Nursing home report
Middletown, RI · Medicare-certified · 50 beds
Royal Middletown Nursing Center is rated 2 out of 5 stars overall, with 2-star health inspection, staffing, and quality ratings. Reported nursing staffing is 3.37 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months; recent inspection issues included infection prevention and control, treatment and care per orders/preferences/goals, and food sourcing/storage/serving standards.
Health inspections
Staffing
3.3739 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3739.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
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
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 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 provide safe and appropriate breathing care when a resident needed it. Cited November 2024 — limited pattern, potential for harm.
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The home failed to ensure residents’ medications were free from unnecessary drugs. Cited April 2024 — limited pattern, potential for harm.
F-Tag 757 — 42 CFR §483.45(d) — S/S: E
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.
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.
