Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
48
38 employees · 10 contractors · 18 on an average day Avalon Nursing Home
Nursing Home · Warwick, RI
ALM Inspection Grade
A-
ALM's inspection grade is 90 / 100, an A- — 8 points above the Rhode Island average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 90 / 100, an A- — 8 points above the Rhode Island average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Avalon Nursing Home
Nursing Home · Warwick, RI
ALM Inspection Grade
A-
ALM's inspection grade is 90 / 100, an A- — 8 points above the Rhode Island average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 90 / 100, an A- — 8 points above the Rhode Island average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Overview of Avalon Nursing Home
Avalon Nursing Home is a nursing home in Warwick, RI, providing licensed nursing care on site around the clock. This care may suit a resident whose health needs require ongoing clinical attention.
The home has 31 beds, making it a smaller community where staff and residents get to know each other. David Kowalik operates Avalon Nursing Home, which also has rehabilitation equipment for residents using its nursing home services.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 24m
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 24mStandout metric: Registered nurse (RN) is +90% above Rhode Island average
1 of 6 metrics below Rhode Island average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 8 are the facility's own employees; no agency contractors work in this role.
8 staff · 8.3-hour shifts
1h 27m
↑ 90% · RI 46mThis facility: 1h 27m per resident per day, 90% above the Rhode Island average of 46m (among Rhode Island facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 8 are the facility's own employees; no agency contractors work in this role.
8 staff · 8.3-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
0m
↓ 100% · RI 29mThis facility: 0m per resident per day, 100% below the Rhode Island average of 29m (among Rhode Island facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 28 total: 24 of the facility's own employees and 4 agency contractors.
28 staff · 8.4-hour shifts
2h 57m
↑ 19% · RI 2h 28mThis facility: 2h 57m per resident per day, 19% above the Rhode Island average of 2h 28m (among Rhode Island facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 28 total: 24 of the facility's own employees and 4 agency contractors.
28 staff · 8.4-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
4m
↑ 39% · RI 3mThis facility: 4m per resident per day, 39% above the Rhode Island average of 3m (among Rhode Island facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
3h 51m
↑ 17% · RI 3h 18mThis facility: 3h 51m per resident per day, 17% above the Rhode Island average of 3h 18m (among Rhode Island facilities reporting a recent figure).
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
53m
↑ 55% · RI 34mThis facility: 53m per resident per day, 55% above the Rhode Island average of 34m (among Rhode Island facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
48
38 employees · 10 contractors · 18 on an average day
48 total staff / 30 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.60 : 1
↓ 13% · RI 1.83This facility: 1.60 staff per resident, 13% below the Rhode Island average of 1.83 (among Rhode Island facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
48 staff ÷ 30 residents
See full Rhode Island ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.5 h
↓ 1% · RI 7.6 hThis facility: 7.5 h, 1% below the Rhode Island average of 7.6 h (among Rhode Island facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
12,344 staff hours this quarter
See full Rhode Island ranking →94.8% of staff hours were worked by the facility's own employees
Rhode Island average: 93% · Contractors this quarter: Certified Nursing Assistant (4), Medical Director (1), Physical Therapy Assistant (1), Respiratory Therapy Technician (1), Qualified Social Worker (1), Feeding Assistant (1), Occupational Therapy Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
31
Rank #64 / 65Bed count — State benchmarked This nursing home is ranked 64th out of 65 nursing homes we track in Rhode Island for bed count. Shows this facility's certified or reported bed count compared to other Rhode Island facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
31
Rank #64 / 65Bed count — State benchmarked This nursing home is ranked 64th out of 65 nursing homes we track in Rhode Island for bed count. Shows this facility's certified or reported bed count compared to other Rhode Island facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #36 / 64Walk Score — State benchmarked This nursing home is ranked 36th out of 64 nursing homes we track in Rhode Island for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Rhode Island facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #36 / 64Walk Score — State benchmarked This nursing home is ranked 36th out of 64 nursing homes we track in Rhode Island for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Rhode Island facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
47
/ 100
Occupancy rate
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Rank #3 / 53Occupancy rate — State benchmarked This nursing home is ranked 3rd out of 53 nursing homes we track in Rhode Island for occupancy. Shows this facility's occupancy rate versus the Rhode Island average, with its Statewide rank out of 53. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Rank #3 / 53Occupancy rate — State benchmarked This nursing home is ranked 3rd out of 53 nursing homes we track in Rhode Island for occupancy. Shows this facility's occupancy rate versus the Rhode Island average, with its Statewide rank out of 53. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
96.8%
This home is often near full
Based on 30 residents and 31 beds. Source: state inspection report (May 2025)
Higher than the Rhode Island average: 83.8%
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+
Not Accredited
How BBB ratings workAbout This Community
Facility TypeNursing Facility
IssuanceOctober 18, 1909
License NumberLTC00446
CMS Certification Number415060
Avalon Nursing Home is legally operated by David Kowalik.
