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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 50 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. The latest standard survey recorded 16 findings, above the RI average of 8.7. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Royal Middletown Nursing Center receives highly polarized feedback, with recent positive reviews often praising leadership and specific staff members, while critical reviews highlight significant lapses in basic care and hygiene. Families report inconsistent experiences, noting that while some staff are compassionate and professional, others are described as inattentive, particularly on weekends. Potential residents should be aware of serious complaints regarding cleanliness, food quality, and responsiveness to basic patient needs.
Quality Themes
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Concerns
Rating Trends
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Distribution · 52 analyzed
Personalized based on this facility's data
Key Review Excerpts
“PT & OT were essential to my recovery and we worked hard to get me back up and moving. It is hard to be away from home at least they made me feel like I could ask anything and they helped.”
“It was absolutely terrible the place was infested with fruit flies could not eat a meal without one of them landing in your meal the care was terrible wasn't given a shower for 2 weeks never had my bed changed had to ask for washcloth during the day.”
“Some of the staff was wonderful. The non regular staff on weekends were not good. Trying to get someone to answer the phone on the weekends is terrible.”
Total nursing hours are below the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
6
measures
4
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Royal Middletown has a concerning pattern of recurring deficiencies, with families filing 12 complaints that triggered federal inspections. The facility repeatedly struggles with infection control (cited 4 times across multiple years), care quality standards, and medication management. Most troubling are issues with abuse/neglect reporting procedures and a recent high-severity infection control violation. While all deficiencies show correction dates, the persistent recurrence of similar problems suggests ongoing systemic challenges families should carefully consider.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal Penalties
Fine
Nov 25, 2025
$30,590
Royal Middletown Nursing Center
for profit
Royal Health Group
12 facilities nationwide
Chain avg rating: 3.3/5 · Rank 7 of 12
Owners
Mamary, James
Owner
Mamary, Jonathan
Owner
Key personnel
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