Royal Middletown Nursing Center

In the surveyor’s words

From the most serious findings on record at Royal Middletown Nursing Center, in the surveyor’s own words.

• Actual harm, patternF880Nov 25, 2025

  Based on surveyor observation, record review, and staff interview, the facility failed to; obtain, review, and report laboratory tests, as ordered, and complete ordered COVID-19 testing upon admission and on subsequent days for 2 of 3 newly admitted residents reviewed, Resident ID #s 1 and 2. The facility's failure involved urinary tract infection (UTI) related laboratory testing and follow-up, and the failure to obtain Covid-19 testing, as ordered, resulted in a delay of care, including the hospitalization of Resident ID #1 with diagnoses including Covid-19 and a UTI. […]

• Actual harm, isolatedF684Nov 25, 2025

  Based on surveyor observation, record review, and staff interview, the facility failed to; obtain, review, and report laboratory tests, as ordered; notify a provider of abnormal or missing test results; and complete ordered COVID-19 testing upon admission and subsequent days for 2 of 3 newly admitted residents reviewed, Resident ID #s 1 and 2. The facility's failure involved UTI-related laboratory testing and follow-up, that resulted in a delay of care, including the hospitalization of Resident ID #1.Review of a community reported complaint submitted to the Rhode Island Department of Health on 11/18/2025 alleged in part that the facility had a Covid-19 outbreak, and that Resident ID #1 was now positive for Covid-19. […]

• No harm, potential for more than minimal, widespreadF606Apr 30, 2026

  Based on record review and staff interview, the facility failed to ensure that prospective employees were screened for a history of abuse, neglect, exploitation, or misappropriation of resident property, as evidenced by 1 of 1 personnel record reviewed for abuse Nursing Assistant (NA), Staff A. Findings are as follows:Record review of a facility reported incident submitted to the Rhode Island Department of Health on 4/17/2026 revealed that a staff member reported to the facility that she witnessed a NA grab Resident ID #11's face and kiss him/her on the lips.Record review of a community-reported complaint submitted to the Rhode Island Department of Health on 4/22/2026 alleged inappropriate interactions between a nursing assistant and Resident ID #11. […]

• No harm, potential for more than minimal, widespreadF812Apr 11, 2024

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to store food in accordance with professional standards of food service safety relative to the main kitchen. Findings are as follows: Record review of the Rhode Island Food Code, 2018 Edition, Section 3-501.17 states in part, .READY -TO-EAT-TIME/TEMPERATURE CONTROL FOR SAFETY FOOD prepared and held in a FOOD ESTABLISHMENT for more than 24 hours shall be clearly marked to indicate the date or day by which the FOOD shall be consumed on the premises, sold, or discarded when held at a temperature of 5 degrees Celsius or 41 degrees Fahrenheit or less for a maximum of 7 days. […]

• No harm, potential for more than minimal, widespreadF880Apr 11, 2024

  Based on record review and staff interview, it has been determined that the facility failed to implement a water management program based upon industry standards and/or the Centers for Disease Control and Prevention (CDC) toolkit and failed to perform and document specified testing for the prevention of Legionella disease (a very serious type of pneumonia (lung infection) caused by the bacteria called Legionella.) Findings are as follows: Record review of the CDC, Developing a Water Management Program to Reduce Legionella Growth & Spread in Buildings, dated June 2021, version 1.1 states in part, .The key to preventing Legionnaires' disease is maintenance of the water systems in which Legionella may grow .Water stagnation: Encourages biofilm growth and reduces temperature and levels of… […]