Royal of Westerly Nursing Center
Strong Medicare quality ratings; families often praise highly engaging and creative activities department. Still worth an in-person visit.
based on 222 Google reviews
Watch Royal of Westerly Nursing Center
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
What this means for your family
This facility is highly regarded for its vibrant activities program and compassionate nursing care, making it a strong candidate for long-term or memory care. However, because some reviewers have raised concerns about staffing levels and cleanliness, we recommend scheduling a visit during a weekend or evening shift to observe the environment firsthand.
Google Reviews
Google Reviews
222 reviews on Google“Royal of Westerly Nursing Center receives overwhelming praise for its dedicated nursing staff, compassionate leadership, and an exceptionally active and engaging activities department. While the vast majority of reviews describe a clean, home-like environment, a small minority of reviewers have raised serious concerns regarding understaffing, cleanliness, and poor communication during the admissions process.”
Quality Themes
Tap a score for detailsStrengths
- Highly engaging and creative activities department
- Compassionate and attentive nursing staff
- Clean and well-maintained facility environment
- Strong communication from management and social workers
Concerns
- Understaffing leading to poor care quality (mentioned by 2 reviewers)
- Facility cleanliness issues (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 209 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the facility's strong reputation for creative programming, could you walk us through a few examples of the activities scheduled for this week?
- 2I noticed the staffing rating is a 3/5; how does the leadership team ensure that residents receive consistent, attentive care during busy shifts?
- 3We understand that dining experiences can be challenging in a clinical setting; what steps are you taking to improve the quality and variety of the meals served to residents?
- 4While the facility is generally well-regarded for its cleanliness, how do you maintain those high standards consistently throughout all areas of the building?
- 5In the event of a medical emergency, what is your specific protocol for notifying family members and coordinating with local hospitals?
- 6I see that management is active in communicating with families; what is the best way for us to stay in the loop regarding our loved one's daily progress and care plan?
Personalized based on this facility's data
Key Review Excerpts
“The activities department here at the Royal is the best around. I am a musician, and have played here and all the activities director and staff were all interacting with their residence.”
“The Administrative Staff regularly calls to provide updates. The Royal Westerly Staff excels in not just caring for their patients but also about the patients families.”
“The staff at the Royals are very caring and very professional to their patients and their familes. The Royals is a very clean facility.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
5
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning patterns with medication management and quality of care issues recurring across multiple surveys, including recent violations in February 2025. Families have filed complaints leading to five deficiencies, including problems with treatment protocols, bladder/bowel care, abuse reporting, and safety hazards. While the facility has addressed each violation with correction plans, the persistence of medication errors and care deficiencies across surveys suggests ongoing challenges with fundamental care practices.
Feb 19, 2026Routine9
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
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 Deficiencies
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
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 Deficiencies
Implement a program that monitors antibiotic use.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Feb 4, 2025Complaint2
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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Dec 5, 2024Routine6
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 12, 2024Routine14
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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 Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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 Deficiencies
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Jul 27, 2023Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jun 2, 2023Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Feb 4, 2025
$8,647
Ownership & Operations
Who Operates This Facility
Royal of Westerly Nursing Center
for profit
Chain Affiliation
Royal Health Group
12 facilities nationwide
Chain avg rating: 3.3/5 · Rank 1 of 12 (Best)
Ownership & Management
Owners
Mamary, James
Owner
Mamary, Jonathan
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
222 reviews from families & visitors
Official Website
Visit royalhealthgroup.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Nearby Alternatives
Westerly Health Center
2.0 miNursing Home · Westerly, RI
Apple Rehab Clipper
2.6 miNursing Home · Westerly, RI
Avalon Health Care Center at Stoneridge
6.0 miNursing Home · Mystic, CT
Pendleton Rehabilitation and Nursing Center
6.4 miNursing Home · Mystic, CT
Apple Rehab Mystic
7.0 miNursing Home · Mystic, CT
Mystic Healthcare & Rehabilitation Center, LLC
7.6 miNursing Home · Mystic, CT