Royal Middletown Nursing Center
193 Forest Avenue, Middletown, RI 02842 · CCN 415040
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Partnership
- Certified beds
- 50
- Avg residents/day
- 43.8
- Phone
- 4018472777
Inspection history vs Rhode Island & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Rhode Island avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-02 | 9 | 8.7 | 9.5 | +0.3 worse |
| 2 | 2024-04-11 | 5 | 9.3 | 9.8 | -4.3 better |
| 3 | 2023-02-08 | 10 | 10.4 | 9.3 | -0.4 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.00 | 79.6% |
| RN staffing (reported) | 0.95 | 94.1% |
| Total nurse staffing (adjusted) | 3.03 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- ROYAL HEALTH GROUP
- Facilities in chain
- 12
- Chain avg overall
- 3.30 / 5
Inspection citations (24)2 actual harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2026-01-07 · Health · corrected 2026-01-16
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2026-01-07 · Health · corrected 2026-01-16
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-08 · Health · corrected 2025-12-13
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-25 · Health · corrected 2025-12-13
Actual harm
- HF0880Provide and implement an infection prevention and control program.2025-11-25 · Health · corrected 2025-12-13
Actual harm
- DF0610Respond appropriately to all alleged violations.2025-04-02 · Health · corrected 2025-05-01
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-02 · Health · corrected 2025-05-01
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-04-02 · Health · corrected 2025-05-01
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-02 · Health · corrected 2025-05-01
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-11-07 · Health · corrected 2024-11-25
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-10-08 · Health · corrected 2024-10-21
Potential for more than minimal harm
- EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-04-11 · Health · corrected 2024-04-30
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-11 · Health · corrected 2024-04-30
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-04-11 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-02-29 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-02-08 · Health · corrected 2023-03-10
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-02-08 · Health · corrected 2023-03-10
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-02-08 · Health · corrected 2023-03-10
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-02-08 · Health · corrected 2023-03-10
Potential for more than minimal harm
- EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-02-08 · Health · corrected 2023-03-10
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-02-08 · Health · corrected 2023-03-10
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2023-02-08 · Health · corrected 2023-03-10
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-02-08 · Health · corrected 2023-03-10
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-02-08 · Health · corrected 2023-03-10
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MAMARY, JAMES | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2016-01-14 |
| MAMARY, JONATHAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2016-01-14 |
| MAMARY, JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-08-19 |
Other facilities in Middletown
| Name | Overall | Beds |
|---|---|---|
| John Clarke Senior Living | ★★★★★ | 60 |
| Grand Islander Center | ★★☆☆☆ | 146 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.