Royal Middletown Nursing Center faces challenges in its CMS ratings, earning a D grade with a score of 53/100. The facility ranks in the 51th percentile among Rhode Island nursing homes, suggesting significant room for improvement.
With 3.00 total nurse hours per resident per day, Royal Middletown Nursing Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 24 deficiencies at Royal Middletown Nursing Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.00 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.95 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.04 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.00 | 2.4 | Below Average |
| Weekend Total Nursing | 2.52 | 3.8 | Below Average |
| Weekend RN Hours | 0.63 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Jan 6, 2026 · Resident Assessment and Care Planning Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Jan 6, 2026 · Infection Control Deficiencies
- Tag 0684 Severity EProvide appropriate treatment and care according to orders, resident’s preferences and goals.Dec 7, 2025 · Quality of Life and Care Deficiencies
- Tag 0880 Severity HProvide and implement an infection prevention and control program.Nov 24, 2025 · Infection Control Deficiencies
- Tag 0684 Severity GProvide appropriate treatment and care according to orders, resident’s preferences and goals.Nov 24, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.8% | 4.5% | Worse |
| Falls with major injury | 5.3% | 3.0% | Worse |
| On antipsychotic medication | 31.1% | 14.5% | Worse |
| Urinary tract infections | 2.3% | 2.5% | Average |
| ADL decline (daily activities) | 41.4% | 14.0% | Worse |
| Excessive weight loss | 4.5% | 7.5% | Better |
| New/worsened incontinence | 28.3% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 53 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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