Nursing home report card · Westerly, RI
Royal of Westerly Nursing Center
79 Beach Street, Westerly, RI 02891
Call this home: (401) 596-4925
View this home on Medicare.gov ↗
Quick summary
Review the ratings and inspection history below
Use the star ratings as a quick grade, then read what inspectors actually wrote. Numbers alone do not tell the whole story for any one resident.
Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.
How recent is this information?
- Medicare file prepared
- Aug 1, 2026
- Our record last updated
- Sep 17, 2026
- Last routine health inspection
- Feb 19, 2026
These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.
Medicare ratings
One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.
Combines inspection, staffing, and care measures.
Above average
Based on problems found during health inspections.
Above average
Based on staffing levels and related measures.
About average for U.S. nursing homes
Based on reported health and care results.
About average for U.S. nursing homes
What do the ratings and warnings mean?
- Medicare ratings
- One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
- Inspection problems
- Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
- Abuse warning
- Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
- Nursing staff time
- Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.
At a glance
These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.
Care, safety, and resident-rights issues on recent inspections
Building, alarms, exits, and related safety citations
Total fine amounts in the imported penalty records
Medicare home ID: 415004
Inspection findings to read first
Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.
Caused actual harm · isolated case
Feb 4, 2025 · Inspection rule F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Could have caused harm · isolated case
Feb 19, 2026 · Inspection rule F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Could have caused harm · pattern case
Feb 19, 2026 · Inspection rule F0881
Implement a program that monitors antibiotic use.
Nursing staff time
These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.
about 52 minutes per resident per day
about 3 hr 12 min per resident per day
about 33 minutes per resident per day
Latest inspection summary
A summary of the most recent routine inspections. You can open the dated findings below.
Inspectors last checked the home’s day-to-day care on February 19, 2026 and wrote up 9 health problems. The same visit also found 0 fire-safety problems. Looking across recent visits: 9 on visit 1, then 5 on visit 2, then 4 on visit 3.
Top issue areas on the latest visit
- Pharmacy: 2
- Quality of life & care: 2
- Assessment & care planning: 2
- Resident rights: 1
- Infection control: 1
- Nursing & physician services: 1
| Visit | Health check date | Health problems | Fire-safety date | Fire problems |
|---|---|---|---|---|
| #1 | 2026-02-19 | 9 | 2026-02-19 | 0 |
| #2 | 2024-12-05 | 5 | 2024-12-05 | 0 |
| #3 | 2024-01-12 | 4 | 2024-01-12 | 3 |
How this home compares
Compared with state and national averages. The numbers may cover different periods.
- Overall CMS rating: 4 stars — better than the state average (2.9 stars)
- Health inspection rating: 4 stars — better than the state average (2.8 stars)
- Staffing rating: 3 stars — worse than the state average (3.2 stars)
- Registered nurse time per resident: 0.86 hours/day
- Total nurse time per resident: 3.21 hours/day
- The latest health inspection listed 9 problems. State and national averages can cover different inspection periods and are not a like-for-like comparison with this inspection.
See the dates used for these averages
Medicare file dates: this home Aug 1, 2026; Rhode Island averages Aug 1, 2026; U.S. averages Oct 1, 2026.
Other concerns in the records
These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.
- Recent citations include infection-control problems
- CMS has fined this home in the recent reporting period
How serious were the problems?
Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.
- Caused actual harm1 citation
- Could have caused harm19 citations
- Low risk of harm1 citation
Why inspectors showed up
Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.
- Complaints
- 0
- Routine
- 18
- Fire safety
- 3
- Other
- 0
Who owns it
Names CMS lists as owners or managers · reported as For profit - Partnership.
- 5% OR GREATER DIRECT OWNERSHIP INTEREST · Individual · 50% · since 07/01/2016
- OPERATIONAL/MANAGERIAL CONTROL · Individual · NOT APPLICABLE · since 07/01/2016
- W-2 MANAGING EMPLOYEE · Individual · NOT APPLICABLE · since 08/04/2020
- CONTRACTED MANAGING EMPLOYEE · Individual · NOT APPLICABLE · since 02/20/2024
Other homes in this group: All Royal Health Group nursing homes
Inspection history
Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.
February 19, 20269 findings
- Resident Rights problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0552 · code E
Ensure that residents are fully informed and understand their health status, care and treatments.
- Resident Assessment and Care Planning problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0658 · code E
Ensure services provided by the nursing facility meet professional standards of quality.
- Quality of Life and Care problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0690 · code E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Nursing and Physician Services problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0710 · code E
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
- Pharmacy Service problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0757 · code E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- Pharmacy Service problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0761 · code E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Infection Control problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0881 · code E
Implement a program that monitors antibiotic use.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0684 · code D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0842 · code D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
February 4, 20252 findings
- Quality of Life and Care problemsCaused actual harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0684 · code G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0690 · code D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
December 5, 20243 findings
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0684 · code D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Pharmacy Service problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0757 · code D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- Infection Control problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0880 · code D
Provide and implement an infection prevention and control program.
January 12, 20247 findings
- Pharmacy Service problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0755 · code E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Pharmacy Service problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0761 · code E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Pharmacy Service problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0760 · code D
Ensure that residents are free from significant medication errors.
- Resident Rights problemsLow risk of harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0568 · code B
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- Egress problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0293 · code F
Have properly located and lighted "Exit" signs.
- Smoke problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0345 · code F
Have approved installation, maintenance and testing program for fire alarm systems.
- Gas, Vacuum, and Electrical Systems problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0918 · code F
Have generator or other power source capable of supplying service within 10 seconds.
Fines & penalties
These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.
- Fine · Feb 4, 2025$8,647
Other homes in this chain
Royal Health Group · other locations in Rhode Island
Related topics
Questions about Royal of Westerly Nursing Center
What is Royal of Westerly Nursing Center's Medicare star rating?
Has Royal of Westerly Nursing Center been fined?
Does Royal of Westerly Nursing Center have a Medicare abuse warning?
How does Royal of Westerly Nursing Center compare with other nursing homes in Rhode Island?
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