4.1(50 ratings)· Middletown average: 4.2
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An automated summary of family reviews and public information. Not verified by MyLivingChoice; confirm services, staffing and pricing with the community.
Families of residents at Royal Middletown Nursing (formerly Forest Farm Health Care Center) generally praise the clinical care and rehabilitation support, especially from nursing and therapy staff, though several mention inconsistent weekend staffing and slow response times on visits.
AI-generated from reviews and community data.
Royal Middletown Nursing formerly known as Forest Farm Health Care Center is a senior living community in Middletown, Rhode Island offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 4.1 out of 5 across 50 reviews.
Royal Middletown Nursing is a 50-bed skilled nursing and long-term care facility in Middletown, Rhode Island, formerly known as Forest Farm Health Care Center.
Families describe experiences that vary notably by shift and staff member. Those who received care from core staff consistently report cleanliness, attentiveness from clinical and kitchen teams, and an environment where asking for help felt welcome. Physical and occupational therapy are noted as valuable for recovery. A visiting psychiatric nurse practitioner remarked on the "astounding" compassion and caring observed across the facility. However, weekend and evening staffing presents a more uneven picture, some families noted difficulty reaching someone by phone on weekends and described younger staff as dismissive or "snippy" when asked for assistance.
The facility holds a 4.1 out of 5 rating across 50 Google reviews, reflecting this mixed but generally positive sentiment. Families considering placement may want to discuss weekday versus weekend care dynamics and continuity of core staff when visiting.
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Help Me Choose4.1overall · 50 ratings combined
4.1★ on Google (50)
gaynell coleman
Oct 2025
My mom was there for a year and a half. She had pretty good care but we definitely had to stay on top of things. Some of the staff was wonderful. The non regular staff on weekends were not good. Trying to get someone to answer the phone on the weekends is terrible. Mom has passed but we still go visit residents. The young staff there on the weekends do not speak to you and get snippy if you ask them a question. And take FOREVER to buzz you in!
Kevin Stone
Oct 2025
Great care for gam gam , but the young staff seems extremely bothered whenever you ask them for anything, like we / I aren't paying for my loved one to be there. Very snooty.
Lorianne Davenport
May 2025
Walking into this facility I felt at home and comfortable placing my loved one there. The administrator was very professional and kind. She answered all my questions thoroughly and with confidence . I would highly recommend this facility to anyone interested in rehabilitation or long term care services.
christine simone
Oct 2024
I am a psychiatry consult nurse practitioner that has been coming into Royal Middletown for the last two months and I have to say this facility is top notch. The amount of compassion and caring I’ve noticed towards their patients Is astounding. All the employees including the administrator role models of what excellent medical care should be.
Elizabeth Higgins
Feb 2024
I have had wonderful care from Royal staff. From the kitchen staff to the RNs. The facility is clean and the staff is pleasant. PT & OT were essential to my recovery and we worked hard to get me back up and moving. It is hard to be away from home at least they made me feel like I could ask anything and they helped.
10 inspection visits in the last three years, 33 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected May 15, 2026
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 15, 2026
Respond appropriately to all alleged violations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 15, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 15, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 15, 2026
Ensure that residents are free from significant medication errors.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 15, 2026
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 15, 2026
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 15, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 15, 2026
Ensure that residents are free from significant medication errors.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 11, 2026
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 11, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 16, 2026
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 16, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 13, 2025
Provide and implement an infection prevention and control program.
Severity H of L: actual harm, patternFound during a complaint inspectionCorrected Dec 13, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Dec 13, 2025
Have properly installed electrical wiring and gas equipment.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 1, 2025
Have simulated fire drills held at unexpected times.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 1, 2025
Have generator or other power source capable of supplying service within 10 seconds.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 1, 2025
Respond appropriately to all alleged violations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 1, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 1, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 1, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 1, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 25, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 21, 2024
Provide and implement an infection prevention and control program.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Apr 30, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Apr 30, 2024
Install emergency lighting that can last at least 1 1/2 hours.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 30, 2024
Have approved installation, maintenance and testing program for fire alarm systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 30, 2024
Install an approved automatic sprinkler system.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 30, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 30, 2024
Have proper medical gas storage and administration areas.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 30, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 22, 2024
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Royal Middletown Nursing formerly known as Forest Farm Health Care Center offers Skilled Nursing / Long Term Care.
Royal Middletown Nursing formerly known as Forest Farm Health Care Center is located at 193 Forest Avenue in Middletown, Rhode Island.
Royal Middletown Nursing formerly known as Forest Farm Health Care Center carries a 4.1 out of 5 rating from 50 Google reviews. Families of residents at Royal Middletown Nursing (formerly Forest Farm Health Care Center) generally praise the clinical care and rehabilitation support, especially from nursing and therapy staff, though several mention inconsistent weekend staffing and slow response times on visits. Reviews on MyLivingChoice come from families who confirmed a connection to the community and appear with the reviewer's first name and last initial.
Royal Middletown Nursing formerly known as Forest Farm Health Care Center had 10 government inspection visits in the last three years, with 33 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
Submit the Request Information form on this page, or contact Royal Middletown Nursing formerly known as Forest Farm Health Care Center directly, to arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
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