Federal inspection record · CMS data as of October 1, 2026
Royal of Westerly Nursing Center
79 Beach Street, Westerly, RI · (401) 596-4925
- Certified beds
- 66
- Residents per day
- 60
- Ownership
- For-Profit
- Chain
- Royal Health Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Rhode Island.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Rhode Island homes
Royal of Westerly Nursing Center carries 57 inspection points. That is fewer than 63% of Rhode Island's 71 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Rhode Island: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–54 pts
- 3★ 54–89 pts
- 2★ 89–177.5 pts
- 1★ over 177.5 pts
Bars show every rated home in Rhode Island by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
18 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Pharmacy Service6E
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure that residents are free from significant medication errors.
Quality of Life and Care4E
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights2E
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- B
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Assessment and Care Planning2E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control2E
- E
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1E
- E
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Inspection history
2026-02-19
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-12-05
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-01-12
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 26 min of nursing staff time a day, 51 min of it from a registered nurse.
This home
3 h 26 min
Rhode Island average
3 h 47 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 46% of nursing staff and 50% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,647 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-02-04 | Fine | $8,647 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days2.5 pts worse | 4.1 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts worse | 3.0 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.5 pts better | 99.5% | 94.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.6 pts better | 98.1% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better | 3.2% | 3.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10.8 pts worse | 29.4% | 18.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts worse | 5.6% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.5 pts worse | 23.6% | 17.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.5 pts better | 22.0% | 22.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.6 pts better | 15.2% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.2 pts better | 14.3% | 19.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.0% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts worse | 3.2% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.3 pts worse | 25.7% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.6 pts better | 0.4% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.5 pts better | 91.8% | 80.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts better | 13.4% | 15.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 1.6% | 2.0% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.4 pts better | 94.1% | 77.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.9 pts worse | 26.0% | 25.1% | 23.4% |
·
Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Mamary, James | 5% Or Greater Direct Ownership Interest · Individual | 50% | 12 facilities |
| Mamary, James | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Misto, Susan | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Ozcakar, Bulent | Contracted Managing Employee · Individual | 0% | 2 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress1F
- F
Have properly located and lighted "Exit" signs.
Smoke1F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
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Westerly Health Center
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
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- Fines
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-
Apple Rehab Clipper
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- —
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-
Avalon Health Care Center At Stoneridge
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
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- Fines
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