Royal Middletown Nursing Center — Nursing Home in Middletown, RI

193 Forest Avenue, Middletown, RI, 02842 | 4018472777

CMS Five-Star Rating

★★★★☆ 4/5

Based on health inspections, staffing, and quality measures

Facility Overview

Medicare Medicaid
Certified Beds50
Average Residents/Day39.9
CMS Certification Number415040

Staffing Levels

Hours Per Resident Day (HPRD)

Total Nurse Staffing 3.20 HPRD
RN Staffing 1.04 HPRD

Health Inspection Findings & Deficiencies

Most Recent Inspection February 19, 2026
Total Deficiencies 2

Royal Middletown Nursing Center had 2 health inspection deficiencies on its most recent inspection (February 19, 2026).

Inspection Findings — February 19, 2026

  • Ensure that residents are free from significant medication errors. (Level D)
    Corrected — March 11, 2026
  • 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. (Level D)
    Corrected — March 11, 2026
CareQED Analysis

Royal Middletown Nursing Center is a 50-bed nursing home in Middletown, Rhode Island. It holds a 4-star CMS overall rating. Total nurse staffing is 3.2 hours per resident day, below the Rhode Island average of 3.8. Its most recent inspection, in February 2026, cited 2 deficiencies, none of them severe.

The facility shows a relatively strong overall quality rating compared with many other homes in the area. Ask how they are staffing nurse coverage and what specific steps they’ve taken to address past quality citations—particularly around medication safety and infection prevention—to ensure consistent, reliable care.

Frequently Asked Questions

Is Royal Middletown Nursing Center Medicare and Medicaid certified?

Royal Middletown Nursing Center is Medicare certified and Medicaid certified according to CMS data.

What is Royal Middletown Nursing Center's CMS star rating?

Royal Middletown Nursing Center has an overall CMS rating of 4 out of 5 stars.

How is staffing at Royal Middletown Nursing Center?

Royal Middletown Nursing Center reports 3.1972 total nurse hours per resident day.

Has Royal Middletown Nursing Center had health inspection deficiencies?

On its most recent inspection, Royal Middletown Nursing Center had 2 total deficiencies, including 0 classified as severe.

How many beds does Royal Middletown Nursing Center have?

Royal Middletown Nursing Center has 50 certified beds.

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Data Source

This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.

CMS Provider Information updated May 1, 2026.

CMS Survey Summary updated May 1, 2026.

CMS Health Deficiencies updated May 1, 2026.

CareQED last updated June 22, 2026.

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