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Data / Nursing homes / Rhode Island / Royal Middletown Nursing Center

Royal Middletown Nursing Center, Middletown, RI: 2 star rating, fined $19,884 across 1 fine

Royal Middletown Nursing Center in Middletown, RI is owned by 1 individual whom CMS lists (names not shown), is rated 2 of 5 stars by Medicare, and was fined $19,884 across 1 fine in the three years to October 1, 2026. CMS lists 26 health citations from inspections in that time, the latest survey on April 30, 2026, and 2 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet nursing homes in Rhode Island
Address
193 Forest Avenue, Middletown, RI 02842
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
3 of 5
Certified beds
50
Residents per day
47 on average
Ownership type
For profit, partnership
Legal business name
Royal Middletown Nursing Center LLC
Chain
Royal Health Group, 12 facilities
Fines
$19,884 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
26, of which 2 with actual harm or immediate jeopardy
Latest survey
April 30, 2026
CMS Certification Number
415040
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
November 25, 2025Fine$19,884Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
April 30, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
April 30, 2026F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
April 30, 2026F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
April 30, 2026F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
April 30, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
April 30, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
April 30, 2026F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
April 30, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
April 30, 2026F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
February 19, 2026F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 11, 2026data.cms.gov
February 19, 2026F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 11, 2026data.cms.gov
January 7, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 16, 2026data.cms.gov
January 7, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 16, 2026data.cms.gov
December 8, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 13, 2025data.cms.gov
November 25, 2025F880Provide and implement an infection prevention and control program.H: pattern, actual harmCorrectedDecember 13, 2025data.cms.gov
November 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedDecember 13, 2025data.cms.gov
April 2, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
April 2, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
April 2, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
April 2, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
November 7, 2024F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 25, 2024data.cms.gov
October 8, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 21, 2024data.cms.gov
April 11, 2024F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
April 11, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
April 11, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
February 29, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 22, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 2 individual or personal trusts (1 owners, 1 managers). Their names are not shown on this page.

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.