Royal Middletown Nursing Center
Nursing home in Middletown, Rhode Island, CMS certification number 415040
193 Forest Avenue, Middletown, RI 02842 · Newport County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 50
- Certified for
- Medicare and Medicaid
- Last standard inspection
- April 30, 2026
- Deficiencies at that inspection
- 16
- Fines in 3 years
- $19,884 (1)
Does Royal Middletown Nursing Center take Medicare and Medicaid?
Yes to both. Royal Middletown Nursing Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 2 of 5 |
| Quality of resident care | 3 of 5 |
| Long-stay quality | 1 of 5 |
| Short-stay quality | 5 of 5 |
Nurse staffing hours and turnover
These are the hours Royal Middletown Nursing Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.18
- Registered nurse hours
- 0.90
- Licensed practical nurse hours
- 0.15
- Nurse aide hours
- 2.14
- Weekend total hours
- 2.85
- Nursing staff turnover
- 56.8%
- Registered nurse turnover
- 60%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on April 30, 2026 and cited 16 deficiencies, plus 9 from complaint visits.
The visit before, on April 2, 2025, found 3.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Royal Middletown Nursing Center 1 time in the past 3 years, for $19,884 in total.
Beds and residents
On an average day 46.7 residents live here, about 93% of its 50 certified beds.
- Certified beds
- 50
- Average residents per day
- 46.7
- Certified since
- March 31, 1974
- Resident or family council
- Resident
Who owns Royal Middletown Nursing Center
- Legal business name
- Royal Middletown Nursing Center LLC
- Ownership type
- For profit - Partnership
- Chain
- 12 homes nationally under Royal Health Group, 3.2-star chain average
Other nursing homes near Royal Middletown Nursing Center
- Grand Islander Center333 Green End Avenue, Middletown 02842
- John Clarke Senior Living600 Valley Road, Middletown 02842
- St Clare Home309 Spring Street, Newport 02840
- AdviniaCare Newport, LLC398 Bellevue Avenue, Newport 02840
- Village House Nursing & Rehabilitation Center70 Harrison Avenue, Newport 02840
Who inspects nursing homes in Rhode Island
Rhode Island's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Rhode Island, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Royal Middletown Nursing Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Royal Middletown Nursing Center
What is the CMS star rating of Royal Middletown Nursing Center?
2 out of 5 stars overall.
Does Royal Middletown Nursing Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Royal Middletown Nursing Center?
16 cited at the last standard visit.
Who owns Royal Middletown Nursing Center?
Royal Middletown Nursing Center LLC, for profit - partnership.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.