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Nursing homeFAID #11406

Royal Middletown Nursing Center

193 FOREST AVENUE, MIDDLETOWN, RI, 02842
(401) 847-2777
50 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
50
CMS facility ID
415040
Care type
Nursing home
County
Newport
Facility name
Royal Middletown Nursing Center
Street address
193 FOREST AVENUE
City / state / ZIP
Middletown, RI 02842
Phone
(401) 847-2777

About this facility — Royal Middletown Nursing Center

Royal Middletown Nursing Center is a Medicare/Medicaid-certified skilled nursing facility in Middletown, Rhode Island. It is licensed for 50 beds — well below the median for skilled nursing facilities in Rhode Island (120 beds).

It is one of 8 senior care facilities in Middletown and 72 skilled nursing facilities across Rhode Island. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Royal Middletown Nursing Center 33 times across 16 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $30,590 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Royal Health Group
Ownership type
For profit - Partnership

Registered owners & officers

Mamary, James
Direct owner · Operational control — 50% stake — since 2016

Regulatory standing

Federal court records
3 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1974-03-31
CMS overall rating
2 of 5 stars
Health deficiencies
16 at the last standard inspection
Federal fines
$30,590 total
Last standard inspection
2026-04-30
Nurse staffing
3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$345 per day (≈ $10,490/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
51% Medicaid · 10% Medicare · 39% private/other
Occupancy
67% (fiscal year 2023)
Vs. state median
15% below the RI median of $406/day — full state cost breakdown

Services & coverage

Licensed beds
50
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-04-30Health inspectionComplaint-triggered9 citations
F-0557
E · No harm found
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2026-05-15
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-05-15
F-0606
F · No harm foundFrom a complaint
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2026-05-15
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2026-05-15
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-05-15
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2026-05-15
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2026-05-15
F-0849
D · No harm found
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.
Corrected 2026-05-15
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-05-15
2026-02-19Health inspectionComplaint-triggered2 citations
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-03-11
F-0849
D · No harm foundFrom a complaint
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.
Corrected 2026-03-11
10 earlier / fire-safety inspections (22 citations)
2026-01-07Health inspectionComplaint-triggered2 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-01-16
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-01-16
2025-12-08Health inspectionComplaint-triggered1 citation
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-13
2025-11-25Health inspectionComplaint-triggered2 citations
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-13
F-0880
H · Actual harmFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-12-13
2025-04-02Health inspectionComplaint-triggered4 citations
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-05-01
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-01
F-0726
D · No harm found
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.
Corrected 2025-05-01
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-01
2024-11-07Health inspectionComplaint-triggered1 citation
F-0695
E · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-25
2024-10-08Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-21
2024-04-11Health inspectionComplaint-triggered3 citations
F-0757
E · No harm foundFrom a complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-04-30
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-30
F-0880
F · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-04-30
2024-02-29Health inspectionComplaint-triggered1 citation
F-0757
D · No harm foundFrom a complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-03-22
2025-04-02Fire-safety inspection3 citations
K-0511
F · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-01
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-05-01
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-01
2024-04-11Fire-safety inspection4 citations
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-04-30
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-04-30
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-04-30
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-04-30

Federal penalties

2025-11-25Fine$30,590
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 415040.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 33 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered