Royal Middletown Nursing Center
193 Forest Avenue, Middletown, RI 02842 · (401) 847-2777
For profit - Partnership · 50 certified beds
Royal Middletown Nursing Center has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2026, found 7 citations (the Rhode Island average is 9.3). It was fined 1 time in the last three years, $19,884 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on April 30, 2026 found 7 citations. What an inspection citation means
- Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.April 30, 2026 · F0557 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.April 30, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 30, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.April 30, 2026 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.April 30, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.April 30, 2026 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.April 30, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 16 citations.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 30, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Not hire anyone with a finding of abuse, neglect, exploitation, or theft.April 30, 2026 · F0606 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure that residents are free from significant medication errors.February 19, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 19, 2026 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.January 7, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.January 7, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 8, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 25, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.November 25, 2025 · F0880 · Level of harm: Actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.April 2, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.November 7, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure services provided by the nursing facility meet professional standards of quality.October 8, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident’s drug regimen must be free from unnecessary drugs.April 11, 2024 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 11, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.April 11, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure each resident’s drug regimen must be free from unnecessary drugs.February 29, 2024 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $19,884November 25, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Rhode Island average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.21 | 3.71 | 3.86 |
| Registered nurses (RN) | 0.92 | 0.77 | 0.69 |
| Licensed practical nurses (LPN) | 0.22 | 0.48 | 0.86 |
| Nurse aides | 2.07 | 2.46 | 2.32 |
| Total nursing staff turnover | 62.5% | 40.6% | 45.8% |
About this home
| Ownership | For profit - Partnership |
| Certified beds | 50 |
| Average residents per day | 44.5 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Grand Islander Center Middletown · ★★★★★ 2 out of 5 stars
- John Clarke Senior Living Middletown · ★★★★★ 2 out of 5 stars
- St Clare Home Newport · ★★★★★ 4 out of 5 stars
- Village House Nursing & Rehabilitation Center Newport · ★★★★★ 4 out of 5 stars
Compare every nursing home in Middletown, RI · Nursing homes in Rhode Island
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Data from Medicare (CMS), updated October 2026, from Royal Middletown Nursing Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.