Royal Middletown Nursing Center – Nursing Home, Middletown, Rhode Island
Medicare and Medicaid
Nursing homes in Middletown, RI → · Recently updated in RI →
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
1 substantiated complaint
Last cited survey: 19 February 2026 · 74 health and 27 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Explore nursing home Royal Middletown Nursing Center performance based on staff quality, resident satisfaction, safety measures, and care effectiveness in Middletown. Get insights into Medicare and Medicaid and facility-specific standards, along with comparisons to national benchmarks. Ideal for families, healthcare providers, and researchers seeking quality long-term care information.
Main info
Name
Royal Middletown Nursing Center
Address
193 Forest Avenue, Middletown, RI 02842
Federal Provider Number
415040
Phone
(401) 847-2777
Ownership Type
For profit - Partnership
Certified Beds
50
Residents in Certified Beds
44.7
Nursing Home Type
Medicare and Medicaid
Residence in Hospital
Legal Business Name
ROYAL MIDDLETOWN NURSING CENTER LLC
Date of First Medicare/Medicaid Approval
1974-03-31
Continuing Care Retirement Community
Data current as of
31 May 2026
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Location
193 Forest Avenue
Middletown, RI 02842
Phone: (401) 847-2777
Compare to RI average
See how this facility compares to the RI state average among rated nursing homes (78 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | RI average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 2 | 2.97 | 2 |
| Health inspection | 2 | 2.88 | 2 |
| Staffing | 2 | 3.27 | 4 |
| Quality measures | 2 | 3.31 | 4 |
| Certified beds | 50 | 108 | — |
| Citations on file (health + fire) | 101 | ~2.7 health* | — |
- APPLE REHAB WATCH HILL — 1★ overall
- AdviniaCare Newport, LLC — 2★ overall
- AdviniaCare Oakland Grove LLC — 2★ overall
- AdviniaCare Orchard, LLC — 1★ overall
- AdviniaCare Summit Commons, LLC — 1★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| MAMARY, JAMES S | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 50.02 | 01/14/2016 |
| MAMARY, JAMES S | OPERATIONAL/MANAGERIAL CONTROL | Individual | 100.00 | 08/19/2016 |
| MAMARY, JAMES S | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 24.99 | 01/14/2016 |
| MAMARY, JONATHAN W | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 24.99 | 01/14/2016 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
101 citations on file · Latest survey: 19 February 2026 · 74 health · 27 fire safety
D: 50
F: 27
E: 18
H: 3
G: 3
All
Health
Fire safety
Last 24 months
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-02-19 | F849 | D — Minimal harm, isolated | Health | 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. |
| 2026-02-19 | F849 | D — Minimal harm, isolated | Health | 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. |
| 2026-02-19 | F760 | D — Minimal harm, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2026-02-19 | F760 | D — Minimal harm, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2026-01-07 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2026-01-07 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2026-01-07 | F658 | D — Minimal harm, isolated | Health | Ensure services provided by the nursing facility meet professional standards of quality. |
| 2026-01-07 | F658 | D — Minimal harm, isolated | Health | Ensure services provided by the nursing facility meet professional standards of quality. |
| 2025-12-08 | F684 | E — Minimal harm, pattern | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-12-08 | F684 | E — Minimal harm, pattern | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-12-08 | F684 | E — Minimal harm, pattern | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-11-25 | F880 | H — Actual harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2025-11-25 | F880 | H — Actual harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2025-11-25 | F880 | H — Actual harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2025-11-25 | F684 | G — Actual harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-11-25 | F684 | G — Actual harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-11-25 | F684 | G — Actual harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-04-02 | F842 | D — Minimal harm, isolated | Health | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2025-04-02 | F842 | D — Minimal harm, isolated | Health | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2025-04-02 | F842 | D — Minimal harm, isolated | Health | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-04-02 | K511 | F — Minimal harm, widespread | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2025-04-02 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2025-04-02 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2025-04-02 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2025-04-02 | K511 | F — Minimal harm, widespread | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2025-04-02 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2025-04-02 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2025-04-02 | K511 | F — Minimal harm, widespread | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2025-04-02 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2024-04-11 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2024-04-11 | K291 | F — Minimal harm, widespread | Fire Safety | Install emergency lighting that can last at least 1 1/2 hours. |
| 2024-04-11 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2024-04-11 | K351 | E — Minimal harm, pattern | Fire Safety | Install an approved automatic sprinkler system. |
| 2024-04-11 | K923 | D — Minimal harm, isolated | Fire Safety | Have proper medical gas storage and administration areas. |
| 2024-04-11 | K291 | F — Minimal harm, widespread | Fire Safety | Install emergency lighting that can last at least 1 1/2 hours. |
| 2024-04-11 | K351 | E — Minimal harm, pattern | Fire Safety | Install an approved automatic sprinkler system. |
| 2024-04-11 | K923 | D — Minimal harm, isolated | Fire Safety | Have proper medical gas storage and administration areas. |
| 2024-04-11 | K291 | F — Minimal harm, widespread | Fire Safety | Install emergency lighting that can last at least 1 1/2 hours. |
| 2024-04-11 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2024-04-11 | K351 | E — Minimal harm, pattern | Fire Safety | Install an approved automatic sprinkler system. |
Additional information
Get more details on Royal Middletown Nursing Center, including health inspection results, staffing levels, and facility amenities.
Discover how the home meets care standards and ensures residents' well-being.
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| Quality of Resident Care Rating | 2 |
| Quality of Resident Care Rating (Long Stay) | 2 |
| Quality of Resident Care Rating (Short Stay) | 4 |
| Staffing Rating | 2 |
| RN Staffing Rating | 5 |
| Reported CNA Staffing Hours per Resident per Day | 2.09123 |
| Reported LPN Staffing Hours per Resident per Day | 0.14808 |
| Reported RN Staffing Hours per Resident per Day | 1.14284 |
| Reported Licensed Staffing Hours per Resident per Day | 1.29092 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.37391 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.02085 |
| Casemix CNA Staffing Hours per Resident per Day | 1.7772 |
| Casemix LPN Staffing Hours per Resident per Day | 0.64808 |
| Casemix RN Staffing Hours per Resident per Day | 0.3182 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 2.74348 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.42921 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.1468 |
| Adjusted RN Staffing Hours per Resident per Day | 1.13293 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.34467 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-11-26 |
Date of Standard Health Survey (Cycle 2) | 2019-01-18 |
Total Number of Health Deficiencies (Cycle 1) | 13 |
Number of Standard Health Deficiencies (Cycle 1) | 11 |
Number of Complaint Health Deficiencies (Cycle 1) | 13 |
Health Deficiency Score (Cycle 1) | 88 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 88 |
Total Number of Health Deficiencies (Cycle 2) | 6 |
Number of Standard Health Deficiencies (Cycle 2) | 6 |
Number of Complaint Health Deficiencies (Cycle 2) | 5 |
Health Deficiency Score (Cycle 2) | 16 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 16 |
Date of Standard Health Survey (Cycle 3) | 2017-12-28 |
Total Weighted Health Survey Score | 83.25 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 10 |
Number of Substantiated Complaints | 1 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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