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Complaint Investigation

Royal Middletown Nursing Center

November 25, 2025 · Middletown, RI · 193 Forest Avenue
Citations 2
CMS Rating 2/5
Beds 50
Provider ID 415040
Healthcare Facility
Royal Middletown Nursing Center
Middletown, RI  ·  View full profile →
Inspection Summary

Royal Middletown Nursing Center in Middletown, RI — inspection on November 25, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0684
Quality of Life and Care Deficiencies
Actual Harm

Review of a care plan dated 11/19/2025 revealed, the resident had a UTI with interventions including, but not limited to, to obtain and monitor lab results, as ordered.2a.

Record review of the physician's order revealed the following:11/19/2025 to obtain a UA C&S

Record review failed to reveal evidence that the UA C&S was completed.

Additional record review revealed laboratory tests that included a CBC were obtained on 11/14/2025 and resulted the same day; however, the record failed to provide evidence of a physician's order.

Furthermore, the record failed to provide evidence that the abnormal results were reported to a provider, or that the UA C&S was obtained as ordered.2b.

Record review revealed a physician's order dated 11/13/2025 to [Covid-19] Test new admissions or residents who have left the facility for more than 24 hours, regardless of vaccination status, on admission, day 2 and day 4.

Record review failed to reveal evidence that Resident ID #2 was tested for Covid-19 on admission or on day two, as ordered.

Record review revealed the resident tested positive for Covid on 11/21/2025.During a surveyor interview on 11/25/2025 at approximately 11:00 AM with RN, Staff B, she indicated that all new admissions are tested for Covid-19 on admission, day two, and day four, and acknowledged that Resident ID #2 had not been tested on admission or on day two, as ordered.

She could not provide evidence of a physician's order for the labs obtained on 11/14/2025 or that a provider had been notified of the abnormal results.

Additionally, she acknowledged that the UA C&S still had not been obtained, as ordered, and could not provide evidence that the provider had been notified.

During a surveyor interview on 11/25/2025 at 11:21 AM with the Director of Nursing Services, she indicated that she would expect physician's orders to be followed, as ordered, and that labs would be completed and reported to a provider.

She further indicated that the Covid-19 outbreak began on 11/17/2025 and that 19 of 43 residents had tested positive as of 11/24/2025.

During a surveyor interview on 11/25/2025 at approximately 11:45 AM with the Medical Director, she indicated that she would expect to be notified of lab results because she does not review results unless the facility notifies her.

Additionally, she indicated that she would expect physician's orders to be completed, as ordered, and that nurses document when providers are notified.

The facility's failure involved UTI-related laboratory testing and follow-up, that resulted in a delay of care, including the hospitalization of Resident ID #1.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/25/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Royal Middletown Nursing Center

193 Forest Avenue Middletown, RI 02842

SUMMARY STATEMENT OF DEFICIENCIES

Review of a care plan dated 11/19/2025 revealed, the resident had a UTI with interventions including, but not limited to, to obtain and monitor lab results, as ordered.2a.

Record review of the physician's order revealed the following:- 11/19/2025 to obtain a UA C&S

Record review failed to reveal evidence that the UA C&S was completed as ordered. 2b.

Record review revealed a physician's order dated 11/13/2025 to [Covid-19] Test new admissions or residents who have left the facility for more than 24 hours, regardless of vaccination status, on admission, day 2 and day 4.

Record review failed to reveal evidence that Resident ID #2 was tested for Covid-19 on admission or on day two, as ordered.

Record review revealed the resident tested positive for Covid on 11/21/2025.During a surveyor interview on 11/25/2025 at approximately 11:00 AM with RN, Staff B, she indicated that all new admissions are tested for Covid-19 on admission, day two, and day four, and acknowledged that Resident ID #2 had not been tested on admission or on day two, as ordered.

Additionally, she acknowledged that the UA C&S still had not been obtained, as ordered, and could not provide evidence that the provider had been notified.

During a surveyor interview on 11/25/2025 at 11:21 AM with the Director of Nursing Services, she indicated that she would expect physician's orders to be followed, and that labs would be completed and reported to a provider.

She further indicated that the Covid-19 outbreak began on 11/17/2025 and that 19 of 43 residents had tested positive as of 11/24/2025.

During a surveyor interview on 11/25/2025 at approximately 11:45 AM with the Medical Director, she indicated that she would expect to be notified of lab results because she does not review results unless the facility notifies her.

Additionally, she indicated that she would expect physician's orders to be completed and that nurses document when providers are notified.

The facility's failure involved UTI-related laboratory testing and follow-up, and failure to obtain Covid-19 testing as ordered, which resulted in a delay of care, including the hospitalization of Resident ID #1 with diagnoses including a UTI and Covid-19.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Middletown, RI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Royal Middletown Nursing Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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