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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.
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.
Operated by Susan Dufresne and administered by Monica Lopes, Warren Center is a 63-bed skilled nursing and rehabilitation community. Re-established under new operational status, the building is in an initial ramp-up phase, catering primarily to short-stay populations with an admission mix of 63% private-pay, 29% Medicare, and 8% Medicaid. Residents stay for an average of 55 days, and the property maintains a 78% occupancy rate, logging a net operating loss of $453.1 thousand on $8.2 million in revenue as part of its structural growth cycle.
Public health databases reveal a solid foundation of direct medical staff, featuring a 3.40:1 staff-to-resident ratio and an unusually deep therapy infrastructure that includes clinical nurse specialists, physical therapists, and speech-language pathologists. Registered nurse care averages 1 hour and 5 minutes per resident daily, 41% above the state average, and internal employee retention is high, keeping outside contractor use low. However, regulatory records highlight ongoing compliance hurdles, noting 51 total historical deficiencies since 2021.
The latest standard evaluation in September 2025 flagged 12 moderate infractions covering care plan execution, medication errors, and physical plant safety items like laundry chute fire doors. Clinical files show exceptionally strong short-term rehabilitation indicators, including low rehospitalization and a zero percent fall injury rate, though long-stay resident summaries show elevated metrics for weight loss and pressure ulcers.
Interested individuals researching local post-acute options can use these government tracking reports to weigh the building’s technical strengths against its recent compliance logs. Since the official data shows top-tier daily registered nurse hours and strong short-term recovery outcomes alongside repeated administrative care planning marks and zero recent federal fines, the paperwork fits an environment highly geared toward short-term rehab.
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 50th out of 56 homes in Rhode Island for nurse hours. 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 14m per day | ▲ 61% 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.
| 30m per day | ■ Avg 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.
| 2h 6m per day | ▼ 15% State avg: 2h 28m per day · National avg: 2h 20m 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 26m per day | ▲ 4% 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.
| 7m per day | ▲ 130% 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.
| 57m per day | ▲ 67% State avg: 34m per day · National avg: 28m per day |
Lower 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.
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.
| 51 | 34 | This facility has 50% more total deficiencies than a typical Rhode Island nursing home (51 vs. RI avg 34).↑ 50% worse |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 10.2 | 6.8 | This facility has 50% more deficiencies per year than a typical Rhode Island nursing home (10.2 vs. RI avg 6.8).↑ 50% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Rhode Island average 8.3
Last Health inspection on Dec 2024
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.
8 of 17 citations resulted from standard inspections; 3 of 17 resulted from complaint investigations; and 6 of 17 came from combined inspections (standard and complaint).
100% better than Rhode Island averageRhode Island average: 1.6
100% 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.
84% more staff per resident than Rhode Island average
7% better than 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.
29 total: 15 full-time employees and 14 contractors.
29
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.2 hoursAssists with medical care and medications.
11 total: 4 full-time employees and 7 contractors.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
12 hoursHelps with daily care and mobility.
92 total: 29 full-time employees and 63 contractors.
92
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,644 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 29 | 63 | 92 | 9,037 | 92 | 100% | 8.4 |
| Registered Nurse | 15 | 14 | 29 | 4,449 | 92 | 100% | 11.2 |
| Licensed Practical Nurse | 4 | 7 | 11 | 1,918 | 89 | 97% | 12 |
| Medication Aide/Technician | 5 | 3 | 8 | 1,308 | 90 | 98% | 7.3 |
| Dietitian | 4 | 0 | 4 | 1,287 | 91 | 99% | 7.4 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,134 | 73 | 79% | 7.6 |
| Speech Language Pathologist | 3 | 0 | 3 | 741 | 84 | 91% | 7.5 |
| Physical Therapy Assistant | 5 | 0 | 5 | 660 | 67 | 73% | 6.6 |
| Physical Therapy Aide | 3 | 0 | 3 | 630 | 81 | 88% | 5.1 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 567 | 72 | 78% | 6 |
| RN Director of Nursing | 1 | 0 | 1 | 520 | 62 | 67% | 8.4 |
| Qualified Social Worker | 2 | 0 | 2 | 500 | 63 | 68% | 5.7 |
| Administrator | 2 | 0 | 2 | 494 | 63 | 68% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 160 | 67 | 73% | 2.4 |
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.
10.6
In line with Rhode Island averageRhode Island average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.6
23% 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
14.6%
25% better than Rhode Island averageRhode Island average: 19.5%
Percent of long-stay residents whose ability to move independently worsened
16.4%
10% better than Rhode Island averageRhode Island average: 18.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.7%
31% better than Rhode Island averageRhode Island average: 22.9%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
42% better than Rhode Island averageRhode Island average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
10.2%
116% worse than Rhode Island averageRhode Island average: 4.7%
Percent of long-stay residents with a urinary tract infection
1.5%
36% better than Rhode Island averageRhode Island average: 2.3%
Percent of long-stay residents who lose too much weight
9.7%
80% worse than Rhode Island averageRhode Island average: 5.4%
Percent of long-stay residents who have depressive symptoms
47.0%
249% worse than Rhode Island averageRhode Island average: 13.5%
Percent of long-stay residents who received an antipsychotic medication
19.6%
9% better than Rhode Island averageRhode Island average: 21.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
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%
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
88.8%
17% better than Rhode Island averageRhode Island average: 76.2%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
58% better than Rhode Island averageRhode Island average: 2.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.4%
5% better than Rhode Island averageRhode Island average: 78.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.5%
26% better than Rhode Island averageRhode Island average: 25.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.9%
56% better than Rhode Island averageRhode Island average: 15.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Rhode Island averageRhode Island average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
55.2%
In line with Rhode Island averageRhode Island average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
64.6%
28% better than Rhode Island averageRhode Island average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
29% of new residents, usually for short-term rehab.
63% of new residents, often for short stays.
8% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
50Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for Warren Operations Ri LLC DBA Warren Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #49 / 60Payroll — State benchmarkedThis home is ranked 49th out of 60 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
1.4 miles from city center
Estimated distance in miles from Warren's city center to Warren Operations Ri LLC DBA Warren Center's address, calculated via Google Maps.
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Warren Operations Ri LLC DBA Warren Center is located in WARREN, Rhode Island.
Here are the financial assistance programs available to residents in Rhode Island.
The legal owner and operator of Warren Operations Ri LLC DBA Warren Center is Ronicia Lopes - Administrator.
Warren Operations Ri LLC DBA Warren Center has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to RI state health department records, Warren Operations Ri LLC DBA Warren Center's license number is LTC00842.
According to RI state health department records, Warren Operations Ri LLC DBA Warren Center's license expires on December 31, 2025.
Warren Operations Ri LLC DBA Warren Center's occupancy is 78%.
Warren Operations Ri LLC DBA Warren Center has 63 beds.
Warren Operations Ri LLC DBA Warren Center is located at 642 METACOM AVENUE.
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