CCN 415040 · Newport County, Rhode Island
Royal Middletown Nursing Center
193 Forest Avenue, Middletown, RI 02842
Royal Middletown Nursing Center is a 50-bed for-profit nursing home in Middletown, Rhode Island, first certified for Medicare or Medicaid in 1974. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 44.5 residents a day, about 89% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 50
- Average residents per day
- 44.5 (89.0% of beds)
- Ownership type
- For profit - Partnership
- Certification
- Medicare and Medicaid
- Legal business name
- Royal Middletown Nursing Center LLC
- Certified since
- Mar 31, 1974
- Chain or affiliated group
- Royal Health Group (12 facilities, chain average 3.2 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Rhode Island median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 13 at 1, 21 at 2, 7 at 3, 20 at 4, 10 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 2 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.21 | 3.58 | 3.68 |
| RN hours per resident per day | 0.92 | 0.72 | 0.58 |
| Weekend nurse hours per resident per day | 2.94 | ||
| Nursing staff turnover | 62.5% | 39.3% | 44.9% |
| Occupancy (residents / beds) | 89.0% | 89.9% | 85.7% |
| Fines reported by CMS | 1 totaling $19,884 | ||
| Health deficiencies, latest standard survey | 16 (Apr 30, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Royal Middletown Nursing Center meets that part today: 2 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Mamary, JamesIndividual | Direct Ownership Interest | 50% | 01/14/2016 |
| Mamary, JamesIndividual | Operational / Managerial Control | n/a | 08/19/2016 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.