nursing home in Middletown, RI
Royal Middletown Nursing Center
193 Forest Avenue, Middletown, RI 02842 · (401) 847-2777
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Royal Middletown Nursing Center at a glance
Royal Middletown Nursing Center is a 50-bed for-profit nursing home in Middletown, Rhode Island (Newport County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Rhode Island average of 2.9.
Residents receive about 3.2 hours of nursing care per day (0.9 of them from registered nurses), worse than the state average of 3.7 hours.
Its most recent standard health inspection (April 30, 2026) found 16 health citations. The Rhode Island average is 9.3.
Federal regulators fined it 1 time in the past three years, totaling $19,884.
Nursing staff turnover is 62.5% per year (state average 40.6%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Partnership
- Beds
- 50
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Royal Health Group
- Medicare-certified since
- March 31, 1974
- Resident/family council
- Resident
- County
- Newport County
- CMS Certification Number
- 415040
Ratings
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.21 hrs | 3.71 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.92 hrs | 0.77 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.07 hrs | 2.46 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.94 hrs | 3.34 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 62.5% | 40.6% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 69.2% | 37.9% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 16 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 9 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 119.3 | 117 | 80.6 | Worse |
Penalties
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $19,884 | $60,948 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 50 | 114 | 107 | |
| Average residents per day | 45 | 99 | 86 | |
| Occupancy | 89% | 87.8% | 80.9% |
Long-stay residents
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5% | 3.6% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 25.6% | 22.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.2% | 2.5% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 0.9% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 32.7% | 19.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 35.3% | 16.8% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.3% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 17.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 20.5% | 16.7% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 27.2% | 22.3% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 94.3% | 95.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.9% | 94.1% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.5% | 2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 81.9% | 78.2% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.3% | 79% | 82% | Better |
Inspection citations
State inspectors cited this home for 26 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 30, 2026 Complaint | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0606 | F Potential harm, widespread | Corrected May 15, 2026 |
| April 30, 2026 Standard | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Tag F0557 | E Potential harm, pattern | Corrected May 15, 2026 |
| April 30, 2026 Standard | 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. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 30, 2026 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 30, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 30, 2026 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 30, 2026 Complaint | Protect 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 Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 30, 2026 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 30, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 15, 2026 |
| February 19, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected March 11, 2026 |
| February 19, 2026 Complaint | 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. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected March 11, 2026 |
| January 7, 2026 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected January 16, 2026 |
| January 7, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 16, 2026 |
| December 8, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected December 13, 2025 |
| November 25, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | H Actual harm, pattern | Corrected December 13, 2025 |
| November 25, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected December 13, 2025 |
| April 2, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected May 1, 2025 |
| April 2, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected May 1, 2025 |
| April 2, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected May 1, 2025 |
| April 2, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected May 1, 2025 |
| April 2, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected May 1, 2025 |
| April 2, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected May 1, 2025 |
| April 2, 2025 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected May 1, 2025 |
| November 7, 2024 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected November 25, 2024 |
| October 8, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected October 21, 2024 |
| April 11, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected April 30, 2024 |
| April 11, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected April 30, 2024 |
| April 11, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected April 30, 2024 |
| April 11, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected April 30, 2024 |
| April 11, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 30, 2024 |
| April 11, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected April 30, 2024 |
| April 11, 2024 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | E Potential harm, pattern | Corrected April 30, 2024 |
| February 29, 2024 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected March 22, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $19,884 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 25, 2025 | Fine | $19,884 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MAMARY, JAMES Individual | 5% or greater direct ownership interest | 50% | 01/14/2016 |
| MAMARY, JAMES Individual | operational/managerial control | NOT APPLICABLE | 08/19/2016 |
Other nursing homes near Royal Middletown Nursing Center
Grand Islander Center
333 Green End Avenue, Middletown, RI 02842 · 1.5 mi
For-profit · 146 beds · Part of Genesis Healthcare
★★★★★2Below average- ★★★★★2Below average
- ★★★★★4Above average
Adviniacare Newport, LLC
398 Bellevue Avenue, Newport, RI 02840 · 3.7 mi
For-profit · 114 beds · Part of Adviniacare
★★★★★2Below averageVillage House Nursing & Rehabilitation Center
70 Harrison Avenue, Newport, RI 02840 · 4.3 mi
For-profit · 95 beds
★★★★★4Above averageBayview Rehabilitation and Healthcare Center
860 North Quidnessett Road, North Kingstown, RI 02852 · 10.4 mi
For-profit · 120 beds · Part of Marquis Health Services
★★★★★2Below average
Frequently asked questions
What is Royal Middletown Nursing Center's rating?
Royal Middletown Nursing Center has 2 out of 5 stars on the CMS overall star rating. The average for Rhode Island nursing homes is 2.9 stars.
How many inspection citations did Royal Middletown Nursing Center receive?
Its most recent standard health inspection found 16 citations, compared with a Rhode Island average of 9.3. Every citation is listed on this page with its severity.
Does Royal Middletown Nursing Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Royal Middletown Nursing Center?
It is for profit - partnership and part of Royal Health Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Royal Middletown Nursing Center and how do I contact it?
Royal Middletown Nursing Center is at 193 Forest Avenue, Middletown, RI 02842. Phone: (401) 847-2777.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.