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Nursing Homes · Medicare certified

Royal Middletown Nursing Center

193 Forest Avenue · Middletown, RI 02842 · 50 certified beds

(401) 847-2777

NPI 1447601638 (opens in a new tab)

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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

2.0

Staffing

2.0

Quality measures

3.0

CMS Care Compare, October 2026.

Inspection history (26)

Records from February 2024 to April 2026.

  • November 7, 2024

    Tag F0695

    Provide safe and appropriate respiratory care for a resident when needed.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 25, 2024.

  • October 8, 2024

    Tag F0658

    Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 21, 2024.

  • April 11, 2024

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 30, 2024.

  • April 11, 2024

    Tag F0812

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 30, 2024.

  • April 11, 2024

    Tag F0757

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 30, 2024.

  • February 29, 2024

    Tag F0757

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 22, 2024.

See the source data on data.cms.gov (opens in a new tab)

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.

See the source data on data.cms.gov (opens in a new tab)

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.

Nursing Homes

Rhode Island median$12,106/mo

Nearby alternatives

Other licensed providers in Middletown.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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