Royal Middletown Nursing Center

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.

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 15 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.

Medicare five-star ratings

• Overall ★★★★★ 2/5
• Health inspections ★★★★★ 2/5
• Staffing ★★★★★ 2/5
• Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

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