Open Care Data
Independent Review & Safety Record · CCN 415040 Monitoring available

Royal Middletown Nursing Center

An independent review of Royal Middletown Nursing Center's safety record, its Medicare rating, health-inspection citations, staffing, fines and complaints, drawn from public federal data (not user star-ratings).

193 Forest Avenue · Middletown, RI 02842 · 50 beds
Phone: 4018472777
F
Open Care Data Safety Grade

This facility raises serious safety concerns and ranks well below its peers.

Starts from the Medicare rating, then weighs below-average staffing; high RN turnover (69%). How we grade · See how it compares
Open Care Data's independent assessment of public federal data, not an official CMS rating. Data can lag or change. Operate this facility? Report a correction.

Recent News August 2026 federal update

As of the August 2026 federal update, there were no changes to this facility's Medicare ratings, Special Focus watch-list status, fines, or complaints since the prior release.

Medicare Five-Star Rating · as of the latest federal update

Overall
★★
2 / 5
Staffing
★★
2 / 5
Health Inspection
★★
2 / 5
Quality Measures
★★
2 / 5

Top concerns What stands out in the record

  • Below-average overall Medicare rating (2 of 5 stars).
  • Staffing rating is in the bottom tier, often the strongest predictor of care quality.
  • High registered-nurse turnover (69%), care continuity may suffer.

How it compares vs. 72 RI nursing homes

Overall Medicare rating
2of 5 stars
Better than 17% of RI homes
Staffing rating
2of 5 stars
Better than 7% of RI homes
Health-inspection rating
2of 5 stars
Better than 18% of RI homes
Total nurse hours / resident / day
3.20817hrs
Better than 14% of RI homes
RN hours / resident / day
0.91619hrs
Better than 70% of RI homes
RN turnover
69.2%
Better than 3% of RI homes

Percentiles rank this facility against every other Medicare-rated nursing home in Rhode Island, using the latest federal data.

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Safety & Enforcement Federal inspection record

Safety indicators

Abuse indicator None on record
Substantiated complaints 0

Financial penalties

1
Fines
$30,590
Total fines
0
Payment denials
1
Total penalties

Staffing Hours per resident / day

0.91619
RN hours per resident / day
Benchmark ≥ 0.75
3.20817
Total nursing hours / day
Benchmark ≈ 4.1
2.94927
Weekend nursing hours / day
Look for parity with weekdays

Higher staffing, especially RN time, correlates with better outcomes and higher Medicare star ratings.

Recent Deficiency Citations Last 36 months · federal inspections

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Quality Measures Medicare quality data · lower is better

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Highly-rated facilities nearby Same area · by rating