Nursing home report
Middletown, RI · Medicare-certified · 50 beds
Royal Middletown Nursing Center has a 2-star overall rating, with 2-star health inspection, staffing, and quality scores. It reports 3.21 nurse hours per resident per day versus the 4.1 federal benchmark, has $30,590 in fines in the last 24 months, and has a recent federal penalty.
Health inspections
Staffing
3.2082 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2082.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2025 — limited pattern, actual harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: H
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2025 — isolated incident, actual harm.
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to make sure it did not hire anyone with a record of abuse, neglect, exploitation, or theft. Cited April 2026 — widespread issue, potential for harm.
F-Tag 606 — 42 CFR §483.12 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2024 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to respect the resident’s dignity and personal belongings. Cited April 2026 — limited pattern, potential for harm.
F-Tag 557 — 42 CFR §483.10 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 9 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Health inspection found 2 health deficiencies.
Health inspection found 1 health deficiency.
A federal fine of $30,590 was recorded.
On record with Medicare: 1 fine · $30,590 in total fines.
Federal fine
Nov 25, 2025
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
