Royal Middletown Nursing Center
Nursing Home Facility
193 Forest Avenue, Middletown, RI 02842
Royal Middletown Nursing Center is a senior care community located in Middletown, RI. It provides assisted living, nursing home care, and senior living for older adults in the Middletown area. To learn more or schedule a tour, call (401) 847-2777.
Operated by Royal Health Group, which runs 8 communities in our directory.
With 50 beds, Royal Middletown Nursing Center is smaller than most nearby options, senior care communities in Middletown average about 85 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.
Federal reporting puts occupancy at about 89% of its licensed beds.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in April 2026 and recorded 16 deficiencies.
Residents receive about 3.2 hours of nursing care per day on average, including 0.9 hours from a registered nurse. Nursing staff turnover over the past year was about 63%, which is high and can affect continuity of care.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 26 problems at Royal Middletown Nursing Center. 2 findings involved harm to a resident. 16 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $30,590.
Findings from the most recent inspection cycle
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Caused harm to a resident, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, widespread
Freedom from Abuse, Neglect, and Exploitation
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
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Could cause more than minimal harm, a pattern
Resident Rights
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe, appropriate pain management for a resident who requires such services.
Show 8 more
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, one or a few residents
Administration
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.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, one or a few residents
Administration
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.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Royal Middletown Nursing Center offers assisted living, nursing home care, and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 50
- Occupancy 89%
- Nursing hours per resident/day 3.2
- Annual staff turnover 63%
- Last health inspection April 2026
Resident & family reviews
No one has shared a review of Royal Middletown Nursing Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.