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Avalon Nursing Home INC
57 Stokes Street, Warwick, RI 02889 (opens Google Maps) · Kent County · (401) 738-1200· 31 certified beds · avg 30 residents/day · certified since Feb 1, 1980 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
3/5
Health inspection rating (on-site)
inspected May 30, 2025
1
Serious findings on record
most recent May 30, 2025
$0
Fines, last 3 years
—
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · May 30, 2025 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
▲ Actual harm, isolated · May 30, 2025 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jun 20, 2025 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 27 inspection findings. Open the full record below to read every finding.
The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · from a complaint F-0943
The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint F-0609
The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint F-0610
View all 27 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 11, 2026 | E · Potential for more than minimal harm, pattern | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · from a complaint · F-0943 |
| Mar 11, 2026 | D · Potential for more than minimal harm, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609 |
| Mar 11, 2026 | D · Potential for more than minimal harm, isolated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610 |
| May 30, 2025 | ▲ G · Actual harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| May 30, 2025 | E · Potential for more than minimal harm, pattern | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| May 30, 2025 | E · Potential for more than minimal harm, pattern | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| May 30, 2025 | E · Potential for more than minimal harm, pattern | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · F-0947 |
| May 30, 2025 | D · Potential for more than minimal harm, isolated | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. · F-0577 |
| May 30, 2025 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| May 30, 2025 | D · Potential for more than minimal harm, isolated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Aug 28, 2024 | D · Potential for more than minimal harm, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609 |
| May 31, 2024 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| May 31, 2024 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| May 31, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| May 31, 2024 | E · Potential for more than minimal harm, pattern | The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members. · F-0940 |
| May 31, 2024 | D · Potential for more than minimal harm, isolated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803 |
| May 31, 2024 | B · Potential for minimal harm, pattern | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| May 16, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint · F-0679 |
| May 10, 2023 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| May 10, 2023 | E · Potential for more than minimal harm, pattern | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| May 10, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| May 10, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · F-0791 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 7).
All citationsSerious citations (G–L)
2023
All citations: 9
Serious citations (G–L): 0
2024
All citations: 8
Serious citations (G–L): 0
2025
All citations: 7
Serious citations (G–L): 1
2026
All citations: 3
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 9 | 0 | F |
| 2024 | 8 | 0 | F |
| 2025 | 7 | 1 | G ▲ |
| 2026 | 3 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityRhode Island averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: Not reported
Rhode Island average: 3.88
U.S. average: 3.95
Registered Nurse hours
This facility: Not reported
Rhode Island average: 0.80
U.S. average: 0.69
Weekend total nurse staffing
This facility: Not reported
Rhode Island average: 3.48
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Rhode Island avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | — | 3.88 | 3.95 | — |
| Registered Nurse hours | — | 0.80 | 0.69 | — |
| Weekend total nurse staffing | — | 3.48 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | — | 0.55 | 0.48 | — |
| Total nursing staff turnover (%) | — | 40.6 | 45.8 | — |
| RN turnover (%) | — | 37.9 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total —, RN —, weekend —.Comparing with Medicare Care Compare? Care Compare shows the raw figure (— here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Avalon Nursing Home INC. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Kowalik, David | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Kowalik, Colleen | Individual | Corporate Officer | NOT APPLICABLE | 07/07/2014 |
| Kowalik, David | Individual | Corporate Officer | NOT APPLICABLE | 07/07/2014 |
| Kowalik, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/21/2020 |
| Kowalik, David | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Kowalik, Lisa | Individual | Corporate Officer | NOT APPLICABLE | 07/07/2014 |
| Santoro, Ralph | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Santoro, Ralph | Individual | ADP of the SNF | NOT APPLICABLE | 07/28/2025 |
All 8 owning or managing parties CMS has on file are shown — none excluded.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What training do all staff get on dementia care and on spotting and reporting abuse?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
- "Where do you post your latest state inspection results and the ombudsman's contact information?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 74 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| West Shore Health Center INC | 1.7 mi | Warwick, RI | ★★★★☆ | 4/5 | |
| Scandinavian Home INC | 4.1 mi | Cranston, RI | ★★★★☆ | 5/5 | |
| Sunny View Nursing Home | 4.3 mi | Warwick, RI | ★★☆☆☆ | 2/5 | |
| Greenwood Operations DBA Greenwood Center | 4.4 mi | Warwick, RI | ★☆☆☆☆ | 1/5 | |
| Brentwood Health Center | 4.7 mi | Warwick, RI | ★★☆☆☆ | 2/5 | |
| Adviniacare Orchard, LLC | 5.0 mi | East Providence, RI | ★☆☆☆☆ | 1/5 | SFF |
| Hattie Ide Chaffee Home | 5.4 mi | East Providence, RI | ★★★★☆ | 3/5 | |
| Warren Operations Ri, LLC DBA Warren Center | 5.5 mi | Warren, RI | ★★★★☆ | 4/5 | |
| Kent Regency Center | 5.6 mi | Warwick, RI | ★★★★☆ | 4/5 | |
| Grace Barker Nursing Center | 5.8 mi | Warren, RI | ★★★★☆ | 4/5 | |
| Silver Creek Rehab and Healthcare Center | 5.8 mi | Bristol, RI | ★★☆☆☆ | 2/5 | |
| The Dawn Hill Home for Rehab and Healthcare | 5.8 mi | Bristol, RI | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Kent, RI — 11 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Coventry Operations Ri LLC DBA Respiratory and Reh — Coventry, RI · overall —/5abuseSFF
- Riverview Healthcare Community — Coventry, RI · overall 2/5
- Saint Elizabeth Home East Greenwich — East Greenwich, RI · overall 3/5abuse
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 415060.