Nursing Homes · Middletown, RI
Nursing Homes · Medicare certified
Royal Middletown Nursing Center
193 Forest Avenue · Middletown, RI 02842 · 50 certified beds
Are you the operator? Claim this profile.
About Royal Middletown Nursing Center
Royal Middletown Nursing Center is a nursing home in Middletown, Rhode Island. Its capacity is 50 beds, below the Newport County median of 60 for nursing homes. It is run by a for-profit operator and is part of Royal Health Group. It is Medicare certified. Its public inspection record shows 26 citations, the most recent on April 30, 2026. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 3.18 hours per resident per day. It is one of 3 nursing homes listed in Middletown. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
2.0Staffing
2.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (26)
Records from February 2024 to April 2026.
April 30, 2026
Tag F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 15, 2026.
April 30, 2026
Tag F0697Provide safe, appropriate pain management for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 15, 2026.
April 30, 2026
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 15, 2026.
April 30, 2026
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 15, 2026.
April 30, 2026
Tag F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 15, 2026.
April 30, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 15, 2026.
April 30, 2026
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 15, 2026.
April 30, 2026
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 15, 2026.
April 30, 2026
Tag F0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 15, 2026.
February 19, 2026
Tag F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 11, 2026.
February 19, 2026
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 11, 2026.
January 7, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 16, 2026.
January 7, 2026
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 16, 2026.
December 8, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 13, 2025.
November 25, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity G: isolated, actual harm. Corrected December 13, 2025.
November 25, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity H: pattern, actual harm. Corrected December 13, 2025.
April 2, 2025
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
April 2, 2025
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
April 2, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
April 2, 2025
Tag F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
Penalties (1)
Total fines: $30,590
November 25, 2025 · Fine
CMS recorded a civil money penalty of $30,590 against this nursing home on November 25, 2025.
Staffing
3.18 nurse hours per resident per day in Q2 2026, down from 3.37 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit - Partnership
Part of Royal Health Group, a chain of 12 nursing homes.
Average CMS star ratings across the chain: 3.2 overall, 3.2 for health inspections, 2.5 for staffing, 3.1 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Rhode Island.
Nearby alternatives
Other licensed providers in Middletown.
Nursing Homes · Middletown, RI
John Clarke Senior Living
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Advertisement
Check availability and pricing at Royal Middletown Nursing Center
We'll email you Royal Middletown Nursing Center and similar options nearby, with local costs. You can also ask them to contact you, or call (401) 847-2777.
Sponsored
Talk to an advisor at no cost