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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeRhode IslandRoyal Middletown Nursing Center

Royal Middletown Nursing Center

193 Forest Avenue, Middletown, RI 028424018472777
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
2/5
Quality
2/5
Beds
50
certified

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 50 certified beds with an average of 43.8 residents per day (88% occupancy)

• Last health inspection found 7 deficiencies (inspected Apr 2, 2025)

• No fines on record

• Total nursing staff: 3.00 hours per resident per day

• Staff turnover rate: 79.6% (high)

• Part of the Royal Health Group chain (12 facilities)

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. The facility scored below average compared to Rhode Island facilities.

Beds
50
Avg Residents/Day
43.8
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 2, 2025
Deficiencies (Cycle 1)
7
Weighted Score
87.3
Infection Citations
0

Deficiency Citations (22)

F0684Potential for Harm

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

Survey: Dec 8, 2025Corrected: NoCycle: 1
F0684Actual Harm

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

Survey: Nov 25, 2025Corrected: NoCycle: 1
F0880Actual Harm

Provide and implement an infection prevention and control program.

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

Respond appropriately to all alleged violations.

Survey: Apr 2, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Apr 2, 2025Corrected: NoCycle: 1
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: 1
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: 1
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
F0757Potential for Harm

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

Survey: Feb 29, 2024Corrected: NoCycle: 2
F0757Potential for Harm

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

Survey: Apr 11, 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: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 11, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Feb 8, 2023Corrected: NoCycle: 3
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Feb 8, 2023Corrected: NoCycle: 3
F0658Potential for Harm

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

Survey: Feb 8, 2023Corrected: NoCycle: 3
F0695Potential for Harm

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

Survey: Feb 8, 2023Corrected: NoCycle: 3
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Feb 8, 2023Corrected: NoCycle: 3
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Feb 8, 2023Corrected: NoCycle: 3
F0770Potential for Harm

Provide timely, quality laboratory services/tests to meet the needs of residents.

Survey: Feb 8, 2023Corrected: NoCycle: 3
F0842Potential for Harm

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

Survey: Feb 8, 2023Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 8, 2023Corrected: NoCycle: 3
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

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

Nurse Aide2.00 hrs
National avg: 2.35 hrs
LPN0.04 hrs
National avg: 0.86 hrs
RN0.95 hrs
National avg: 0.68 hrs
Total Nursing3.00 hrs
National avg: 3.89 hrs
Weekend Total2.52 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
79.6%
RN Turnover
94.1%
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 (3)

NameRoleTypeOwnership %Since
MAMARY, JAMES5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual50%Jan 14, 2016
MAMARY, JONATHAN5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual25%Jan 14, 2016
MAMARY, JAMESOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 19, 2016

Nearby Nursing Homes

All Rhode Island facilities

Grand Islander Center

Middletown, RI · 146 beds

For profit
Health
Staffing
Quality
1.5 mi

John Clarke Senior Living

Middletown, RI · 60 beds

Non profit
Health
Staffing
Quality
1.6 mi

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.
Has Royal Middletown Nursing Center had any health inspection violations?▾
Royal Middletown Nursing Center had 7 deficiency citations in its most recent health inspection (Apr 2, 2025). The facility has no fines on record.
What are the staffing levels at Royal Middletown Nursing Center?▾
Royal Middletown Nursing Center provides 3.00 total nursing staff hours per resident per day, including 0.95 RN hours, 0.04 LPN hours, and 2.00 nurse aide hours. The total staff turnover rate is 79.6%.
How many beds does Royal Middletown Nursing Center have?▾
Royal Middletown Nursing Center has 50 certified beds with an average of 43.8 residents per day, resulting in approximately 88% 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, there are 2 other nursing homes in Middletown, Rhode Island with an average rating of 3/5. You can compare all facilities on the Middletown nursing homes page.

Part of Royal Health Group

This chain operates 12 facilities. View all →