Royal Middletown Nursing Center
Middletown, RI · Medicare and Medicaid-certified nursing home (CCN 415040) · 50 certified beds
Health inspection: 2 · Quality measures: 2 · Staffing: 2
Federal fines: 1 totaling $30,590
Phone: (401) 847-2777 · Verify on Medicare Care Compare ↗
Royal Middletown Nursing Center has a CMS overall rating of 2 out of 5 stars, below Rhode Island's state average of 2.89. Its health inspection rating is 2 out of 5 and its staffing rating is 2 out of 5.
Royal Middletown Nursing Center reports total nurse staffing of 3.21 hours per resident per day, including 0.92 RN hours per resident per day, with a nursing staff turnover rate of 62.5%. CMS gives the facility a staffing rating of 2 out of 5 stars.
CMS records show Royal Middletown Nursing Center has 1 federal fine on record totaling $30,590.00, with no payment denials. The facility does not display CMS's abuse icon and is not part of the Special Focus Facility program based on the data provided.
About this facility
Royal Middletown Nursing Center is a 50-bed skilled nursing facility in Middletown, Newport County, Rhode Island, with an average daily census of 44.5 residents. The facility is organized as a for-profit partnership and has been Medicare and Medicaid certified since March 1974.
According to CMS Care Compare, Royal Middletown holds an overall star rating of 2 out of 5, below the Rhode Island state average of 2.89. Its component ratings are also 2 out of 5 for health inspections, 2 out of 5 for quality measures, and 2 out of 5 for staffing.
Nurse staffing levels total 3.21 hours per resident per day, including 0.92 RN hours per resident per day. Nursing staff turnover is reported at 62.5%.
On penalties, CMS records show 1 federal fine totaling $30,590.00, and no payment denials on record for this facility.
No abuse icon is displayed for this facility in the CMS data provided, and it is not listed under CMS's Special Focus Facility program, which designates homes with a history of persistent poor performance subject to increased inspection frequency.
Royal Middletown Nursing Center is part of the Royal Health Group chain, which operates 12 facilities with an average chain rating of 3.1 out of 5. There has been no change of ownership in the past 12 months, so current ratings reflect the operator in place throughout the rating period.
Source: CMS Medicare Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Royal Middletown Nursing Center has an overall rating of 2 out of 5 stars, below the Rhode Island state average of 2.89.
Does this facility accept Medicare, Medicaid, or both?
Yes, it is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.21 hours per resident per day, including 0.92 RN hours per resident per day, with 62.5% nursing turnover; CMS rates staffing 2 out of 5 stars.
Does this facility have federal fines or penalties on record?
Yes, CMS records 1 fine totaling $30,590.00 and no payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
Based on the data provided, no abuse icon is shown and the facility is not listed in the Special Focus Facility program.
How large is this facility and how many residents live there?
The facility has 50 certified beds with an average daily census of 44.5 residents.
Who owns this facility — and is it part of a chain?
It is a for-profit partnership, part of the Royal Health Group chain, which operates 12 facilities with an average rating of 3.1 out of 5.
How long has this facility been Medicare/Medicaid certified?
The facility was first approved for Medicare/Medicaid certification on March 31, 1974.
What do the four different CMS star ratings mean?
CMS publishes an overall rating plus three component ratings — health inspections, staffing, and quality measures — which combine to form the overall score; here all four ratings are 2 out of 5.
Does this facility offer short-term rehabilitation as well as long-term care?
This detail is not included in the provided data; contact the facility at 4018472777 or verify on Medicare Care Compare.
What should I look for when touring this facility?
This isn't addressed in the CMS data provided; contact the facility at 4018472777 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can review the latest inspection results and ratings at https://www.medicare.gov/care-compare/details/nursing-home/415040?state=RI.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.