewed, relative to fluid restrictions, Resident ID #20.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on surveyor observation, record review, and resident and staff interview it has been determined that the facility failed to assist a resident in obtaining routine and emergency dental services for 1 of 1 residents reviewed, Resident ID #13.
Fire safety inspections
12 fire safety citations on file: 5 on May 30, 2025, 5 on May 31, 2024, 2 on May 10, 2023.
Every fire safety citation12 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have properly installed electrical wiring and gas equipment.
- E Have proper medical gas storage and administration areas.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- F Establish staff and initial training requirements.
- F Conduct testing and exercise requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Rhode Island | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.91 | 3.71 | 3.86 |
| Registered nurses | 1.19 | 0.77 | 0.69 |
| All nursing staff on weekends | 3.42 | 3.34 | 3.42 |
| Nurse aides | 2.72 | ||
| Licensed practical nurses | 0.00 | ||
| Nursing staff turnover (share who left in a year) | not reported | 40.6% | 45.8% |
| Registered nurse turnover | not reported | 37.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.55 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.11 on weekdays and 3.42 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.01 in April to June 2025 to 3.91 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.91 | 1.19 | 4.11 | 3.42 | 1.8% | 0 of 90 | 30 |
| Oct to Dec 2025 | 4.15 | 1.12 | 4.33 | 3.67 | 1.5% | 0 of 92 | 30 |
| Jul to Sep 2025 | 4.05 | 1.16 | 4.28 | 3.47 | 3.4% | 0 of 92 | 29 |
| Apr to Jun 2025 | 4.01 | 1.09 | 4.19 | 3.57 | 7.1% | 0 of 91 | 30 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Rhode Island, Jan to Mar 2026 | 3.67 | 0.69 | 3.82 | 3.30 | 5.4% | 1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Rhode Island | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 21.6 | 19.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.5 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 6.8 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.5 | 3.6 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.3 | 16.8 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.8 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 40.3 | 22.5 | 15.4 |
Owners and operators
Legal business name: AVALON NURSING HOME, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Kowalik, David | Direct ownership interest | Individual | 01/01/2023 | |
| Kowalik, Colleen | Corporate officer | Individual | 07/07/2014 | |
| Kowalik, David | Corporate officer | Individual | 07/07/2014 | |
| Kowalik, Lisa | Corporate officer | Individual | 07/07/2014 | |
| Kowalik, David | Operational/managerial control | Individual | 10/21/2020 | |
| Santoro, Ralph | Operational/managerial control | Individual | 05/01/2025 | |
| Kowalik, David | Adp of the SNF | Individual | 01/01/2023 | |
| Santoro, Ralph | Adp of the SNF | Individual | 07/28/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on May 30, 2025: "Provide enough food/fluids to maintain a resident's health."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on March 11, 2026: "Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on May 30, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on May 30, 2025: "Allow residents to easily view the nursing home's survey results and communicate with advocate agencies."
Other nursing homes nearby
- West Shore Health Center Inc Warwick, 1.7 mi · 4 of 5 stars · 13 citations
- Scandinavian Home Inc Cranston, 4.1 mi · 4 of 5 stars · 13 citations
- Sunny View Nursing Home Warwick, 4.3 mi · 2 of 5 stars · 30 citations
- Greenwood Operations Dba Greenwood Center Warwick, 4.4 mi · 1 of 5 stars · 40 citations
- Brentwood Health Center Warwick, 4.7 mi · 2 of 5 stars · 35 citations
- Adviniacare Orchard, LLC East Providence, 5 mi · 1 of 5 stars · 58 citations
- Hattie Ide Chaffee Home East Providence, 5.4 mi · 4 of 5 stars · 19 citations
- Warren Operations Ri, LLC Dba Warren Center Warren, 5.5 mi · 4 of 5 stars · 21 citations
Rhode Island contacts for a concern about a nursing home
These are the official offices in Rhode Island. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Office of the RI State Long Term Care Ombudsman, Alliance for Better Long Term Care, (401) 785-3340. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: RIDOH Online License Verification, facility search, where Rhode Island publishes its own records on licensed homes.
Common questions
- What is Avalon Nursing Home Inc's Medicare star rating?
- CMS rates Avalon Nursing Home Inc 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Avalon Nursing Home Inc get at its last inspection?
- 7 health deficiencies at the standard inspection on May 30, 2025. The Rhode Island average is 9.3.
- Has Avalon Nursing Home Inc been fined?
- CMS lists no fines in the last three years.
- Does Avalon Nursing Home Inc accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Avalon Nursing Home Inc?
- CMS lists 8 owners and managers. Legal business name: AVALON NURSING HOME, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.