Nursing Homes · Middletown, RI
Grand Islander Center
Cost data not yet available
SOURCE DATA JUL 2026
Nursing Homes · Medicare certified
Royal Middletown Nursing Center
193 Forest Avenue · Middletown, RI 02842 · 50 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1447601638. Look this up in the CMS NPPES registry (opens in a new tab)
Are you the operator? Claim this profile. Corrections are free, always.
About Royal Middletown Nursing Center
Royal Middletown Nursing Center is a nursing home in Middletown, Rhode Island, in Newport County. Its reported capacity is 50 beds. Federal records list it as Medicare certified. It is recorded as a for-profit operator, part of Royal Health Group. Our copy of the inspection record holds 26 citations, the newest dated 30 April 2026. Federal enforcement records add 1 fine or payment denial action. Staffing reports put it at 3.21 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated July 2026.
Public record
CMS Care Compare · Source data August 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV
Staffing rating
2.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
25
Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
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
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV
Staffing rating
2.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
26
Inspection history (26)
Records from February 2024 to April 2026.
April 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 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 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 · 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 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 · 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.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.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.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.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.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.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 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.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 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.GOV
Penalties (1)
Total fines on file: $30,590
November 25, 2025 · Fine
Citation FINE-138714CMS recorded a civil money penalty of $30,590 against this nursing home on 2025-11-25 (Fine ID: 138714). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-11-25.GOV
Staffing
Latest: 3.21 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q43.37 hrs/resident/day
- 2026-06-013.37 hrs/resident/day
- 2026-07-013.21 hrs/resident/day
- 2026-08-013.21 hrs/resident/day
- 2026Q13.21 hrs/resident/day
Most recent period is lower than 2025Q4 (-0.17 hrs/resident/day). 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: 3.1
- Chain average health inspection rating: 3.2
- Chain average staffing rating: 2.4
- Chain average quality measure rating: 3.1
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Recent changes to this listing
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
No changes to this listing are in our ingestion log yet. That can mean nothing has moved in the government file we read, or that we have only read it once.
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 CareScout Cost of Care Survey · 2025
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$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 · Middletown, RI
John Clarke Senior Living
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at Royal Middletown Nursing Center
Request info and we'll pass it directly to Royal Middletown Nursing Center, or call them at 4018472777 if you'd rather talk now.
Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
- CMS nursing homes (provider info)as of June 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Ownership type, Phone number, State, Street address, ZIP code
Read how we handle every file on the data sources page.