Royal of Westerly Nursing Center
79 Beach Street · Westerly, RI · 02891 · 4015964925
66 certified beds For profit - Partnership Chain: Royal Health Group
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.22 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.87 | 0.55–0.75 |
| Weekend hours / resident-day | 2.83 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 1 · $8,647 |
Inspection citations (21 in the current record)
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Potential for harm · E February 19, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 27, 2026 · Resident Rights
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Potential for harm · E February 19, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 27, 2026 · Quality of Life and Care
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Potential for harm · E February 19, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 27, 2026 · Quality of Life and Care
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Potential for harm · E February 19, 2026
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected March 27, 2026 · Nursing and Physician Services
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Potential for harm · E February 19, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 27, 2026 · Pharmacy Service
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Potential for harm · E February 19, 2026
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.
Corrected March 27, 2026 · Pharmacy Service
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Potential for harm · D February 19, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 19, 2026
Implement a program that monitors antibiotic use.
Corrected March 27, 2026 · Infection Control
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Actual harm · G February 4, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D February 4, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D December 5, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 25, 2024 · Quality of Life and Care
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Potential for harm · D December 5, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 25, 2024 · Pharmacy Service
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Potential for harm · D December 5, 2024
Provide and implement an infection prevention and control program.
Corrected December 25, 2024 · Infection Control
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Potential for harm · E January 12, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 11, 2024 · Pharmacy Service
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Potential for harm · D January 12, 2024
Ensure that residents are free from significant medication errors.
Corrected February 11, 2024 · Pharmacy Service
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Potential for harm · E January 12, 2024
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.
Corrected February 11, 2024 · Pharmacy Service
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No harm found · B January 12, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected February 11, 2024 · Resident Rights
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Potential for harm · D July 27, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 15, 2023 · Quality of Life and Care
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Potential for harm · D June 2, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 21, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 2, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 21, 2023 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 4, 2025 | Fine | $8,647 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 415004 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.