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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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.
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.
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.
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.
This home is ranked 46th out of 56 homes in Rhode Island. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 50m per day | ▲ 9% State avg: 46m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 36m per day | ▲ 24% State avg: 29m per day · National avg: 52m per day |
|
Nurse Aide
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 43m per day | ▼ 30% State avg: 2h 28m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 57m per day | ▼ 11% State avg: 3h 18m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 4m per day | ▲ 33% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
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.
| 37m per day | ▲ 9% State avg: 34m per day · National avg: 28m per day |
Higher than the Rhode Island average: 83.7%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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | RI Average | vs. RI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 15 | 34 | This facility has 56% fewer total deficiencies than a typical Rhode Island nursing home (15 vs. RI avg 34).↓ 56% better |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 3.8 | 8.5 | This facility has 55% fewer deficiencies per year than a typical Rhode Island nursing home (3.8 vs. RI avg 8.5).↓ 55% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on December 31, 2024, found the facility in compliance with all regulations after reviewing corrections from the December 5, 2024 survey, which had deficiencies. Earlier inspections showed recurring issues with medication administration, infection control, and life safety code compliance, including exit signage and emergency power system maintenance. Inspectors cited deficiencies related to quality of care, medication errors, infection prevention, and safety hazards such as accident risks and emergency preparedness. Complaint investigations were conducted in several surveys, with some substantiated findings, particularly regarding care and safety concerns. The facility appears to have addressed prior deficiencies effectively, showing improvement by the latest inspection.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsRhode Island average 8.3
Last Health inspection on Feb 2025
Rhode Island average 28.1
Rhode Island average 3.48
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.
100% better than Rhode Island averageRhode Island average: 1.6
41% better than Rhode Island averageRhode Island average: 1.7
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
8% worse than Rhode Island average
9% worse than Rhode Island average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,891 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 36 | 0 | 36 | 8,476 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 10 | 0 | 10 | 3,498 | 92 | 100% | 8.4 |
| Registered Nurse | 14 | 0 | 14 | 2,973 | 92 | 100% | 7.7 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 1,469 | 81 | 88% | 3.9 |
| Nurse Aide in Training | 5 | 0 | 5 | 773 | 69 | 75% | 7.1 |
| Administrator | 2 | 0 | 2 | 574 | 62 | 67% | 6.3 |
| Physical Therapy Assistant | 0 | 3 | 3 | 500 | 69 | 75% | 6.6 |
| Other Dietary Services Staff | 2 | 0 | 2 | 476 | 60 | 65% | 7 |
| Mental Health Service Worker | 1 | 0 | 1 | 468 | 59 | 64% | 7.9 |
| Dietitian | 1 | 0 | 1 | 466 | 64 | 70% | 7.3 |
| Speech Language Pathologist | 0 | 2 | 2 | 459 | 64 | 70% | 7.2 |
| Nurse Practitioner | 1 | 0 | 1 | 449 | 57 | 62% | 7.9 |
| Medication Aide/Technician | 5 | 0 | 5 | 404 | 47 | 51% | 6.5 |
| Physical Therapy Aide | 0 | 3 | 3 | 372 | 62 | 67% | 5.9 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 318 | 54 | 59% | 5.8 |
| Qualified Social Worker | 0 | 2 | 2 | 243 | 39 | 42% | 6.2 |
| Occupational Therapy Aide | 1 | 0 | 1 | 162 | 25 | 27% | 6.5 |
| Feeding Assistant | 1 | 0 | 1 | 55 | 11 | 12% | 5 |
| Medical Director | 1 | 0 | 1 | 36 | 12 | 13% | 3 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 29 | 3 | 3% | 9.5 |
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)
91% lower than Rhode Island averageRhode Island average: $94K
65% fewer fines than Rhode Island averageRhode Island average: 2.8
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Rhode Island averageRhode Island average: 0.4
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 4, 2025 · $9K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 4, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 Rhode Island averageRhode Island average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.9
8% worse than Rhode Island averageRhode Island average: 20.2
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
19.0%
In line with Rhode Island averageRhode Island average: 19.5%
Percent of long-stay residents whose ability to move independently worsened
16.7%
8% better than Rhode Island averageRhode Island average: 18.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.0%
31% worse than Rhode Island averageRhode Island average: 22.9%
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
33% worse than Rhode Island averageRhode Island average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
2.6%
45% better than Rhode Island averageRhode Island average: 4.7%
Percent of long-stay residents with a urinary tract infection
1.0%
56% better than Rhode Island averageRhode Island average: 2.3%
Percent of long-stay residents who lose too much weight
3.7%
32% better than Rhode Island averageRhode Island average: 5.4%
Percent of long-stay residents who have depressive symptoms
44.0%
227% worse than Rhode Island averageRhode Island average: 13.5%
Percent of long-stay residents who received an antipsychotic medication
18.5%
14% better than Rhode Island averageRhode Island average: 21.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
7% better than Rhode Island averageRhode Island average: 93.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Rhode Island averageRhode Island average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.54
5% worse than Rhode Island averageRhode Island average: 1.46
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.62
6% better than Rhode Island averageRhode Island average: 1.72
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.6%
10% better than Rhode Island averageRhode Island average: 76.2%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
79% better than Rhode Island averageRhode Island average: 2.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
22% better than Rhode Island averageRhode Island average: 78.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.3%
In line with Rhode Island averageRhode Island average: 25.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.1%
In line with Rhode Island averageRhode Island average: 15.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Rhode Island averageRhode Island average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
68.8%
28% better than Rhode Island averageRhode Island average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
71.0%
40% better than Rhode Island averageRhode Island average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
41% of new residents, usually for short-term rehab.
56% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
59Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Royal of Westerly Nursing Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #51 / 60Payroll — State benchmarkedThis home is ranked 51st out of 60 homes in Rhode Island. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
2.3 miles from city center
Estimated distance in miles from Westerly's city center to Royal of Westerly Nursing Center's address, calculated via Google Maps.
Add your location
Royal of Westerly Nursing Center is located in WESTERLY, Rhode Island.
Here are the financial assistance programs available to residents in Rhode Island.
The legal owner and operator of Royal of Westerly Nursing Center is Susan Misto, Administrator.
Royal of Westerly Nursing Center has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to RI state health department records, Royal of Westerly Nursing Center's license number is LTC00801.
Royal of Westerly Nursing Center's occupancy is 89%.
Royal of Westerly Nursing Center has 66 beds.
Yes — there is 1 photo of Royal of Westerly Nursing Center in the photo gallery on this page.
Royal of Westerly Nursing Center is located at 79 BEACH STREET.
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