Nursing home · Top rated by CMS
Royal of Westerly Nursing Center
79 Beach Street, Westerly, RI 02891 · Map
For profit - Partnership · Part of Royal Health Group (12 facilities) · 66 certified beds
Royal of Westerly Nursing Center is a Medicare-certified nursing home in Westerly, Rhode Island. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.15 hours per resident per day, below the Rhode Island average of 3.72. Its most recent inspection on Dec 5, 2024 cited 3 deficiencies.
- 1 fine totaling $8,647In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Royal of Westerly Nursing Center compares
This facility vs. the Rhode Island and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Rhode Island avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.15 | 3.72 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.83 | 0.77 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.72 | 2.46 | 2.34 | below avg |
| Nursing staff turnover | 37.5% | 40.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 8.7 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the February 19, 2026 inspection was corrected by March 27, 2026
Penalties in CMS records: 1 fine totaling $8,647, 1 total penalty.
What inspectors found at Royal of Westerly Nursing Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Feb 19, 2026 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Feb 19, 2026 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Feb 19, 2026 · Full report (PDF) - Potential for harm
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Nursing and Physician Services Deficiencies · Feb 19, 2026 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Feb 19, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Feb 19, 2026 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Feb 19, 2026 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Feb 19, 2026 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Feb 19, 2026 · Full report (PDF) - Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Feb 4, 2025 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Feb 4, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 5, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 79 Beach Street
Westerly, RI 02891 - CMS certification #
- 415004
- Ownership
- For profit - Partnership
- Certified beds
- 66
- Avg residents/day
- 59.3
- Provider type
- Medicare and Medicaid
- First certified
- 1967-01-01
- Chain
- Royal Health Group (12 facilities)
- Setting
- Urban
Part of Royal Health Group
Royal Health Group operates 12 nursing facilities across the United States. View all Royal Health Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Royal of Westerly Nursing Center using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Royal of Westerly Nursing Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
DOL also concluded 1 case here with no violations found.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Westerly Hospital, Westerly. 0.2 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Westerly Health Center, Westerly. 2.0 miles away, straight line.
- Nearest home health agency office
- Dependable Healthcare Services LLC, Wyoming. 12.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 02891 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Dialysis Center Of Westerly, Westerly, 0.3 miles away, straight line (CMS rating 5 of 5 stars)
Davita New London Dialysis, New London, 14.2 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 9 Medicare hospices tell CMS they serve ZIP code 02891.
- Nearest geriatric medicine practice
- The William W Backus Hospital, Norwich. 18.6 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively low, coastal flooding relatively low, wildfire very low, tornado very low, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Royal of Westerly Nursing Center a good nursing home?
CMS gives Royal of Westerly Nursing Center an overall rating of 5 out of 5 stars, including 3/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Royal of Westerly Nursing Center staffed?
Royal of Westerly Nursing Center reports 3.15 total nurse hours per resident per day, compared with the Rhode Island average of 3.72.
Has Royal of Westerly Nursing Center had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Royal of Westerly Nursing Center have?
Royal of Westerly Nursing Center is certified for 66 beds.