Avalon Nursing Home INC

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.14 therapist hours per resident per day in 2026Q1 — more than 11% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 30% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

27 citations, most serious first. The 11 most serious are shown; the remaining 16 are one tap away and print in full.

• Actual harm · Gcited before2025-05-30 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, it has been determined that the facility failed to maintain acceptable parameters of nutritional status, such as usual body weight, for 1 of 1 resident reviewed, who experienced actual weight loss, Resident ID #3. Findings are as follows: Review of a facility policy and procedure titled WEIGHT, last revised in May of 2023, states in part, .It is the policy of this home to monitor the weight of every resident on a regular basis and to carry out the appropriate interventions when necessary to assure the optimum level of health possible for the individual resident .the facility will ensure that each resident maintains acceptable parameters of body weight unless the resident's clinical condition demonstrates that this is not possible .The Director of Nursing will .Ensure that all residents with unplanned weight loss are monitored by the physician and dietician .Calculate weight loss/gains above or below 5 lbs. [pounds] and notify the resident's physician, dietician and DNS…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-11 · tag F0943 — pattern
  Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview, the facility failed to provide training to their staff, that at a minimum educates staff on, abuse and neglect.Findings are as follows:Record review of the most recent abuse in-service training sign-in sheet, dated 1/5/2025, titled Staff Sign Off Sheet for Abuse and Neglect, along with a folder containing abuse post-tests provided by the Director of Nursing Services (DNS), revealed that only 13 of the 28 listed nursing staff had signed indicating attendance at the abuse training. Further review of the post-tests revealed that only three had been completed by staff. Additionally, the in-service sign-in sheet did not include the Social Worker, dietary staff, housekeeping staff, or maintenance staff.During a surveyor interview on 3/10/2026 at 2:07 PM with the housekeeping/dietary aide, Staff E, she stated that she had never received training related to abuse at the facility.During a surveyor interview on 3/11/2026 at 9:30 AM with Nursing Assistant, Staff B, she stated that she had never received training related to abuse at the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-11 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and staff interview, the facility failed to ensure that alleged violations involving abuse are reported immediately, but not later than 2 hours, after the allegation was made, relative to 1 of 2 residents reviewed for abuse who had a bruise to his/her outer thigh, Resident ID# 1.Findings are as follows:Record review of the facility policy dated 8/2020, titled, Reporting Patient Abuse states in part, .any person that has reason to believe that a patient has been abused.should contact the charge nurse, DNS [Director of Nursing Services] and/or Administrator at the time of the incident .the incident will be reported to the Department of Health.within 2 hours.Record review of a facility reported incident submitted to the Rhode Island Department of Health (RIDOH) on 3/5/2026, alleges that on 3/4/2026, Resident ID #1 reported to the 11:00 PM to 7:00 AM shift nurse that a Nursing Assistant (NA) Staff B, was too rough with him/her on the previous shift, 3:00 PM to 11:00 PM. Upon interview with Resident ID #1, s/he stated that the NA hurried him/her to bed and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-11 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and staff interview, the facility failed to ensure that an allegation of abuse was thoroughly investigated for 1 of 2 residents reviewed, who had a bruise to his/her outer thigh, Resident ID #1. Additionally, the facility failed to prevent further potential abuse while the investigation was in progress. Findings are as follows:Record review of the facility policy titled, Reporting Patient Abuse dated 8/2020 states in part, .any person that has reason to believe that a patient has been abused.should contact the charge nurse, DNS [Director of Nursing Services] and/or Administrator at the time of the incident .A full investigation will be conducted which may include written statements from witnesses as well as the resident.Record review of a facility reported incident submitted to the Rhode Island Department of Health (RIDOH) on 3/5/2026, alleges that on 3/4/2026, Resident ID #1 reported to the 11:00 PM to 7:00 AM shift nurse that a Nursing Assistant (NA), Staff B, was too rough with…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-05-30 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, surveyor observation, and staff interview, it has been determined that the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, relative to continuous oxygen administration for 2 of 2 residents reviewed, Resident ID #s 18 and 30, for 1 of 1 resident reviewed who had an order to offload their heels, Resident ID #6 and for 1 of 1 resident reviewed for a hand splint, Resident ID #20. Findings are as follows: According to Mosby's 4th Edition, Fundamentals of Nursing, page 314 states, The physician is responsible for directing medical treatment. Nurses are obligated to follow physician's orders unless they believe the orders are in error or would harm the clients. 