Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Avalon Nursing Home INC

Warwick, RI · 31 certified beds · Last Life Safety survey May 30, 2025

CMS Certification Number 415060 · first certified February 1980

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

12
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within RI

12 citations — more than 86% of the 72 certified nursing homes in RI. Compared within RI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (May 2026 to July 2026), and past the point by which nine in ten RI facilities have been surveyed. This facility’s last Life Safety survey was May 2025. Facilities in RI are typically surveyed 11–14 months after the last one (median 12), measured over 117 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 12 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 12 Life Safety citations above. The Physical Environment Index

  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in RI, and nationally. Surveyors differ markedly between states, so the RI figure is the meaningful one.

This facility12RI median4National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in RI4
Median facility nationally11

Survey history

Citations at each Life Safety survey
22023-0552024-0552025-05
Citations at each Life Safety survey
Survey dateCitations
May 10, 20232
May 31, 20245
May 30, 20255

Most-cited tags

Most-cited tags at this facility
K-03532K-03452K-09182E-00391K-02111K-03421E-00371K-09231
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-05-30
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-05-30
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-05-30
E-0039Conduct testing and exercise requirements.12024-05-31
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12023-05-10
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.12023-05-10
E-0037Establish staff and initial training requirements.12024-05-31
K-0923Have proper medical gas storage and administration areas.12025-05-30

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Emergency Preparedness Deficiencies 2
  • Egress Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies3
Emergency Preparedness Deficiencies2
Egress Deficiencies1
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 30, 2025 — 5 citations

Citations issued on May 30, 2025
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 20, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 20, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 20, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 20, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (June 20, 2025)

May 31, 2024 — 5 citations

Citations issued on May 31, 2024
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (June 17, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (June 17, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 17, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 17, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 17, 2024)

May 10, 2023 — 2 citations

Citations issued on May 10, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (May 11, 2023)
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (May 11, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.