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Royal of Westerly Nursing Center
Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Westerly, RI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Royal of Westerly Nursing Center, Nursing Home in Westerly, RI — Senior resident enjoying a meal in a dining area

Royal of Westerly Nursing Center

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Westerly, RI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
79 Beach Street, Westerly, RI 02891 View map Calculator: See prices in your area
Royal of Westerly Nursing Center accepts Medicare, Medicaid, and private pay.
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Royal of Westerly Nursing Center accepts Medicare, Medicaid, and private pay.

Overview of Royal of Westerly Nursing Center

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Located on Beach Street in Westerly, Rhode Island, Royal of Westerly Nursing Center is a skilled nursing home owned by Susan Misto. The 66-bed facility has been operating for 9 years. It serves residents needing short-term rehabilitation as well as longer-term nursing care.

Medicare, Medicaid, and private pay are accepted, giving families several options for covering care costs. The home has an occupancy rate of 89%. Residents stay an average of 120 days, including a mix of post-acute recovery stays and ongoing residential care.

Daily nurse staffing averages 3 hours and 26 minutes per resident. Registered nurses provide 52 minutes of direct care each day, while nurse aides contribute 1 hour and 44 minutes. With this level of staffing, the facility can work on its rehabilitation focus and provide care for residents with higher-acuity needs. Short-term rehabilitation, respite care, and 24-hour staffing are all part of the care program.

Specialized services include Alzheimer’s care, cardiac care, nutritional support, and activity enrichment programs. The facility also offers the Russian “Sunrise” Immersion Program and the Royal at Home program. These programs support cultural connection and continuity of care while adding to the daily experience of residents and families.

The facility is located in a car-dependent area with a Walk Score of 19. Most errands and outings require transportation. Its beachside community setting is close to the ocean. Families can expect a quieter pace in a New England coastal town.

State inspections identified concerns related to medication administration and quality procedures. The facility responded with corrective plans, and a later review confirmed that compliance had been restored.

Facility Direct Line (401) 596-4925
Facility Direct Line (401) 596-4925
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 26m per day
Rank #46 / 56Nurse hours — State benchmarkedThis home is ranked 46th out of 56 homes in Rhode Island for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Rhode Island average, with a ranking across 56 Rhode Island facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Rhode Island that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

2 of 6 metrics below state avg

Standout metric LPN / LVN is +29% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 52m per day ▲ 14% State avg: 46m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 38m per day ▲ 29% State avg: 29m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 1h 44m per day ▼ 30% State avg: 2h 28m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 2h 50m per day ▼ 14% State avg: 3h 18m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 3m per day ▲ 14% State avg: 3m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 35m per day ▲ 3% State avg: 34m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
120 days
Bed community size
66-bed community Rank #83 / 109Bed count — State benchmarkedThis home is ranked 83rd out of 109 homes in Rhode Island for Bed Count. Shows this facility's certified or reported bed count compared to other Rhode Island facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Rhode Island that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
10 years in operation Rank #54 / 90Years in operation — State benchmarkedThis home is ranked 54th out of 90 homes in Rhode Island for Years In Operation. Shows how long this facility has been in operation compared to other Rhode Island facilities. Longer operating histories may benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Rhode Island that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A community with a solid operating history and experience delivering ongoing care.
Walk Score
Walk Score: 19 / 100 Rank #94 / 119Walk Score — State benchmarkedThis home is ranked 94th out of 119 homes in Rhode Island for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Rhode Island facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Rhode Island that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
89%
Rank #20 / 55Occupancy rate — State benchmarkedThis home is ranked 20th out of 55 homes in Rhode Island for Occupancy. Shows this facility's occupancy rate versus the Rhode Island average, with its Statewide rank out of 55. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Rhode Island that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Rhode Island average: 83.7%
Occupied beds
59 / 66
Average occupied beds in Rhode Island homes 95 beds

License Details

Facility TypeNursing Facility
StatusActive
IssuanceJuly 1, 2016
License NumberLTC00801
CMS Certification Number415004

Ownership & Operating Entity

Owner NameAdministrator Susan Misto

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Contact Information

Fax(401) 596-4925

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsActivity Enrichment, Alzheimer’s Care, Cardiac Care, Nutritional Care, Royal at Home, Russian “Sunrise” Immersion Program

Contact Royal of Westerly Nursing Center

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.

