The Elms

    22 Elm St, Westerly, RI 02891
    • Independent Living
    • Assisted Living
    • Memory Care

    Upscale homey campus, caring staff

    I'm very pleased-beautiful, well-maintained in-town campus near Wilcox Park with top-notch, caring staff, outstanding food and lots of activities plus transportation, housekeeping and on-site services. My family and I recommend it as an upscale, homey option with separate memory care and attentive staff.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.58·(52)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.4
    • Staff

      4.8
    • Meals

      4.6
    • Amenities

      4.3
    • Value

      3.0

    Pros

    • Compassionate, attentive staff
    • Knowledgeable and personable leadership
    • Strong staff-to-resident ratio
    • Separate, purpose-designed memory-care unit
    • High-quality, restaurant-style dining
    • Fresh, locally sourced menu options
    • Diverse, individualized activities program
    • Regular on-site entertainment and events
    • Transportation services to appointments
    • On-campus hair and salon services
    • Laundry and weekly housekeeping services
    • Well-maintained grounds and attractive gardens
    • Contemporary, upscale interior design
    • Hotel-like common areas and family rooms
    • Central downtown location near Wilcox Park
    • Exercise and wellness classes (yoga, etc.)
    • Pet therapy and organized outings
    • Responsive management and helpful tour staff
    • Appropriate hospice and end-of-life coordination
    • Variety of studio, suite, and apartment configurations
    • Relatively modern facility age and upkeep

    Cons

    • Premium pricing and substantial move-in fees
    • Limited availability of private and multi-bedroom units
    • Restricted assisted-living capacity in certain buildings
    • Additional fees for higher levels of assistance
    • Lack of in-unit full kitchens
    • Parking and entrance access constraints
    • Variable resident engagement and activity levels
    • Occasional staff turnover and specialist-service gaps
    • Site circulation limitations (narrow sidewalks in places)
    • Expectations versus unit feature alignment issues

    Summary of reviews

    Overall impression: The Elms presents as an upscale, well-maintained senior living community with strong emphasis on hospitality, aesthetics, and resident comfort. The campus is contemporary in appearance, with attractive common spaces, gardens, and a hotel-like feel that reviewers repeatedly described as resort-like. Its downtown location adjacent to Wilcox Park supports convenience, walkability to local amenities, and a pleasant setting.

    Care and staff: Families and residents consistently praised the quality of day-to-day care and the demeanor of staff. Comments emphasized compassionate, attentive caregivers, visible nursing leadership, and a generally favorable staff-to-resident ratio. The community appears capable of handling transitions to higher levels of care when needed, and several families noted supportive coordination around hospice and end-of-life care. At the same time, reviewers indicated occasional operational staffing changes and gaps in availability of certain clinical specialists (for example, a neuropsychologist), suggesting intermittent turnover or limited in-house specialty services.

    Dining and services: Dining is a clear strength. The community offers restaurant-style meals, locally sourced options, and a dining program that includes meals for visitors and proactive meal reminders. Ancillary services such as on-site hair and salon services, laundry, weekly housekeeping, and regular transportation to appointments contribute to a full-service living experience. Reviewers also highlighted pleasant touches like happy hour, visitor meals, and strong food-service staff engagement.

    Activities and social life: The Elms runs a broad, individualized activities program that includes arts and crafts, music, board games, yoga, exercise classes, movies, pet therapy, field trips, and regular outings. Memory care is separated and purpose-designed for residents with more advanced cognitive needs, while general programming appears geared to a range of independence levels. That said, some families observed variability in resident engagement — the environment may be better suited to more independent or social residents, and activity participation can differ across households.

    Facilities and housing: The buildings are described as attractive, contemporary, and well cared for, with hotel-like rooms, lovely common areas, and comfortable family settings. Memory care and assisted-living units are on campus but not all unit types or levels of care are available in every building (for example, Chestnut Cottage and Carriage House have constraints). Unit configurations tend toward studios and one-room apartments without full kitchens; there is typically space for a microwave and refrigerator but no in-unit cooking. Some reviewers noted limited availability of private or two-bedroom units and a need to supply personal furniture in certain circumstances.

    Management, cost, and availability patterns: Management and leadership receive positive comments for responsiveness and informative tours. At the same time, the community operates at a premium price point with significant upfront community fees and security deposits, and additional charges apply for higher levels of assistance. Reviewers suggested that value depends on affordability and fit; marketing and unit availability are not always perfectly aligned, and families sometimes encountered constraints when seeking specific floor plans or levels of care. Practical site issues such as parking, entrance configuration, and some narrow sidewalks were raised as accessibility considerations.

    Bottom line: The Elms is positioned as a higher-end, service-rich option that emphasizes dining, aesthetics, and personalized service, with a clear strength in attentive staff and a robust activities calendar. Prospective residents and families who prioritize dining quality, hospitality-style amenities, and a downtown park-side location will likely find the community appealing. Families prioritizing lower move-in cost, in-unit cooking, guaranteed availability of private or multi-bedroom units, or fully integrated specialty clinical services should evaluate unit availability and fee structures carefully before committing.

