Royal of Westerly Nursing Center: Staffing, Turnover, and Inspection Record
Royal of Westerly Nursing Center is a 66-bed for-profit nursing home in Westerly, Rhode Island, part of Royal Health Group. In the CMS August 2026 release it reported 1.66 nurse aide hours per resident per day, 32% below the Rhode Island average of 2.46, and 46.9% nursing staff turnover (Rhode Island average 40.6%).
Royal of Westerly Nursing Center
79 Beach StreetWesterly, RI 02891
Washington 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 of Westerly Nursing Center, nurse aides logged 1.66 hours per resident per day, 32% below the Rhode Island average. With about 61 residents a day, that works out to roughly 102 aide hours a day, or about 13 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | Rhode Island avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.66 | 2.46 | 2.32 |
| Licensed practical nurses | 0.69 | 0.49 | 0.86 |
| Registered nurses | 0.86 | 0.76 | 0.69 |
| All nursing staff | 3.21 | 3.71 | 3.86 |
| All nursing staff, weekends | 2.75 | 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
46.9% of nursing staff at Royal of Westerly 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 56.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 19, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 9 health deficiencies (Rhode Island average 9.2). CMS lists 1 fine totaling $8,647 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 4, 2025 | Fine | $8,647 |
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 of Westerly Nursing Center holds 4 of 5 overall; the Rhode Island average is 2.9.
About Royal of Westerly Nursing Center
- Ownership: For profit - Partnership
- Chain: Royal Health Group, 12 homes
- Legal name: Royal Westerly LLC
- Medicare and Medicaid certified since: Jan 1, 1967
- Councils: resident council
- Area: urban
Nursing homes near Royal of Westerly Nursing Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Westerly Health Center Westerly | 2.0 | 120 | 1.73 | 3.05 | 42.9% | 3 | $8,278 |
| Apple Rehab Clipper Westerly | 2.6 | 60 | 1.79 | 3.16 | 42.0% | 4 | $238,831 |
| Avalon Health Care Center at Stoneridge Mystic | 6.3 | 40 | 2.48 | 4.80 | 27.1% | 5 | $8,018 |
| Pendleton Rehabilitation and Nursing Center Mystic | 6.4 | 120 | 2.16 | 3.75 | 33.7% | 5 | None |
| Apple Rehab Mystic Mystic | 7.0 | 60 | 1.76 | 2.91 | 63.9% | 2 | $16,588 |
| Mystic Healthcare & Rehabilitation Center, LLC Mystic · abuse citation | 7.5 | 100 | 1.96 | 3.35 | 58.8% | 1 | $38,860 |
| Complete Care at Groton Regency Groton | 11.1 | 162 | 2.11 | 3.54 | 44.9% | 5 | None |
| Fairview Groton · staffing data not validated | 13.1 | 120 | — | — | 33.7% | 4 | None |
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.
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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.