Since 2022 · 4 years of data 15 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Rhode Island state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Rhode Island state average
Overall vs. RI average 0 Worse No metrics in this bucket. 2 Better Metrics better than Rhode Island average:
• Total deficiencies (56% below)
• Deficiencies per year (55% below)
Latest Inspection December 31, 2024 Plan Of Correction

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityRI Averagevs. RI Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1534 This facility has 56% fewer total deficiencies than a typical Rhode Island assisted living residence (15 vs. RI avg 34).↓ 56% better
Deficiencies per year Info Average deficiencies per year since 2022. 3.88.5 This facility has 55% fewer deficiencies per year than a typical Rhode Island assisted living residence (3.8 vs. RI avg 8.5).↓ 55% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • December 5, 2024 inspection cited 3 deficiencies for quality of care, medication errors, and infection control, substantiating a complaint but found emergency preparedness compliant.
  • January 12, 2024 annual survey identified 7 deficiencies including medication administration errors, personal funds mismanagement, and multiple life safety code violations.
  • December 31, 2024 desk audit accepted plan of correction and confirmed all prior deficiencies were corrected and the facility was in compliance.
Show Inspection Reports

Health Inspection History

Inspections since 2022
Total health inspections 6

State average N/A

Last Health inspection on Feb 2025

Total health citations
14 Rank #9 / 58Health citations — State benchmarkedThis home is ranked 9th out of 58 homes in Rhode Island for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Rhode Island State average, with a ranking across all 58 RI facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Rhode Island that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
2.33 Rank #4 / 58Citations per inspection — State benchmarkedThis home is ranked 4th out of 58 homes in Rhode Island for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Rhode Island mean across 58 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Rhode Island that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

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 4 years)
Critical health citations
0
In line with State average

State average: N/A

Serious health citations
1
In line with State average

State average: N/A

0 critical citations State average: N/A
1 serious citation State average: N/A
12 moderate citations State average: N/A
1 minor citation State average: N/A
Citations history (last 4 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 100
Employees 88
Contractors 12
Staff to resident ratio 1.69 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 35
Average shift 6.9 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 22,196

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 14 RN Staff are full-time employees. No contractors work on this role. 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 10 LPN Staff are full-time employees. No contractors work on this role. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 36 CNA Staff are full-time employees. No contractors work on this role. 36
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

8.5%

1,891 contractor hours this quarter

Physical Therapy Aide: 3 Physical Therapy Assistant: 3 Speech Language Pathologist: 2 Respiratory Therapy Technician: 2 Qualified Social Worker: 2

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant360368,47692100%7.3
Licensed Practical Nurse100103,49892100%8.4
Registered Nurse140142,97392100%7.7
Clinical Nurse Specialist7071,4698188%3.9
Nurse Aide in Training5057736975%7.1
Administrator2025746267%6.3
Physical Therapy Assistant0335006975%6.6
Other Dietary Services Staff2024766065%7
Mental Health Service Worker1014685964%7.9
Dietitian1014666470%7.3
Speech Language Pathologist0224596470%7.2
Nurse Practitioner1014495762%7.9
Medication Aide/Technician5054044751%6.5
Physical Therapy Aide0333726267%5.9
Respiratory Therapy Technician0223185459%5.8
Qualified Social Worker0222433942%6.2
Occupational Therapy Aide1011622527%6.5
Feeding Assistant101551112%5
Medical Director101361213%3
Occupational Therapy Assistant1012933%9.5
36 Certified Nursing Assistant
% of Days 100%
10 Licensed Practical Nurse
% of Days 100%
14 Registered Nurse
% of Days 100%
7 Clinical Nurse Specialist
% of Days 88%
5 Nurse Aide in Training
% of Days 75%
2 Administrator
% of Days 67%
3 Physical Therapy Assistant
% of Days 75%
2 Other Dietary Services Staff
% of Days 65%
1 Mental Health Service Worker
% of Days 64%
1 Dietitian
% of Days 70%
2 Speech Language Pathologist
% of Days 70%
1 Nurse Practitioner
% of Days 62%
5 Medication Aide/Technician
% of Days 51%
3 Physical Therapy Aide
% of Days 67%
2 Respiratory Therapy Technician
% of Days 59%
2 Qualified Social Worker
% of Days 42%
1 Occupational Therapy Aide
% of Days 27%
1 Feeding Assistant
% of Days 12%
1 Medical Director
% of Days 13%
1 Occupational Therapy Assistant
% of Days 3%
View All Staffing Data

Penalties and fines

Includes penalties issued in 2025

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 Rank #19 / 58Federal fines — State benchmarkedThis home is ranked 19th out of 58 homes in Rhode Island for Federal Fines. Shows this facility's cumulative CMS federal fine dollars versus the Rhode Island average among facilities with fines, and where it ranks among 58 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Rhode Island that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
91% lower than State average

State average: $94K

Number of fines 1
65% fewer fines than State average

State average: 2.8

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State 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.

