Westerly Health Center
280 High Street, Westerly, RI 02891 · Washington County · 120 certified beds · avg 113 residents/day · certified since Jul 26, 1985
Part of chain: MARQUIS HEALTH SERVICES (87 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Apr 23, 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 12, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (24)
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 1, 2026 | E · Potential for harm, repeated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Jun 1, 2026 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jun 1, 2026 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jun 1, 2026 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jun 1, 2026 | 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 1, 2026 | D · Potential for harm, one-off | 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. |
| Jun 1, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jun 1, 2026 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Jun 1, 2026 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jun 1, 2026 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Jun 1, 2026 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jun 1, 2026 | D · Potential for harm, one-off | 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 1, 2026 | 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. |
| Apr 23, 2025 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Apr 23, 2025 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 23, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Apr 23, 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. |
| Nov 27, 2024 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · from a complaint |
| Sep 3, 2024 | E · Potential for harm, repeated | 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 |
| May 9, 2024 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| May 9, 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. · from a complaint |
| May 9, 2024 | 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. · from a complaint |
| May 9, 2024 | E · Potential for harm, repeated | 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. · from a complaint |
| Aug 30, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 13).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 6 | 0 | E |
| 2025 | 4 | 1 | G ▲ |
| 2026 | 13 | 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)
1 fine totaling $8,278.
| Date | Type | Amount / length |
|---|---|---|
| Apr 23, 2025 | Fine | $8,278 |
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) | 2.73 | 3.88 | 3.95 | bottom 1% in Rhode Island; bottom 7% in the U.S. |
| Registered Nurse hours | 0.69 | 0.80 | 0.69 | bottom 38% in Rhode Island; top 38% in the U.S. |
| Weekend total nurse staffing | 2.22 | 3.48 | 3.50 | bottom 1% in Rhode Island; bottom 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.47 | 0.55 | 0.48 | bottom 42% in Rhode Island; top 37% in the U.S. |
| Total nursing staff turnover (%) | 42.9 | 40.6 | 45.8 | bottom 37% in Rhode Island; top 44% in the U.S. |
| RN turnover (%) | 31.8 | 37.9 | 42.9 | top 37% in Rhode Island; top 32% 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 3.05, RN 0.77, weekend 2.47. Staffing rating: 2/5.
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: 4/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| NFR 2020 Irrv Tr | Organization | 5% or Greater Indirect Ownership Interest | 22% | 11/01/2022 |
| Alessandro, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2022 |
| Alessandro, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2022 |
| Cibc Bank USA | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 11/01/2022 |
| Cibc Bank USA | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 11/01/2022 |
| Cohen, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2022 |
| Cohen, David | Individual | ADP of the SNF | NOT APPLICABLE | 03/03/2025 |
| Harman, Dina | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2022 |
| Harman, Dina | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2022 |
| Marquis Limited LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2022 |
| Marquis Limited LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/05/2025 |
| NFR 2020 Irrv Tr | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2022 |
| Posen, Mindee | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2022 |
| Posen, Mindee | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2022 |
| Quinto Nexgen LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2022 |
| Reliant Pro Rehab LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2022 |
| Reliant Pro Rehab LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/05/2025 |
| Rsbrmk Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2022 |
| SK Nexgen Tr | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2022 |
| Tryko Nexgen Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2022 |
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 written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "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 |
|---|---|---|---|---|---|
| Royal of Westerly Nursing Center | 2.0 mi | Westerly, RI | ★★★★☆ | 4/5 | |
| Apple Rehab Clipper | 3.5 mi | Westerly, RI | ★★★★☆ | 4/5 | |
| Avalon Health Care Center at Stoneridge | 6.7 mi | Mystic, CT | ★★★★★ | 5/5 | |
| Pendleton Rehabilitation and Nursing Center | 6.8 mi | Mystic, CT | ★★★★★ | 4/5 | |
| Apple Rehab Mystic | 7.7 mi | Mystic, CT | ★★☆☆☆ | 3/5 | |
| Mystic Healthcare & Rehabilitation Center, LLC | 8.0 mi | Mystic, CT | ★☆☆☆☆ | 1/5 | abuse |
| Complete Care at Groton Regency | 11.8 mi | Groton, CT | ★★★★★ | 4/5 | |
| Fairview | 13.5 mi | Groton, CT | ★★★★☆ | 4/5 | |
| Beechwood Health & Rehabilitation Center | 14.8 mi | New London, CT | ★★★★☆ | 4/5 | |
| Harbor Village North Health and Rehabilitation Cen | 15.0 mi | New London, CT | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 415081.