15 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
West Warwick, RI
1-star overall rating with 1-star inspections with $76,008 in total fines with 15 recent health deficiencies
239 Legris Avenue, West Warwick, RI
(401) 828-9000
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
98
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Eden Healthcare
Operator or chain grouping
Approved since
1980-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.26
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.35
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
2.38
Nurse aide staffing · state 2.46 · national 2.35
Total nurse hours
3.99
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.61
RN + LPN hours · state 1.25 · national 1.54
Weekend hours
3.53
Weekend nurse staffing · state 3.30 · national 3.43
Weekend RN hours
1.05
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.04
CMS adjusted RN staffing hours
Adjusted total hours
3.27
CMS adjusted total nurse staffing hours
Case-mix index
1.67
Higher values indicate more complex resident acuity
RN turnover
32%
Annual RN turnover · state 38% · national 45%
Total nurse turnover
56%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Program rank
11,806
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
15.19
Composite VBP score used to determine payment impact.
Payment multiplier
0.9814
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 21.86% · Performance 22.45% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
3.44
Baseline 8.73% · Performance 7.26% · Measure score 3.44 · Achievement 1.93 · Improvement 3.44
Total nurse turnover
2.01
Baseline 60.00% · Performance 55.45% · Measure score 2.01 · Achievement 2.01 · Improvement 0.79
Adjusted total nurse staffing
0.63
Baseline 3.61 hours · Performance 3.26 hours · Measure score 0.63 · Achievement 0.63 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.99% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 180 · Observed rate 11.67% · Lower 95% interval 7.97% |
| Discharge to community | 41.3% |
50.57%
9.3 pts worse
|
Worse than the National Rate · Eligible stays 184 · Observed rate 36.41% · Lower 95% interval 34.67% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.77% |
95.27%
3.5 pts better
|
Numerator 80 · Denominator 81 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 81 |
| Discharge self-care score | 55.1% |
53.69%
1.4 pts better
|
Numerator 27 · Denominator 49 |
| Discharge mobility score | 53.06% |
50.94%
2.1 pts better
|
Numerator 26 · Denominator 49 |
| Pressure ulcers or injuries, new or worsened | 2.47% |
2.29%
0.2 pts worse
|
Numerator 2 · Denominator 81 · Adjusted rate 2.63% |
| Healthcare-associated infections requiring hospitalization | 7.26% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 109 · Observed rate 8.26% · Lower 95% interval 4.8% |
| Staff COVID-19 vaccination coverage | 8.85% |
8.2%
0.7 pts better
|
Numerator 17 · Denominator 192 |
| Staff flu vaccination coverage | 48.09% |
42%
6.1 pts better
|
Numerator 113 · Denominator 235 |
| Discharge function score | 57.14% |
56.45%
0.7 pts better
|
Numerator 28 · Denominator 49 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 27 · Denominator 27 |
| Transfer of health information to patient | 97.14% |
96.28%
0.9 pts better
|
Numerator 34 · Denominator 35 |
| Resident COVID-19 vaccinations up to date | 23.08% |
25.2%
2.1 pts worse
|
Numerator 6 · Denominator 26 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.5
0.3 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.3 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.5 |
1.7
0.8 pts worse
|
1.8
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.6 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
93.2%
6.2 pts better
|
93.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.9% |
95.3%
3.6 pts better
|
95.5%
3.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% |
3.6%
0.3 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 2.5% · Q3 3.5% · Q4 6.1% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 11.6% |
14.6%
3 pts better
|
11.4%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 7.0% · Q3 6.4% · Q4 12.8% · 4Q avg 11.6% |
| Percentage of long-stay residents who lose too much weight | 5.5% |
5.3%
0.2 pts worse
|
5.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 7.1% · Q3 7.8% · Q4 4.1% · 4Q avg 5.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.0% |
16.4%
5.4 pts better
|
19.6%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 10.8% · Q3 10.4% · Q4 13.5% · 4Q avg 11.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.7% |
23.6%
8.9 pts better
|
16.7%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 14.1% · Q3 17.6% · Q4 13.6% · 4Q avg 14.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 25.0% |
17.0%
8 pts worse
|
16.3%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.8% · Q2 28.9% · Q3 22.3% · Q4 25.9% · 4Q avg 25.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.6% |
18.4%
10.2 pts worse
|
14.9%
13.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.0% · Q2 45.2% · Q3 24.1% · Q4 21.7% · 4Q avg 28.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.0%
0.5 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 0.9% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
2.2%
2.2 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.5% |
22.3%
5.2 pts worse
|
19.8%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 40.1% · Q3 28.3% · Q4 17.9% · 4Q avg 27.5% |
| Percentage of long-stay residents with pressure ulcers | 7.2% |
4.7%
2.5 pts worse
|
5.1%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 7.2% · Q3 8.9% · Q4 7.6% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
77.2%
20.8 pts better
|
81.7%
16.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 99.3% · Q3 99.2% · Q4 96.2% · 4Q avg 98.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 22.9% |
15.8%
7.1 pts worse
|
12.0%
10.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 22.9% · Observed 24.2% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.9%
1.6 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.3% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.4% |
78.2%
7.2 pts better
|
79.7%
5.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.3% |
25.1%
5.2 pts worse
|
23.9%
6.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.3% · Observed 33.3% · Expected 26.2% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-19
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-12-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-02
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-07-02
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-03-19
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-19
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-12-13
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-12-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-13
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-13
Health
Provide appropriate foot care.
Corrected 2024-12-13
Health
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.
Corrected 2024-12-13
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-13
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-12-13
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-12-13
Health
Provide or obtain dental services for each resident.
Corrected 2024-12-13
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-01-19
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-01-19
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-01-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-19
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-01-19
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2022-11-13
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-11-13
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-11-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-11-13
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-11-13
Health
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.
Corrected 2022-11-13
Health
Provide and implement an infection prevention and control program.
Corrected 2022-11-13
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-11-13
Penalties and ownership
Fine · fine $14,999
Fine
Fine · fine $24,544
Fine
Fine · fine $36,465
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Warwick, RI
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Coventry, RI
2-star overall rating with 2-star inspections with $48,617 in total fines with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Warwick, RI
2-star overall rating with 2-star inspections with $33,121 in total fines with 17 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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