facebook tracking Royal of Westerly Nursing Center, Westerly RI: CMS Ratings
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Royal of Westerly Nursing Center

All states › Rhode Island › Westerly › Royal of Westerly Nursing Center

79 Beach Street Westerly, RI 02891 · Washington County

(401) 596-4925

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

Accepts Medicare Accepts Medicaid 66 certified beds For profit

CMS certification number 415004 · 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 of Westerly 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 of Westerly Nursing Center as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Rhode Island average of 2.9. Inspectors issued 18 citations in the last three years. CMS imposed 1 penalty, including $8,647 in fines, in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 3 out of 5.

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.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.44 hours per resident per day at Royal of Westerly Nursing Center, below the Rhode Island median of 3.61 (US median: 3.72). About 0.85 of those hours are from registered nurses. On weekends it falls to 2.93 hours, 15% below its all-week average. 46.4% of nursing staff left within a year (Rhode Island median 40.3%).

Nursing care per resident per day 3.44 hours
Below the Rhode Island median of 3.61 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.85 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.93 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 46.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 50% 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 beds66
Residents per day 60 About 91% of beds filled, on average
OwnershipFor profit - Partnership
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 1967
Part of a chainRoyal Health Group
Legal business nameROYAL WESTERLY LLC

Paying for care at Royal of Westerly Nursing Center: Medicare and Medicaid

Royal of Westerly 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 February 19, 2026 and found 9 deficiencies. In total, inspectors issued 18 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 18 citations at Royal of Westerly Nursing Center across 4 inspection dates, 2 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on February 4, 2025. The most common areas cited were pharmacy service (6) and quality of life and care (5). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level G, February 4, 2025).

February 19, 2026 · 9 citations

EEnsure that residents are fully informed and understand their health status, care and treatments.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (Mar 27, 2026)

EEnsure 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 (Mar 27, 2026)

EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Mar 27, 2026)

EObtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0710 · Deficient, Provider has date of correction (Mar 27, 2026)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Mar 27, 2026)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Mar 27, 2026)

EImplement a program that monitors antibiotic use.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0881 · Deficient, Provider has date of correction (Mar 27, 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 (Mar 27, 2026)

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 (Mar 27, 2026)

February 4, 2025 · 2 citations, includes actual harm · includes complaint inspection

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 (Feb 28, 2025)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Feb 28, 2025)

December 5, 2024 · 3 citations

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 (Dec 25, 2024)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Dec 25, 2024)

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 (Dec 25, 2024)

January 12, 2024 · 4 citations

EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Feb 11, 2024)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Feb 11, 2024)

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 (Feb 11, 2024)

BProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0568 · Deficient, Provider has date of correction (Feb 11, 2024)

Questions to ask on a tour of Royal of Westerly Nursing Center

  1. Inspectors cited the home at the actual-harm level on February 4, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. 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 $8,647 in fines.

DateTypeAmount or length
Feb 4, 2025 Fine $8,647

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 3/5 3/5
August 2026 4/5 4/5 3/5 3/5
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Location

Hospitals near Royal of Westerly 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.

  • 0.2 mi
    Westerly Hospital Westerly
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 22m for patients treated and sent home
  • 14.4 mi
    Lawrence & Memorial Hospital New London
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 11m for patients treated and sent home
  • 17.9 mi
    South County Hospital INC Wakefield
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 3h 17m 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

Westerly Health Center Westerly · 2.0 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 120 beds · Medicaid
Apple Rehab Clipper Westerly · 2.6 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 60 beds · Medicaid
South Kingstown Nurs. & Rehab Center West Kingston · 16.9 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 3/5 112 beds · Medicaid
Kingston Center for Rehabilitation and Health Care West Kingston · 17.6 mi away ★★★★☆ Inspection 5/5 · Staffing 1/5 55 beds · Medicaid
Elderwood of Scallop Shell at Wakefield South Kingstown · 18.5 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 80 beds · Medicaid

More nursing homes near Royal of Westerly Nursing Center ›   All nursing homes in Westerly ›

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

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/westerly/royal-of-westerly-nursing-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.