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Newport County, Rhode Island · Nursing home

Royal Middletown Nursing Center

2 of 5 overall from CMS

193 Forest Avenue, Middletown, RI 02842

Call (401) 847-2777Directions

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 Middletown Nursing Center is a 50-bed nursing home in Middletown, Rhode Island (Newport County). CMS rates it 2 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 $30,590 in the past three years.

Certified beds
50
Residents per day (average)
44.5
Certified since
1974 (52 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 Middletown Nursing Center

Chosen from this home's public data.

  1. CMS lists 1 fine totaling $30,590 in the past three years. What changed after the most recent one?Penalties in CMS data
  2. The latest standard inspection (Apr 30, 2026) cited 16 health deficiencies; the Rhode Island average is 9.2. Which have been corrected?Inspection results in CMS data
  3. Nursing staff turnover is 62.5%, above the Rhode Island average of 40.6%. How often would the same aides care for my relative?Turnover 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 26 health deficiencies in the past three years. Of these, 2 involved actual harm; the rest were graded as no actual harm. 16 followed a complaint investigation. The most recent citation at the harm level or above was on Nov 25, 2025: Provide and implement an infection prevention and control program.

Deficiencies cited at each standard inspection
Inspection dateHealthFire safety
Apr 30, 2026160
Apr 2, 202563
Apr 11, 202444

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

Health citations, past three years (26)

  1. FPotential for more than minimal harm, widespread

    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

    Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 15, 2026)

  2. EPotential for more than minimal harm, pattern

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Resident Rights · Deficient, Provider has date of correction (May 15, 2026)

  3. DPotential for more than minimal harm, isolated

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 15, 2026)

  4. DPotential for more than minimal harm, isolated

    Respond appropriately to all alleged violations.

    Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 15, 2026)

  5. 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 (May 15, 2026)

Show 21 more

  1. DPotential for more than minimal harm, isolated

    Provide safe, appropriate pain management for a resident who requires such services.

    Quality of Life and Care · Deficient, Provider has date of correction (May 15, 2026)

  2. DPotential for more than minimal harm, isolated

    Ensure that residents are free from significant medication errors.

    Pharmacy Service · Deficient, Provider has date of correction (May 15, 2026)

  3. DPotential for more than minimal harm, isolated

    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.

    Administration · Deficient, Provider has date of correction (May 15, 2026)

  4. DPotential for more than minimal harm, isolated

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (May 15, 2026)

  5. DPotential for more than minimal harm, isolated

    Ensure that residents are free from significant medication errors.

    Complaint inspection · Pharmacy Service · Deficient, Provider has date of correction (Mar 11, 2026)

  6. DPotential for more than minimal harm, isolated

    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.

    Complaint inspection · Administration · Deficient, Provider has date of correction (Mar 11, 2026)

  7. DPotential for more than minimal harm, isolated

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

    Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 16, 2026)

  8. DPotential for more than minimal harm, isolated

    Provide and implement an infection prevention and control program.

    Complaint inspection · Infection Control · Deficient, Provider has date of correction (Jan 16, 2026)

  9. EPotential for more than minimal harm, pattern

    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 (Dec 13, 2025)

  10. HActual harm, pattern

    Provide and implement an infection prevention and control program.

    Complaint inspection · Infection Control · Deficient, Provider has date of correction (Dec 13, 2025)

  11. 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 (Dec 13, 2025)

  12. DPotential for more than minimal harm, isolated

    Respond appropriately to all alleged violations.

    Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 1, 2025)

  13. DPotential for more than minimal harm, isolated

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

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 1, 2025)

  14. DPotential for more than minimal harm, isolated

    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.

    Nursing and Physician Services · Deficient, Provider has date of correction (May 1, 2025)

  15. 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 (May 1, 2025)

  16. EPotential for more than minimal harm, pattern

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

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

  17. DPotential for more than minimal harm, isolated

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

    Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 21, 2024)

  18. FPotential for more than minimal harm, widespread

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

    Complaint inspection · Nutrition and Dietary · Deficient, Provider has date of correction (Apr 30, 2024)

  19. FPotential for more than minimal harm, widespread

    Provide and implement an infection prevention and control program.

    Complaint inspection · Infection Control · Deficient, Provider has date of correction (Apr 30, 2024)

  20. EPotential for more than minimal harm, pattern

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

    Complaint inspection · Pharmacy Service · Deficient, Provider has date of correction (Apr 30, 2024)

  21. DPotential for more than minimal harm, isolated

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

    Complaint inspection · Pharmacy Service · Deficient, Provider has date of correction (Mar 22, 2024)

What severity letters A to L mean

Penalties, past three years

DateTypeAmount
Nov 25, 2025Fine$30,590

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 Middletown Nursing Center?

Royal Middletown Nursing Center has an overall rating of 2 of 5 stars from CMS as of Aug 2026. Its health inspection rating is 2, staffing is 2 and quality measures is 2.

How many beds does Royal Middletown Nursing Center have?

Royal Middletown Nursing Center has 50 certified beds. It averages 44.5 residents per day, about 89.0% of its certified beds.

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

The home reports 3.21 hours of nurse staffing per resident per day, including 0.92 hours from registered nurses. The Rhode Island average is 3.71 hours and 0.76 hours from registered nurses.

Has Royal Middletown Nursing Center been fined?

Yes. CMS lists 1 fine totaling $30,590 in the past three years.

Does Royal Middletown 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 Newport 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) 847-2777 Compare

Source: CMS Provider Data Catalog, nursing home datasets processed Aug 1, 2026. CMS Certification Number 415040. 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.