West Shore Health Center INC

Name: West Shore Health Center INC
Address: 109 West Shore Road, Warwick, RI, 02889, US
Telephone: 4017399440

109 West Shore Road, Warwick, RI 02889 · Kent County · 145 certified beds · avg 130 residents/day · certified since May 1, 1970

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.08

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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 self-reported quality measures.

All citations in the current public record (13)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 9, 2025	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Jun 9, 2025	E · Potential for harm, repeated	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.
Jun 9, 2025	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Jun 9, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jun 9, 2025	D · Potential for harm, one-off	The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them.
Jun 9, 2025	D · Potential for harm, one-off	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.
Jun 7, 2024	F · Potential for harm, facility-wide	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.
Jun 7, 2024	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jun 7, 2024	E · Potential for harm, repeated	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Jun 7, 2024	D · Potential for harm, one-off	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.
May 11, 2023	F · Potential for harm, facility-wide	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.
May 11, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
May 11, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 6).

Year	Citations	Worst severity that year
2023	3	F
2024	4	F
2025	6	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)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Rhode Island avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.08	3.88	3.95	bottom 9% in Rhode Island; bottom 16% in the U.S.
Registered Nurse hours	0.59	0.80	0.69	bottom 28% in Rhode Island; top 49% in the U.S.
Weekend total nurse staffing	2.74	3.48	3.50	bottom 10% in Rhode Island; bottom 18% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.40	0.55	0.48	bottom 29% in Rhode Island; top 49% in the U.S.
Total nursing staff turnover (%)	29.4	40.6	45.8	top 20% in Rhode Island; top 13% in the U.S.
RN turnover (%)	17.6	37.9	42.9	top 11% in Rhode Island; top 11% in the U.S.

Hours are per resident per day, 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 3.07, RN 0.59, weekend 2.73. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Ryan, David	Individual	5% or Greater Direct Ownership Interest	50%	11/15/2007
Ryan, Sally	Individual	5% or Greater Direct Ownership Interest	50%	11/15/2007
Arnold, Kelly	Individual	Operational/Managerial Control	NOT APPLICABLE	01/20/2017
Carragher, Terry	Individual	Corporate Officer	NOT APPLICABLE	11/15/2007
Darosa, Elizabeth	Individual	W-2 Managing Employee	NOT APPLICABLE	12/14/2015
Gelfuso, Pamela	Individual	W-2 Managing Employee	NOT APPLICABLE	09/06/2005
Health Concepts LTD	Organization	Operational/Managerial Control	NOT APPLICABLE	12/27/1999
Ryan, David	Individual	Corporate Officer	NOT APPLICABLE	11/15/2007
Ryan, Sally	Individual	Corporate Director	NOT APPLICABLE	11/15/2007
Ryan, Sally	Individual	Corporate Officer	NOT APPLICABLE	11/15/2007

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 verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"When a doctor orders lab work, how quickly is it done and how are results communicated back?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Avalon Nursing Home INC	1.7 mi	Warwick, RI	★★☆☆☆	3/5
Scandinavian Home INC	3.0 mi	Cranston, RI	★★★★☆	5/5
Sunny View Nursing Home	3.0 mi	Warwick, RI	★★☆☆☆	2/5
Greenwood Operations DBA Greenwood Center	3.3 mi	Warwick, RI	★☆☆☆☆	1/5
Brentwood Health Center	4.3 mi	Warwick, RI	★★☆☆☆	2/5
Kent Regency Center	4.6 mi	Warwick, RI	★★★★☆	4/5
Adviniacare Orchard, LLC	4.7 mi	East Providence, RI	★☆☆☆☆	1/5	SFF
Hattie Ide Chaffee Home	5.0 mi	East Providence, RI	★★★★☆	3/5
Cedar Crest Nursing Centre INC	5.0 mi	Cranston, RI	★★★★★	4/5
Elmwood Nursing and Rehabilitation Center	5.2 mi	Providence, RI	★★★☆☆	3/5
Adviniacare Waterview Villas, LLC	5.3 mi	East Providence, RI	★★☆☆☆	2/5
Steere House Nursing and Rehabilitation Center	5.5 mi	Providence, RI	★★★★☆	3/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 415028.

The Care File

Visit checklist — West Shore Health Center INC

109 West Shore Road, Warwick, RI 02889 · 4017399440

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "When a doctor orders lab work, how quickly is it done and how are results communicated back?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 415028 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)