Royal Middletown Nursing Center
193 Forest Avenue, Middletown RI 02842 · (401) 847-2777 · 65.59% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
Royal Middletown Nursing Center is one of just three available facilities located in Middletown, Rhode Island. It looks like this nursing home is ranked among the highest-rated nursing homes we found. A grade in this range requires first-rate scores across the board. In fact, this facility has the prestigious distinction of being one of the top 50 nursing homes in Rhode Island. If you scroll down, you will see this facility's category scores, which are also impressive.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 50 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Short-term Care Quality
On top of faring well in its overall grade, this nursing home received high marks in the category of short-term care as well. It received our highest score in that category with an A+. Our short-term care grades are thought to be most critical for people requiring rehabilitation services. Rehabilitation usually mandates additional skilled nursing services. Skilled nursing includes not merely nursing services, but also physical and speech therapy, as well as other variations of therapy. Remarkably, this facility provides about one and a half times as many hours of services from physical therapists and registered nurses than most facilities we assessed. This is definitely a great sign. The final metric we assessed in this area is the number of patients that returned home from the nursing home. We found that it fared as well as just about any facility in Rhode Island in this area with 68.5 percent of its patients returning home. With most nursing homes, fewer than half of their short-term residents are able to return home.
Nurse Quality
One of the other reasons we graded this nursing home so highly is that it earned a very impressive nursing rating. In that area, we gave this facility an A+. The nursing rating includes numerous factors. The most heavily weighted variable is the number of hours nurses spend with residents. This nursing home provides an impressive 3.6 hours of nursing care per patient per day. Out of this total, more than one fourth of those hours were provided by registered nurses, which is among the most highly skilled levels of nurses. We add more weight to hours worked by skilled nurses in determining our nursing scores. Finally, we also looked at some nursing quality measures in determining our nursing grades. This nursing home performed very well in terms of minimizing its residents' major falls and pressure ulcers. We consider these areas to be good indicators of the quality of nursing care.
Facility Inspections
This facility has received near flawless health inspections in recent years. We awarded them an impressive grade of A in this category. Inspection grades weigh several factors found on a nursing home's inspection reports. One key criteria we look at is the number and severity of deficiencies. Nursing homes with better scores in this category typically have few of these severe deficiencies. This place received 7 deficiencies on its inspection report, but none of the deficiencies were considered severe. This means that the inspectors didn't consider any of the deficiencies to pose an imminent risk to patient safety or health. The fact that the deficiencies were relatively minor leaves us less concerned with this inspection report.
Long-term Care Quality
The final area we rated was long-term care, in which this facility was given a B. Believe it or not, this proved to be this facility's least impressive category. A nursing home could be doing a lot worse when their lowest grade still is superior to most other nursing homes. When facilities receive a score in this range in this category it generally means it's well-staffed and is an overall good place to live on a permanent basis. On top of assessing the amount of care provided by nurses aids and other staff, we also looked at the percentage of residents vaccinated against pneumonia. This facility provided the vaccine to 99.07407 percent of its residents, which is far higher than the average nursing home. Finally, we looked at its number of hospitalizations. We found that this place had 2.34 hospitalizations per one thousand long-term resident days.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Royal Middletown Nursing Center Quality Metrics
Minimizes Pressure Ulcers
This statistic is an indication of the percent of long-term stay patients which have new or worsened pressure ulcers. We find that pressure ulcers are a solid barometer of the quality of nursing care a facility provides.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This datapoint indicates the percentage of long-term patients who sustained a fall which caused serious injury. This is one of the statistics we use in computing nursing grades.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percent of residents that sustained a urinary tract infection. Urinary tract infections are considered by many in the nursing home industry to be a measure of the quality of nursing care . UTI's are often caused by lower quality nursing care. Nevertheless, this datapoint can also be skewed for certain nursing homes due to different reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This datapoint is a measure of the percent of long-term stay patients who are prescribed antipsychotic drugs. High levels of antipsychotic drug use may indicate that a nursing home is using these medications to subdue residents in scenarios where such drugs aren't medically required. However, some facilities may need to rely on these drugs due to having more residents suffering from cognitive disorders.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percentage of patients prescribed antianxiety drugs. These drugs are prescribed to residents suffering from anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This tells you the percentage of residents who are exhibiting symptoms of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is the percentage of residents who received the flu and pneumonia vaccines. Higher vaccination rates should be standard at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is the percentage of residents who needed increased assistance with activities of daily living over time. High levels of dependence on staff for assistance with ADL's may be a sign of deterioration of a resident's medical condition.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percentage of residents that were able to retain mobility over time. Retaining mobility is often a good sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This is a measure of the number of times residents are hospitalized per 1,000 days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is a measure of the number of rehospitalizations per 1,000 days of short-term care. Avoiding rehospitalizations during rehabilitation is critical to restoring the physical well-being of residents.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This is a measure of the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This tells you the percent of short-term stay patients that saw functional improvements, such as enhanced ability to perform activities of daily living. High levels of performance with activities of daily living often correlates with successful rehabilitation.
Percentage of Resident
Higher is Better