Nursing Homes
Grand Islander Center
Cost data not yet available
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UPDATED JUL 2026
Nursing Homes · Medicare certified
Royal Middletown Nursing Center
193 Forest Avenue · Middletown, RI 02842 · 50 certified beds
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Public record
CMS Care Compare · Updated Jul 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV
Staffing rating
2.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
26
Inspection history (26)
April 30, 2026 · D
Citation F0684Federal surveyors cited this nursing home on 2026-04-30 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-30.GOVApril 30, 2026 · F
Citation F0606Federal surveyors cited this nursing home on 2026-04-30 under CMS tag F0606 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Not hire anyone with a finding of abuse, neglect, exploitation, or theft. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-30.GOVApril 30, 2026 · E
Citation F0557Federal surveyors cited this nursing home on 2026-04-30 under CMS tag F0557 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-30.GOVApril 30, 2026 · D
Citation F0880Federal surveyors cited this nursing home on 2026-04-30 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-30.GOVApril 30, 2026 · D
Citation F0849Federal surveyors cited this nursing home on 2026-04-30 under CMS tag F0849 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-30.GOVApril 30, 2026 · D
Citation F0697Federal surveyors cited this nursing home on 2026-04-30 under CMS tag F0697 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate pain management for a resident who requires such services. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-30.GOVApril 30, 2026 · D
Citation F0760Federal surveyors cited this nursing home on 2026-04-30 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-30.GOVApril 30, 2026 · D
Citation F0600Federal surveyors cited this nursing home on 2026-04-30 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-30.GOVApril 30, 2026 · D
Citation F0610Federal surveyors cited this nursing home on 2026-04-30 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-30.GOVFebruary 19, 2026 · D
Citation F0760Federal surveyors cited this nursing home on 2026-02-19 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2026-03-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-19.GOVFebruary 19, 2026 · D
Citation F0849Federal surveyors cited this nursing home on 2026-02-19 under CMS tag F0849 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-03-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-19.GOVJanuary 7, 2026 · D
Citation F0658Federal surveyors cited this nursing home on 2026-01-07 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2026-01-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-07.GOVJanuary 7, 2026 · D
Citation F0880Federal surveyors cited this nursing home on 2026-01-07 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-01-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-07.GOVDecember 8, 2025 · E
Citation F0684Federal surveyors cited this nursing home on 2025-12-08 under CMS tag F0684 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-12-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-08.GOVNovember 25, 2025 · G
Citation F0684Federal surveyors cited this nursing home on 2025-11-25 under CMS tag F0684 (CMS scope/severity G: isolated, actual harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-12-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-11-25.GOVNovember 25, 2025 · H
Citation F0880Federal surveyors cited this nursing home on 2025-11-25 under CMS tag F0880 (CMS scope/severity H: pattern, actual harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-12-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-11-25.GOVApril 2, 2025 · D
Citation F0842Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-02.GOVApril 2, 2025 · D
Citation F0726Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0726 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-02.GOVApril 2, 2025 · D
Citation F0658Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-02.GOVApril 2, 2025 · D
Citation F0610Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2025-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-02.GOV
Penalties
Total fines on file: $30,590
Staffing
Latest: 3.37 nurse staffing hours per resident per day (2026-06-01)
Staffing trend (2 periods)
- 2025Q43.37 hrs/resident/day
- 2026-06-013.37 hrs/resident/day
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit - Partnership
CMS Care Compare chain: Royal Health Group
Chain ID 457 · 12 facilities in chain (CMS)
- Chain average overall rating: 2.8
- Chain average health inspection rating: 3
- Chain average staffing rating: 2
- Chain average quality measure rating: 3.2
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth Cost of Care Survey · 2024
This provider doesn't publish a specific price to us. Below is the typical RI range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · RI$10,369/moSee full RI cost breakdownSource: Genworth Cost of Care Survey · Updated 2024
Nursing Homes
Median · RI$12,106/moSee full RI cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025
Nearby alternatives
Other licensed providers in Middletown, with their own public records.
Nursing Homes
John Clarke Senior Living
Cost data not yet available
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