Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
ROYAL OF WESTERLY NURSING CENTER
ROYAL OF WESTERLY NURSING CENTER
ROYAL OF WESTERLY NURSING CENTER is an Assisted Living Home in Rhode Island
ROYAL OF WESTERLY NURSING… is an Assisted Living Home in Rhode Island
Royal of Westerly Nursing Center has been serving the community since the early 1970s and joined the Royal Health Group family in 2016. Located in the beautiful coastal community of Westerly, Rhode Island, it offers a variety of services including long-term and short-term care, rehabilitation, and specialty services for seniors. The facility is committed to meeting the social, emotional, physical, and spiritual needs of its residents.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
66
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
91.7%
Residents per day (avg)
58
Occupancy rate
91.7%
Residents per day (avg)
58
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
41% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
56% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
4 years
Finances and operations
Proprietary home
Partnership
Home revenue
$8.7M
Profit
$408.1K
Proprietary home
Partnership
Home revenue
$8,670,106.00
Profit
$408,051.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.3M
66-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
9 years in operation
An established community with some operational experience and growing routines.
About this community
License Status
ActiveFacility Type
Nursing Facility
License Date
July 1, 2016
Additional licensing details
License number:
LTC00801
CMS Certification Number:
415004
Ownership & operating entity
Owner name:
SUSAN MISTO, ADMINISTRATOR
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
Contact Information
Fax:
(401) 596-4925
Amenities & Lifestyle
Programs & Activities
Specific Programs
Activity Enrichment, Alzheimer’s Care, Cardiac Care, Hospice Services, Nutritional Care, Rehabilitation, Royal at Home, Russian “Sunrise” Immersion Program
Inspection History
In Rhode Island, the Department of Health, Center for Health Facilities Regulation is the primary authority for inspecting, licensing, and reporting on all long-term care facilities.
Show Inspection Reports
Comparison Chart
The information below is reported by the Rhode Island Department of Health, Center for Health Facilities Regulation.Compare Assisted Living around Usa
Job Haines Home
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Home Care
HC
Hospice Care
SNF
Nursing Homes 24/7 care needed
Bloomfield
40
No
85
HAVERON, NOREEN
45.5%
$13,340,016.00
$10,214,151.00
76.6%
36.90
5/5
6.3081
5/5
5/5
4/5
-
Studio / 1 Bed / Private / Semi-Private Rooms
ROYAL OF WESTERLY NURSING CENTER
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
RI 02891
66
No
-
MISTO, SUSAN
91.7%
$8,610,011.00
$3,674,892.00
42.7%
57.60
5/5
3.4334
4/5
3/5
5/5
1
-
Anton’s Assisted Living
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10
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-
-
-
-
-
-
-
-
-
-
-
-
-
-
Village Care Homes Assisted Living – Stephen F Austin
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Assisted Living For seniors needing help with daily tasks but not full-time nursing.
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27
VILLAGE CHANGE LLC
-
-
-
-
-
-
-
-
-
-
-
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
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12
No
8
GOLDEN OAKS VILLAS, LLC
-
-
-
-
-
-
-
-
-
-
-
-
Places of interest near ROYAL OF WESTERLY NURSING CENTER
2.3 miles from city center
WESTERLY, RI 02891
Calculate Travel Distance to ROYAL OF WESTERLY NURSING CENTER
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
120
Total Staff
107
Employees
13
Contractors
23,500
Total Hours (Quarter)
38
Avg Staff/Day
6.8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 14 | 7.4 | No |
| Licensed Practical Nurse | 7 | 9.2 | No |
| Certified Nursing Assistant | 37 | 7.1 | No |
Staff by Category
Administration ⓘ
2 staff
7hs shift avg
Nursing Staff ⓘ
80 staff
7hs shift avg
Physicians & Practitioners ⓘ
8 staff
4.3hs shift avg
Therapy Services ⓘ
21 staff
6.7hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
5.8hs shift avg
Dietary Services ⓘ
5 staff
6.9hs shift avg
Other Services ⓘ
2 staff
7.9hs shift avg
Contractor Analysis
8.4%
of total hours from contractors
1,970 contractor hours this quarter
Speech Language Pathologist: 2
Respiratory Therapy Technician: 3
Physical Therapy Aide: 2
Physical Therapy Assistant: 3
Qualified Social Worker: 2
Feeding Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 37 | 0 | 37 | 8,209 | 91 | 100% | 7.1 |
