Royal Middletown Nursing Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

71.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 68 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 44.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 34 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.26 therapist hours per resident per day in 2026Q1 — more than 37% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 50 beds and averages 44.5 residents a day — about 89% occupied, or roughly 6 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.21 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.92 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.07 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.94 hrs/resident/day on weekends vs 3.31 on weekdays — 11% thinner on weekends. RN hours go from 1.02 to 0.66 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 62% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

26 citations, most serious first. The 12 most serious are shown; the remaining 14 are one tap away and print in full.

• Actual harm · Hcited before2025-11-25 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on surveyor observation, record review, and staff interview, the facility failed to; obtain, review, and report laboratory tests, as ordered, and complete ordered COVID-19 testing upon admission and on subsequent days for 2 of 3 newly admitted residents reviewed, Resident ID #s 1 and 2. The facility's failure involved urinary tract infection (UTI) related laboratory testing and follow-up, and the failure to obtain Covid-19 testing, as ordered, resulted in a delay of care, including the hospitalization of Resident ID #1 with diagnoses including Covid-19 and a UTI. Findings are as follows:Review of a community reported complaint submitted to the Rhode Island Department of Health on 11/18/2025 alleged in part that the facility had a Covid-19 outbreak, and that Resident ID #1 was now positive for Covid-19. The complaint further alleged that the resident had blood in his/her urine and was not receiving care that s/he should.1. Record review revealed Resident ID #1 was admitted to the facility in November of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-11-25 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on surveyor observation, record review, and staff interview, the facility failed to; obtain, review, and report laboratory tests, as ordered; notify a provider of abnormal or missing test results; and complete ordered COVID-19 testing upon admission and subsequent days for 2 of 3 newly admitted residents reviewed, Resident ID #s 1 and 2. The facility's failure involved UTI-related laboratory testing and follow-up, that resulted in a delay of care, including the hospitalization of Resident ID #1.Review of a community reported complaint submitted to the Rhode Island Department of Health on 11/18/2025 alleged in part that the facility had a Covid-19 outbreak, and that Resident ID #1 was now positive for Covid-19. The complaint further alleged that the resident had blood in his/her urine and was not receiving care that s/he should.1. Record review revealed Resident ID #1 was admitted to the facility in November of 2025 with diagnoses including, but not limited to, urinary tract infection (UTI) and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-04-30 · tag F0606 — failed to not employ staff found guilty of abuse — widespread
  Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview, the facility failed to ensure that prospective employees were screened for a history of abuse, neglect, exploitation, or misappropriation of resident property, as evidenced by 1 of 1 personnel record reviewed for abuse Nursing Assistant (NA), Staff A. Findings are as follows:Record review of a facility reported incident submitted to the Rhode Island Department of Health on 4/17/2026 revealed that a staff member reported to the facility that she witnessed a NA grab Resident ID #11's face and kiss him/her on the lips.Record review of a community-reported complaint submitted to the Rhode Island Department of Health on 4/22/2026 alleged inappropriate interactions between a nursing assistant and Resident ID #11. The report included a local police department incident report dated 4/18/2026, indicating that the family of Resident ID #11 intended to pursue charges related to the incident that occurred on 4/17/2026.Review of a policy titled, Abuse, Neglect and Exploitation Policy last revised in March of 2026 states in part, .It is the policy of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-30 · tag F0557 — pattern
  Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on surveyor observation, clinical record review, and staff interview, the facility failed to ensure residents are treated with respect and dignity relative to 1 of 1 resident observed who was unable to attend meals and activities with his/her fellow peers due to lack of appropriate clothing, Resident ID #3. Findings are as follows:Record review revealed the resident was admitted to the facility in May of 2025 with diagnoses including, but not limited to, anxiety disorder and post-traumatic stress disorder.Record review of a care plan revised on 8/25/2025 indicated that the resident is highly social and willing to participate in a variety of activities, with an intervention to provide reminders of scheduled events. During a surveyor observation on 4/29/2026 at 11:44 AM, the resident was observed in his/her room wearing a hospital gown and seated upright on the bed while other residents were in the dining room for lunch. A subsequent observation of the resident's room revealed only one pair of pants and two T-shirts in the drawer.During a surveyor interview following the above…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-30 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to keep a resident free from sexual abuse for 1 of 2 residents reviewed, Resident ID #11.Findings are as follows:Record review of a facility reported incident submitted to the Rhode Island Department of Health on 4/17/2026 revealed that a staff member reported to the facility that she witnessed a Nursing Assistant (NA) grab Resident ID #11's face and kiss him/her on the lips.Record review of a community-reported complaint submitted to the Rhode Island Department of Health on 4/22/2026 alleged inappropriate interactions between a NA and Resident ID #11. The report included a local police department incident report dated 4/18/2026, indicating that the family of Resident ID #11 intended to pursue charges related to the incident that occurred on 4/17/2026. Review of a policy titled, Abuse, Neglect and Exploitation Policy last revised in March of 2026 states in part, .It is the policy of this facility to provide protections for the health, welfare and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-30 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and staff interview, the facility failed to ensure that allegations made by residents are recognized as possible abuse by staff and that all allegations are investigated, for 1 of 2 resident's reviewed for abuse, Resident ID #41. Findings are as follows:Review of a facility policy titled, Abuse, Neglect and Exploitation last revised March of 2026 states in part, .An immediate investigation is warranted when suspicion of abuse, neglect or exploitation, or reports of abuse, neglect or exploitation occur.Record review revealed that the resident was admitted to the facility in October of 2025 with diagnoses including, but