How to file a complaint about care →

1 fine totaling $30,590.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

What these staffing numbers mean →

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.21, RN 0.92, weekend 2.94.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.21 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Partnership

All 2 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Royal Health Group — 12 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

• Royal of Westerly Nursing Center — Westerly, RI · overall 4/5
• Royal Braintree Nursing and Rehabilitation Center — Braintree, MA · overall 2/5
• Royal Cape Cod Nursing & Rehabilitation Center — Buzzards Bay, MA · overall 3/5
• Royal Meadow View Center — North Reading, MA · overall 4/5
• Royal Megansett Nursing & Rehabilitation — N Falmouth, MA · overall 4/5
• Royal Norwell Nursing & Rehabilitation Center LLC — Norwell, MA · overall 3/5
• Royal Nursing Center, LLC — Falmouth, MA · overall 3/5
• Royal of Cotuit — Mashpee, MA · overall 2/5

Listed by state, then facility name — not a ranking. Showing 8 of the 11 others, continuing from this facility's own place in that list.

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

• "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
• "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
• "How do you screen job applicants for past findings of abuse, neglect, or theft before hiring?"
• "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
• "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
• "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
• "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
• "What systems do you use to prevent medication errors, and what happens when one occurs?"

Also worth asking anywhere

• "Your weekend nurse staffing is reported below the Rhode Island midpoint — how does the weekend schedule differ from a weekday?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 63% total nursing staff turnover here — who on the care team has been with you longest?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

All facilities in Middletown →