Royal Middletown Nursing Center
193 Forest Avenue, Middletown, RI, 02842
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Partnership · Chain: Royal Health Group
- Certified beds
- 50 · avg 45 residents/day
- Total nursing staff turnover
- 71.4% — higher than most Rhode Island nursing homesRhode Island avg: 40.6% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 88.9% — higher than most Rhode Island nursing homesRhode Island avg: 38.7% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Rhode Island averageRhode Island avg: 0.4 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $30,590 total
Medicare certification
- CMS Certification Number
- 415040
- Certified beds
- 50 beds · avg 45 residents/day
- Ownership type
- For profit - Partnership
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Royal Middletown Nursing Center Llc
- Chain affiliation
- Royal Health Group
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Royal Health Group chain — 12 facilities across 2 states. Chain-wide average overall rating 2.9 / 5.
Disclosed owners (3 on record)
- James s Mamary
Operational/managerial Control · 100% · since 2016
- James s Mamary
5% or Greater Direct Ownership Interest · 25% · since 2016
- Jonathan w Mamary
5% or Greater Direct Ownership Interest · 25% · since 2016
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 26)
- D0880·Apr 30, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0849·Apr 30, 2026
Administration Deficiencies
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.
- D0760·Apr 30, 2026
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0697·Apr 30, 2026
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
- D0684·Apr 30, 2026
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0610·Apr 30, 2026
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- E0557·Apr 30, 2026
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- F0606·Apr 30, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Federal penalties
By year
- 20251 fine · $31K
Most recent events
- Nov 25, 2025Fine · $31K
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Apr 2, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Royal Middletown Nursing Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.