Royal of Westerly Nursing Center

79 Beach Street, Westerly, RI 02891 · CCN 415004 · 66 certified beds · Data as of 2026-07-01

CMS overall4 of 5CMS inspections4 of 5CMS staffing3 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.

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Serious inspection findings

2025-02-04 — ACTUAL HARM (tag F0684, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Staffing, from payroll records

Nursing hours / resident / day

2.74

state median 3.21

Weekend staffing gap

−7%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.51

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

47%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $8,647 in fines.

Date	Type	Amount
2025-02-04	Fine	$8,647

Ownership

Ownership type: For profit - Partnership. Part of the ROYAL HEALTH GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

ROYAL BRAINTREE NURSING AND REHABILITATION CENTER (BRAINTREE, MA) — CMS overall2 of 5
Royal of Fairhaven Nursing Center (FAIRHAVEN, MA) — CMS overall2 of 5
ROYAL NURSING CENTER, LLC (FALMOUTH, MA) — CMS overall3 of 5
ROYAL MEADOW VIEW CENTER (NORTH READING, MA) — CMS overall4 of 5
ROYAL NORWELL NURSING & REHABILITATION CENTER LLC (NORWELL, MA) — CMS overall3 of 5
ROYAL WOOD MILL CENTER (LAWRENCE, MA) — CMS overall3 of 5
Royal Cape Cod Nursing & Rehabilitation Center (BUZZARDS BAY, MA) — CMS overall3 of 5
ROYAL WAYLAND REHABILITATION AND NURSING CENTER (WAYLAND, MA) — CMS overall5 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 1 · Potential for more than minimal harm: 17

Survey date	Tag	Category	Severity	Corrected
2026-02-19	F0552	Resident Rights Deficiencies	E	not recorded
2026-02-19	F0658	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-02-19	F0684	Quality of Life and Care Deficiencies	D	not recorded
2026-02-19	F0690	Quality of Life and Care Deficiencies	E	not recorded
2026-02-19	F0710	Nursing and Physician Services Deficiencies	E	not recorded
2026-02-19	F0757	Pharmacy Service Deficiencies	E	not recorded
2026-02-19	F0761	Pharmacy Service Deficiencies	E	not recorded
2026-02-19	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-02-19	F0881	Infection Control Deficiencies	E	not recorded
2025-02-04	F0684	Quality of Life and Care Deficiencies	G	not recorded
2025-02-04	F0690	Quality of Life and Care Deficiencies	D	not recorded
2024-12-05	F0684	Quality of Life and Care Deficiencies	D	not recorded
2024-12-05	F0757	Pharmacy Service Deficiencies	D	not recorded
2024-12-05	F0880	Infection Control Deficiencies	D	not recorded
2024-01-12	F0568	Resident Rights Deficiencies	B	not recorded
2024-01-12	F0755	Pharmacy Service Deficiencies	E	not recorded
2024-01-12	F0760	Pharmacy Service Deficiencies	D	not recorded
2024-01-12	F0761	Pharmacy Service Deficiencies	E	not recorded
2023-07-27	F0684	Quality of Life and Care Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Royal of Westerly Nursing Center, Westerly” at medicare.gov/care-compare.