Royal Middletown Nursing Center
Royal Middletown Nursing Center is a 50-bed nursing home in Middletown, Rhode Island. CMS has certified it for Medicare and Medicaid since 1974-03-31. It averages 44.5 residents a day.
What harm was found in the violations cited at Royal Middletown Nursing Center?
CMS lists 26 health-inspection deficiencies for Royal Middletown Nursing Center, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is H; the most recent health inspection was 2026-04-30.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-30 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | F |
| 2026-04-30 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E |
| 2026-04-30 | F0600, F0610, F0684, F0697, F0760, F0849, F0880 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure that residents are free from significant medication errors. / 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. / Provide and implement an infection prevention and control program. | D |
| 2026-02-19 | F0760, F0849 | Ensure that residents are free from significant medication errors. / 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. | D |
| 2026-01-07 | F0658, F0880 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide and implement an infection prevention and control program. | D |
| 2025-12-08 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2025-11-25 | F0880 | Provide and implement an infection prevention and control program. | H |
| 2025-11-25 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2025-04-02 | F0610, F0658, F0726, F0842 | Respond appropriately to all alleged violations. / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-11-07 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E |
| 2024-10-08 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-04-11 | F0812, F0880 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | F |
| 2024-04-11 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E |
| 2024-02-29 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
Why was Royal Middletown Nursing Center fined?
| Date | Type | Amount |
|---|---|---|
| 2025-11-25 | Fine | $30,590 |
How is Royal Middletown Nursing Center staffed relative to the RI average?
| Measure | This facility | RI average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.20817 | 3.71423 |
| Total nursing staff turnover (%) | 62.5 | 40.6 |
| Average number of residents per day | 44.5 | 98.3 |
Who owns Royal Middletown Nursing Center, and what chain is it in?
Royal Middletown Nursing Center is registered with CMS as For profit - Partnership, operates under the legal business name ROYAL MIDDLETOWN NURSING CENTER LLC and belongs to the ROYAL HEALTH GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | MAMARY, JAMES | since 01/14/2016 |
| OPERATIONAL/MANAGERIAL CONTROL | MAMARY, JAMES | since 08/19/2016 |
Were you or a family member harmed at Royal Middletown Nursing Center?