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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.
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.
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 | 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.
| 50m per day | ▲ 9% State avg: 46m per day · National avg: 41m per day |
|
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.
| 36m per day | ▲ 24% State avg: 29m per day · National avg: 52m 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.
| 1h 43m per day | ▼ 30% State avg: 2h 28m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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.
| 2h 57m per day | ▼ 11% 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 |
|
RN (Weekend)
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.
| 37m per day | ▲ 9% State avg: 34m per day · National avg: 28m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
41% of new residents, usually for short-term rehab.
56% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #42 / 53Payroll — state benchmarkedThis home is ranked 42nd out of 53 homes in Rhode Island.Shows total annual staff payroll benchmarked to the Rhode Island average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Rhode Island average: 83.7%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.
The data displayed corresponds to the last 5 years.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Rhode Island average: 34 deficiencies
2.5 deficiencies per inspection
The most recent inspection on December 31, 2024, found the facility in compliance with all regulations after reviewing corrections from the December 5, 2024 survey, which had deficiencies. Earlier inspections showed recurring issues with medication administration, infection control, and life safety code compliance, including exit signage and emergency power system maintenance. Inspectors cited deficiencies related to quality of care, medication errors, infection prevention, and safety hazards such as accident risks and emergency preparedness. Complaint investigations were conducted in several surveys, with some substantiated findings, particularly regarding care and safety concerns. The facility appears to have addressed prior deficiencies effectively, showing improvement by the latest inspection.
State average N/A
Last Health inspection on Feb 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 14 citations resulted from standard inspections; and 5 of 14 resulted from complaint investigations.
In line with State averageState average: N/A
1
In line with State averageState average: N/A
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 04, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 04, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 05, 2024
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Dec 05, 2024
Corrected
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.
2.3 miles from city center
Estimated distance in miles from WESTERLY's city center to Royal of Westerly Nursing Center's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with State averageState average ratio: 0:0
0% compared with State averageState average: 0 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 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.
9.2 hoursNo 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.
7.1 hoursNo contractors work on this role.
Total hours from contractors
1,970 contractor hours this quarter
| Certified Nursing Assistant | 37 | 0 | 37 | 8,209 | 91 | 100% | 7.1 |
| Licensed Practical Nurse | 7 | 0 | 7 | 2,916 | 91 | 100% | 9.2 |
| Registered Nurse | 14 | 0 | 14 | 2,602 | 91 | 100% | 7.4 |
| Occupational Therapy Aide | 10 | 0 | 10 | 1,330 | 43 | 47% | 6.7 |
| Nurse Aide in Training | 9 | 0 | 9 | 1,266 | 78 | 86% | 6.3 |
| Medication Aide/Technician | 8 | 0 | 8 | 1,143 | 86 | 95% | 6.5 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 917 | 71 | 78% | 3.7 |
| Other Dietary Services Staff | 4 | 0 | 4 | 864 | 90 | 99% | 6.7 |
| RN Director of Nursing | 4 | 0 | 4 | 518 | 67 | 74% | 2.9 |
| Physical Therapy Assistant | 0 | 3 | 3 | 486 | 68 | 75% | 7.2 |
| Dietitian | 1 | 0 | 1 | 454 | 63 | 69% | 7.2 |
| Administrator | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 419 | 57 | 63% | 7.2 |
| Physical Therapy Aide | 0 | 2 | 2 | 404 | 64 | 70% | 6.3 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 347 | 57 | 63% | 6.1 |
| Nurse Practitioner | 2 | 0 | 2 | 345 | 49 | 54% | 7 |
| Mental Health Service Worker | 1 | 0 | 1 | 315 | 40 | 44% | 7.9 |
| Qualified Social Worker | 0 | 2 | 2 | 249 | 41 | 45% | 5.8 |
| Dental Services Staff | 1 | 0 | 1 | 152 | 19 | 21% | 8 |
| Feeding Assistant | 0 | 1 | 1 | 65 | 13 | 14% | 5 |
| Medical Director | 1 | 0 | 1 | 39 | 13 | 14% | 3 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 29 | 3 | 3% | 9.7 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
59Residents 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.
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.
9.4
9% better than State averageState average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.9
8% worse than State averageState 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
19.0%
In line with State averageState average: 19.5%
Percent of long-stay residents whose ability to move independently worsened
16.7%
8% better than State averageState average: 18.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.0%
31% worse than State averageState average: 22.9%
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
33% worse than State averageState average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
2.6%
45% better than State averageState average: 4.7%
Percent of long-stay residents with a urinary tract infection
1.0%
56% better than State averageState average: 2.3%
Percent of long-stay residents who lose too much weight
3.7%
32% better than State averageState average: 5.4%
Percent of long-stay residents who have depressive symptoms
44.0%
227% worse than State averageState average: 13.5%
Percent of long-stay residents who received an antipsychotic medication
18.5%
14% better than State averageState average: 21.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
7% better than State averageState average: 93.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than State averageState average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.54
5% worse than State averageState average: 1.46
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.62
6% better than State averageState average: 1.72
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.6%
10% better than State averageState average: 76.2%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
79% better than State averageState average: 2.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
22% better than State averageState average: 78.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.3%
In line with State averageState average: 25.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.1%
In line with State averageState average: 15.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
68.8%
28% better than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
71.0%
40% better than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 Jan 2026)
91% lower than State averageState average: $94K
65% fewer fines than State averageState average: 2.8
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState average: 0.4
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 4, 2025 · $9K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 4, 2025Last updated: Jan 2026
| Royal of Westerly Nursing Center |
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.
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). | Westerly | 66 | No | - | - |
| Job Haines Home |
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.
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.
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. | Bloomfield (Bloomfield Avenue) | 40 | No | 85 | Studio / 1 Bed / Private / Semi-Private Rooms |
| Village Care Homes Assisted Living – Stephen F Austin |
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. | Conroe (Alden Bridge) | 16 | No | 27 | Private / Semi-Private Suite |
| Countryside Manor Assisted Living |
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. | Conroe (Alden Bridge) | 12 | No | 8 | - |
| Anton’s Assisted Living |
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. | Boerne | 10 | No | - | - |
Historical financial and operational data for Royal of Westerly Nursing Center based on CMS SNF Cost Reports.
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