Home / Rhode Island / Warwick
West Shore Health Center Inc
109 West Shore Road, Warwick, RI 02889 · Kent County · (401) 739-9440
145 certified beds, about 130 residents a day · For profit - Corporation · Medicare and Medicaid since 1970
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 415028 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 9, 2025, inspectors cited 6 health deficiencies (the Rhode Island average is 9.3, the national average 9.2).
None of its 13 health citations since May 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 3.07 hours per resident per day, against 3.71 across Rhode Island and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.
29.4% 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.
305/23
406/24
606/25
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 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
4E
2F
Potential for minimal harm
0A
0B
0C
June 9, 2025Standard inspection · 6 citations
- E Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that staff were competent to provide nursing and related services to assure resident safety to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident, as facility staff were unable to differentiate between contact precautions and enhanced barrier precautions (EBP), despite having received competencies in infection control.
- E 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, record review, and staff interview, it has been determined that the facility failed to store drugs and biologicals in accordance with currently accepted professional principles for 2 of 4 medication carts, and 2 of 2 medication storage rooms observed during the medication storage task.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that residents who are prescribed psychotropic medications (medications prescribed to affect behavior, mood, thoughts, or perception) receive a gradual dose reduction (GDR) unless clinically contraindicated, in an effort to discontinue these medications, for 1 of 2 residents reviewed with a recommendation for a GDR, Resident ID #97.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that services provided by the facility meet professional standards of quality relative to following physician's orders for 1 of 2 residents reviewed with a discontinued wound dressing, Resident ID #117, and for 1 of 1 resident who has a history of pressure ulcers (localized damage to the skin and underlying tissue, typically occurring over bony prominences due to prolonged pressure, friction, or shear forces) with an order for an air mattress, Resident ID #125.
- D Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to promptly notify the ordering physician, physician assistant, nurse practitioner, or clinical nurse specialist of laboratory results that fall outside of the clinical reference ranges for 1 of 1 resident reviewed, Resident ID #110.
- D 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 to help prevent the transmission of communicable diseases and infections relative to contact precautions (an infection control intervention designed to reduce the transmission of diseases and infections that are transmitted by direct and indirect physical contact. It involves putting on a gown and gloves prior to entering a room) for 1 of 1 resident reviewed, Resident ID #287.
June 7, 2024Standard inspection · 4 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to provide a safe and sanitary environment to help prevent the transmission of infections relative to implementing a water management program based upon industry standards and/or the Centers for Disease Control and Prevention (CDC) toolkit.
- E Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review and staff interview it has been determined that the facility failed to keep residents free from significant medication errors for 2 of 2 residents reviewed relative to antibiotic use, Resident ID #s 16 and 102.
- E Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to assure that residents receive and consume beverages and food in the appropriate form for 1 of 2 residents reviewed for thickened beverages, Resident ID #25 and for 3 of 5 residents reviewed for mechanical soft diets, Resident ID #s 8, 25 and 62.
- D 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 1 of 2 residents reviewed on antibiotics, Resident ID #16.
May 11, 2023Standard inspection · 3 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 store, prepare, distribute, and serve food in accordance with professional standards for food service safety relative to the main kitchen.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that a resident with pressure ulcers receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 1 of 2 residents observed for wound care, Resident ID #71.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that residents receive adequate supervision to prevent accidents, relative to supervision while eating for 1 of 2 residents observed, Resident ID #429.
Fire safety inspections
2 fire safety citations on file: 1 on June 7, 2024, 1 on May 11, 2023.
Every fire safety citation2 citations
- D Have simulated fire drills held at unexpected times.
- F Install emergency lighting that can last at least 1 1/2 hours.
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) | 3.07 | 3.71 | 3.86 |
| Registered nurses | 0.59 | 0.77 | 0.69 |
| All nursing staff on weekends | 2.73 | 3.34 | 3.42 |
| Nurse aides | 2.01 | ||
| Licensed practical nurses | 0.46 | ||
| Nursing staff turnover (share who left in a year) | 29.4% | 40.6% | 45.8% |
| Registered nurse turnover | 17.6% | 37.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.83 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 3.21 on weekdays and 2.73 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.12 in April to June 2025 to 3.07 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 | 3.07 | 0.59 | 3.21 | 2.73 | 10.5% | 0 of 90 | 130 |
| Oct to Dec 2025 | 3.22 | 0.60 | 3.37 | 2.85 | 8.0% | 0 of 92 | 125 |
| Jul to Sep 2025 | 3.08 | 0.52 | 3.21 | 2.76 | 7.2% | 0 of 92 | 130 |
| Apr to Jun 2025 | 3.12 | 0.53 | 3.28 | 2.72 | 7.6% | 0 of 91 | 130 |
| 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 | 27.2 | 19.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.3 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.3 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.5 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 28.0 | 16.8 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.4 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 35.2 | 22.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.8 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.2 | 14.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.7 | 1.8 |
Owners and operators
Legal business name: WARWICK HEALTH CENTRE INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ryan, David | 5% or greater direct ownership interest | Individual | 50% | 11/15/2007 |
| Ryan, Sally | 5% or greater direct ownership interest | Individual | 50% | 11/15/2007 |
| Darosa, Elizabeth | W-2 managing employee | Individual | 12/14/2015 | |
| Gelfuso, Pamela | W-2 managing employee | Individual | 09/06/2005 | |
| Ryan, Sally | Corporate director | Individual | 11/15/2007 | |
| Carragher, Terry | Corporate officer | Individual | 11/15/2007 | |
| Ryan, David | Corporate officer | Individual | 11/15/2007 | |
| Ryan, Sally | Corporate officer | Individual | 11/15/2007 | |
| Health Concepts Ltd | Operational/managerial control | Organization | 12/27/1999 | |
| Arnold, Kelly | Operational/managerial control | Individual | 01/20/2017 |
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.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on June 9, 2025: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on June 9, 2025: "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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on June 7, 2024: "Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on May 11, 2023: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.73 hours per resident per day, below the Rhode Island average of 3.34.
Other nursing homes nearby
- Avalon Nursing Home Inc Warwick, 1.7 mi · 3 of 5 stars · 27 citations
- Scandinavian Home Inc Cranston, 3 mi · 4 of 5 stars · 13 citations
- Sunny View Nursing Home Warwick, 3 mi · 2 of 5 stars · 30 citations
- Greenwood Operations Dba Greenwood Center Warwick, 3.3 mi · 1 of 5 stars · 40 citations
- Brentwood Health Center Warwick, 4.3 mi · 2 of 5 stars · 35 citations
- Kent Regency Center Warwick, 4.6 mi · 4 of 5 stars · 18 citations
- Adviniacare Orchard, LLC East Providence, 4.6 mi · 1 of 5 stars · 58 citations
- Hattie Ide Chaffee Home East Providence, 5 mi · 4 of 5 stars · 19 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 West Shore Health Center Inc's Medicare star rating?
- CMS rates West Shore Health Center Inc 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did West Shore Health Center Inc get at its last inspection?
- 6 health deficiencies at the standard inspection on June 9, 2025. The Rhode Island average is 9.3.
- Has West Shore Health Center Inc been fined?
- CMS lists no fines in the last three years.
- Does West Shore Health Center 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 West Shore Health Center Inc?
- CMS lists 10 owners and managers. Legal business name: WARWICK HEALTH CENTRE 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.