Nursing Home
31 units
Total beds
31 units
Resident Council
Total Employees
40
Full-Time Employees
40
Fax(401) 738-9430
Pets not allowed
Rehabilitation Equipment
CMS Health Inspection History
ALM Inspection Grade
90 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
8 points above the Rhode Island average for CMS-certified facilities (82/100)
Category breakdown
Citations
Typical
85 severity-weighted points (27 deficiencies) · 16% lower than the typical CMS-certified RI facility (median: 101)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Strong
14 days to fix issues · much faster than the typical CMS-certified RI facility (median: 27)
Total health inspections
6
↓ 29% · RI 8.5This facility: 6, 29% below the Rhode Island average of 8.5 (among Rhode Island facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
27
Rank #27 / 55Health citations — State benchmarked This nursing home is ranked 27th out of 55 nursing homes we track in Rhode Island for health citations. Shows this facility's total health deficiency citations benchmarked to the Rhode Island State average, with a ranking across all 55 RI facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 5% · RI 28.3This facility: 27, 5% below the Rhode Island average of 28.3 (among Rhode Island facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4.5
Rank #47 / 55Citations per inspection — State benchmarked This nursing home is ranked 47th out of 55 nursing homes we track in Rhode Island for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Rhode Island mean across 55 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 32% · RI 3.42This facility: 4.5, 32% above the Rhode Island average of 3.42 (among Rhode Island facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
27 of 27 citations corrected
Critical
J–L
0
↓ 100% · RI 1.5This facility: 0, 100% below the Rhode Island average of 1.5 (among Rhode Island facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
1
↓ 38% · RI 1.6This facility: 1, 38% below the Rhode Island average of 1.6 (among Rhode Island facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
25
↑ 2% · RI 24.5This facility: 25, 2% above the Rhode Island average of 24.5 (among Rhode Island facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
1
↑ 67% · RI 0.6This facility: 1, 67% above the Rhode Island average of 0.6 (among Rhode Island facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Mar 11, 2026 · 3 citations, all corrected
Most cited category: Quality of Life & Care, 5 of 27 citations · 10 categories in total
Citations history
Most recent first
Mar 11, 2026
3 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
May 30, 2025
7 citations
Environmental moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care serious citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Aug 28, 2024
1 citation
Abuse/Neglect moderate citation
Corrected
Corrected
May 31, 2024
6 citations
Administration moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Resident Rights minor citation
Corrected
Corrected
May 16, 2024
1 citation
Quality of Care moderate citation
Corrected
Corrected
May 10, 2023
9 citations
Infection Control moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Top deficiency categories
Share of 27 citations
Quality of Life & Care
5 deficiencies (19%)
Resident Rights
4 deficiencies (15%)
Resident Assessment & Care Planning
4 deficiencies (15%)
Nutrition & Dietary
4 deficiencies (15%)
Abuse, Neglect & Exploitation
4 deficiencies (15%)
Infection Control
2 deficiencies (7%)
Administration
1 deficiency (4%)
Nursing & Physician Services
1 deficiency (4%)
Pharmacy Services
1 deficiency (4%)
Environmental
1 deficiency (4%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 27 citations resulted from standard inspections; and 5 of 27 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Total fines
$0
RI avg $88KRhode Island average: $88,327. Average among the 53 Rhode Island facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0
RI avg 2.91Rhode Island average: 2.91. Average among the 53 Rhode Island facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
RI avg 0.38Rhode Island average: 0.38. Average among the 53 Rhode Island facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Rhode Island average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
↓ 38% · RI 3.2This facility: 2.0, 38% below the RI average of 3.2 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
