193 Forest Avenue, Middletown, RI 02842 · Newport County
A little clarity for your next step
Start with the things that matter to your loved one. Use the details below to build your questions, then ask the community what life and care would look like for them.
Reviews reflect individual experiences. Inspection findings describe specific events; missing reports do not mean there were no concerns.
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Picture your loved one here
Ask to see a room like the one available, its bathroom, dining spaces, and outdoor areas. On a visit, notice how easy it feels to move around and how staff interact with residents.
Reported average: 44.5 residents per day across 50 certified beds (89% occupancy).
This does not show current vacancies, waitlists, room types or whether the community can meet your care needs. Contact the community to confirm current openings.
Source: CMS Care Compare, reported average daily residents and certified beds. This is not a live availability feed.
A summary of reported federal nursing-home measures. Review the dates and original records below.
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 3.21 total nurse hours per resident each day (0.92 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 62.5%, 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.
You do not have to know every answer before you visit. Start with these questions and ask for details specific to your loved one.
Topics noted in the summary
Can we review the inspection findings together, including what changed and how any corrections were checked?
Review the federal care record →Could we speak with current residents or families about daily life and how concerns are handled?
Read the review sources →What would the full monthly cost be for my loved one, and which care services or one-time charges are extra?
Review pricing details →How would you assess my loved one’s needs, and what happens if those needs change?
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
Planning estimates are not a community quote. Ask the community for current rates and an itemized list of required charges.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $10,780–$13,900/mo (modeled range) 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. | Local market estimate |
Published starting prices and market estimates may exclude additional fees. Request a current, itemized quote for your care needs. How we estimate costs
More nursing time per resident — and lower turnover — generally means more attentive care.
Reported federal nursing-home measures. Missing values are not a clean-record finding; check the original source for current information.
The most recent findings from federal health inspections (26 citations on record — showing the latest 8). The count is not a count of unique incidents.
Search the entries displayed here. The original record may contain additional findings.
Showing 8 of 8 citation entries on this page.
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Respond appropriately to all alleged violations.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide safe, appropriate pain management for a resident who requires such services.
Ensure that residents are free from significant medication errors.
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.
Federal fines and Medicare/Medicaid payment denials on record.
| Date | Type | Amount |
|---|---|---|
| 2025-11-25 | Fine | $30,590 |
These topics come from source records and community websites. They do not confirm that a service is currently offered, available, or included in the price.
Make it specific to your loved one
Ask which services are provided at this location, who provides them, and whether they cost extra. For care or therapy, ask about the assessment required and what happens if needs change.
Keep questions in your visit plan →193 Forest Avenue, Middletown, RI
Reviews, when available, are shown with their source. Review ratings are separate from licensing and inspection records.
No family reviews are available on Haven for Royal Middletown Nursing Center.
Ask the community about speaking with current residents or families. Use your tour planner to record what you learn and questions to follow up on.
Prepare questions for your tourRoyal Middletown Nursing Center has no current published quote for skilled nursing in Haven records. The local market planning estimate is $10,780–$13,900 per month (modeled range). 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. This is not a community quote. Ask for a current, itemized price.
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.
Staff provide about 3.21 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 62.5% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
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.
Reported average: 44.5 residents per day across 50 certified beds (89% occupancy). These historical figures do not establish current availability. Contact the community to confirm openings, room types and admission requirements.
Royal Middletown Nursing Center in Middletown, RI offers skilled nursing and is licensed for 50 beds.
Compare care fit, costs and admission requirements before a move. Timelines and openings vary by community.
Haven record updated 2026-08-24. We show imported source information. This date does not establish when a license was last checked.
Records in Providence, RI with a shared care category and available coordinates, ordered by approximate distance. This is not a complete list of nearby communities. Confirm that each community can meet your specific care needs.
facility websiteMiddletown, RI · 146 beds
4.2/5 Google · 123 reviews · retrieved 2026-08-03
3.3/5 Their website · 41 reviews · retrieved 2026-08-17
40 federal inspection citations on file · view findings & dates →A below-average federal rating — worth a careful look in Middletown.
facility websiteMiddletown, RI · 60 beds
4.4/5 Google · 60 reviews · retrieved 2026-08-03
5 federal inspection citations on file · view findings & dates →A below-average federal rating — worth a careful look in Middletown.
facility websiteNewport, RI · 50 beds
4.3/5 Google · 28 reviews · retrieved 2026-08-03
22 federal inspection citations on file · view findings & dates →A highly rated skilled nursing and rehab community in Newport.
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