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HomeRhode IslandRoyal Middletown Nursing Center

Royal Middletown Nursing Center

193 Forest Avenue, Middletown, RI 028424018472777Google Maps
4.0on Google(49 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
2/5
Quality
2/5
Beds
50
certified
1 fine(s) totaling $30,590

How Royal Middletown Nursing Center Compares in Rhode Island

Facility results compared with averages for CMS-certified nursing homes in Rhode Island. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
RI average
2.9/5
Below state average
Health inspection rating
2/5
RI average
2.9/5
Below state average
Staffing rating
2/5
RI average
3.2/5
Below state average
Nursing hours per resident
3.21 hrs/day
RI average
3.71 hrs/day
Below state average
RN hours per resident
0.92 hrs/day
RI average
0.76 hrs/day
Above state average
Staff turnover
62.5%
RI average
40.6%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Rhode Island average of 2.9/5.
Its 2/5 health inspection rating is below the Rhode Island average of 2.9/5.
Reported nursing time is 3.21 hours per resident per day, below the state average of 3.71.
Reported RN time is 0.92 hours per resident per day, above the state average of 0.76.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
10
deficiency citations
Inspected Apr 2, 2025
Most recent cycle
15
deficiency citations
Inspected Apr 30, 2026
The most recent cycle recorded 5 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$10,372/mo
Rhode Island median
Private Room
$11,019/mo
Rhode Island median
Newport County 65+
20,421
23.9% of county
County Population
85,442
Newport County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Royal Middletown Nursing Center is a 2-star Medicare and Medicaid certified nursing home in Middletown, Rhode Island with 50 certified beds. It has been operating since 1974. Its overall CMS rating is 2 out of 5.

Beds
50
Avg Residents/Day
44.5
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Mar 31, 1974
Sprinklers
Yes
Council
Resident
County
Newport
Last Inspection
Apr 30, 2026
Deficiencies (Cycle 1)
15
Weighted Score
93.0
Infection Citations
0

Deficiency Citations (26)

F0606Potential for Harm

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Survey: Apr 30, 2026Corrected: NoCycle: 1
F0557Potential for Harm

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

Survey: Apr 30, 2026Corrected: NoCycle: 1
F0600Potential for Harm

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

Survey: Apr 30, 2026Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Apr 30, 2026Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: Apr 30, 2026Corrected: NoCycle: 1
F0697Potential for Harm

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

Survey: Apr 30, 2026Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Apr 30, 2026Corrected: NoCycle: 1
F0849Potential for Harm

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

Survey: Apr 30, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 30, 2026Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0849Potential for Harm

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

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Jan 7, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 7, 2026Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: Dec 8, 2025Corrected: NoCycle: 1
F0880Actual Harm

Provide and implement an infection prevention and control program.

Survey: Nov 25, 2025Corrected: NoCycle: 1
F0684Actual Harm

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

Survey: Nov 25, 2025Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Apr 2, 2025Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Apr 2, 2025Corrected: NoCycle: 2
F0726Potential for Harm

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

Survey: Apr 2, 2025Corrected: NoCycle: 2
F0842Potential for Harm

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

Survey: Apr 2, 2025Corrected: NoCycle: 2
F0695Potential for Harm

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

Survey: Nov 7, 2024Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Oct 8, 2024Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Apr 11, 2024Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 11, 2024Corrected: NoCycle: 3
F0757Potential for Harm

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

Survey: Apr 11, 2024Corrected: NoCycle: 3
F0757Potential for Harm

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

Survey: Feb 29, 2024Corrected: NoCycle: 3
Total Fines
$30,590
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineNov 25, 2025
$30,590

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.07 hrs
National avg: 2.32 hrs
LPN0.22 hrs
National avg: 0.86 hrs
RN0.92 hrs
National avg: 0.69 hrs
Total Nursing3.21 hrs
National avg: 3.86 hrs
Weekend Total2.94 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
62.5%
RN Turnover
69.2%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Partnership
Recent Change
No

Owners & Managers (2)

NameRoleTypeOwnership %Since
MAMARY, JAMES5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual50%Jan 14, 2016
MAMARY, JAMESOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 19, 2016

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Royal Middletown Nursing Center and nearby alternatives.

All Rhode Island facilities
Royal Middletown Nursing Center
Middletown, RICurrent facility
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $30,590
Grand Islander Center
Middletown, RI1.5 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $33,150
John Clarke Senior Living
Middletown, RI1.6 mi
CMS
4/5
Health
4/5
Staffing
4/5
Recorded fines: None
St Clare Home
Newport, RI3.4 mi
CMS
3/5
Health
4/5
Staffing
4/5
Recorded fines: None
AdviniaCare Newport, LLC
Newport, RI3.7 mi
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: $16,801
Village House Nursing & Rehabilitation Center
Newport, RI4.3 mi
CMS
4/5
Health
4/5
Staffing
4/5
Recorded fines: $8,018
Bayview Rehabilitation and Healthcare Center
North Kingstown, RI10.4 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $52,785
FacilityDistanceCMSHealthStaffingRecorded fines
Royal Middletown Nursing Center
Middletown, RI · Current facility
—2/52/52/5$30,590
Grand Islander Center
Middletown, RI
1.5 mi2/52/52/5$33,150
John Clarke Senior Living
Middletown, RI
1.6 mi4/54/54/5None recorded
St Clare Home
Newport, RI
3.4 mi3/54/54/5None recorded
AdviniaCare Newport, LLC
Newport, RI
3.7 mi2/52/54/5$16,801
Village House Nursing & Rehabilitation Center
Newport, RI
4.3 mi4/54/54/5$8,018
Bayview Rehabilitation and Healthcare Center
North Kingstown, RI
10.4 mi2/52/52/5$52,785

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Royal Middletown Nursing Center?▾
Royal Middletown Nursing Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 2/5. This facility is rated below average.
How much does Royal Middletown Nursing Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Rhode Island is $10,372/month for a semi-private room and $11,019/month for a private room (Genworth/CareScout 2024). Royal Middletown Nursing Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Royal Middletown Nursing Center had any health inspection violations?▾
Royal Middletown Nursing Center had 15 deficiency citations in its most recent health inspection (Apr 30, 2026). The current CMS dataset records 1 fine(s) totaling $30,590.
What are the staffing levels at Royal Middletown Nursing Center?▾
Royal Middletown Nursing Center provides 3.21 total nursing staff hours per resident per day, including 0.92 RN hours, 0.22 LPN hours, and 2.07 nurse aide hours. The total staff turnover rate is 62.5%.
How many beds does Royal Middletown Nursing Center have?▾
Royal Middletown Nursing Center has 50 certified beds with an average of 44.5 residents per day, resulting in approximately 89% occupancy. The facility is For profit - Partnership owned and is part of the Royal Health Group chain.
Are there other nursing homes near Royal Middletown Nursing Center?▾
Yes. This page lists 6 nearby nursing homes in Rhode Island, including 2 in Middletown. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Royal Middletown Nursing Center?▾
On Google Maps, Royal Middletown Nursing Center has a rating of 4.0 out of 5 based on 49 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of Royal Health Group

This chain operates 12 facilities. View all →