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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Avalon Nursing Home is a trusted and established nursing care facility located in Warwick, Rhode Island. This assisted living community is dedicated to ensuring the well-being of its senior residents. They pride themselves on maintaining a safe environment and have a team of compassionate and reliable staff members who are always available 24/7.
Avalon Nursing Home ensures that only the most qualified and caring caregivers are selected. Each caregiver is carefully matched with residents based on their specific needs and preferences. Creating a warm and welcoming environment is a top priority and they understand the importance of making residents feel comfortable and cared for, and strives to maintain a supportive atmosphere at all times.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 10th out of 56 homes in Rhode Island. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 1h 10m per day | ▲ 52% State avg: 46m per day · National avg: 41m per day |
|
Nurse Aide
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.
| 2h 53m per day | ▲ 17% State avg: 2h 28m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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.
| 3h 34m per day | ▲ 8% State avg: 3h 18m per day · National avg: 3h 26m per day |
|
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 per day | ▲ 33% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
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.
| 49m per day | ▲ 44% State avg: 34m per day · National avg: 29m per day |
Higher than the Rhode Island average: 83.7%Avalon Nursing Home is legally operated by David Kowalik.
Key information about the people who lead and staff this community.
In Rhode Island, the Department of Health, Center for Health Facilities Regulation is the primary authority for inspecting, licensing, and reporting on all long-term care facilities.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Rhode Island state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | RI Average | vs. RI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 52 | 34 | This facility has 53% more total deficiencies than a typical Rhode Island nursing home (52 vs. RI avg 34).↑ 53% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 13 | 8.5 | This facility has 53% more deficiencies per year than a typical Rhode Island nursing home (13 vs. RI avg 8.5).↑ 53% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on June 25, 2025, found the facility in compliance with all regulations and no new deficiencies. Earlier inspections showed multiple deficiencies related mainly to resident care practices, including protection of resident information, adherence to physician orders, nutritional monitoring, medication and food storage, environmental cleanliness, and staff training. Complaint investigations substantiated issues with timely reporting of abuse allegations and lack of resident activities, while other complaints were generally unsubstantiated. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to have addressed prior deficiencies effectively, as indicated by the clean follow-up inspection.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsRhode Island average 8.3
Last Health inspection on May 2025
Rhode Island average 28.1
Rhode Island average 3.48
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
23 of 25 citations resulted from standard inspections; and 2 of 25 resulted from complaint investigations.
100% better than Rhode Island averageRhode Island average: 1.6
41% better than Rhode Island averageRhode Island average: 1.7
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
13% worse than Rhode Island average
0% compared with Rhode Island average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
—No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
638 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 24 | 4 | 28 | 7,808 | 92 | 100% | 8.4 |
| Registered Nurse | 8 | 0 | 8 | 2,246 | 92 | 100% | 8.3 |
| Nurse Practitioner | 1 | 0 | 1 | 515 | 68 | 74% | 7.6 |
| Administrator | 1 | 0 | 1 | 495 | 66 | 72% | 7.5 |
| Medication Aide/Technician | 1 | 0 | 1 | 429 | 58 | 63% | 7.4 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 291 | 38 | 41% | 7.7 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 176 | 49 | 53% | 3.6 |
| Physical Therapy Assistant | 0 | 1 | 1 | 155 | 48 | 52% | 3.2 |
| Qualified Social Worker | 0 | 1 | 1 | 77 | 38 | 41% | 2 |
| Mental Health Service Worker | 1 | 0 | 1 | 71 | 10 | 11% | 7.1 |
| Medical Director | 0 | 1 | 1 | 24 | 12 | 13% | 2 |
| Feeding Assistant | 0 | 1 | 1 | 24 | 12 | 13% | 2 |
| Occupational Therapy Aide | 1 | 0 | 1 | 24 | 11 | 12% | 2.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 9 | 3 | 3% | 3 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.3
29% better than Rhode Island averageRhode Island average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.1
30% better than Rhode Island averageRhode Island average: 20.2
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
14.9%
23% better than Rhode Island averageRhode Island average: 19.5%
Percent of long-stay residents whose ability to move independently worsened
9.3%
49% better than Rhode Island averageRhode Island average: 18.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.1%
21% better than Rhode Island averageRhode Island average: 22.9%
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
37% worse than Rhode Island averageRhode Island average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than Rhode Island averageRhode Island average: 4.7%
Percent of long-stay residents with a urinary tract infection
1.7%
26% better than Rhode Island averageRhode Island average: 2.3%
Percent of long-stay residents who lose too much weight
7.3%
36% worse than Rhode Island averageRhode Island average: 5.4%
Percent of long-stay residents who have depressive symptoms
8.5%
37% better than Rhode Island averageRhode Island average: 13.5%
Percent of long-stay residents who received an antipsychotic medication
27.0%
26% worse than Rhode Island averageRhode Island average: 21.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.3%
In line with Rhode Island averageRhode Island average: 93.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Rhode Island averageRhode Island average: 95.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
30Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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.
— 5.04 miles to nearest hospital (Bradley Hospital)
Add your location
Avalon Nursing Home is located in Warwick, Rhode Island.
Here are the financial assistance programs available to residents in Rhode Island.
The information below is reported by the Rhode Island Department of Health, Center for Health Facilities Regulation.
| Kent Regency Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Warwick | 153 | 86.3% | +3% | 2.85 | +14% | -29% | $0 | 22 | 2.4 | - | 132 | - | 21 | Genesis Ri Holdings LLC | $29.1M | $13.1M | 44.9% | 415009 | ||||
| Avalon Nursing Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Warwick (Stokes Street) | 31 | 96.8% | +16% | 4.84 | +23% | +21% | $0 | 25 | 5.0 | 1 | 30 | A+ | 47 | David Kowalik | - | - | - | 415060 | ||||
| Brentwood Nursing Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. | Warwick (Chepiwanoxet) | 96 | 91.7% | +9% | 4.26 | -35% | +6% | $82.5k | 32 | 4.0 | 1 | 82 | C+ | 23 | Matthew Maisen Administrator | $11.6M | $6.2M | 53.6% | 415061 | ||||
| Sunny View Nursing Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. | Warwick | 57 | 77.2% | -8% | 3.94 | -25% | -2% | $82.7k | 33 | 4.1 | 5 | 50 | - | 33 | Joseph Pollack | $7.3M | $3.9M | 53% | 415023 | ||||
| West View Nursing & Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | West Warwick (Crompton) | 120 | 73.5% | -12% | 3.18 | -4% | -21% | $76.0k | 27 | 5.4 | 6 | 98 | - | 52 | Westview Holdco LLC | $13.5M | $7.7M | 56.7% | 415067 |
Avalon Nursing Home is in the Stokes Street neighborhood of Warwick.
The legal owner and operator of Avalon Nursing Home is David Kowalik.
Avalon Nursing Home has a walk score of 47. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to RI state health department records, Avalon Nursing Home's license number is LTC00446.
According to RI state health department records, Avalon Nursing Home's license expires on December 31, 2025.
Avalon Nursing Home's occupancy is 97%.
Avalon Nursing Home has 31 beds.
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