10.6
Score · lower is better
↑ 8% · RI 9.9This facility: 10.6, 8% above the RI average of 9.9 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
19.1
Score · lower is better
↓ 3% · RI 19.6This facility: 19.1, 3% below the RI average of 19.6 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 5 better, 4 worse, 2 near RI average
1 short-stay measure: 1 worse
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
21.6%
↑ 10% · RI 19.6This facility: 21.6, 10% above the RI average of 19.6 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
21.6%
↑ 10% · RI 19.6This facility: 21.6, 10% above the RI average of 19.6 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
17.3%
↑ 3% · RI 16.8This facility: 17.3, 3% above the RI average of 16.8 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
17.3%
↑ 3% · RI 16.8This facility: 17.3, 3% above the RI average of 16.8 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.3%
↓ 18% · RI 22.3This facility: 18.3, 18% below the RI average of 22.3 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.3%
↓ 18% · RI 22.3This facility: 18.3, 18% below the RI average of 22.3 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
6.8%
↑ 167% · RI 2.5This facility: 6.8, 167% above the RI average of 2.5 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
6.8%
↑ 167% · RI 2.5This facility: 6.8, 167% above the RI average of 2.5 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
↓ 30% · RI 3.6This facility: 2.5, 30% below the RI average of 3.6 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
↓ 30% · RI 3.6This facility: 2.5, 30% below the RI average of 3.6 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
1.8%
↓ 56% · RI 4.2This facility: 1.8, 56% below the RI average of 4.2 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
1.8%
↓ 56% · RI 4.2This facility: 1.8, 56% below the RI average of 4.2 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
9.8%
↑ 94% · RI 5.1This facility: 9.8, 94% above the RI average of 5.1 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
9.8%
↑ 94% · RI 5.1This facility: 9.8, 94% above the RI average of 5.1 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
16.2%
↓ 6% · RI 17.2This facility: 16.2, 6% below the RI average of 17.2 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
16.2%
↓ 6% · RI 17.2This facility: 16.2, 6% below the RI average of 17.2 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
40.3%
↑ 77% · RI 22.8This facility: 40.3, 77% above the RI average of 22.8 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
40.3%
↑ 77% · RI 22.8This facility: 40.3, 77% above the RI average of 22.8 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.4%
↓ 2% · RI 94.1This facility: 92.4, 2% below the RI average of 94.1 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.4%
↓ 2% · RI 94.1This facility: 92.4, 2% below the RI average of 94.1 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 5% · RI 95.2This facility: 100.0, 5% above the RI average of 95.2 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 5% · RI 95.2This facility: 100.0, 5% above the RI average of 95.2 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 1 measures
Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
59.1%
↓ 25% · RI 79.0This facility: 59.1, 25% below the RI average of 79.0 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
59.1%
↓ 25% · RI 79.0This facility: 59.1, 25% below the RI average of 79.0 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Resident snapshot
30 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
0 · 0%
Medicaid
30 · 100%
Private pay & other
0 · 0%
Places of interest near Avalon Nursing Home
3.3 miles from city center
Estimated distance in miles from Warwick's city center to Avalon Nursing Home's address, calculated via Google Maps.
Calculate Travel Distance to Avalon Nursing Home
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Info below is compiled from CMS reports & the RI Dept. of Health (RIDOH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Rhode Island average is: 64.4% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kent Regency Center | NH HOS PC RC SNF | Warwick | 153
Facility
153
RI AVG
109
Rank
#14 / 65 | A- |
86.3%
Facility
86.3%
RI AVG
83.8%
Rank
#29 / 53 | +3% | 3.03
Facility
3.03
RI AVG
3.92
Rank
