SNF
Eastgate Nursing & Rehabilitation Center
CCN: 415083 · East Providence, RI 02914 · Providence County
Overview
- Address
- 198 Waterman Avenue, East Providence, RI 02914
- Phone
- 4014312087
- Certified beds
- 60
- Avg daily residents
- 62 (104% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1988-09-02
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.44 | 3.34 | 3.97 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.71 | 0.58 | 0.83 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.36 | 0.74 | 0.42 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.36 | 2.01 | 2.73 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.07 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.08 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.03
hrs / resident / day
RN (weekend)
0.50
hrs / resident / day
Total nurse (adjusted, weekend)
3.50
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
32.1%
annual
RN turnover
11.1%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.18
higher acuity than avg
Case-Mix Index Ratio
0.86
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-11-21 | 5 | 5 | 0 | 36 | 1 | 36 |
| Cycle 2/3 (prior) | 2023-12-01 | 4 | 2 | 2 | 20 | 1 | 20 |
Total weighted health score
32.0
lower is better
Deficiencies (12)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
12 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-11-21 | 2024-12-21 |
| 0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2024-11-21 | 2024-12-21 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-11-21 | 2024-12-21 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-11-21 | 2024-12-21 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-11-21 | 2024-12-21 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2024-03-01 | 2024-03-31 |
| 0760 | Ensure that residents are free from significant medication errors. | E | 2023-12-01 | 2023-12-29 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2023-12-01 | 2023-12-29 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-04-13 | 2023-05-01 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2022-10-07 | 2022-11-06 |
| 0761 | 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. | E | 2022-10-07 | 2022-11-06 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2022-10-07 | 2022-11-06 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 7.5% Medicaid 68.7% Other 23.8%
Operating performance
Operating Margin
-5.7%
Total Margin
3.1%
Occupancy Rate
87.3%
Cost per Resident Day
$52
Revenue & costs
Net Patient Revenue
$7.6M
Total Costs
$1.1M
Net Income
$257K
Balance sheet
Total Assets
$2.9M
Total Liabilities
$6.2M
Fund Balance
-$3.3M
Current Ratio
0.34
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: HEALTH CONCEPTS, LTD.
- Chain ID
255- Facilities in chain
- 5
- Legal business name
- 198 WATERMAN AVENUE LLC
Chain-average star ratings (for peer context)
Overall
4.0
Health
4.2
Staffing
3.4
QM
2.4
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| HEALTH CONCEPTS LTD | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2012 |
Owner / manager individuals (10)
| Name | Role | Association |
|---|---|---|
| RYAN, DAVID | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/01/2012 |
| RYAN, KEVIN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/01/2012 |
| RYAN, SALLY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/01/2012 |
| CARRAGHER, TERRY | CORPORATE OFFICER | since 09/01/2012 |
| RYAN, DAVID | CORPORATE OFFICER | since 09/01/2012 |
| RYAN, KEVIN | CORPORATE OFFICER | since 09/01/2012 |
| RYAN, SALLY | CORPORATE OFFICER | since 09/01/2012 |
| ARNOLD, KELLY | W-2 MANAGING EMPLOYEE | since 01/20/2017 |
| BISWAS, ANNA | W-2 MANAGING EMPLOYEE | since 09/01/2012 |
| RICHARDS, ALAN | W-2 MANAGING EMPLOYEE | since 09/13/2020 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $52 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.34 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 68.7% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 7.5% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $257,252 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $7,560,936 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 87.3% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -5.7% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $2,920,280 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,124,000 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-3,324,789 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $6,245,069 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 3.1% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.41564 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.73202 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.82580 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.97346 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.50425 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 62.3 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.74129 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.01466 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.58430 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.34025 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 2.94408 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 4.2 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 4.0 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 2.4 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.4 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 255 | Chain ID |
| Provider Information | Chain Name | HEALTH CONCEPTS, LTD. | Chain Name |
| Provider Information | City/Town | East Providence | City/Town |
| Provider Information | CMS Certification Number (CCN) | 415083 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Providence | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1988-09-02 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 41.8219 | Latitude |
| Provider Information | Legal Business Name | 198 WATERMAN AVENUE LLC | Legal Business Name |
| Provider Information | Location | 198 Waterman Avenue,East Providence,RI,02914 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -71.371 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 60 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 5 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.18330 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.85893 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 198 Waterman Avenue | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Eastgate Nursing & Rehabilitation Center | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 030 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 36 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 5 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-11-21 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 36 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 5 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 2 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-12-01 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 20 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 2 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 20 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 4 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.49845 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 11.1 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.07402 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.35958 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.36359 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.08381 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.71444 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.43761 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | RI | State |
| Provider Information | Telephone Number | 4014312087 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.03167 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 32.1 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 32.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 02914 | ZIP Code |