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Complaint Investigation

Royal Middletown Nursing Center

April 30, 2026 · Middletown, RI · 193 Forest Avenue
Citations 9
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 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.

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Inspection Findings

FF0557
Resident Rights Deficiencies
Potential for More Than Minimal Harm

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.

Federal health inspectors cited Royal Middletown Nursing Center in Middletown, RI for a deficiency under regulatory tag F-F0600 during a complaint investigation conducted on 2026-04-30.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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-F0606 during a complaint investigation conducted on 2026-04-30.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Scope/Severity Level F: widespread, 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-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.

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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.

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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.

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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