#51 / 54 | +14% | -23% | $0
Facility
$0
RI AVG
$88.3k
Rank
#1 / 56 | 20
Facility
20
RI AVG
28.3
Rank
#15 / 55 | 2.5
Facility
2.5
RI AVG
3.4
Rank
#5 / 55 | - | 132 | - |
21
Facility
21
RI AVG
49
Rank
#51 / 64 | Stella Moran Administrator | $21.6MFiscal year ending 12/2024
Facility
$21.6MFiscal year ending 12/2024
RI AVG
$12.6M
Rank
#4 / 52 | $9.8MFiscal year ending 12/2024
Facility
$9.8MFiscal year ending 12/2024
RI AVG
$7.6M
Rank
#11 / 52 | 45.6%Fiscal year ending 12/2024
Facility
45.6%Fiscal year ending 12/2024
RI AVG
64.4%
Rank
#50 / 52 | 415009 | ||||
| The Dawn Hill Home for Rehab and Healthcare | NH MC SNF | Bristol | 133
Facility
133
RI AVG
109
Rank
#18 / 65 | B+ |
88.7%
Facility
88.7%
RI AVG
83.8%
Rank
#24 / 53 | +6% | 3.42
Facility
3.42
RI AVG
3.92
Rank
#26 / 54 | -36% | -13% | $33.8k
Facility
$33.8k
RI AVG
$88.3k
Rank
#28 / 56 | 33
Facility
33
RI AVG
28.3
Rank
#37 / 55 | 2.4
Facility
2.4
RI AVG
3.4
Rank
#4 / 55 | 2 | 118 | - |
63
Facility
63
RI AVG
49
Rank
#25 / 64 | Administrator Douglas C Klein III | $16.7MFiscal year ending 12/2024
Facility
$16.7MFiscal year ending 12/2024
RI AVG
$12.6M
Rank
#9 / 52 | $8.7MFiscal year ending 12/2024
Facility
$8.7MFiscal year ending 12/2024
RI AVG
$7.6M
Rank
#21 / 52 | 51.8%Fiscal year ending 12/2024
Facility
51.8%Fiscal year ending 12/2024
RI AVG
64.4%
Rank
#41 / 52 | 415050 | ||||
| Alpine Nursing Home Inc | NH HOS RC SNF | Coventry | 60
Facility
60
RI AVG
109
Rank
#56 / 65 | A- |
96.7%
Facility
96.7%
RI AVG
83.8%
Rank
#4 / 53 | +15% | 2.81
Facility
2.81
RI AVG
3.92
Rank
#16 / 54 | +52% | -28% | $0
Facility
$0
RI AVG
$88.3k
Rank
#1 / 56 | 12
Facility
12
RI AVG
28.3
Rank
#4 / 55 | 4.0
Facility
4.0
RI AVG
3.4
Rank
#35 / 55 | 1 | 58 | B- |
5
Facility
5
RI AVG
49
Rank
#60 / 64 | Administrator Rodney Gauvin | $6.9MFiscal year ending 12/2024
Facility
$6.9MFiscal year ending 12/2024
RI AVG
$12.6M
Rank
#46 / 52 | $4.9MFiscal year ending 12/2024
Facility
$4.9MFiscal year ending 12/2024
RI AVG
$7.6M
Rank
#44 / 52 | 70.6%Fiscal year ending 12/2024
Facility
70.6%Fiscal year ending 12/2024
RI AVG
64.4%
Rank
#15 / 52 | 415089 | ||||
| Lakeside Nursing and Rehabilitation Center | NH HOS PC RC SNF | North Kingstown | 120
Facility
120
RI AVG
109
Rank
#27 / 65 | C- |
81.6%
Facility
81.6%
RI AVG
83.8%
Rank
#29 / 53 | -3% | 3.84
Facility
3.84
RI AVG
3.92
Rank
#36 / 54 | -29% | -2% | $14.4k
Facility
$14.4k
RI AVG
$88.3k
Rank
#22 / 56 | 18
Facility
18
RI AVG
28.3
Rank
#10 / 55 | 3.0
Facility
3.0
RI AVG
3.4
Rank
#10 / 55 | 1 | 98 | - | - | - | $11.8MFiscal year ending 12/2024
Facility
$11.8MFiscal year ending 12/2024
RI AVG
$12.6M
Rank
#27 / 52 | $5.7MFiscal year ending 12/2024
Facility
$5.7MFiscal year ending 12/2024
RI AVG
$7.6M
Rank
#36 / 52 | 48.5%Fiscal year ending 12/2024
Facility
48.5%Fiscal year ending 12/2024
RI AVG
64.4%
Rank
#45 / 52 | 415071 | ||||
| Avalon Nursing Home | NH | Warwick | 31
Facility
31
RI AVG
109
Rank
#64 / 65 | A- |
96.8%
Facility
96.8%
RI AVG
83.8%
Rank
#3 / 53 | +15% | 4.40 | +23% | +12% | $0
Facility
$0
RI AVG
$88.3k
Rank
#1 / 56 | 27
Facility
27
RI AVG
28.3
Rank
#27 / 55 | 4.5
Facility
4.5
RI AVG
3.4
Rank
#47 / 55 | 1 | 30 | A+ |
47
Facility
47
RI AVG
49
Rank
#36 / 64 | David Kowalik | - | - | - | 415060 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other RI nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in Rhode Island
Avalon Nursing Home is located in Warwick, Rhode Island.
Here are the financial assistance programs available to residents in Rhode Island.
Frequently Asked Questions about Avalon Nursing Home
Who is the owner of Avalon Nursing Home?
Avalon Nursing Home is legally operated by David Kowalik.
Is Avalon Nursing Home in a walkable area?
Avalon Nursing Home has a walk score of 47. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of Avalon Nursing Home?
According to RI state health department records, Avalon Nursing Home's license number is LTC00446.
What is the occupancy rate at Avalon Nursing Home?
Avalon Nursing Home's occupancy is 96.8%.
Are pets allowed at Avalon Nursing Home?
No, Avalon Nursing Home has a no-pet policy.
Does Avalon Nursing Home operate as a for-profit or non-profit?
Avalon Nursing Home is registered as a for-profit in RI.
What is the overall rating for Avalon Nursing Home?
Avalon Nursing Home received a 4-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
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