Nursing homeActive
Royal Middletown Nursing Center
193 Forest Avenue, Middletown, RI 02842401847277750 certified beds · 45 residentsFor profit - PartnershipMedicare and Medicaid
Surveys on file
10
since 2024
Deficiencies
26
● 0● 24● 2
Penalties · 3 yrs
$30,590
1 fine
Last survey
2026-04-30
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 2
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Rhode Island Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-30 | Standard | 090 | CMS-2567 (Care Compare) | — |
| 2026-02-19 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2026-01-07 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-12-08 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-11-25 | Complaint | 002 | CMS-2567 (Care Compare) | — |
| 2025-04-02 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-11-07 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-10-08 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-04-11 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-02-29 | Complaint | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Rhode Island Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 415040-20260430-F557
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 415040-20260430-F600
F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.Scope/severity FStandard
Abuse & neglect
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 415040-20260430-F606
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 415040-20260430-F610
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 415040-20260430-F684
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 415040-20260430-F697
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 415040-20260430-F760
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 415040-20260430-F849
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 415040-20260430-F880
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-11Record 415040-20260219-F760
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-11Record 415040-20260219-F849
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-16Record 415040-20260107-F658
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-16Record 415040-20260107-F880
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-13Record 415040-20251208-F684
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-12-13Record 415040-20251125-F684
F880Provide and implement an infection prevention and control program.Scope/severity HHarm
Infection control
Pattern; actual harm that is not immediate jeopardy.Corrected 2025-12-13Record 415040-20251125-F880
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-01Record 415040-20250402-F610
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-01Record 415040-20250402-F658
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-01Record 415040-20250402-F726
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-01Record 415040-20250402-F842
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-25Record 415040-20241107-F695
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-21Record 415040-20241008-F658
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-30Record 415040-20240411-F757
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-30Record 415040-20240411-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-30Record 415040-20240411-F880
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 415040-20240229-F757
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-11-25 | Civil money penalty | $30,590 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.92
Facility
Rhode Island
National
Rhode Island 0.76 · National 0.69
Total nurse hours per resident day3.21
Facility
Rhode Island
National
Rhode Island 3.71 · National 3.86
Weekend total nurse hours2.94
Facility
Rhode Island
National
Rhode Island 3.34 · National 3.42
Total nursing staff turnover63%
Facility
Rhode Island
National
Rhode Island 41% · National 46%
Registered nurse turnover69%
Facility
Rhode Island
National
Rhode Island 38% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Rhode Island | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.0% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.0% | 3.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 25.6% | 22.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.2% | 2.5% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 32.7% | 19.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.3% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 20.5% | 16.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Mamary, James Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Mamary, James Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
Part of a chain
Royal Health Group — 12 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Rhode Island.
No county cost figures on file for Newport.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Grand Islander Center Middletown | 1.5 mi | 2025-12-05 | 0332 |
| John Clarke Senior Living Middletown | 1.6 mi | 2026-06-18 | 032 |
| St Clare Home Newport | 3.4 mi | 2026-05-21 | 1210 |
| AdviniaCare Newport, LLC Newport | 3.7 mi | 2026-06-17 | 1382 |
| Village House Nursing & Rehabilitation Center Newport | 4.3 mi | 2026-03-12 | 0111 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |