Establishment profile
Royal Middletown Nursing Center
193 Forest Avenue, Middletown, RI, 02842
Operated by ROYAL HEALTH GROUP · 1 of 11 establishments
Summary
Royal Middletown Nursing Center has no OSHA inspection history on file. Federal records covering wage, environmental, labor relations, and other agencies are noted below where present.
The most recent federal enforcement activity was recorded 0 days ago.
Federal records were found in 1 of 15 sources. Sources without matching records returned empty for this establishment.
Agency coverage
Royal Middletown Nursing Center appears in CMS nursing home enforcement record only. No matching records were found in OSHA workplace safety, WHD wage enforcement, MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, CPSC product recalls, or NHTSA vehicle recalls. Single-agency enforcement records typically indicate either a discrete incident-based inspection or a low-risk operational profile.
OSHA workplace safety
No OSHA inspections, citations, or accidents on file for Royal Middletown Nursing Center. Verify directly with Occupational Safety and Health Administration →
Safety self-report (OSHA 300A)
No self-reported injury rates filed with OSHA's Injury Tracking Application for Royal Middletown Nursing Center. Verify directly with OSHA Injury Tracking Application →
OSHA severe injury reports
No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for Royal Middletown Nursing Center. Verify directly with Occupational Safety and Health Administration →
Activity timeline
Most recent federal enforcement activity recorded 0 days ago. Data on this page is refreshed weekly.
Wage & Hour Division (WHD)
No WHD wage, overtime, or child-labor enforcement cases on file for Royal Middletown Nursing Center. Verify directly with Wage and Hour Division →
Mine safety (MSHA)
No MSHA mine safety violations on file for Royal Middletown Nursing Center. Verify directly with Mine Safety and Health Administration →
Labor relations (NLRB)
No NLRB unfair labor practice charges or union representation cases on file for Royal Middletown Nursing Center. Verify directly with National Labor Relations Board →
Visa & labor certification (OFLC) — historical
No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for Royal Middletown Nursing Center. Verify directly with Office of Foreign Labor Certification →
Environmental compliance (EPA)
No EPA inspections or formal enforcement actions on file for Royal Middletown Nursing Center. Verify directly with Environmental Protection Agency →
CMS nursing-home record
CCN 415040 · Chain: ROYAL HEALTH GROUP
Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →
CMS Care Compare deficiencies
Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 26 citations across 10 surveys · 2 actual-harm · 16 complaint-triggered · 26 marked corrected.
| Survey date | F-Tag | Severity | Description | Type | Corrected |
|---|---|---|---|---|---|
| Apr 2026 | 0606 | F | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Complaint | May 2026 |
| Apr 2026 | 0557 | E | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies | Standard | May 2026 |
| Apr 2026 | 0600 | D | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Complaint | May 2026 |
| Apr 2026 | 0610 | D | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Standard | May 2026 |
| Apr 2026 | 0684 | D | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies | Standard | May 2026 |
| Apr 2026 | 0697 | D | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies | Standard | May 2026 |
| Apr 2026 | 0760 | D | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies | Standard | May 2026 |
| Apr 2026 | 0849 | D | 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. Administration Deficiencies | Standard | May 2026 |
| Apr 2026 | 0880 | D | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard | May 2026 |
| Feb 2026 | 0760 | D | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies | Complaint | Mar 2026 |
| Feb 2026 | 0849 | D | 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. Administration Deficiencies | Complaint | Mar 2026 |
| Jan 2026 | 0658 | D | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies | Complaint | Jan 2026 |
| Jan 2026 | 0880 | D | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Complaint | Jan 2026 |
| Dec 2025 | 0684 | E | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies | Complaint | Dec 2025 |
| Nov 2025 | 0880 | H (harm) | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Complaint | Dec 2025 |
| Nov 2025 | 0684 | G (harm) | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies | Complaint | Dec 2025 |
| Apr 2025 | 0610 | D | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Complaint | May 2025 |
| Apr 2025 | 0658 | D | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies | Standard | May 2025 |
| Apr 2025 | 0726 | D | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies | Standard | May 2025 |
| Apr 2025 | 0842 | D | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies | Standard | May 2025 |
| Nov 2024 | 0695 | E | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies | Complaint | Nov 2024 |
| Oct 2024 | 0658 | D | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies | Complaint | Oct 2024 |
| Apr 2024 | 0812 | F | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Complaint | Apr 2024 |
| Apr 2024 | 0880 | F | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Complaint | Apr 2024 |
| Apr 2024 | 0757 | E | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies | Complaint | Apr 2024 |
| Feb 2024 | 0757 | D | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies | Complaint | Mar 2024 |
Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.
In the news
Part of a larger organization
Royal Middletown Nursing Center is one of 11 establishments rolled up under the parent organization ROYAL HEALTH GROUP.
Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of ROYAL HEALTH GROUP across all 11 of its tracked locations is viewable on the parent profile.
Other locations under this parent
Other establishments operated by ROYAL HEALTH GROUP, ordered by federal enforcement volume:
- ROYAL NURSING CENTER, LLCFALMOUTH, MA — 1 federal enforcement record
Related searches
- All ROYAL HEALTH GROUP locationsParent rollup
- Employers in RIState-wide enforcement data
About this data
This profile aggregates federal enforcement records on Royal Middletown Nursing Center from every major federal compliance and enforcement source. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.
Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup ROYAL HEALTH GROUP, which operates 11 establishments in our dataset.
OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.
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Contact sales →Frequently asked
- What is Royal Middletown Nursing Center's OSHA violation history?
- Royal Middletown Nursing Center has no OSHA inspections on record.