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Washington County, Rhode Island · Nursing home

Royal of Westerly Nursing Center

4 of 5 overall from CMS

79 Beach Street, Westerly, RI 02891

Call (401) 596-4925Directions

At a glance

Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.

Royal of Westerly Nursing Center is a 66-bed nursing home in Westerly, Rhode Island (Washington County). CMS rates it 4 of 5 stars overall as of Aug 2026. It reports 3.21 nurse staffing hours per resident per day, below the Rhode Island average of 3.71. CMS lists 1 fine totaling $8,647 in the past three years.

Certified beds
66
Residents per day (average)
61.1
Certified since
1967 (59 yrs)

For profit - Partnership Participates in Medicare and MedicaidPart of Royal Health Group (12 homes)

Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.

Questions to ask Royal of Westerly Nursing Center

Chosen from this home's public data.

  1. CMS lists 1 fine totaling $8,647 in the past three years. What changed after the most recent one?Penalties in CMS data
  2. Nursing staff turnover is 46.9%, above the Rhode Island average of 40.6%. How often would the same aides care for my relative?Turnover in CMS data
  3. Reported nurse staffing is 2.75 hours per resident on weekends against 3.21 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data

More in what to ask on a nursing home tour.

CMS star ratings

The vertical line marks the Rhode Island average. Ratings run from 1 to 5. How to read CMS star ratings

Nurse staffing

Hours of care per resident per day, as the home reported to CMS.

What these roles do

Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.

How much nurse staffing is enough? All bars share one scale, 0 to 6 hours. The vertical line marks the Rhode Island average; the national average for all nursing staff is 3.86 hours.

Inspection history

Inspectors cited 18 health deficiencies in the past three years. Of these, 1 involved actual harm; the rest were graded as no actual harm. 2 followed a complaint investigation. The most recent citation at the harm level or above was on Feb 4, 2025: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Deficiencies cited at each standard inspection
Inspection dateHealthFire safety
Feb 19, 202690
Dec 5, 202450
Jan 12, 202443

Rhode Island homes averaged 9.2 health deficiencies in the latest cycle; the national average is 9.3.

Health citations, past three years (18)

  1. EPotential for more than minimal harm, pattern

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Resident Rights · Deficient, Provider has date of correction (Mar 27, 2026)

  2. EPotential for more than minimal harm, pattern

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

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 27, 2026)

  3. EPotential for more than minimal harm, pattern

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Quality of Life and Care · Deficient, Provider has date of correction (Mar 27, 2026)

  4. EPotential for more than minimal harm, pattern

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    Nursing and Physician Services · Deficient, Provider has date of correction (Mar 27, 2026)

  5. EPotential for more than minimal harm, pattern

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

    Pharmacy Service · Deficient, Provider has date of correction (Mar 27, 2026)

Show 13 more

  1. EPotential for more than minimal harm, pattern

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pharmacy Service · Deficient, Provider has date of correction (Mar 27, 2026)

  2. EPotential for more than minimal harm, pattern

    Implement a program that monitors antibiotic use.

    Infection Control · Deficient, Provider has date of correction (Mar 27, 2026)

  3. DPotential for more than minimal harm, isolated

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Quality of Life and Care · Deficient, Provider has date of correction (Mar 27, 2026)

  4. DPotential for more than minimal harm, isolated

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 27, 2026)

  5. GActual harm, isolated

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Complaint inspection · Quality of Life and Care · Deficient, Provider has date of correction (Feb 28, 2025)

  6. DPotential for more than minimal harm, isolated

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Complaint inspection · Quality of Life and Care · Deficient, Provider has date of correction (Feb 28, 2025)

  7. DPotential for more than minimal harm, isolated

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Quality of Life and Care · Deficient, Provider has date of correction (Dec 25, 2024)

  8. DPotential for more than minimal harm, isolated

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

    Pharmacy Service · Deficient, Provider has date of correction (Dec 25, 2024)

  9. DPotential for more than minimal harm, isolated

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Dec 25, 2024)

  10. EPotential for more than minimal harm, pattern

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pharmacy Service · Deficient, Provider has date of correction (Feb 11, 2024)

  11. EPotential for more than minimal harm, pattern

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pharmacy Service · Deficient, Provider has date of correction (Feb 11, 2024)

  12. DPotential for more than minimal harm, isolated

    Ensure that residents are free from significant medication errors.

    Pharmacy Service · Deficient, Provider has date of correction (Feb 11, 2024)

  13. BPotential for minimal harm, pattern

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Resident Rights · Deficient, Provider has date of correction (Feb 11, 2024)

What severity letters A to L mean

Penalties, past three years

DateTypeAmount
Feb 4, 2025Fine$8,647

Rhode Island homes averaged 2.1 fines and $65,018 in fine amounts; the national averages are 0.9 and $31,093.

Cost

Not in the public data. CMS does not publish what a nursing home charges.

Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.

Compared within Rhode Island

Common questions

What is the CMS star rating for Royal of Westerly Nursing Center?

Royal of Westerly Nursing Center has an overall rating of 4 of 5 stars from CMS as of Aug 2026. Its health inspection rating is 4, staffing is 3 and quality measures is 3.

How many beds does Royal of Westerly Nursing Center have?

Royal of Westerly Nursing Center has 66 certified beds. It averages 61.1 residents per day, about 92.6% of its certified beds.

How much nursing care do residents get at Royal of Westerly Nursing Center?

The home reports 3.21 hours of nurse staffing per resident per day, including 0.86 hours from registered nurses. The Rhode Island average is 3.71 hours and 0.76 hours from registered nurses.

Has Royal of Westerly Nursing Center been fined?

Yes. CMS lists 1 fine totaling $8,647 in the past three years.

Does Royal of Westerly Nursing Center accept Medicare or Medicaid?

CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.

Nearest nursing homes

Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Washington County

Who to call in Rhode Island

These offices serve residents of every nursing home in Rhode Island.

Rhode Island staffing, bed-hold and Medicaid rules · Residents' rights in every state

Call (401) 596-4925 Compare

Source: CMS Provider Data Catalog, nursing home datasets processed Aug 1, 2026. CMS Certification Number 415004. Check the official record on Medicare.gov

See something shown incorrectly? Tell us. To change the underlying record, the home must contact CMS or its state survey agency.