| Licensed Practical Nurse | 7 | 0 | 7 | 2,916 | 91 | 100% | 9.2 |
| Registered Nurse | 14 | 0 | 14 | 2,602 | 91 | 100% | 7.4 |
| Occupational Therapy Aide | 10 | 0 | 10 | 1,330 | 43 | 47% | 6.7 |
| Nurse Aide in Training | 9 | 0 | 9 | 1,266 | 78 | 86% | 6.3 |
| Medication Aide/Technician | 8 | 0 | 8 | 1,143 | 86 | 95% | 6.5 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 917 | 71 | 78% | 3.7 |
| Other Dietary Services Staff | 4 | 0 | 4 | 864 | 90 | 99% | 6.7 |
| RN Director of Nursing | 4 | 0 | 4 | 518 | 67 | 74% | 2.9 |
| Physical Therapy Assistant | 0 | 3 | 3 | 486 | 68 | 75% | 7.2 |
| Dietitian | 1 | 0 | 1 | 454 | 63 | 69% | 7.2 |
| Administrator | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 419 | 57 | 63% | 7.2 |
| Physical Therapy Aide | 0 | 2 | 2 | 404 | 64 | 70% | 6.3 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 347 | 57 | 63% | 6.1 |
| Nurse Practitioner | 2 | 0 | 2 | 345 | 49 | 54% | 7 |
| Mental Health Service Worker | 1 | 0 | 1 | 315 | 40 | 44% | 7.9 |
| Qualified Social Worker | 0 | 2 | 2 | 249 | 41 | 45% | 5.8 |
| Dental Services Staff | 1 | 0 | 1 | 152 | 19 | 21% | 8 |
| Feeding Assistant | 0 | 1 | 1 | 65 | 13 | 14% | 5 |
| Medical Director | 1 | 0 | 1 | 39 | 13 | 14% | 3 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 29 | 3 | 3% | 9.7 |
Health Inspection History
Source: CMS Health Citations (Nov 2022 – Feb 2025)
6
Inspections
14
Total Citations
0
Critical (J-L)
1
Serious (G-I)
2.33
Citations/Inspection
Feb 2025
Last Inspection
Citation Severity Distribution
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
7
50% of total
Pharmacy Services
4
29% of total
Infection Control
1
7% of total
Resident Rights
1
7% of total
Abuse, Neglect & Exploitation
1
7% of total
Citation Sources
Standard Inspections
9
Complaint Investigations
5
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Feb 04, 2025 | G | Quality of Care | F0684 | Corrected |
| Feb 04, 2025 | D | Quality of Care | F0690 | Corrected |
| Dec 05, 2024 | D | Infection Control | F0880 | Corrected |
| Dec 05, 2024 | D | Pharmacy | F0757 | Corrected |
| Dec 05, 2024 | D | Quality of Care | F0684 | Corrected |
| Jan 12, 2024 | E | Pharmacy | F0755 | Corrected |
| Jan 12, 2024 | D | Pharmacy | F0760 | Corrected |
| Jan 12, 2024 | E | Pharmacy | F0761 | Corrected |
| Jan 12, 2024 | B | Resident Rights | F0568 | Corrected |
| Jul 27, 2023 | D | Quality of Care | F0684 | Corrected |
| Jun 02, 2023 | D | Abuse/Neglect | F0609 | Corrected |
| Jun 02, 2023 | D | Quality of Care | F0689 | Corrected |
| Nov 03, 2022 | D | Quality of Care | F0689 | Corrected |
| Nov 03, 2022 | D | Quality of Care | F0695 | Corrected |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Partnership
Part of: ROYAL HEALTH GROUP
Resident Census by Payment Source
59
Total Residents
Medicare
5
(8.5%)
ⓘ
Medicaid
26
(44.1%)
ⓘ
Private Pay/Other
28
(47.5%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality Measures
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
High-Risk Clinical Events
9.4
Score
9% better than avg
avg: 10.3
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Functional Decline
21.9
Score
8% worse than avg
avg: 20.2
Composite score based on ADL decline, walking ability decline, and incontinence
Long-Stay Resident Measures
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Need for Help with Daily Activities Increased
19.0%
Lost Too Much Weight
3.7%
Urinary Tract Infection
1.0%
Depressive Symptoms
44.0%
Falls with Major Injury
4.9%
Pneumococcal Vaccine
99.5%
Antipsychotic Use
18.5%
Walking Ability Worsened
16.7%
Influenza Vaccine
100.0%
High Risk Residents with Pressure Ulcers
2.6%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
30.0%
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Pneumococcal Vaccine
83.6%
10% better than avg
: 76.2%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.4%
79% better than avg
: 2.0%
Influenza Vaccine
95.7%
22% better than avg
: 78.2%
Penalties & Fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total Fines
$9K
avg: $94K
91% better than avg
Number of Fines
1
avg: 2.8
Compared to Average
Facility: $9K |
Avg: $94K
Penalty History
Showing all 1 penalties (Feb 2025 - Feb 2025)
Feb 4, 2025
Civil Money Penalty
$9K
Financial Trends
Historical financial and operational data for ROYAL OF WESTERLY NURSING CENTER based on CMS SNF Cost Reports.
Occupancy Rate
91.7%
↑ 3.5pp vs 2022
Net Income
$408,051
↓ ~$222K vs 2022
Total Payroll
$4,659,638
↑ ~$386K vs 2022
Profit Margin
4.7%
↓ 3.6pp vs 2022
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