Nursing homes › Rhode Island › Royal Middletown Nursing Center
193 Forest Avenue, Middletown, RI 02842 · 4018472777 · 50 certified beds
Per CMS filings, this facility is affiliated with Royal Health Group, a group operating 12 facilities in 2 states. Group record: average rating 3.1/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $198,661 in federal fines. This facility rates below its group average (3.1/5).
Total nurse staffing: 3.21 (Rhode Island median: 3.58). RN hours: 0.92. Weekend total: 2.94. Nursing staff turnover: 62%.
All-time on record: 26 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-30 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | F | complaint | corrected 2026-05-15 |
| 2026-04-30 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | Health | corrected 2026-05-15 |
| 2026-04-30 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-05-15 |
| 2026-04-30 | Respond appropriately to all alleged violations. | D | Health | corrected 2026-05-15 |
| 2026-04-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2026-05-15 |
| 2026-04-30 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2026-05-15 |
| 2026-04-30 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2026-05-15 |
| 2026-04-30 | 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. | D | Health | corrected 2026-05-15 |
| 2026-04-30 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-05-15 |
| 2026-02-19 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2026-03-11 |
| 2026-02-19 | 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. | D | complaint | corrected 2026-03-11 |
| 2026-01-07 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2026-01-16 |
| 2026-01-07 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-01-16 |
| 2025-12-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2025-12-13 |
| 2025-11-25 | Provide and implement an infection prevention and control program. | H | complaint | corrected 2025-12-13 |
| 2025-11-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2025-12-13 |
| 2025-04-02 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-05-01 |
| 2025-04-02 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-05-01 |
| 2025-04-02 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Health | corrected 2025-05-01 |
| 2025-04-02 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-05-01 |
| 2024-11-07 | Provide safe and appropriate respiratory care for a resident when needed. | E | complaint | corrected 2024-11-25 |
| 2024-10-08 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-10-21 |
| 2024-04-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2024-04-30 |
| 2024-04-11 | Provide and implement an infection prevention and control program. | F | complaint | corrected 2024-04-30 |
| 2024-04-11 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | complaint | corrected 2024-04-30 |
| 2024-02-29 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | complaint | corrected 2024-03-22 |
| Date | Type | Amount |
|---|---|---|
| 2025-11-25 | Fine | $30,590 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MAMARY, JAMES | 5% Or Greater Direct Ownership Interest | Individual | 50% | since 01/14/2016 |
| MAMARY, JAMES | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/19/2016 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 415040. Corrections: data@carerecords.org.