Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Westerly Health Center during CMS and state inspections, most recent first.
A facility failed to reconcile a resident's pre-discharge medication orders with post-discharge orders. The resident, with conditions like polymyalgia rheumatica and osteoarthritis, was discharged with incorrect medication dosages on the COC Form. The DON acknowledged the transcription errors during a surveyor interview.
The facility did not report the results of five alleged abuse investigations to the RIDOH within the required 5 working days. The Administrator and DON acknowledged this failure during an interview.
The facility failed to provide respiratory care consistent with professional standards for four residents. Orders for oxygen administration were not followed, and documentation was incomplete or incorrect.
A resident with essential hypertension, atrial fibrillation, and atherosclerotic heart disease did not receive Hydralazine HCL as prescribed for systolic blood pressure greater than 150. Blood pressures were not checked every 6 hours, and the medication was not administered despite multiple high readings. A Certified Medication Technician and the Director of Nursing Services acknowledged the oversight.
The facility failed to store and label drugs and biologicals correctly, with multiple deficiencies noted across medication carts and a medication room. Issues included undated and improperly stored medications, as well as failure to remove controlled substances after a resident's death.
The facility failed to maintain an infection control program for a resident using a CPAP machine and another resident with an ESBL infection. The CPAP machine was not cleaned as per policy, and appropriate contact precautions were not implemented for the resident with ESBL. Staff were unaware of the required procedures, and there was no evidence of compliance with infection control policies.
Medication Reconciliation Error at Discharge
Penalty
Summary
The facility failed to reconcile pre-discharge medication orders with post-discharge medication orders for a resident discharged from the facility. The resident, who was admitted with conditions including polymyalgia rheumatica, osteoarthritis, and cervical disc disorder, was discharged to their home. On the day of discharge, the active physician's orders included Acetaminophen 1000 mg three times a day, Cholecalciferol 1000 units once daily, and Gabapentin 100 mg twice daily. However, the Rhode Island Health Continuity of Care (COC) Form, completed at discharge, incorrectly listed the medications as Acetaminophen 500 mg three times a day, Cholecalciferol 1000 units twice daily, and Gabapentin 100 mg once daily. The Director of Nursing Services acknowledged the transcription errors during a surveyor interview.
Failure to Timely Report Investigation Results
Penalty
Summary
The facility failed to ensure that the results of all alleged abuse investigations were reported in accordance with State law. Specifically, the results of five facility-reported incidents (FRIs) were not submitted to the Rhode Island Department of Health (RIDOH) within the required 5 working days of the incident. These incidents were reported to RIDOH on various dates, including 7/12/2024, 7/24/2024, 8/9/2024, and 8/20/2024, but lacked evidence of timely submission of investigation results. During an interview on 9/3/2024, the Administrator and the Director of Nursing Services acknowledged the failure to report the investigation results within the mandated timeframe.
Failure to Provide Appropriate Respiratory Care
Penalty
Summary
The facility failed to provide respiratory care consistent with professional standards of practice for four residents. Resident ID #4, admitted with hypertension and diabetes, had an order for 2-4 liters of oxygen via nasal cannula but was observed receiving only 1 liter on multiple occasions. The Treatment Administration Record (TAR) did not document the correct oxygen administration as per the order. Similarly, Resident ID #20, admitted with pneumonia and anxiety, had an order for 2-4 liters of oxygen but was also observed receiving only 1 liter. The TAR again failed to document the correct oxygen administration as ordered. Resident ID #105, admitted with COPD and acute respiratory failure, had an order for 1 liter of oxygen but was observed receiving 2 liters on multiple occasions. The TAR did not reflect the correct oxygen administration. Additionally, Resident ID #112, admitted with COPD, had an order to titrate continuous oxygen to maintain oxygen saturation greater than 95%, but the order lacked a specified flow rate. The Director of Nursing Services acknowledged that the oxygen orders should include a flow rate and that staff should document each administration as per the facility's policy.
