Royal Middletown Nursing Center
State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2025-11-25 — 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.
2025-11-25 — ACTUAL HARM (tag F0880, severity H)
Infection Control Deficiencies · correction not recorded in CMS data
Provide and implement an infection prevention and control program.
Staffing, from payroll records
Nursing hours / resident / day
2.68
state median 3.21
Weekend staffing gap
+2%
more nursing hours on weekends · state median −7%
RN hours / resident / day
0.69
registered nurses only
Contract (agency) staff
14%
share of all nursing hours
Nursing staff turnover
63%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $30,590 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-11-25 | Fine | $30,590 |
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) —
- Royal of Fairhaven Nursing Center (FAIRHAVEN, MA) —
- ROYAL NURSING CENTER, LLC (FALMOUTH, MA) —
- ROYAL MEADOW VIEW CENTER (NORTH READING, MA) —
- ROYAL NORWELL NURSING & REHABILITATION CENTER LLC (NORWELL, MA) —
- ROYAL WOOD MILL CENTER (LAWRENCE, MA) —
- Royal Cape Cod Nursing & Rehabilitation Center (BUZZARDS BAY, MA) —
- ROYAL WAYLAND REHABILITATION AND NURSING CENTER (WAYLAND, MA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-30 | F0557 | Resident Rights Deficiencies | E | not recorded |
| 2026-04-30 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-04-30 | F0606 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | F | not recorded |
| 2026-04-30 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-04-30 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-30 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-30 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-04-30 | F0849 | Administration Deficiencies | D | not recorded |
| 2026-04-30 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2026-02-19 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-02-19 | F0849 | Administration Deficiencies | D | not recorded |
| 2026-01-07 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-01-07 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-12-08 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-11-25 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-11-25 | F0880 | Infection Control Deficiencies | H | not recorded |
| 2025-04-02 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-04-02 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-04-02 | F0726 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2025-04-02 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-11-07 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-10-08 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-04-11 | F0757 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-04-11 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-04-11 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2024-02-29 | F0757 | Pharmacy Service Deficiencies | D | not recorded |