The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Royal of Westerly Nursing Center
Westerly, RI · Medicare-certified · 66 beds
Needs attention
For-profitChain member
4 of 5 overall
Royal of Westerly Nursing Center has an overall rating of 4 out of 5 stars, with 4 stars for health inspections and 3 stars each for staffing and quality measures. Staffing is below the federal benchmark (3.22 vs 4.1 hours per resident per day), and it has a recent federal penalty with $8,647 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
3.2243 hrs/resident/day
Quality measures
Last inspection: February 19, 2026Penalties, last 24 months: $8,647recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2243.
Staffing detail
- Registered nurses
- 0.87
- Licensed practical nurses
- 0.63
- Nurse aides
- 1.73
- Weekend nursing
- 2.83
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 44%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
21.4%Worsening
Residents with a fall causing major injury
3.2%Improving
Residents with pressure ulcers (bedsores)
0.6%Improving
Residents with a urinary tract infection
3.9%Worsening
Residents who lost too much weight
4.7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
18.1%Worsening
Residents whose ability to walk got worse
14.5%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
22.1%Worsening
Short-stay residents newly given an antipsychotic
2%Worsening
Residents with a long-term catheter
0.6%Steady
Residents with new or worsening incontinence
31.8%Improving
Residents with depressive symptoms
29%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
98.9%Improving
Short-stay residents given the seasonal flu vaccine
95.7%Steady
Short-stay residents given the pneumonia vaccine
92.9%Improving
What the inspectors found
The home failed to make sure residents fully understood their health status, care, and treatments. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 552 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited February 2026 — limited pattern, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: E
The nursing home failed to get a doctor’s admission order and make sure the resident was under a doctor’s care. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 710 — 42 CFR §483.30 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,647 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,647 in total fines.
- $8,647
Federal fine
Feb 4, 2025
Operator & ownership
- Ownership
- For profit - Partnership
- Chain
- Part of ROYAL HEALTH GROUP · 12 homes · 2.9 stars avg
- Occupancy
- 60.8 residents on an average day (92% of 66 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 years
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.