Failure to Administer Blood Pressure Medication as Prescribed
Penalty
Summary
The facility failed to ensure that residents are free from significant medication errors, specifically for a resident with blood pressure parameters. The resident, admitted in January 2024 with diagnoses including essential hypertension, atrial fibrillation, and atherosclerotic heart disease, had a physician's order for Hydralazine HCL to be administered every 6 hours as needed for systolic blood pressure greater than 150. However, record reviews revealed that blood pressures were not checked every 6 hours, and the medication was not administered as prescribed since the order date of 4/3/2024. The resident's blood pressure readings on multiple dates in April and May showed systolic levels above 150, yet the medication was not given as required. During interviews, a Certified Medication Technician admitted to not taking the resident's blood pressure every 6 hours due to the PRN nature of the order. The Director of Nursing Services acknowledged the failure to check the resident's blood pressure every 6 hours and to administer the medication according to the parameters set by the physician's order. This oversight led to the resident not receiving the necessary medication despite having systolic blood pressure readings above 150 on several occasions.
Deficiencies in Drug Storage and Labeling
Penalty
Summary
The facility failed to store and label drugs and biologicals in accordance with currently accepted professional principles. During a surveyor observation, multiple deficiencies were noted across four medication carts and one medication room. Specifically, an opened Trellegy Elipta inhaler was found undated, a bottle of Active liquid protein was opened and undated, and controlled substances such as Morphine Sulfate and Lorazepam were not removed from the medication cart after the resident's death. Additionally, three bottles of Lorazepam intensol were found opened, undated, and unrefrigerated, contrary to manufacturer instructions. Latanaprost eye drops were also found unrefrigerated despite the label indicating they should be stored in a refrigerator when unopened. Further observations revealed an unopened bottle of Lorazepam intensol with an expired manufacturer date in the medication room. Interviews with the nursing staff confirmed these findings, and the Director of Nursing Services (DNS) acknowledged that staff are expected to date medications upon opening and store them per manufacturer instructions. The DNS also stated that expired and discontinued medications should be removed from the cart in a timely manner, which was not adhered to in these instances.
Failure to Maintain Infection Control Program
Penalty
Summary
The facility failed to maintain an infection prevention and control program for Resident ID #25, who was readmitted with diagnoses including obstructive sleep apnea and chronic obstructive pulmonary disorder. The resident had an order to use a CPAP machine every night, but there was no evidence that the CPAP machine, including the mask, was cleaned or disinfected according to the facility policy. Staff interviews revealed that they were unaware of the cleaning procedures for the CPAP machine, and there were no physician's orders to ensure the cleaning was completed as required by the facility policy. The facility also failed to implement appropriate contact precautions for Resident ID #82, who was readmitted with a history of Extended-spectrum-beta-lactamase (ESBL) infection. The resident required maximum assistance for activities of daily living and was frequently incontinent. Despite a positive urine culture for ESBL and an order for antibiotics, there was no evidence that the resident was placed on contact precautions. Observations revealed no signage or personal protective equipment (PPE) supplies at the resident's door, and staff were unaware of the need for precautions during high-contact care activities. Interviews with the Director of Nursing Services confirmed the lack of evidence for both the cleaning of the CPAP machine and the implementation of contact precautions for the resident with ESBL. The facility did not maintain an infection control program that provided a sanitary environment to help prevent the development of infections, as required by their policies and CDC guidelines.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 193 citations issued within 25 miles in the last 12 months — including the 10 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Westerly
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Royal Of Westerly Nursing Center | 2 mi | ★★★★★ | 9 | 0 |
| Apple Rehab Clipper | 3.5 mi | ★★★★★ | 0 | 0 |
| Avalon Health Care Center At Stoneridge | 6.7 mi | ★★★★★ | 1 | 0 |
| Pendleton Rehabilitation And Nursing Center | 6.8 mi | ★★★★★ | 1 | 0 |
| Apple Rehab Mystic | 7.7 mi | ★★★★★ | 5 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.