Royal of Westerly Nursing Center

Royal of Westerly Nursing Center

WESTERLY, RI 02891 View Map

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

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Overview of 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.
(401) 596-4925

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.43/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
5/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
4/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
3/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
5/5

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.

Similar demand to the state average
Occupancy rate 91.7%
Residents per day (avg) 58
Occupancy rate
91.7%
Residents per day (avg)
58

Who this home usually serves

TYPE OF STAY

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.

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 Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.7M
42.4% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.6M
Total costs $8.3M
Bed community size
66-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
9 years in operation
An established community with some operational experience and growing routines.

About this community

License Status
Active
Facility 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.

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
-
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
-
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
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
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.

Conroe
12
No
8
GOLDEN OAKS VILLAS, LLC
-
-
-
-
-
-
-
-
-
-
-
-
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

Address 2.3 miles from city center

Address WESTERLY, RI 02891

Calculate Travel Distance to Royal of Westerly Nursing Center

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Address

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 Nurse147.4 No
Licensed Practical Nurse79.2 No
Certified Nursing Assistant377.1 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 Assistant370378,20991100%7.1
Licensed Practical Nurse7072,91691100%9.2
Registered Nurse140142,60291100%7.4
Occupational Therapy Aide100101,3304347%6.7
Nurse Aide in Training9091,2667886%6.3
Medication Aide/Technician8081,1438695%6.5
Clinical Nurse Specialist6069177178%3.7
Other Dietary Services Staff4048649099%6.7
RN Director of Nursing4045186774%2.9
Physical Therapy Assistant0334866875%7.2
Dietitian1014546369%7.2
Administrator1014325459%8
Speech Language Pathologist0224195763%7.2
Physical Therapy Aide0224046470%6.3
Respiratory Therapy Technician0333475763%6.1
Nurse Practitioner2023454954%7
Mental Health Service Worker1013154044%7.9
Qualified Social Worker0222494145%5.8
Dental Services Staff1011521921%8
Feeding Assistant011651314%5
Medical Director101391314%3
Occupational Therapy Assistant1012933%9.7

Health Inspection History

Total Health inspections 6
Near State average
State average: N/A

Last Health inspection on Feb 2025

Total Health citations 14
Near State average
State average: N/A

2.33 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 9 citations
Complaint investigations 5 citations
Breakdown of citations
Critical Health citations 0
Near State average
State average: N/A
Serious Health citations 1
Near State average
State average: N/A
Moderate Health citations 12

Minor Health citations 1
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

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.

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 9.4
9% better than State average
State average: 10.3
Functional decline score 21.9
8% worse than State average
State average: 20.2
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 19.0%
3% below State average.

Walking Ability Worsened 16.7%
8% below State average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 30.0%
31% above State average.
Safety & clinical stability

Falls with Major Injury 4.9%
33% above State average.

High Risk Residents with Pressure Ulcers 2.6%
45% below State average.

Urinary Tract Infection 1.0%
56% below State average.
Emotional & behavioral wellbeing

Depressive Symptoms 44.0%
227% above State average.

Antipsychotic Use 18.5%
14% below State average.
Preventive care

Pneumococcal Vaccine 99.5%
7% above State average.

Influenza Vaccine 100.0%
5% above State average.
Nutrition & physical health

Lost Too Much Weight 3.7%
32% below State average.
Short-stay resident measures
Pneumococcal Vaccine 83.6%

10% better than State average
Antipsychotic medication increase 0.4%

79% better than State average
Influenza Vaccine 95.7%

22% better than State average

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
This home paid 91% less in fines than the state average.
State average: $94K
Number of Fines 1
This home received 65% fewer fines than the state average.
State average: 2.8
Payment Denials 0
This home had 100% fewer payment denials than the state average.
State average: 0.4
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Feb 4, 2025
$9K

Last updated: Jan 2026

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