not limited to, dementia and traumatic brain injury.Review of a progress note dated 3/5/2026 authored by Registered Nurse, Staff D, revealed that a resident reported to her that Resident ID #41 was being inappropriate with another resident.Review of a Psychiatric Evaluation and Consultation dated 3/6/2026 states in part, .Patient is being seen per facility request due to increased sexually inappropriate behaviors towards other…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-30 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, surveyor observations, and staff interview, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 of 1 resident reviewed for following physician orders, Resident ID #32, for 1 of 2 residents reviewed for abuse, Resident ID #11 and for 1 of 2 residents reviewed for wound observations, Resident ID #40. Findings are as follows:1. Record review of an undated policy titled Administering Medications states in part, Medications are administered in a safe and timely manner, and as prescribed.Medications are administered in accordance with prescriber orders, including any required time frame. Medication administration times are determined by the resident need and benefit .Record review revealed that Resident ID #32 was admitted to the facility in March of 2025 with diagnoses including, but not limited to, dementia and anxiety disorder.Record review of the care plan revised on 4/2/2026 revealed the resident has…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-30 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, resident and staff interview, the facility failed to ensure that pain management is provided to residents who require such services, consistent with professional standards of practice for 1 of 2 residents reviewed for pain, Resident ID #17. Findings are as follows:Review of an undated facility policy titled Administering Medications states in part, Medication administration times are determined by resident need and benefit, not staff convenience.Record review revealed that Resident ID #17 was admitted to the facility in April of 2026 with diagnoses including, but not limited to, migraines and chronic pain.Review of a care plan dated 4/20/2026 revealed a goal for the resident to verbalize adequate pain relief with an intervention including, but not limited to, respond immediately to any complaint of pain.Record review revealed a physician's order for Butalbital-APAP-Caffeine Oral Capsule 50-300-40 milligrams (Butalbital-Acetaminophen-Caffeine, Fioricet, a medication used to treat migraines) Administer 1 capsule every 12 hours as needed for migraine…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-30 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and staff interview the facility failed to ensure that residents are free of any significant medication errors for 1 of 2 residents reviewed for antibiotic use, Resident ID #17. Findings are as follows:Review of a facility policy titled, Notification of Changes Policy last revised May 2025 states in part, .The facility must inform the.resident's physician.when there is a change requiring such notification.Record review revealed that Resident ID #17 was admitted to the facility in April of 2026 with diagnoses including, but not limited to, surgical aftercare and complication of surgical and medical care.Record review revealed a physician's order dated 4/3/2026 for Cefadroxil Oral Capsule (antibiotic) 500 milligrams, administer 1 capsule by mouth two times a day for 14 days.Review of the April 2026 Medication Administration Record revealed that the resident did not receive the antibiotic on following dates:-4/3 at 8:00 PM-4/6 at 8:00 PM-4/11 at 8:00 PM-4/12 at 8:00 AM-4/14 at 8:00 PM-4/17 at 8:00 AMRecord review revealed the resident missed a total of 6…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-30 · tag F0849 — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and staff interview, the facility failed to ensure that hospice services meet professional standards of principles that apply to individuals providing services in the facility for 1 of 2 residents reviewed who are receiving hospice services, Resident ID #11. Findings are as follows:Record review revealed that Resident ID #11 was admitted to the facility in March of 2026 with a diagnosis including, but not limited to, dementia.Record review revealed the resident started with hospice services in March of 2026.Review of the electronic and paper medical records failed to reveal evidence of the following hospice information, per regulation: - The most recent hospice plan of care- Hospice election form- Physician certification and recertification of the terminal illness- Names and contact information for hospice personnel involved in hospice care- Hospice medication information- Hospice physician and attending physician ordersDuring a surveyor interview on 4/28/2026 at 8:55 AM with Registered Nurse Staff E, she acknowledged that the hospice binder was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-30 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, surveyor observation, and staff interview, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections relative to a clean dressing change for 1 of 2 residents observed for wound care, Resident ID #40. Findings are as follows:Review of a facility policy titled, Wound Treatment Management last revised January 2025 states in part, To promote wound healing of various types of wounds, it is policy of this facility to provide evidence-based treatments in accordance with current standards of practice and physician orders.Record review revealed that Resident ID #40 was readmitted to the facility in February of 2026 with diagnoses including, but not limited to, peripheral vascular disease and cellulitis of lower limb.Record review revealed a physician's order to cleanse open areas to the left lower leg with vashe wound wash (an antimicrobial wound cleanser) and apply…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-19 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and staff interview, the facility failed to ensure that residents are free of any significant medication errors for 1 of 3 residents reviewed for end-of-life comfort medications, Resident ID #1. Findings are as follows:Review of community reported complaint submitted to the Rhode Island Department of Health on [DATE] alleges in part, on [DATE] the facility had multiple problems with the nurse who was working the 11:00 PM to 7:00 AM shift. It revealed that during the shift there was a resident actively passing away and the nurse did not give him/her any comfort medications.Record review revealed the resident was admitted to the facility in January of 2026 with diagnoses including, but not limited to, Alzheimer's disease, hypertension, and atherosclerotic heart disease of the native coronary artery (a buildup of plaque in the coronary arteries that cause narrowing, affecting blood flow).Record review of a Hospice Recommendation form dated [DATE] revealed recommendations to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$30,590 in federal fines across 1 penalty.

• $30,590 — penalty dated 2025-11-25

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to ROYAL HEALTH GROUP — 12 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 2 rows in the source record cover these 1 parties — each is shown once here with every role it holds. Nothing is omitted.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $585K paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in RI