Royal Middletown Nursing Center

Middletown, RI · 50 beds · For profit - Partnership

24 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 2 citation(s) where residents suffered actual harm
  • 80% total nursing staff turnover

Green Flags

  • No fines or penalties on record

Quick Facts

★★☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
7
0.9x state avg
Deficiencies
$0
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

December 7, 2025

2 deficiencyies
F0684 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0684 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

November 24, 2025

4 deficiencyies
F0684 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0880 Actual Harm Scope/Severity: H

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0684 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0880 Actual Harm Scope/Severity: H

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

April 1, 2025

8 deficiencyies
F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure services provided by the nursing facility meet professional standards of quality.

F0726 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

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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.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Respond appropriately to all alleged violations.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Ensure services provided by the nursing facility meet professional standards of quality.

F0726 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

Show details

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.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

November 6, 2024

2 deficiencyies
F0695 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0695 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

October 7, 2024

2 deficiencyies
F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Ensure services provided by the nursing facility meet professional standards of quality.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Ensure services provided by the nursing facility meet professional standards of quality.

April 10, 2024

2 deficiencyies
F0757 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

See full violation history →

Staffing

0.96
RN hrs/res/day
0.04
LPN hrs/res/day
2.03
CNA hrs/res/day
2.55
Weekend hrs/res/day
80%
Total nurse turnover
94%
RN turnover

A nurse checks on each resident roughly every 7.9 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

For profit - Partnership Chain: ROYAL HEALTH GROUP
  • MAMARY, JAMES

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 01/14/2016

    50% Individual
  • MAMARY, JONATHAN

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 01/14/2016

    25% Individual
  • MAMARY, JAMES

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/19/2016

    Individual

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