D68

Royal Middletown Nursing Center

Grade D 68/100 composite score

For profit - Partnership

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
2/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

50

Ownership

For profit - Partnership

Total Fines

$13,000

Last Survey

N/A

193 Forest Avenue, Middletown, RI 02842
4018472777

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.96h
LPN
0.04h
CNA
2.03h
Total
3.03h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

MAMARY, JAMES

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2016

50%

MAMARY, JONATHAN

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2016

25%

MAMARY, JAMES

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2016

Penalties & Fines (1)

$13,000total fines
DateTypeDescriptionAmount
Feb 8, 2023Fine$13,000

Health Inspection Deficiencies (20)

November 25, 2025Health2 deficiencies2 severe
0684GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Dec 13, 2025
0880HActual harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 13, 2025
April 2, 2025Health4 deficiencies
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 1, 2025
0726DMinimal harm, Isolated

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.

Nursing and Physician Services Deficiencies

Corrected May 1, 2025
0842DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected May 1, 2025
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected May 1, 2025
November 7, 2024Health1 deficiency
0695EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Nov 25, 2024
April 11, 2024Health3 deficiencies
0757EMinimal harm, Pattern

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

Pharmacy Service Deficiencies

Corrected Apr 30, 2024
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Apr 30, 2024
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 30, 2024
February 29, 2024Health1 deficiency
0757DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Mar 22, 2024
February 8, 2023Health9 deficiencies
0770DMinimal harm, Isolated

Provide timely, quality laboratory services/tests to meet the needs of residents.

Administration Deficiencies

Corrected Mar 10, 2023
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 10, 2023
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 10, 2023
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 10, 2023
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Mar 10, 2023
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 10, 2023
0698EMinimal harm, Pattern

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Mar 10, 2023
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Mar 10, 2023
0842EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Mar 10, 2023

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Frequently Asked Questions

What is the CareGrader rating for Royal Middletown Nursing Center?

Royal Middletown Nursing Center in Middletown, Rhode Island has a CareGrader grade of D (Below Average), with a composite score of 68 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Royal Middletown Nursing Center?

Royal Middletown Nursing Center has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Royal Middletown Nursing Center have?

Royal Middletown Nursing Center has 20 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Royal Middletown Nursing Center been fined?

Yes. Royal Middletown Nursing Center has $13,000 in total fines from CMS enforcement actions across 1 penalty.

How many beds does Royal Middletown Nursing Center have?

Royal Middletown Nursing Center has 50 certified beds with approximately 43 current residents (86% occupancy). The facility is located at 193 Forest Avenue, Middletown, Rhode Island 02842. It is a for profit - partnership facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.