Nursing HomeInspections

Royal of Westerly Nursing Center

Nursing home in Westerly, RI

Medicare & Medicaid certified4★ overall (CMS)

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Public-record details

Address
79 Beach Street, Westerly, RI 02891
Phone
(401) 596-4925
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
415004
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
66
Average residents per day
60
Ownership
For-profit, partnership
Legal business name
Royal Westerly LLC
Chain
Royal Health Group (12 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1967
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 415004. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Feb 19, 2026. CMS lists 18 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 12, 2024 to Feb 19, 2026): 2 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Feb 19, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 19, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 19, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		E
Potential for more than minimal harm, pattern
Feb 19, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Feb 19, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Feb 19, 2026Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Nursing and Physician Services		E
Potential for more than minimal harm, pattern
Feb 19, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Feb 19, 2026Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Feb 19, 2026Implement a program that monitors antibiotic use.
Infection Control		E
Potential for more than minimal harm, pattern
Feb 4, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 4, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Dec 5, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 18. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $8,647 in the last three years.

Feb 4, 2025Fine: $8,647

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.44 hours
Registered nurse (RN) time per resident per day
0.85 hours
Nurse aide time per resident per day
1.94 hours
Total nurse staffing on weekends
2.93 hours
Nursing staff turnover (yearly)
46%
RN turnover (yearly)
50%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Westerly

Apple Rehab Clipper161 Post Road · Westerly, RI 02891 · (401) 322-8081 · For-profit24 health citations in 3 inspection cycles · last standard inspection May 29, 2026 · $238,831 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)
Westerly Health Center280 High Street · Westerly, RI 02891 · (401) 348-0020 · For-profit23 health citations in 3 inspection cycles · last standard inspection Jun 1, 2026 · $8,278 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)

All 3 in Westerly →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error