Home›Rhode Island›Washington County›Royal of Westerly Nursing Center
C
Below Standard

Royal of Westerly Nursing Center

79 Beach Street · Westerly, RI 02891

4015964925 · For profit - Partnership

66 beds59.3 residents97 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
A
Very Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Royal of Westerly Nursing Center receives an overall staffing grade of C (Below Standard). With 3.1528 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.74 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.29% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1528 HPRD — needs 0.33 more hours per resident per day.

✨ Strengths (3)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.1528hrs/resident/day▼ 0.74
CMS benchmark: 3.48
RN HPRD
0.8258hrs/resident/day▲ 0.14
Recommended: 0.75
Weekend Drop-off
17.29%
3.3147 weekday → 2.7416 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5356hrs/resident/day
Direct care aides
LPN HPRD
0.6081hrs/resident/day
Licensed practical nurses
Consistency
0.3992std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Washington County Average-0.35 HPRD
3.51
03.15 HPRD
vs. Rhode Island State Average-0.57 HPRD
3.72
03.15 HPRD
vs. National Average-0.74 HPRD
3.90
03.15 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Royal of Westerly Nursing Center ★
Westerly · This facility
—
C
3.15280.8258★★★★☆
Westerly Health Center
Westerly
2 mi
D
2.95690.7369★★★★☆
Apple Rehab Clipper
Westerly
2.6 mi
B
3.51911.2525★★☆☆☆
South Kingstown Nursing and Rehab Center
West Kingston
16.8 mi
B
3.52280.601★★★★★
KINGSTON CENTER FOR REHABILITATION AND HEALTH CARE
WEST KINGSTON
17.6 mi
D
3.96450.3065★★★★☆
Elderwood Of Scallop Shell at Wakefield
South Kingstown
18.1 mi
B
3.61771.3818★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
14
Total Deficiencies
$8,647
Fines Assessed
Feb 4, 2025Health
2 deficiencies cited· Includes actual harm
▼
Dec 5, 2024Health
3 deficiencies cited
▼
Jan 12, 2024Health
4 deficiencies cited
▼
Jul 27, 2023Health
1 deficiency cited
▼
Jun 2, 2023Health
2 deficiencies cited
▼
Nov 3, 2022Health
2 deficiencies cited
▼

Penalty History

Feb 4, 2025Fine
$8,647
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.