F552 · Severity E
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-03-27For-profit
Royal of Westerly Nursing Center
79 Beach Street, Westerly, RI 02891
(401) 596-4925 · Royal Health Group
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Partnership | Certified beds | 66 |
|---|---|---|---|
| Estimated occupancy | 92.6% | Latest inspection | 2026-02-19 |
County and Rhode Island comparison
Navy: facility · Teal: county · Gray: Rhode Island
Overall rating
Facility: 4 of 5
Health-inspection score
Facility: 57.0 points
Total nurse staffing
Facility: 3.21 hours/day
RN staffing
Facility: 0.86 hours/day
Staff turnover
Facility: 46.9%
Latest health deficiencies
Facility: 9 deficiencies
View data table
| Metric | Facility | County | Rhode Island |
|---|---|---|---|
| Overall rating | 4 of 5 | 4 of 5 | 3 of 5 |
| Health-inspection score | 57.0 points | 58.0 points | 75.9 points |
| Total nurse staffing | 3.21 hours/day | 3.25 hours/day | 3.58 hours/day |
| RN staffing | 0.86 hours/day | 0.81 hours/day | 0.72 hours/day |
| Staff turnover | 46.9% | 43.1% | 39.3% |
| Latest health deficiencies | 9 deficiencies | 6 deficiencies | 7 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2026-02-19
9 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
F658 · Severity E
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-03-27F690 · Severity 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.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-03-27F710 · Severity E
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Nursing and Physician Services Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-03-27F757 · Severity E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-03-27F761 · Severity 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.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-03-27F881 · Severity E
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-03-27F684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2026-03-27F842 · Severity D
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 · Standard survey citation · Deficient, Provider has date of correction 2026-03-272024-12-05
5 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
F684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-12-25F757 · Severity D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-12-25F880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-12-252024-01-12
4 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
F755 · Severity E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-02-11F761 · Severity 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.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-02-11F760 · Severity D
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-02-11F568 · Severity B
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-02-11Staffing composition
1.66 hours/dayNurse aide
0.69 hours/dayLPN
0.86 hours/dayRN
- Total staffing
- 3.21 hours/day
- County median
- 3.25 hours/day
- Rhode Island median
- 3.58 hours/day
- Weekend total
- 2.75 hours/day
- Staff turnover
- 46.9%
- RN turnover
- 56.3%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.0 per 1,000 daysworseRhode Island: 1.5 per 1,000 days · County: 1.9 per 1,000 days20250101-20251231
Emergency-department visits
2.9 per 1,000 daysworseRhode Island: 1.6 per 1,000 days · County: 1.3 per 1,000 days20250101-20251231
Falls with major injury
2.7%betterRhode Island: 3.3% · County: 2.5%2025Q2-2026Q1
Pressure ulcers
0.0%betterRhode Island: 4.2% · County: 3.8%2025Q2-2026Q1
Urinary tract infections
3.8%worseRhode Island: 2.0% · County: 1.3%2025Q2-2026Q1
Antipsychotic medication use
22.7%similarRhode Island: 22.3% · County: 22.3%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
What is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverWhat operational changes followed the facility's most recent penalty?
Suggested because of: penaltiesHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Washington County
- Certified beds
- 66
- Average daily residents
- 61.1
- Ownership
- For profit - Partnership
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1967-01-01
- CCN
- 415004
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 1.66152 |
| Lpn hours | 0.68674 |
| Rn hours | 0.85856 |
| Reported total hours | 3.20683 |
| Weekend total hours | 2.7545 |
| Weekend rn hours | 0.54302 |
| Adjusted total hours | 3.20363 |
| Total turnover percent | 46.9 |
| Rn turnover percent | 56.3 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$8,647.00Total fines
1Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2025-02-04 | Fine | $8,647.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
9Health citations
3Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
RI counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
1
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| MAMARY, JAMES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% |
| OZCAKAR, BULENT | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE |
| MISTO, SUSAN | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| MAMARY, JAMES | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology