Royal Middletown Nursing Center: Staffing, Turnover, and Inspection Record
Royal Middletown Nursing Center is a 50-bed for-profit nursing home in Middletown, Rhode Island, part of Royal Health Group. In the CMS August 2026 release it reported 2.07 nurse aide hours per resident per day, 16% below the Rhode Island average of 2.46, and 62.5% nursing staff turnover (Rhode Island average 40.6%).
Royal Middletown Nursing Center
193 Forest AvenueMiddletown, RI 02842
Newport County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Royal Middletown Nursing Center, nurse aides logged 2.07 hours per resident per day, 16% below the Rhode Island average. With about 45 residents a day, that works out to roughly 92 aide hours a day, or about 11 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
| Hours per resident per day | This home | Rhode Island avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.07 | 2.46 | 2.32 |
| Licensed practical nurses | 0.22 | 0.49 | 0.86 |
| Registered nurses | 0.92 | 0.76 | 0.69 |
| All nursing staff | 3.21 | 3.71 | 3.86 |
| All nursing staff, weekends | 2.94 | 3.34 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
62.5% of nursing staff at Royal Middletown Nursing Center left over the year CMS measured, against a Rhode Island average of 40.6% and a US average of 45.8%. Registered nurse turnover was 69.2%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 30, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 16 health deficiencies (Rhode Island average 9.2). CMS lists 1 fine totaling $30,590 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 25, 2025 | Fine | $30,590 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Royal Middletown Nursing Center holds 2 of 5 overall; the Rhode Island average is 2.9.
About Royal Middletown Nursing Center
- Ownership: For profit - Partnership
- Chain: Royal Health Group, 12 homes
- Legal name: Royal Middletown Nursing Center LLC
- Medicare and Medicaid certified since: Mar 31, 1974
- Councils: resident council
- Area: urban
Nursing homes near Royal Middletown Nursing Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Grand Islander Center Middletown | 1.5 | 146 | 2.04 | 3.37 | 49.5% | 2 | $21,548 |
| John Clarke Senior Living Middletown | 1.6 | 60 | 2.46 | 3.47 | 25.5% | 2 | $14,385 |
| St Clare Home Newport | 3.4 | 50 | 3.12 | 4.59 | 56.3% | 4 | None |
| AdviniaCare Newport, LLC Newport | 3.7 | 114 | 2.26 | 3.35 | 26.0% | 2 | $16,801 |
| Village House Nursing & Rehabilitation Center Newport | 4.3 | 95 | 2.28 | 3.35 | 28.6% | 4 | $8,018 |
| Bayview Rehabilitation and Healthcare Center North Kingstown | 10.4 | 120 | 2.24 | 3.29 | 50.5% | 2 | $52,785 |
| Silver Creek Rehab and Healthcare Center Bristol | 10.5 | 128 | 2.42 | 3.39 | 39.3% | 2 | $207,610 |
| South County Eden Operations LLC DBA Lakeside Nurs North Kingstown | 10.5 | 120 | 2.11 | 3.20 | 40.8% | 4 | $14,433 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.