Royal Middletown Nursing Center
193 Forest Avenue, Middletown, RI 02842
Royal Middletown Nursing Center, a 50-bed for profit - partnership nursing facility in Middletown, RI, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #57 of 71 rated homes in RI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 4018472777
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- 2 / 5
- Below average · CMS overall · nat'l 3.0
- #57 of 71
- In-state rank among rated RI homes
- 3.21
- Well below average · nurse hrs/day · nat'l 3.86
- 26
- Inspection findings · 2 serious
The verdict
Royal Middletown Nursing Center, a 50-bed for profit - partnership nursing facility in Middletown, RI, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #57 of 71 rated homes in RI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
- 2 / 5
- CMS overall · national 3.0
- #57 of 71
- In-state rank among rated RI homes
- 3.21
- Nurse hrs/resident-day · national 3.86
- 26
- Inspection findings · 2 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 72 RI nursing homes split by ownership sector
This facility is recorded as For profit - Partnership. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 415040
- Ownership
- For profit - Partnership
- Provider Type
- Medicare and Medicaid
- Beds
- 50
- Residents
- 45
- In Hospital
- No
- County
- Newport
- Last Inspection
- Apr 30, 2026
Staffing Data
How the 3.21 total nursing hours per resident-day are staffed:
- RN Hours
- 0.92 (nat'l avg: 0.69)
- LPN Hours
- 0.22
- CNA Hours
- 2.07
- Total Nursing Hours
- 3.21 (nat'l avg: 3.86)
- PT Hours
- 0.02
- Nursing Turnover
- 62.5%
- RN Turnover
- 69.2%
What the CMS Record Reveals About Royal Middletown Nursing Center
According to CMS Nursing Home Compare, Royal Middletown Nursing Center ranks #57 of 71 rated nursing homes in RI on overall stars (tie-broken by health+staffing+quality, then fewer fines). Royal Middletown Nursing Center operates 50 certified beds in Middletown, RI with approximately 45 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 2★ · quality 2★).
The inspection file contains 26 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $31K against this provider. Reported nurse staffing runs 3.21 total hours per resident day (national average 3.86); RN hours specifically are 0.92 per resident day.
Classified as "For profit - Partnership" ownership and operating as a "Medicare and Medicaid" provider, Royal Middletown Nursing Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 62.5% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (26 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 15, 2026
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.
Category: Administration Deficiencies
Corrected: May 15, 2026
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: May 15, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: May 15, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: May 15, 2026
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 15, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 15, 2026
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Category: Resident Rights Deficiencies
Corrected: May 15, 2026
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 15, 2026
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.
Category: Administration Deficiencies
Corrected: Mar 11, 2026
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Mar 11, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jan 16, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 16, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 13, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 13, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Dec 13, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 1, 2025
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.
Category: Nursing and Physician Services Deficiencies
Corrected: May 1, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 1, 2025
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 1, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 25, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Oct 21, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Apr 30, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Apr 30, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 30, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Mar 22, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 32.7% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.2% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 35.3% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.6% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 3.3% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 97.9% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 20.5% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 94.3% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 27.2% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 95.3% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 81.9% | No |
Penalty History 1 penalties totaling $31K
| Date | Type | Amount |
|---|---|---|
| Nov 25, 2025 | Fine | $31K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Royal Middletown Nursing Center, both outside RI so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside RI (50 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside RI (3.21 here).
Nearby Nursing Homes in RI
71 other nursing homes are on record in RI; 6 are shown here.
AdviniaCare Newport, LLC
Newport, RI
AdviniaCare Oakland Grove LLC
Woonsocket, RI
AdviniaCare Orchard, LLC
East Providence, RI
Adviniacare Pawtucket Pleasant Rehab Center, LLC
Pawtucket, RI
Adviniacare Providence Dodge Rehab Center, LLC
Providence, RI
AdviniaCare Summit Commons, LLC
Providence, RI
Understanding Nursing Home Data
What the CMS records show for Royal Middletown Nursing Center
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The RI registry aggregates state averages and the highest-rated homes in this cohort. View RI registry
- Peer homes near 50 beds show how CMS stars vary at a similar scale in RI. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Royal Middletown Nursing Center?
Where does Royal Middletown Nursing Center rank among nursing homes in RI?
What are the staffing levels at Royal Middletown Nursing Center?
How many beds does Royal Middletown Nursing Center have?
Does Royal Middletown Nursing Center have any deficiencies on record?
Has Royal Middletown Nursing Center received any fines or penalties?
Who owns Royal Middletown Nursing Center?
When was Royal Middletown Nursing Center last inspected?
What quality measures are tracked for Royal Middletown Nursing Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
