Royal Middletown Nursing Center

Nursing Home · Middletown, RI

CMS overall rating 2/5 For profit - Partnership

CMS certification number415040

Contact & location

193 Forest Avenue
Middletown, RI 02842
Newport County
Phone
(401) 847-2777
ZIP code
02842 – all care providers

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Facility details

Certified beds
50
Residents per day
44.5 (89% occupied)
Ownership
For profit - Partnership
Legal name
Royal Middletown Nursing Center LLC
Chain
Royal Health Group (12 facilities, avg 3.1★)
Medicare certified since
March 31, 1974
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.9
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 3.2
Quality measures★★★★★ 2/5
State avg 3.1
Long-stay quality★★★★★ 1/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.21 (state 3.71 · U.S. 3.86)
Registered nurses (RN)
0.92 (state 0.76 · U.S. 0.69)
Licensed practical nurses
0.22 (state 0.49 · U.S. 0.86)
Nurse aides
2.07 (state 2.46 · U.S. 2.32)
Weekend total
2.94 (state 3.34 · U.S. 3.42)
Nursing staff turnover
62.5 (state 40.6 · U.S. 45.8)%
RN turnover
69.2 (state 37.9 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
April 30, 2026
Health deficiencies (last cycle)
16.0 (state 9.2 · U.S. 9.3)
From complaints
9
Citations on record (3 years)
26 health · 7 fire safety · includes actual harm
DateCitationSeverityStatus
2026-04-30 Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
F0606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-30 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-30 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-30 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-30 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-30 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-30 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-30 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.
F0849 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-30 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-02-19 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-11
2026-02-19 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.
F0849 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-11
2026-01-07 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-16
2026-01-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-16
2025-12-08 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-13
2025-11-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 H
Actual harm		 Corrected 2025-12-13
2025-11-25 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-12-13
2025-04-02 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-01
2025-04-02 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-01
2025-04-02 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.
F0726 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-01
2025-04-02 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-01
2024-11-07 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-25
2024-10-08 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-21
2024-04-11 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-04-30
2024-04-11 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-04-30
2024-04-11 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-04-30
2024-02-29 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-22

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $30,590 in fines.

DateTypeAmount
2025-11-25Fine$30,590

Ownership & management

NameRoleSince
Mamary, James (individual)5%+ Direct Ownership Interest · 50%
Mamary, James (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Royal Middletown Nursing Center?

Royal Middletown Nursing Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in Rhode Island.

How many beds does Royal Middletown Nursing Center have?

It has 50 certified beds and cares for about 45 residents per day.

Has Royal Middletown Nursing Center been fined?

Yes. CMS lists 1 penalty totaling $30,590 in the last three years.

Who owns Royal Middletown Nursing Center?

It is part of Royal Health Group and is classified as for profit - partnership. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Royal Middletown Nursing Center?

(401) 847-2777. The facility is located at 193 Forest Avenue, Middletown, RI 02842.

Other nursing homes in Middletown

Compare all nursing homes in Middletown, RI →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.