Rhode Island › Newport County › Middletown
Royal Middletown Nursing Center
193 Forest Avenue, Middletown, RI 02842
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Royal Middletown Nursing Center, in Middletown, Rhode Island, is certified for 50 beds under for-profit, partnership ownership and belongs to the Royal Health Group chain.
CMS gives it 2 of 5 stars overall, below the Rhode Island median of 3; the health inspection rating is 2, staffing 2 and quality measures 2.
Inspectors recorded 26 health deficiencies across the three most recent survey cycles (16, 6, 4 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 52.0 per 100 beds, more than the state median of 24.8.
CMS lists 1 penalty in the period covered: fines totalling $31K.
Reported nurse staffing is 3.2 hours per resident per day (0.9 RN), close to the Rhode Island median of 3.6; nursing staff turnover is 62.5%.
Compared with county, state and nation
| Measure | This facility | Newport Co. median | Rhode Island median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 26 | 26 | 25 | 28.7 |
| Citations per 100 beds | 52.0 | 36.8 | 24.8 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.4 | 3.6 | 3.9 |
| RN hours per resident day | 0.9 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 62.5% | 49.5% | 39.3% | 45.8% |
| Fines listed | $30,590 | $16,801 | $22,205 | — |
County and state figures are medians across facilities (6 in the county, 72 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Rhode Island average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Apr 2026, 2 Apr 2025.
Severity mix: G ×1 H ×1 D ×17 E ×4 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 30 Apr 2026 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | F | Complaint investigation | 15 May 2026 |
| 30 Apr 2026 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | Standard survey | 15 May 2026 |
| 30 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 15 May 2026 |
| 30 Apr 2026 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 15 May 2026 |
| 30 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 May 2026 |
| 30 Apr 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 15 May 2026 |
| 30 Apr 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 15 May 2026 |
| 30 Apr 2026 | F0849 | 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. | D | Standard survey | 15 May 2026 |
| 30 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 May 2026 |
| 19 Feb 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 11 Mar 2026 |
| 19 Feb 2026 | F0849 | 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. | D | Complaint investigation | 11 Mar 2026 |
| 7 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 16 Jan 2026 |
| 7 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 16 Jan 2026 |
| 8 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 13 Dec 2025 |
| 25 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | H | Complaint investigation | 13 Dec 2025 |
| 25 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 13 Dec 2025 |
| 2 Apr 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 1 May 2025 |
| 2 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 1 May 2025 |
| 2 Apr 2025 | F0726 | 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. | D | Standard survey | 1 May 2025 |
| 2 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 1 May 2025 |
| 7 Nov 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 25 Nov 2024 |
| 8 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 21 Oct 2024 |
| 11 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 30 Apr 2024 |
| 11 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 30 Apr 2024 |
| 11 Apr 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Complaint investigation | 30 Apr 2024 |
| 29 Feb 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 22 Mar 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 Nov 2025 | Fine | $30,590 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Rhode Island average. Turnover: nursing staff 62.5%, RNs 69.2%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Rhode Island median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 32.7% | 19.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.2% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.0% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 1.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 35.3% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.6% | 22.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, partnership. Legal business name: Royal Middletown Nursing Center Llc. Chain: Royal Health Group (12 facilities).
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Newport County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| St Clare Home | Newport | 50 | 4 | 5 | 4 | 22 | 44.0 | — | 21 May 2026 |
| Village House Nursing & Rehabilitation Center | Newport | 95 | 4 | 4 | 4 | 12 | 12.6 | $8K | 12 Mar 2026 |
| Adviniacare Newport, LLC | Newport | 114 | 2 | 2 | 4 | 42 | 36.8 | $17K | 17 Jun 2026 |
| Grand Islander Center | Middletown | 146 | 2 | 2 | 2 | 40 | 27.4 | $22K | 5 Dec 2025 |
| John Clarke Senior Living | Middletown | 60 | 2 | 2 | 4 | 5 | 8.3 | $14K | 18 Jun 2026 |
All 6 facilities in Newport County
Questions and answers
How many deficiencies has Royal Middletown Nursing Center been cited for?
26 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Rhode Island median is 25 per facility.
Has Royal Middletown Nursing Center been fined?
Yes. CMS lists fines totalling $31K in the period covered.
How does staffing at Royal Middletown Nursing Center compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Rhode Island median of 3.6 and a national average of 3.9.
Who operates Royal Middletown Nursing Center?
It is part of the Royal Health Group chain. Ownership type is for-profit, partnership. Individual owners and managers are not listed on this site.
When was Royal Middletown Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 30 Apr 2026; the most recent standard health survey was 30 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.