In their own words
No description from the operator yet. If you manage this facility, claim this listing to tell families your side — and respond to the record below. Claimed pages also stop showing nearby alternatives: the page becomes yours alone.
The record
CMS Care Compare · Jun 2026| Overall | ★★☆☆☆ 2 of 5 |
| Health inspection | ★★☆☆☆ 2 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
Staffing · hours per resident per day
Medication & safety · share of long-stay residents
| Federal fines | $30,590 · 1 penalty |
| Abuse icon | None |
| Conflict flags in latest reconcile | 4 |
RI does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.
What the pattern says
Palmelle pattern checks · v1Mixed — worth touring with these questions in hand.
- No sedation pattern. Sleep-medication use is below national norms. Antipsychotic use is elevated, but paired with high staffing this reads clinical, not custodial — ask the medical director about their reduction program.
- The falls number is the outlier: 3× the national rate. 5.3% of long-stay residents had a fall with major injury vs 1.6% nationally. High staffing makes this surprising, which is exactly why it needs asking about: one bad cluster, a reporting artifact, or a real problem.
- $30,590 in federal fines. 1 penalty in the last 36 months — the citation detail is in the record above.
These checks are computed the same way for every facility. Good patterns and bad ones both print.
Nearby & comparable
Same records, same rulesQuestions families ask
What is the CMS rating for Royal Middletown Nursing Center?
Royal Middletown Nursing Center has an overall CMS Care Compare rating of 2 out of 5 stars.
Has Royal Middletown Nursing Center been cited for resident harm?
Royal Middletown Nursing Center has $30,590 in federal fines across 1 penalties in the last 36 months. Details appear in the record above.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.