Occupancy rate
89%
In line with the state averageMix 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.
Assisted Living Home
Royal of Westerly Nursing Center
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.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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
89.4%
Residents per day (avg)
58
Occupancy rate
89.4%
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
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$8.7M
Profit
$408.1K
Privately-owned community
Operated by a partnership between two or more business owners.
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
Occupancy
In line with the state averageOccupied beds
59 / 66
License details
Facility type
Nursing Facility
Status
Active
Issuance
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
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
Latest inspection
Date:December 31, 2024
Type:Plan Of Correction
15 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health inspections
6
State average N/A
Last Health inspection on Feb 2025
Total health citations
14
Citations per inspection
2.33
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 14 citations resulted from standard inspections; and 5 of 14 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
In line with State averageState average: N/A
Serious Health citations
1
1
In line with State averageState average: N/A
0 critical citations
1 serious citation
12 moderate citations
1 minor citation
Citations history (last 3 years)
Quality of Care serious citation
Feb 04, 2025
Corrected
Quality of Care moderate citation
Feb 04, 2025
Corrected
Infection Control moderate citation
Dec 05, 2024
Corrected
Pharmacy moderate citation
Dec 05, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Usa
The information below is reported by the Rhode Island Department of Health, Center for Health Facilities Regulation.
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
-
-
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
Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
16
No
27
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
12
No
8
-
Anton’s Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Boerne
10
No
-
-
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 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
59 residents
Residents by payment source
Medicare
5 residents (8.5%)
Medicaid
26 residents (44.1%)
Private pay or other
28 residents (47.5%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.4
9% better than State averageState average: 10.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.9
8% worse than State averageState average: 20.2
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
19.0%
Percent of long-stay residents whose need for help with daily activities has increased
19.0%
In line with State averageState average: 19.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
16.7%
Percent of long-stay residents whose ability to move independently worsened
16.7%
8% better than State averageState average: 18.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.0%
31% worse than State averageState average: 22.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
33% worse than State averageState average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.6%
Percent of long-stay high risk residents with pressure ulcers
2.6%
45% better than State averageState average: 4.7%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.0%
Percent of long-stay residents with a urinary tract infection
1.0%
56% better than State averageState average: 2.3%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.7%
Percent of long-stay residents who lose too much weight
3.7%
32% better than State averageState average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
44.0%
Percent of long-stay residents who have depressive symptoms
44.0%
227% worse than State averageState average: 13.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.5%
Percent of long-stay residents who received an antipsychotic medication
18.5%
14% better than State averageState average: 21.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
7% better than State averageState average: 93.1%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than State averageState average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.6%
10% better than State averageState average: 76.2%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
79% better than State averageState average: 2.0%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
22% better than State averageState average: 78.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and 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 amount
$9K
91% lower than State averageState average: $94K
Number of fines
1
65% fewer fines than State averageState average: 2.8
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState average: 0.4
Fines amount comparison
Fines amount comparison
This facility
$9K
State average
$94K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 4, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 4, 2025
$9K
Last updated: Jan 2026
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
Loading trend charts...
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