Skilled NursingCMS verified

Royal Middletown Nursing Center

193 Forest Avenue, Middletown, RI 02842 · Newport County

2.0CMS overall rating(401) 847-2777

Fair

Haven Scout Score

Our composite of CMS ratings, staffing, and safety. This community rates fair.

Photos via google places.

Availability outlook● Fills quickly

Typically 89% full (45 of 50 beds occupied on an average day).

If this community is on your shortlist, checking current openings sooner rather than later genuinely matters here.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

A below-average federal rating — worth a careful look in Middletown

Royal Middletown Nursing Center is a for-profit skilled nursing facility in Middletown, RI, with 50 certified beds and an average of about 45 residents per day. It operates as part of the Royal Health Group network.

Medicare rates it 2 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 2/5 on health inspections, 2/5 on staffing, 2/5 on quality measures.

Staff provide about 3.37 total nurse hours per resident each day (1.14 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 71.4%, higher than the ~52% national average. On the safety record, CMS notes 16 health deficiencies at its most recent standard survey, and 1 federal fine totaling $30,590 in the recent record.

Strengths

✓Full sprinkler system
✓Active resident & family council

Things to ask about

•Below-average 2-star overall CMS rating
•Below-average health-inspection rating
•Below-average nurse staffing (3.37 hrs/resident/day)
•High staff turnover (71.4%)
•16 deficiencies at last survey
•$30,590 in federal fines

Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Middletown options — our advisors can help you compare.

At a glance

Certified beds: 50
Avg. residents/day: 45
Ownership: For profit - Partnership
Part of a chain: Royal Health Group
Continuing care: No
CMS provider #: 415040

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating

Health inspections

Staffing

Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of care	Monthly cost	Source
Skilled Nursing	$10,780–$13,900/mo (median $12,000)	Local market estimate

2024–2026 published survey medians, state median adjusted to local Providence prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for Royal Middletown Nursing Center →

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day: 3.37; National avg ≈ 3.9
RN hrs / resident / day: 1.14; National avg ≈ 0.75
Nursing staff turnover: 71.4%; National avg ≈ 52%

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

Health deficiencies (last survey): 16
Federal fines: 1 ($30,590)
Total penalties: 1
Last standard survey: 2026-04-30
Sprinkler system: Yes
Resident & family council: Resident

What inspectors found

The most recent findings from federal health inspections (26 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2026-04-30Severity F — potential for harmFrom a complaintFreedom from Abuse, Neglect, and Exploitation Deficiencies

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

2026-04-30Severity E — potential for harmResident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

2026-04-30Severity D — potential for harmFrom a complaintFreedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2026-04-30Severity D — potential for harmFreedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

2026-04-30Severity D — potential for harmQuality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2026-04-30Severity D — potential for harmQuality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

2026-04-30Severity D — potential for harmPharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

2026-04-30Severity D — potential for harmAdministration Deficiencies

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.

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Penalty history

Federal fines and Medicare/Medicaid payment denials on record.

Date	Type	Amount
2025-11-25	Fine	$30,590

Services & amenities

✓ Full automatic sprinkler system
✓ Medicare & Medicaid certified
✓ 24-hour licensed nursing
✓ On-site rehabilitation therapy

Location

193 Forest Avenue, Middletown, RI

Monday: Open 24 hours
Tuesday: Open 24 hours
Wednesday: Open 24 hours
Thursday: Open 24 hours
Friday: Open 24 hours
Saturday: Open 24 hours
Sunday: Open 24 hours

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Google

4.1

50 reviews →

Verified family reviews

No verified family reviews yet for Royal Middletown Nursing Center.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

Talk to an advisor about this community

Common questions about Royal Middletown Nursing Center

How much does Royal Middletown Nursing Center cost?

Royal Middletown Nursing Center does not publish exact rates. Comparable skilled nursing in the Middletown, RI area typically runs $10,780–$13,900 per month (median $12,000, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is Royal Middletown Nursing Center's Medicare rating?

Medicare (CMS) rates Royal Middletown Nursing Center 2 out of 5 stars overall, including 2/5 for health inspections, 2/5 for staffing, 2/5 for quality measures. The national average is about 3 stars.

How is the staffing at Royal Middletown Nursing Center?

Staff provide about 3.37 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 71.4% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.

What did inspectors find at Royal Middletown Nursing Center?

Royal Middletown Nursing Center has 26 health citations on its recent federal inspection record (last standard survey: 2026-04-30). The full citation-by-citation detail, with severity levels, is published on this page.

Does Royal Middletown Nursing Center have availability?

Typically 89% full (45 of 50 beds occupied on an average day). Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does Royal Middletown Nursing Center offer?

Royal Middletown Nursing Center in Middletown, RI offers skilled nursing and is licensed for 50 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Providence.
The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

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Your next steps — this week

1
Confirm the fit
Check the inspection record and staffing data on this page against your loved one's needs.
2
Get exact pricing & availability
Request current rates for Royal Middletown Nursing Center — takes one minute, answered same day.
3
Tour 2–3 communities
Compare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
4
Hold a spot
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