Public Record
Royal Middletown Nursing Center
Operated by Royal Health Group
From CMS
Facility profile
- CMS overall rating
- 2 / 5
- Certified beds
- 50
- Avg. residents per day
- 44.7
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 26
- Fire safety findings
- 9
- Inspections on file
- 13
- Last inspection
- 2026-02-19
*CMS
*CMS
*CMS
*CMS
Citations
26 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0849Generalpotential for harm
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0684Seriousactual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0880Seriousactual harm
Provide and implement an infection prevention and control program.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0726Generalpotential for harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0757Generalpotential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0757Generalpotential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 0770Generalpotential for harm
Provide timely, quality laboratory services/tests to meet the needs of residents.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0698Generalpotential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection2 deficiencies
- View inspection reportInspection2 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection2 deficiencies
- View inspection reportInspection4 deficiencies
- View inspection reportInspectionFire Safety3 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection1 deficiency
- View inspection reportInspectionFire Safety4 deficiencies
- View inspection reportInspection3 deficiencies
Showing the 10 most recent inspections. 3 earlier inspections are also on record.
Ownership
Royal Health Group
12nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Royal Middletown Nursing Center?
- Royal Middletown Nursing Center is a Medicare- and Medicaid-certified nursing home in Middletown, RI, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 415040.
- What is the CMS rating for Royal Middletown Nursing Center?
- Royal Middletown Nursing Center has a CMS overall rating of 2 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Royal Middletown Nursing Center have?
- Royal Middletown Nursing Center is certified for 50 beds. It serves an average of 44.7 residents per day.
- How many citations does Royal Middletown Nursing Center have?
- Royal Middletown Nursing Center has 26 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Royal Middletown Nursing Center last inspected?
- Royal Middletown Nursing Center was last inspected on February 19, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/415040-royal-middletown-nursing-center