Royal Middletown Nursing Center
Royal Middletown Nursing Center in Middletown, RI — inspection on April 30, 2026.
Found 9 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.
Inspection Findings
Federal health inspectors cited Royal Middletown Nursing Center in Middletown, RI for a deficiency under regulatory tag F-F0557 during a standard health inspection conducted on 2026-04-30.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Royal Middletown Nursing Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-15.
Resident ID #11 on 4/15 and 4/17/2026.
Additionally, she revealed that the staff member was
kept free from abuse.Cross reference F-F606
415040 04/30/2026
Royal Middletown Nursing Center 193 Forest Avenue Middletown, RI 02842
as evidenced by 1 of 1 personnel record reviewed for abuse Nursing Assistant (NA), Staff A.
Findings
of Health on 4/17/2026 revealed that a staff member reported to the facility that she witnessed a NA grab Resident ID #11's face and kiss him/her on the lips.
Record review of a community-reported complaint submitted to the Rhode Island Department of Health on 4/22/2026 alleged inappropriate interactions between a nursing assistant and Resident ID #11.
The report included a local police department incident report dated 4/18/2026, indicating that the family of Resident ID #11 intended to pursue charges related to the incident that occurred on 4/17/2026.Review of a policy titled, Abuse, Neglect and Exploitation Policy last revised in March of 2026 states in part, .It is the policy of this facility to provide protections for the health, welfare and rights of each resident .sexual abuse is non-consensual sexual act of any type with a resident.Screening.Potential employees will be screened for a history of abuse, neglect, exploitation, or misappropriation of resident property.background, reference, and credentials' checks shall be conducted by the facility itself, third party agency or academic institution.The facility will maintain documentation of proof that the screening occurred.
Record review revealed Staff A, was hired on 11/18/2025 as a Nursing Assistant.Review of a Bureau of Criminal Identification (BCI) dated 11/6/2025 states in part, As mandated by both federal and state law, the fingerprints of [Staff A] .were processed to determine if they have a criminal record containing disqualifying information.
The results of their fingerprint based Comprehensive Criminal Background check shows that they HAVE DISQUALIFYING INFORMATION as delineated under federal and state law .Surveyor record review following the discovery of the positive BCI revealed that Staff A had an extensive criminal history.During a surveyor interview on 4/28/2026 at 11:46 AM, the Human Resource Director stated that Staff A was hired in November 2025, completed orientation, and is currently working independently as a nursing assistant.
She further reported that Staff A disclosed disqualifying information from her BCI, indicating a prior drug-related charge from approximately ten years ago.
However, the Human Resource Director stated she did not have any documentation specifying the nature of the disqualifying information and that the information was obtained only through word of mouth.During a surveyor interview on 4/28/2026 at 1:58 PM, the Administrator stated she was aware that Staff A's BCI contained disqualifying information and indicated she exercised her own judgment in proceeding with the hire.
She acknowledged that she did not receive documentation detailing the nature of the disqualifying information until it was brought to her attention by the surveyor.
She further stated that she had not been at the facility since the allegation of abuse was reported on 4/17/2026 and that a determination regarding Staff A's employment would be made upon completion of the investigation.
Cross reference F 600
Federal health inspectors cited Royal Middletown Nursing Center in Middletown, RI for a deficiency under regulatory tag F-F0610 during a standard health inspection conducted on 2026-04-30.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Respond appropriately to all alleged violations.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Royal Middletown Nursing Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-15.
Federal health inspectors cited Royal Middletown Nursing Center in Middletown, RI for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2026-04-30.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Royal Middletown Nursing Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-15.
Federal health inspectors cited Royal Middletown Nursing Center in Middletown, RI for a deficiency under regulatory tag F-F0697 during a standard health inspection conducted on 2026-04-30.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe, appropriate pain management for a resident who requires such services.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Royal Middletown Nursing Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-15.
Federal health inspectors cited Royal Middletown Nursing Center in Middletown, RI for a deficiency under regulatory tag F-F0760 during a standard health inspection conducted on 2026-04-30.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure that residents are free from significant medication errors.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Royal Middletown Nursing Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-15.
Federal health inspectors cited Royal Middletown Nursing Center in Middletown, RI for a deficiency under regulatory tag F-F0849 during a standard health inspection conducted on 2026-04-30.
Category: Administration Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Royal Middletown Nursing Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-15.
Federal health inspectors cited Royal Middletown Nursing Center in Middletown, RI for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2026-04-30.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Royal Middletown Nursing Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-15.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.