25 Clark St, Westerly, RI 02891
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
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Medicare-certifiedSkilled Nursing
Royal of Westerly Nursing Center
Westerly, Rhode IslandMedicare inspection record
About Royal of Westerly Nursing Center
Royal of Westerly Nursing Center offers skilled nursing and rehabilitation services designed for recovery and ongoing care. In Westerly, Rhode Island, our team focuses on personalized treatment plans that support each resident's health goals and independence.
Community at a glance
Capacity
66 residents
Location
Westerly, RI
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
79 Beach Street, Westerly, Rhode Island 02891
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on February 19, 2026, state inspectors cited 9 health deficiencies (the Rhode Island average is 9.3).
Nurses and nurse aides spend 3 hours 12 minutes with each resident a day, below the Rhode Island average of 3 hours 43 minutes.
Medicare fined Royal of Westerly Nursing Center once in the last three years, $8,647 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 12 minutesBelow the Rhode Island average |
| Registered nurse time per resident, per day | 52 minutesAbove the Rhode Island average |
| Nursing staff who left in the past year | 47%Above the Rhode Island average |
Inspections
18 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
February 19, 2026 · Standard inspection · 9 citations
Implement a program that monitors antibiotic use.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Mar 27, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Mar 27, 2026Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Mar 27, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Mar 27, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Mar 27, 2026Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Mar 27, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Mar 27, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 27, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 27, 2026
February 4, 2025 · Complaint investigation · 2 citations
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Feb 28, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 28, 2025
December 5, 2024 · Standard inspection · 3 citations+
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 25, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 25, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Dec 25, 2024
January 12, 2024 · Standard inspection · 4 citations+
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Feb 11, 2024Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Feb 11, 2024Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 11, 2024Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Minimal harm or risk, a pattern (level B)Resident RightsCorrected Feb 11, 2024
Fines and payment denials
1 fine totaling $8,647 in the last three years.
- February 4, 2025Fine: $8,647
About the home, per Medicare
- Ownership
- For profit - Partnership
- Legal business name
- Royal Westerly LLC
- Medicare-certified beds
- 66
- Average residents per day
- 61
- Accepts
- Medicare and Medicaid
- First certified
- January 1, 1967
- Part of a chain
- Royal Health Group, 12 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 415004
Location
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79 Beach StreetWesterly, RI 02891
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Questions about Royal of Westerly Nursing Center
How did Royal of Westerly Nursing Center do on its last inspection?+
State inspectors visited on February 19, 2026 and cited 9 health deficiencies. The Rhode Island average is 9.3.
How much nursing care does each resident get at Royal of Westerly Nursing Center?+
Nurses and aides spend 3 hours 12 minutes with each resident per day, including 52 minutes from registered nurses. 47% of nursing staff left over the past year.
Has Royal of Westerly Nursing Center been fined by Medicare?+
Yes. Medicare fined Royal of Westerly Nursing Center once in the last three years, totaling $8,647.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.