Federal inspection record · CMS data as of October 1, 2026
Avalon Nursing Home INC
57 Stokes Street, Warwick, RI · (401) 738-1200
- Certified beds
- 31
- Residents per day
- 30
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1980
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Rhode Island.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Rhode Island homes
Avalon Nursing Home INC carries 53 inspection points. That is fewer than 68% of Rhode Island's 71 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Rhode Island: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–54 pts
- 3★ 54–89 pts
- 2★ 89–177.5 pts
- 1★ over 177.5 pts
Bars show every rated home in Rhode Island by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
22 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide enough food/fluids to maintain a resident's health.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation4E
- E
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition and Dietary3F
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nursing and Physician Services2E
- E
Observe each nurse aide's job performance and give regular training.
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Pharmacy Service2E
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Infection Control2F
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Administration2E
- E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Resident Rights2D
- D
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Quality of Life and Care2E
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Provide activities to meet all resident's needs.
Resident Assessment and Care Planning1E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Environmental1E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-07-15
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2025-05-30
7 health deficiencies · 5 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2024-05-31
8 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 54 min of nursing staff time a day, 1 h 17 min of it from a registered nurse.
This home
3 h 54 min
Rhode Island average
3 h 47 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5 pts worse | 89.0% | 94.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.4 pts better | 96.9% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts worse | 5.1% | 3.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.8 pts worse | 19.4% | 18.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.1 pts worse | 9.2% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.3 pts worse | 21.4% | 17.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication14.8 pts worse | 37.3% | 22.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.6 pts better | 13.2% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.2 pts worse | 20.7% | 19.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.6% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection6.7 pts worse | 9.3% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.9 pts better | 15.5% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts better | 2.6% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.2 pts worse | 73.1% | 80.3% | 82.3% |
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Who owns and runs it
8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Kowalik, Colleen | Corporate Officer · Individual | 0% | 1 facilities |
| Kowalik, David | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Kowalik, David | Corporate Officer · Individual | 0% | 1 facilities |
| Kowalik, David | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kowalik, David | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kowalik, Lisa | Corporate Officer · Individual | 0% | 1 facilities |
| Santoro, Ralph | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Santoro, Ralph | Adp Of The SNF · Individual | 0% | 5 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness2F
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
West Shore Health Center Inc
Warwick, RI · Health Concepts, Ltd.
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 6 min
- Fines
- $0
-
Scandinavian Home Inc
Cranston, RI
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- —
- Fines
- $0
-
Sunny View Nursing Home
Warwick, RI · Eden Healthcare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 4 h 2 min
- Fines
- $90,716