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Methodology · Corrections log · Editorial policy

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Sourced from federal agencies. Fonteum, Inc., Delaware C-corp. © 2026.

Fonteum is a US healthcare provenance registry.

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Fonteum is a US healthcare provenance registry that publishes signed, chain-of-custody-attested research and data pages on Medicare, Medicaid, and federal regulator datasets, drawing from 22 federal source families across CMS, OIG, HRSA, AHRQ, and HHS.

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1,322,867 nurse-staffing records · CMS PBJ
Nursing Homes / Rhode Island / Middletown / Royal Middletown Nursing Center
Fonteum Care Compare · Nursing Home · CCN 415040

Royal Middletown Nursing Center

193 Forest Avenue, Middletown, Rhode Island 02842 · Newport County

View on Medicare.gov →All Middletown facilities →
Data source May 6, 2026·1 CCN 415040 · Medicare-certified nursing home·CMS Care Compare — NH Provider Info (4pq5-n9py)·Methodology →·Module overview →·Audit Pack →·CMS dataset →·NH deficiency study →

CMS star ratings

2★
Overall
out of 5
2★
Health Inspection
out of 5
2★
Staffing
out of 5
2★
Quality Measures
out of 5

Source: CMS Care Compare NH Provider Information dataset (4pq5-n9py). Star ratings reflect CMS quarterly refresh cadence. View current ratings at Medicare.gov.

Facility identity

CCN
415040
Provider type
Medicare and Medicaid
Ownership type
For profit - Partnership
County
Newport
Certified beds
50
Avg. daily residents
44.7
Last standard survey
April 2, 2025
RN hours / resident day
1.14
Total nurse hours / resident day
3.37
SFF status

Daily staffing — weekend coverage & contractor reliance

From the CMS Payroll-Based Journal (PBJ) daily nurse-staffing submission — direct-care RN + LPN + CNA hours per resident day. Weekend dips and contractor reliance are not captured by the CMS five-star staffing rating above.

Weekday nurse hrs / resident day (2025Q2)
2.38
Weekend nurse hrs / resident day
2.41
Contractor share of nurse hours
12%
Daily records observed
91

Source: CMS Payroll-Based Journal — Daily Nurse Staffing. Related Fonteum data: PBJ staffing hub · SNF ownership · OIG exclusions · source registry.

Source: CMS Care Compare — Nursing Home Provider Information·Snapshot: 2026-05-07·Method: CMS Five-Star Quality Rating System; PBJ daily nurse staffing·ID: 4pq5-n9py

Frequently asked questions

What is the CMS overall star rating for Royal Middletown Nursing Center?

Royal Middletown Nursing Center has a CMS overall star rating of 2 out of 5. This rating combines health inspection, staffing, and quality measure sub-ratings per CMS Care Compare methodology.

Who owns Royal Middletown Nursing Center?

Royal Middletown Nursing Center is classified as "For profit - Partnership" per the CMS Care Compare NH Provider Information dataset. Ownership records are self-reported to CMS and updated periodically.

How many beds does Royal Middletown Nursing Center have?

Royal Middletown Nursing Center has 50 Medicare/Medicaid-certified beds per CMS Care Compare data. Average daily resident census is 44.7.

What is the staffing rating at Royal Middletown Nursing Center?

Royal Middletown Nursing Center has a CMS staffing star rating of 2 / 5. Reported RN hours per resident day: 1.14. Total nurse hours per resident day: 3.37.

Is Royal Middletown Nursing Center a Special Focus Facility?

Royal Middletown Nursing Center is not listed in the CMS Special Focus Facility program in the current snapshot.

When was Royal Middletown Nursing Center last inspected?

The most recent standard health inspection on record for Royal Middletown Nursing Center was April 2, 2025. For the most current inspection results, visit Medicare.gov.

Related research and data

All nursing homes in MiddletownAll nursing homes in Rhode IslandNursing homes overviewNH deficiency & harm rate studyNH penalties enforcement studyCare Compare methodology

Reviewed by Dr. Jennifer Montecillo, MD, non-practicing medical reviewer. Content is informational only and does not constitute medical advice, endorsement, or recommendation. Star ratings and facility data are sourced from CMS Care Compare (4pq5-n9py) and reflect the most recently available public snapshot. View current status at Medicare.gov before making care decisions.

External sources: CMS NH Provider Information (4pq5-n9py) · CMS NH Health Deficiencies (r5ix-sfxw) · CMS NH Penalties (g6vv-u9sr) · Medicare.gov profile for CCN 415040 · CMS certification & compliance · HHS-OIG exclusions program. All data is US Government Works (public domain per 17 U.S.C. 105).

Compliance posture

Methodology · Corrections log · Editorial policy

Not designated

Does Royal Middletown Nursing Center accept Medicare and Medicaid?

Royal Middletown Nursing Center is classified as "Medicare and Medicaid" per the CMS Care Compare dataset. Contact the facility directly to confirm current enrollment and acceptance of new residents.