1 penalty in the past 3 years

Feb 4, 2025 · $9K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 4, 2025
$9K

Last updated: Jan 2026

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 Info 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 average

State average: 10.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.9
8% worse than State average

State average: 20.2

Long-stay resident measures
Above average State avg: 3.2 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 19.0%
In line with State average

State average: 19.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 16.7%
8% better than State average

State average: 18.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 30.0%
31% worse than State average

State average: 22.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.9%
33% worse than State average

State average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.6%
45% better than State average

State average: 4.7%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.0%
56% better than State average

State average: 2.3%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.7%
32% better than State average

State average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 44.0%
227% worse than State average

State average: 13.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.5%
14% better than State average

State average: 21.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
7% better than State average

State average: 93.1%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than State average

State average: 95.3%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.54
5% worse than State average

State average: 1.46

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.62
6% better than State average

State average: 1.72

Short-stay resident measures
Above average State avg: 2.4 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 83.6%
10% better than State average

State average: 76.2%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.4%
79% better than State average

State average: 2.0%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 95.7%
22% better than State average

State average: 78.2%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 25.3%
In line with State average

State average: 25.1%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 16.1%
In line with State average

State average: 15.8%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 68.8%
28% better than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 71.0%
40% better than State average

State average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 59
Medicare
5
8.5% of residents
Medicaid
26
44.1% of residents
Private pay or other
28
47.5% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a business corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$348.0K
For-profit Operated by a business corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.7M Rank #51 / 60Revenue — State benchmarkedThis home is ranked 51st out of 60 homes in Rhode Island for Revenue. Shows this facility's annual revenue compared to the Rhode Island average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Rhode Island that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$348.0K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$60.1K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #51 / 60Payroll — State benchmarkedThis home is ranked 51st out of 60 homes in Rhode Island for Payroll. Shows total annual staff payroll benchmarked to the Rhode Island average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Rhode Island that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.2M 55% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #34 / 60Payroll % — State benchmarkedThis home is ranked 34th out of 60 homes in Rhode Island for Payroll %. Shows payroll as a percentage of revenue versus the Rhode Island average. Well-run Rhode Island facilities typically land around 58–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Rhode Island that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.3M
How we calculate these figures

This home is owned by Susan Misto

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 415004

Show certification details

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.

Most new residents arrive under private pay (56% of admissions), and a typical private pay stay runs around 3 - 4 months.

Admissions
192 total

Coverage residents most often arrive under.

Medicare 41%
Private pay 56%
Medicaid 3%
Discharges
184 total

Coverage residents most often leave under.

Medicare 34%
Private pay 55%
Medicaid 11%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Royal of Westerly Nursing Center

Address 2.3 miles from city center Info Estimated distance in miles from Westerly's city center to Royal of Westerly Nursing Center's address, calculated via Google Maps.

Calculate Travel Distance to Royal of Westerly Nursing Center

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Frequently Asked Questions about Royal of Westerly Nursing Center

Who is the owner of Royal of Westerly Nursing Center?

Royal of Westerly Nursing Center is legally operated by Susan Misto, Administrator.

Is Royal of Westerly Nursing Center in a walkable area?

Royal of Westerly Nursing Center has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Royal of Westerly Nursing Center?

According to RI state health department records, Royal of Westerly Nursing Center's license number is LTC00801.

What is the occupancy rate at Royal of Westerly Nursing Center?

Royal of Westerly Nursing Center's occupancy is 89%.

Are pets allowed at Royal of Westerly Nursing Center?

No, Royal of Westerly Nursing Center has a no-pet policy.

Does Royal of Westerly Nursing Center operate as a for-profit or non-profit?

Royal of Westerly Nursing Center is registered as a for-profit in RI.

How many beds does Royal of Westerly Nursing Center have?

Royal of Westerly Nursing Center has 66 beds.

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