1a. Record review revealed Resident ID #18 was admitted to the facility in April of 2025 with diagnoses including, but not limited to, Chronic Obstructive Pulmonary Disease (COPD, a lung condition that restricts your breathing) and dependence on supplemental oxygen. Record review revealed a physician's order dated 4/21/2025 for oxygen…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-30 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on surveyor observation and staff interview, it has been determined that the facility failed to maintain a safe, functional, and comfortable environment relative to window air conditioning units, for 4 of 4 air conditioning units observed. Findings are as follows: During surveyor observations on the following dates and times the window air conditioning units in occupied resident rooms were observed to have an accumulation of visible black matter on the adjustable louvers (adjustable flaps) and beyond the louvers within the air conditioners: -5/28/2025 at 10:46 AM and 5/30/2025 at 8:40 AM rooms [ROOM NUMBERS]. -5/28/2025 at 11:05 AM and 12:34 PM rooms 13 (C/D) and 14. During a subsequent surveyor observation and simultaneous interview on 5/30/2025 at 8:40 AM with the Director of Nursing Services of rooms 8, 13 (C/D), 14, and 17, he acknowledged that an accumulation of black matter was visible on the adjustable louvers and beyond the louvers within the air conditioners. Additionally, he revealed that the air…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-30 · tag F0947 — failed to train nurse aides adequately — pattern
  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and staff interview it has been determined that the facility failed to develop, implement, and maintain an effective in-service training program including no less than 12 hours per year, to ensure competence of nurse aides (NAs) with their expected roles for 2 of 4 NAs reviewed, Staff D and E. Findings are as follows: Record review revealed that NA, Staff D, was hired on 2/3/2017. Additional review revealed that Staff D did not receive at least 12 hours of training in 2024. Record review revealed that NA, Staff E was hired on 3/1/2022. Additional review revealed that Staff E did not receive at least 12 hours of training in 2024. During a surveyor interview on 5/30/2025 at 10:03 AM with the Director of Nursing Services, he was unable to provide evidence of at least 12 hours of training for 2024 for Staff D and E.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-30 · tag F0577 — isolated
  Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and staff interview, it has been determined that the facility failed to protect identifying information for 3 of 4 current residents residing in the facility, who were identified in the survey results binder, Resident ID #s 3, 4 and 17. Findings are as follows: During an observation of the facility's surveyor results binder the survey dated 5-16-2024 and the Resident/Staff Roster were revealed. The roster identified Resident ID #s 3, 4, and 17. Further review of the above survey contained information including, but not limited to, the resident's diagnoses and their physician orders. During a surveyor interview with the Administrator on 5/29/2025 at approximately 10:45 AM, following the above observation, he revealed that he was unaware that the Resident/Staff Roster was in the survey binder and that it should not have been. The Administrator was unable to provide evidence that the facility protected the identifying information of the residents listed in the survey results binder.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-30 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on surveyor observation and staff interview, it has been determined that the facility failed to store and label drugs and biologicals in accordance with currently accepted professional principles for 2 of 2 medication carts and the 1 of 1 medication storage room observed. Findings are as follows: Review of a facility policy titled Medication Labeling and Storage with a revision date of February 2023 states in part, .Medications and biologicals are stored in the packaging, containers or other dispensing systems in which they are received .If the facility has discontinued, outdated or deteriorated medications or biologicals, the dispensing pharmacy is contacted for instructions regarding .destroying these items . 1. During the medication storage and labeling task on [DATE] at approximately 9:00 AM through 10:15 AM, in the presence of Registered Nurse (RN), Staff A, observation of the treatment cart and the medication room revealed the following: -One vial of tuberculin purified protein derivative (tuberculin…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-30 · tag F0812 — failed to store, cook, and serve food safely — isolated
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, relative to the main kitchen. Findings are as follows: Review of the Rhode Island Food Code, 2022 Edition, section 3-501.17 (B) states in part, refrigerated, READY-TO-EAT TIME/TEMPERATURE CONTROL FOR SAFETY FOOD prepared and PACKAGED .shall be clearly marked, at the time the original container is opened in a FOOD ESTABLISHMENT .and: (1) the day the original container is opened in the food establishment shall be counted as Day 1; and (2) The day or date marked by the food establishment may not exceed a manufacturer's use-by date . 1. During the initial tour of the main kitchen on 5/27/2025 at 9:40 AM, with the Food Service Manager (FSM), the following was observed in the reach-in refrigerator: -One, 5 pound (lb.) container of ricotta cheese approximately ¾ full, opened, with a manufacturer's use by date of 5/22/2025. -One, 2.5lb. sealed package of cooked…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-08-28 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, it has been determined that the facility failed to ensure that all alleged violations involving abuse, including injuries of unknown source are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or, no later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to other officials (Rhode Island Department of Health- RIDOH), in accordance with State law, for 2 of 2 residents reviewed for allegations of abuse, Resident ID #s 1 and 2. Findings are as follows: Record review of a facility policy last revised in January of 2024 titled, Reporting Patient Abuse states in part, This facility will report all cases of suspected or actual abuse or neglect to the Department of Health .Any person that has reason to believe that a .resident has been abused, neglected or mistreated should contact the .DNS [Director of Nursing Services .at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 8 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

What families pay in RI