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    Location

    Map showing location of The Elms

    The Elms is located at 22 Elm St, Westerly, RI, 02891.

    About The Elms

    The Elms sits right in downtown Westerly at 22 Elm Street and is actually a campus with three separate buildings, including a big old Victorian house with 70 independent living apartments and two cottage buildings that hold 55 dedicated memory care spaces, so you'll find people living there for independent, assisted, or memory care, plus you'll see a lot of services built for people with changing needs as they get older. Assisted living residents have support with things like bathing and dressing, and there's a full staff on duty 24/7 including RNs and LPNs, with medication care managers, plus the place has caregivers trained to help folks who need memory care, even those who wander or show harder behaviors, and the memory care area is completely secure and purpose-built, with safety tech like alarm bracelets and reminders to help keep everyone safe and comfortable.

    The Elms is privately owned and family-run and has been around since 1985, having been expanded five times, always keeping the Victorian-style architecture and classic neighborhood feel. There's a bistro dining area for everyone and a professional chef making restaurant-style meals, with attention to special diets like gluten-free, vegan, or low sugar/salt, and there's a private dining room for special meals with guests. People can bring their own cats or dogs, with help for pet care, and guests are welcome at meal times, which is a nice touch. Every apartment and room is set up for cable TV and high-speed Wi-Fi, and residents have access to free internet everywhere in the building.

    Activities are a big part of daily life, with a full-time activities director running everything from Tai Chi, yoga, water aerobics, art classes, brain fitness, and gardening, to book clubs, cooking clubs, game nights, trips, story time, trivia, wine tasting, even a resident musical group and Nintendo Wii bowling, plus offsite excursions, intergenerational programs, and devotional services of several faiths. You'll find both outdoor and indoor spaces to relax, like walking paths, an enclosed courtyard, raised beds for gardening, a library, a movie room, piano/organ, gym, spa, bar, pub/café, fireplaces in the common rooms, and several rec areas for games and crafts.

    Most care needs are managed on-site, with transportation help, PT/OT services, and visiting nurses and hospice if needed; there's a security system throughout and every shower is wheelchair accessible. The Elms staff help with all sorts of daily tasks-medication, mobility, hygiene, laundry, cleaning, nutrition, and more-offering both light and medium care, and skilled nursing services are available with a nurse always on call. Financial help's available, too, including advice with VA benefits. The place doesn't charge extra for every little thing, since they've got an all-inclusive pricing structure. Residents who need memory care, even those with diabetes, mobility problems, or who are at risk of wandering or acting out, get custom care plans and access to therapies like reminiscence and light therapy.

    With so many on-site and off-site activities, private and group dining, in-house religious services, haircuts, and support for both pets and daily chores, residents can keep their independence as much as possible, staying right there on campus as their needs change. The Elms has been there serving the area since 1985, always aiming for a supportive and dignified experience, where seniors can age in place in a safe and lively setting.

    People often ask...

    The Elms offers competitive pricing, with rates starting at a cost of $7,231 per month.

    The Elms offers independent living, assisted living, and memory care.

    There are 36 photos of The Elms on Mirador.

    Yes, The Elms allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 22 Elm St, Westerly, RI 02891.

    No, The Elms does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Rhode Island, the Department of Health licenses assisted living residences and posts the statements of deficiency and plans of correction from its surveys.

    License numberALR01306
    StatusActive
    Facility typeAssisted Living Residence
    Capacity40 residents
    EffectiveOctober 13th, 1987
    ExpiresDecember 31st, 2026

    Inspection Reports

    7

    Reports

    5

    Citations

    0

    Complaints

    3

    Years

    22 Jun 2026Plan of Correction
    Investigated a complaint and identified deficiencies related to medication availability and resident assessment practices.
    • 2.4.14.AManagement Of Services
    • 2.4.17.AResident Assessment/Service Plans
    21 Oct 2025Plan of Correction
    Identified deficiencies in medication administration documentation; each dose administered to residents must be properly recorded.
    • Continued From page 3 - medication administration documentation
    07 Oct 2025Plan of Correction
    Identified deficiencies related to residents' rights documentation, medication management, and safety/record-keeping during a survey.
    • 23-17.4-16Resident rights; acknowledgment
    11 Sept 2025Inspection
    Investigated an unannounced complaint/incident investigation; found no deficiencies.
    25 Feb 2025Inspection
    Concluded that no deficiencies were identified following an unannounced complaint/incident investigation conducted in February 2025.
    03 May 2024Inspection
    Investigated an unannounced complaint/incident survey; found no deficiencies.
    20 Oct 2023Plan of Correction
    Investigated deficiencies included unsafe food handling due to a worker not wearing a hair restraint while preparing exposed food and related documentation gaps.
    • Rhode Island Food CodeSafety food handling, labeling, and containment requirements

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of The Elms. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Elms directly. There is no cost for this service. We are compensated by the community you select.

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