Nursing Homes · Medicare certified
Royal Middletown Nursing Center
193 Forest Avenue · Middletown, RI 02842 · 50 certified beds
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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
2.0Staffing
2.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (26)
Records from February 2024 to April 2026.
November 7, 2024
Tag F0695Provide 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 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 October 21, 2024.
April 11, 2024
Tag F0880Provide 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 F0812Procure 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 F0757Ensure 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 F0757Ensure 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.
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.
John Clarke Senior Living
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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