Rhode Island › Washington County › Westerly
Royal of Westerly Nursing Center
79 Beach Street, Westerly, RI 02891
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 of Westerly Nursing Center, in Westerly, Rhode Island, is certified for 66 beds under for-profit, partnership ownership and belongs to the Royal Health Group chain.
CMS gives it 4 of 5 stars overall, above the Rhode Island median of 3; the health inspection rating is 4, staffing 3 and quality measures 3.
Inspectors recorded 18 health deficiencies across the three most recent survey cycles (9, 5, 4 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 27.3 per 100 beds, about the same as the state median of 24.8.
CMS lists 1 penalty in the period covered: fines totalling $9K.
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 46.9%.
Compared with county, state and nation
| Measure | This facility | Washington Co. median | Rhode Island median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 18 | 18 | 25 | 28.7 |
| Citations per 100 beds | 27.3 | 20.0 | 24.8 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.3 | 3.6 | 3.9 |
| RN hours per resident day | 0.9 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 46.9% | 43.2% | 39.3% | 45.8% |
| Fines listed | $8,647 | $14,069 | $22,205 | — |
County and state figures are medians across facilities (9 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: 19 Feb 2026, 5 Dec 2024.
Severity mix: G ×1 D ×7 E ×9 B ×1
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 |
|---|---|---|---|---|---|
| 19 Feb 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 27 Mar 2026 |
| 19 Feb 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 27 Mar 2026 |
| 19 Feb 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 27 Mar 2026 |
| 19 Feb 2026 | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | E | Standard survey | 27 Mar 2026 |
| 19 Feb 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 27 Mar 2026 |
| 19 Feb 2026 | F0761 | 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. | E | Standard survey | 27 Mar 2026 |
| 19 Feb 2026 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 27 Mar 2026 |
| 19 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 27 Mar 2026 |
| 19 Feb 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 27 Mar 2026 |
| 4 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 28 Feb 2025 |
| 4 Feb 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 28 Feb 2025 |
| 5 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 25 Dec 2024 |
| 5 Dec 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 25 Dec 2024 |
| 5 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 Dec 2024 |
| 12 Jan 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 11 Feb 2024 |
| 12 Jan 2024 | F0761 | 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. | E | Standard survey | 11 Feb 2024 |
| 12 Jan 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 11 Feb 2024 |
| 12 Jan 2024 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | B | Standard survey | 11 Feb 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 4 Feb 2025 | Fine | $8,647 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Rhode Island average. Turnover: nursing staff 46.9%, RNs 56.3%; 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 | 19.7% | 19.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.8% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.0% | 1.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.9% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.7% | 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 Westerly 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 Washington County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Roberts Health Centre Inc | North Kingstown | 66 | 5 | 4 | 5 | 9 | 13.6 | — | 26 May 2026 |
| Apple Rehab Clipper | Westerly | 60 | 4 | 4 | 4 | 24 | 40.0 | $239K | 29 May 2026 |
| Kingston Center For Rehabilitation and Health Care | West Kingston | 55 | 4 | 5 | 1 | 9 | 16.4 | — | 7 Feb 2024 |
| South County Eden Operations LLC DBA Lakeside Nurs | North Kingstown | 120 | 4 | 4 | 3 | 18 | 15.0 | $14K | 18 May 2026 |
| Westerly Health Center | Westerly | 120 | 3 | 3 | 2 | 24 | 20.0 | $8K | 1 Jun 2026 |
| Bayview Rehabilitation and Healthcare Center | North Kingstown | 120 | 2 | 2 | 2 | 32 | 26.7 | $53K | 20 Mar 2026 |
| Elderwood of Scallop Shell At Wakefield | South Kingstown | 80 | 2 | 2 | 4 | 25 | 31.3 | $90K | 20 Nov 2025 |
| South Kingstown Nurs. & Rehab Ctrabuse icon | West Kingston | 112 | 2 | 2 | 3 | 14 | 12.5 | $14K | 12 May 2026 |
All 9 facilities in Washington County
Questions and answers
How many deficiencies has Royal of Westerly Nursing Center been cited for?
18 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Rhode Island median is 25 per facility.
Has Royal of Westerly Nursing Center been fined?
Yes. CMS lists fines totalling $9K in the period covered.
How does staffing at Royal of Westerly 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 of Westerly 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 of Westerly Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 19 Feb 2026; the most recent standard health survey was 19 Feb 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.