FPoor · score 22/100 · #67 of 70 in Rhode Island
Royal Middletown Nursing Center
193 Forest Avenue, Middletown, RI 02842 · 50 certified beds · For profit - Partnership
Staffing 3.2 nurse hours per resident-daybottom quarter in Rhode Island
16 health deficiencies at the last standard survey (CMS severity score 135)bottom quarter
$30,590 in fines in 3 years
Why Royal Middletown Nursing Center is graded F
Each metric below is percentile-ranked against Rhode Island nursing homes in the same size band (small, 50 beds), then weighted. The score is the weighted sum; A ≥ 80, B ≥ 65, C ≥ 50, D ≥ 35, F below. Nothing here can be edited or paid for.
Royal Middletown Nursing Center at a Glance
F
22/100
Nurse staffing · weight 30Total nurse hours per resident per day, as reported to CMS (PBJ). Raw: 3.21 h.
19<small style="font-size:12px;color:var(--muted)">th pct</small>Health inspections · weight 30Health deficiencies cited at the last standard survey and complaint surveys, weighted by severity. Raw: 135.
15<small style="font-size:12px;color:var(--muted)">th pct</small>Quality measures · weight 25CMS quality-measure rating: falls, pressure ulcers, rehospitalisation, antipsychotic use. Raw: 2.
33<small style="font-size:12px;color:var(--muted)">th pct</small>Penalties · weight 15Fines and payment denials in the last three years. Raw: $30,590 fines, 0 denials.
25<small style="font-size:12px;color:var(--muted)">th pct</small>CMS overall star ratingMedicare's own 1–5 rating, shown for reference; not part of our grade.
2/5Data: CMS Care Compare, as of Aug 1, 2026 · graded Sep 11, 2026 · peer group: Rhode Island, small facilities · CMS record 415040 · How we grade.
Facility details
Address193 Forest Avenue, Middletown, RI 02842
Phone4018472777
CountyNewport
OwnershipFor profit - Partnership
Certified beds50
AcceptsMedicare Medicaid
Special Focus FacilityNo
Higher-graded nursing homes nearby
1
John Clarke Senior Living - Middletown, RI · 60 beds
- Staffing 3.5 nurse hours per resident-day — below median in Rhode Island
- 3 health deficiencies at the last standard survey (CMS severity score 154) — bottom quarter
2
Grand Islander Center - Middletown, RI · 146 beds
- Staffing 3.4 nurse hours per resident-day — bottom quarter in Rhode Island
- 20 health deficiencies at the last standard survey (CMS severity score 128) — below median
1
Briarcliffe Manor - Johnston, RI · 122 beds
- Staffing 4.7 nurse hours per resident-day — top 10% in Rhode Island
- 3 health deficiencies at the last standard survey (CMS severity score 12) — top 10%
A grade is a shortlist tool, not medical or legal advice. Visit the facility, ask for the latest survey report, and talk to residents' families before choosing.