facebook tracking Royal Middletown Nursing Center, Middletown RI: CMS Ratings
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Royal Middletown Nursing Center

All states › Rhode Island › Middletown › Royal Middletown Nursing Center

193 Forest Avenue Middletown, RI 02842 · Newport County

(401) 847-2777

All 3 nursing homes in Middletown, RI (3 take Medicaid)

Accepts Medicare Accepts Medicaid 50 certified beds For profit

CMS certification number 415040 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Royal Middletown Nursing Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Royal Middletown Nursing Center as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Rhode Island average of 2.9. Inspectors issued 26 citations in the last three years. CMS imposed 1 penalty, including $19,884 in fines, in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 1 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.18 hours per resident per day at Royal Middletown Nursing Center, below the Rhode Island median of 3.61 (US median: 3.72). About 0.90 of those hours are from registered nurses. On weekends it falls to 2.85 hours, 10% below its all-week average. 56.8% of nursing staff left within a year (Rhode Island median 40.3%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 3.18 hours
Below the Rhode Island median of 3.61 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.90 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.85 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 56.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 60% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds50
Residents per day 47 About 93% of beds filled, on average
OwnershipFor profit - Partnership
Payment acceptedMedicare and Medicaid
Certified sinceMarch 1974
Part of a chainRoyal Health Group
Legal business nameROYAL MIDDLETOWN NURSING CENTER LLC

Paying for care at Royal Middletown Nursing Center: Medicare and Medicaid

Royal Middletown Nursing Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Rhode Island's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on April 30, 2026 and found 7 deficiencies, plus 9 from complaint inspections in the same period. In total, inspectors issued 26 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 26 citations at Royal Middletown Nursing Center across 10 inspection dates, 16 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on November 25, 2025. The most common areas cited were quality of life and care (5) and freedom from abuse, neglect, and exploitation (4). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level H, November 25, 2025). 4 citations were under CMS's abuse, neglect and exploitation rules.

April 30, 2026 · 9 citations · includes complaint inspection

FNot hire anyone with a finding of abuse, neglect, exploitation, or theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0606 · Complaint inspection · Deficient, Provider has date of correction (May 15, 2026)

EHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0557 · Deficient, Provider has date of correction (May 15, 2026)

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (May 15, 2026)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (May 15, 2026)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (May 15, 2026)

DProvide safe, appropriate pain management for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0697 · Deficient, Provider has date of correction (May 15, 2026)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Deficient, Provider has date of correction (May 15, 2026)

DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Potential for more than minimal harm · Administration Deficiencies · Tag F0849 · Deficient, Provider has date of correction (May 15, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 15, 2026)

February 19, 2026 · 2 citations · includes complaint inspection

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Mar 11, 2026)

DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Potential for more than minimal harm · Administration Deficiencies · Tag F0849 · Complaint inspection · Deficient, Provider has date of correction (Mar 11, 2026)

January 7, 2026 · 2 citations · includes complaint inspection

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Jan 16, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Jan 16, 2026)

December 8, 2025 · 1 citation · includes complaint inspection

EProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Dec 13, 2025)

November 25, 2025 · 2 citations, includes actual harm · includes complaint inspection

HProvide and implement an infection prevention and control program.

Actual harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Dec 13, 2025)

GProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Dec 13, 2025)

April 2, 2025 · 4 citations · includes complaint inspection

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (May 1, 2025)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (May 1, 2025)

DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Deficient, Provider has date of correction (May 1, 2025)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (May 1, 2025)

November 7, 2024 · 1 citation · includes complaint inspection

EProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Complaint inspection · Deficient, Provider has date of correction (Nov 25, 2024)

October 8, 2024 · 1 citation · includes complaint inspection

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Oct 21, 2024)

April 11, 2024 · 3 citations · includes complaint inspection

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Apr 30, 2024)

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Apr 30, 2024)

EEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Complaint inspection · Deficient, Provider has date of correction (Apr 30, 2024)

February 29, 2024 · 1 citation · includes complaint inspection

DEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Complaint inspection · Deficient, Provider has date of correction (Mar 22, 2024)

Questions to ask on a tour of Royal Middletown Nursing Center

  1. Inspectors cited the home at the actual-harm level on November 25, 2025 under the rule on infection control. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on April 30, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Nursing staff turnover was 56.8% a year. How many of the staff come from agencies?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $19,884 in fines.

DateTypeAmount or length
Nov 25, 2025 Fine $19,884

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 2/5 3/5
August 2026 2/5 2/5 2/5 2/5
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Location

Hospitals near Royal Middletown Nursing Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 2.3 mi
    Newport Hospital Newport
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 52m for patients treated and sent home
  • 12.7 mi
    South County Hospital INC Wakefield
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 3h 17m for patients treated and sent home
  • 13.1 mi
    Saint Anne's Hospital, a Caritas Family Hospital Fall River
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 3h 14m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Grand Islander Center Middletown · 1.5 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 146 beds · Medicaid
John Clarke Senior Living Middletown · 1.6 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 60 beds · Medicaid
St Clare Home Newport · 3.4 mi away ★★★★☆ Inspection 5/5 · Staffing 4/5 50 beds · Medicaid
AdviniaCare Newport Newport · 3.7 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 4/5 114 beds · Medicaid
Village House Nursing & Rehabilitation Center Newport · 4.3 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 95 beds · Medicaid

More nursing homes near Royal Middletown Nursing Center ›   All nursing homes in Middletown ›

Compare Royal Middletown Nursing Center with the 3 closest homes side by side ›

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Other Royal Health Group nursing homes in Rhode Island

Affiliation comes from CMS's affiliated-entity data, October 2026. All 12 Royal Health Group nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/rhode-island/middletown/royal-middletown-nursing-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.