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Eastgate Nursing & Rehabilitation Center

198 Waterman Avenue, East Providence, RI 02914 · Providence County · (401) 431-2087

60 certified beds, about 62 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1988

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 415083 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 19, 2026, inspectors cited 4 health deficiencies (the Rhode Island average is 9.3, the national average 9.2).

None of its 12 health citations since December 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.35 hours per resident per day, against 3.71 across Rhode Island and 3.86 nationally. Registered nurses accounted for 0.72 of those hours.

36.4% of nursing staff left within the year CMS measured (Rhode Island average 40.6%).

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.

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 12 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
3E
1F
Potential for minimal harm
0A
0B
0C
February 19, 2026Standard inspection · 4 citations
  1. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 21, 2026
    Inspectors wroteBased on clinical record review and staff interview, the facility failed to ensure that the residents and/or their representatives participated in the comprehensive and quarterly care plan reviews for 3 of 6 residents, Resident ID #s 7, 8, and 10.
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 21, 2026
    Inspectors wroteBased on surveyor observation, clinical record review, and staff interview, the facility failed to provide respiratory care consistent with professional standards of practice for 2 of 6 residents reviewed for oxygen use, Resident ID #s 11 and 63.
  3. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 21, 2026
    Inspectors wroteBased on surveyor observation, clinical record review, and staff interview, the facility failed to assess one of three residents for the use of an air mattress (a pressure redistribution mattress that utilizes low air loss and pulsation) for the potential risk of entrapment related to bed rails, Resident ID # 2.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 21, 2026
    Inspectors wroteBased on surveyor observation, clinical record review and staff interview, the facility failed to provide a safe and sanitary environment to help prevent the transmission of infections related to disinfecting blood glucose meters (a device used to monitor blood glucose) for 1 of 1 resident observed, Resident ID #32.
November 21, 2024Standard inspection · 5 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 21, 2024
    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 safety relative to food handling, and 1 of 1 ice machines observed.
  2. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 21, 2024
    Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to provide respiratory care consistent with professional standards of practice relative to the failure to post cautionary and safety signs indicating that oxygen was in use for 3 of 3 residents observed, Resident ID #s 13, 36, and 52.
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 21, 2024
    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 related to skin integrity for 1 of 1 resident observed, Resident ID #50, and a Hoyer lift (mechanical lift) transfer for 1 of 4 residents reviewed, Resident ID #48.
  4. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 21, 2024
    Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to provide a resident with limited range of motion (ROM) appropriate treatment and services relative the use of a hand roll device (use to promote extension in contrasted hand) for 1 of 1 resident reviewed, Resident ID #32.
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 21, 2024
    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 designed to provide a safe, sanitary environment, and to help prevent the development and transmission of communicable diseases, relative to the disinfection of a multiuse glucometer.
March 1, 2024Complaint inspection · 1 citation
  1. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 31, 2024
    Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that residents are free of any significant medication errors for 1 of 3 residents reviewed, Resident ID #1.
December 1, 2023Standard inspection · 2 citations
  1. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 29, 2023
    Inspectors wroteBased on record review, and staff interview, it has been determined that the facility failed to ensure that a resident's drug regimen is free from significant medication errors for 1 of 1 resident reviewed who experienced a significant medication error, Resident ID #24.
  2. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 29, 2023
    Inspectors wroteBased on surveyor observation and staff interview, it has been determined that the facility failed to provide a safe, sanitary, and comfortable environment for residents and staff, for 2 of 3 microwaves observed.

Fire safety inspections

3 fire safety citations on file: 2 on February 19, 2026, 1 on November 21, 2024.

Every fire safety citation3 citations
  1. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 19, 2026 · Corrected (the home has a date of correction)
  2. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 19, 2026 · Corrected (the home has a date of correction)
  3. F
    Have simulated fire drills held at unexpected times.
    K 712 · November 21, 2024 · Corrected (the home has a date of correction)

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.

MeasureThis homeRhode IslandUnited States
All nursing staff (RN, LPN and aides)3.353.713.86
Registered nurses0.720.770.69
All nursing staff on weekends3.133.343.42
Nurse aides2.24
Licensed practical nurses0.39
Nursing staff turnover (share who left in a year)36.4%40.6%45.8%
Registered nurse turnover36.4%37.9%42.9%
Administrators who left0

CMS expects 3.60 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 3.44 on weekdays and 3.13 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.53 in April to June 2025 to 3.35 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.350.723.443.13 12.6%0 of 9062
Oct to Dec 20253.420.753.553.09 13.0%0 of 9262
Jul to Sep 20253.440.713.603.03 11.1%0 of 9262
Apr to Jun 20253.530.743.683.14 8.7%0 of 9162
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Rhode Island, Jan to Mar 20263.670.693.823.305.4%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.

MeasureThis homeRhode IslandUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
12.919.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.50.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.52.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.53.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.02.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.116.814.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.04.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
24.122.515.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.224.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
22.214.612.0

Owners and operators

Legal business name: 198 WATERMAN AVENUE LLC.

NameRoleTypeShareSince
Ryan, David5% or greater direct ownership interestIndividual33%09/01/2012
Ryan, Kevin5% or greater direct ownership interestIndividual33%09/01/2012
Ryan, Sally5% or greater direct ownership interestIndividual33%09/01/2012
Arnold, KellyW-2 managing employeeIndividual01/20/2017
Biswas, AnnaW-2 managing employeeIndividual09/01/2012
Richards, AlanW-2 managing employeeIndividual09/13/2020
Carragher, TerryCorporate officerIndividual09/01/2012
Ryan, DavidCorporate officerIndividual09/01/2012
Ryan, KevinCorporate officerIndividual09/01/2012
Ryan, SallyCorporate officerIndividual09/01/2012
Health Concepts LtdOperational/managerial controlOrganization09/01/2012

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on February 19, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on February 19, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on February 19, 2026: "Provide and implement an infection prevention and control program."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on March 1, 2024: "Ensure that residents are free from significant medication errors."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.13 hours per resident per day, below the Rhode Island average of 3.34.

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Rhode Island contacts for a concern about a nursing home

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Common questions

What is Eastgate Nursing & Rehabilitation Center's Medicare star rating?
CMS rates Eastgate Nursing & Rehabilitation Center 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Eastgate Nursing & Rehabilitation Center get at its last inspection?
4 health deficiencies at the standard inspection on February 19, 2026. The Rhode Island average is 9.3.
Has Eastgate Nursing & Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Eastgate Nursing & Rehabilitation Center 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 Eastgate Nursing & Rehabilitation Center?
CMS lists 11 owners and managers. Legal business name: 198 WATERMAN AVENUE LLC.

Sources

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