Nursing HomeInspections

Royal Middletown Nursing Center

Nursing home in Middletown, RI

Medicare & Medicaid certified2★ overall (CMS)

Call (401) 847-2777Send a messageMap ↗

Public-record details

Address
193 Forest Avenue, Middletown, RI 02842
Phone
(401) 847-2777
Listed under
For-profit
Medicare CCN
415040
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
50
Average residents per day
45
Ownership
For-profit, partnership
Legal business name
Royal Middletown Nursing Center LLC
Chain
Royal Health Group (12 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 31, 1974
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 415040. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 30, 2026. CMS lists 26 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 29, 2024 to Apr 30, 2026): 16 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
Apr 30, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 30, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Apr 30, 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
Apr 30, 2026Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 30, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 30, 2026Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration		D
Potential for more than minimal harm, isolated
Apr 30, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Apr 30, 2026Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights		E
Potential for more than minimal harm, pattern
Apr 30, 2026Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		F
Potential for more than minimal harm, widespread
Feb 19, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 19, 2026Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 7, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 26. 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 Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $30,590 in the last three years.

Nov 25, 2025Fine: $30,590

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

Staffing

Total nurse staffing per resident per day
3.21 hours
Registered nurse (RN) time per resident per day
0.92 hours
Nurse aide time per resident per day
2.07 hours
Total nurse staffing on weekends
2.94 hours
Nursing staff turnover (yearly)
63%
RN turnover (yearly)
69%
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 Middletown

Grand Islander Center333 Green End Avenue · Middletown, RI 02842 · (401) 849-7100 · For-profit40 health citations in 3 inspection cycles · last standard inspection May 14, 2025 · $21,548 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)John Clarke Senior Living600 Valley Road · Middletown, RI 02842 · (401) 846-0743 · Nonprofit5 health citations in 3 inspection cycles · last standard inspection Apr 10, 2026 · $14,385 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

All 3 in Middletown →