Royal Middletown Nursing Center
Middletown, Rhode Island
193 Forest Avenue, Middletown, RI, 02842
Royal Middletown Nursing Center Quality & Safety Report
Below Average
CMS Official Overall: 2★ / 5
CMS data as of January 2026
This score is calculated from three federally reported CMS metrics: Health Inspections (weighted 50%), Staffing levels (25%), and Quality Measures (25%). Facilities with serious safety findings receive score deductions. For centers with 5+ Google reviews, resident feedback contributes 15% of the final score. Learn more →
Safety & Inspections
- Health deficiencies
- National median: 7
- Total federal penalties $13,000
CMS data as of January 1, 2026
Staffing breakdown
Average hours of nursing care each resident receives per day, by staff role. Higher numbers generally indicate more attentive care.
- Total nurse staffing
- National median: 4.12 hrs
- Registered nurse (RN) 0.96 hrs
- Licensed practical nurse (LPN) 0.04 hrs
- Certified nursing aide (CNA) 2.00 hrs
- Physical therapy 0.02 hrs
Quality rating trend
Overall rating declined from 3 to 2 stars over 18 data points.
- Overall
- Health inspection
- Staffing
- Quality measures
Facility profile
- Type
- Skilled Nursing Facility · Building
- Capacity
- 50 certified beds · ~44 avg residents/day (88% occupancy)
- Ownership
- For profit - Partnership
- Payment accepted
- Medicare Medicaid (Medicare and Medicaid)
About
Royal Middletown Nursing Center is a for-profit partnership facility in Middletown, Rhode Island, with a total of 50 licensed beds. The center maintains a two-star overall rating from the Centers for Medicare & Medicaid Services (CMS). This specific rating is consistent across its evaluated categories, including health inspections, staffing levels, and quality of resident care measures.
Location
193 Forest Avenue, Middletown, RI, 02842, Middletown, RI
Frequently asked questions
- What is the overall CMS rating for Royal Middletown Nursing Center?
- Royal Middletown Nursing Center has an overall CMS rating of 2 out of 5 stars.
- How did Royal Middletown Nursing Center score on health inspections?
- Royal Middletown Nursing Center received a health inspection rating of 2 out of 5 stars from CMS.
- What is the staffing rating for Royal Middletown Nursing Center?
- Royal Middletown Nursing Center has a staffing rating of 2 out of 5 stars, based on nurse-to-resident ratios.
- How many beds does Royal Middletown Nursing Center have?
- Royal Middletown Nursing Center has 50 certified beds.
- Does Royal Middletown Nursing Center accept Medicare or Medicaid?
- Yes, Royal Middletown Nursing Center accepts Medicare and Medicaid.
- Where is Royal Middletown Nursing Center located?
- Royal Middletown Nursing Center is located at 193 Forest Avenue, Middletown, RI, 02842, Middletown, Rhode Island.
- How can I contact Royal Middletown Nursing Center?
- You can reach Royal Middletown Nursing Center by phone at +1 401-847-2777.
Nearby facilities
- Grand Islander Center 1.5 mi
333 Green End Avenue, Middletown, RI, 02842
- John Clarke Senior Living 1.6 mi
600 Valley Road, Middletown, RI, 02842
About this data
How to read this page
Star ratings vs. Care Quality Score: The Google star rating reflects visitor and family opinions collected from public reviews. The Care Quality Score is an independent metric derived entirely from federal inspection data — the two measure different things, and comparing them side-by-side gives a fuller picture.
Where this data comes from
All clinical data on this page originates from the Centers for Medicare & Medicaid Services (CMS), the federal agency that certifies and inspects every Medicare- and Medicaid-participating nursing home in the United States. Reviews are imported verbatim from public Google business listings.
What to do next
Data is a starting point, not a final answer. We encourage families to visit facilities in person, observe daily routines, and speak with staff and residents. See our guide: Questions to Ask When Visiting →
Listing data sourced from CMS provider records and public Google business data. ACD-HUB independently aggregates and never accepts paid placement.