Royal of Westerly Nursing Center

Name: Royal of Westerly Nursing Center
Address: 79 Beach Street, Westerly, RI, 02891, US
Telephone: 4015964925

79 Beach Street, Westerly, RI 02891 · Washington County · 66 certified beds · avg 61 residents/day · certified since Jan 1, 1967

Part of chain: ROYAL HEALTH GROUP (12 facilities, chain avg rating 3.1★)

4/5

Health inspection rating (on-site)

Serious findings on record

$8,647

Fines, last 3 years

3.20

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Feb 4, 2025 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Feb 28, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (18)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 19, 2026	E · Potential for harm, repeated	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Feb 19, 2026	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Feb 19, 2026	E · Potential for harm, repeated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Feb 19, 2026	E · Potential for harm, repeated	The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care.
Feb 19, 2026	E · Potential for harm, repeated	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Feb 19, 2026	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 19, 2026	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Feb 4, 2025	▲ G · Actual harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Feb 4, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Dec 5, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Dec 5, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Dec 5, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 12, 2024	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jan 12, 2024	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jan 12, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jan 12, 2024	B · Minimal risk, repeated	The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 9).

Year	Citations	Serious (G–L)	Worst severity that year
2024	7	0	E
2025	2	1	G ▲
2026	9	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $8,647.

Date	Type	Amount / length
Feb 4, 2025	Fine	$8,647

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Rhode Island avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.20	3.88	3.95	bottom 13% in Rhode Island; bottom 22% in the U.S.
Registered Nurse hours	0.86	0.80	0.69	top 39% in Rhode Island; top 23% in the U.S.
Weekend total nurse staffing	2.75	3.48	3.50	bottom 13% in Rhode Island; bottom 18% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.54	0.55	0.48	top 42% in Rhode Island; top 28% in the U.S.
Total nursing staff turnover (%)	46.9	40.6	45.8	bottom 23% in Rhode Island; bottom 45% in the U.S.
RN turnover (%)	56.3	37.9	42.9	bottom 25% in Rhode Island; bottom 26% in the U.S.

Hours are per resident per day, 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 0.86, weekend 2.75. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5

Who owns this facility

For profit - Partnership

Owner / manager	Type	Role	Stake	Since
Mamary, James	Individual	5% or Greater Direct Ownership Interest	50%	07/01/2016
Mamary, James	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2016
Misto, Susan	Individual	W-2 Managing Employee	NOT APPLICABLE	08/04/2020
Ozcakar, Bulent	Individual	Contracted Managing Employee	NOT APPLICABLE	02/20/2024

Questions to ask on your visit

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

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you explain health changes and treatment options to residents and their families?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Who would be my family member's attending doctor here, and how often would they be seen?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Westerly Health Center	2.0 mi	Westerly, RI	★★★☆☆	3/5
Apple Rehab Clipper	2.6 mi	Westerly, RI	★★★★☆	4/5
Avalon Health Care Center at Stoneridge	6.3 mi	Mystic, CT	★★★★★	5/5
Pendleton Rehabilitation and Nursing Center	6.4 mi	Mystic, CT	★★★★★	4/5
Apple Rehab Mystic	7.0 mi	Mystic, CT	★★☆☆☆	3/5
Mystic Healthcare & Rehabilitation Center, LLC	7.5 mi	Mystic, CT	★☆☆☆☆	1/5	abuse
Complete Care at Groton Regency	11.1 mi	Groton, CT	★★★★★	4/5
Fairview	13.1 mi	Groton, CT	★★★★☆	4/5
Beechwood Health & Rehabilitation Center	14.3 mi	New London, CT	★★★★☆	4/5
Harbor Village North Health and Rehabilitation Cen	14.5 mi	New London, CT	★☆☆☆☆	1/5	abuse
New London Sub-Acute and Nursing	15.5 mi	Waterford, CT	★☆☆☆☆	1/5	abuseSFF
Greentree Manor Nursing and Rehabilitation Center	16.5 mi	Waterford, CT	★☆☆☆☆	1/5	abuse

Compare this facility with the 3 closest →

All facilities in Westerly →

Facility data as of CMS processing date 2026-08-01. CCN 415004.

The Care File

Visit checklist — Royal of Westerly Nursing Center

79 Beach Street, Westerly, RI 02891 · 4015964925

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $8,647

Most serious findings on record:

▲ Feb 4, 2025 (F-0684, Actual harm, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Who would be my family member's attending doctor here, and how often would they be seen?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 415004 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)