Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Royal Of Westerly Nursing Center during CMS and state inspections, most recent first.
A resident with a history of chronic kidney disease and other conditions did not have a bowel movement for 28 shifts. The facility failed to follow its bowel protocol and laxative list policy, resulting in the resident being transferred to the hospital with an ileus and fecal impaction. The DON acknowledged the protocol was not followed.
A resident with an indwelling catheter was hospitalized with a UTI and acute kidney injury due to improper catheter placement and lack of monitoring. The facility failed to follow physician orders for catheter size and output monitoring, as acknowledged by the DNS.
A resident with acute kidney failure and cardiac arrhythmias experienced leg pain and swelling shortly after admission. Despite staff observations and resident complaints, the facility failed to notify the physician of the edema until a surveyor intervened, seven days after initial assessment. The resident's pain was inconsistently managed, and the lack of timely communication and care adjustments led to the resident being unable to be discharged as planned.
A resident in an LTC facility received an incorrect dosage of Lipitor due to a failure to discontinue the previous 20 mg dose when a new order for 10 mg was implemented. Despite the physician's approval to reduce the dosage, both doses were administered on multiple days, resulting in a total daily dose of 30 mg. The error was acknowledged by the LPN and DON, who could not provide evidence of the discontinuation of the 20 mg dose.
The facility failed to maintain proper infection control measures for two residents with multidrug-resistant organisms (MDROs). One resident with a MRSA infection was not managed under contact precautions, and medical supplies were not sanitized after use. Another resident with a history of ESBL was not placed on Enhanced Barrier Precautions (EBP) as required by facility policy. Staff acknowledged these lapses, which were confirmed by the Director of Nursing Services and the Infection Preventionist.
Failure to Implement Bowel Protocol Leads to Hospitalization
Penalty
Summary
The facility failed to provide treatment and care in accordance with professional standards of practice for a resident who was transferred to the hospital with an ileus and fecal impaction. The resident, who was bedbound and had a history of generalized muscle weakness, obstructive and reflux uropathy, and stage 4 chronic kidney disease, did not have a bowel movement for a total of 28 shifts over a period of ten days. Despite the facility's bowel protocol and laxative list policy, which required intervention after six and nine shifts without a bowel movement, respectively, these protocols were not followed. The resident's January 2025 Medication Administration Record (MAR) showed no evidence that the bowel protocol was implemented when the resident did not have a bowel movement for six shifts. Additionally, the MAR failed to show that the laxative list policy was followed when the resident went nine shifts without a bowel movement. An order for Miralax was obtained on January 19, 2025, but the resident did not receive it until January 21, 2025, after ten shifts without a bowel movement. The resident was eventually transferred to the hospital on January 23, 2025, due to a decrease in appetite, low blood pressure, and burning in the mouth. Hospital records indicated that the resident was admitted with fecal impaction and mouth sores, and diagnostic X-rays revealed an ileus. The Director of Nursing Services acknowledged during a surveyor interview that the bowel protocol was not followed as required by the facility policy.
Failure to Provide Appropriate Catheter Care and Monitoring
Penalty
Summary
The facility failed to provide appropriate treatment and services for a resident with an indwelling catheter, leading to a deficiency. The resident was hospitalized with a urinary tract infection and acute kidney injury, and it was discovered that the indwelling catheter was improperly placed, with the balloon inflated into the prostate. The facility's records revealed that the catheter was replaced with a different size than ordered on two occasions without a physician's order, and there was no evidence that the physician was contacted regarding these changes. Additionally, the facility did not consistently monitor the resident's indwelling catheter output as ordered by the physician. The Medication Administration Record (MAR) lacked documentation of urinary output monitoring on multiple dates and shifts throughout January. During an interview, the Director of Nursing Services acknowledged that the physician's orders were not followed and that there was no documentation of urinary output on the specified dates.
Failure to Notify Physician of Resident's Edema
Penalty
Summary
The facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice, specifically regarding the management of edema. The resident, who was admitted with diagnoses including acute kidney failure and cardiac arrhythmias, began experiencing pain and swelling in the legs shortly after admission. Despite the resident's complaints and the observation of edema by staff, the facility did not notify the attending physician of the change in condition until it was brought to their attention by a surveyor, seven days after the initial assessment by a nurse. The resident's medical records indicated that there was no edema upon admission, but subsequent assessments noted swelling in the ankles. Progress notes documented complaints of pain related to edema and the use of ACE bandages for non-pitting edema. However, there was no evidence that the physician was informed of these developments until a surveyor intervened. The resident's pain levels were recorded on several occasions, but there were instances where the pain was not addressed with the prescribed acetaminophen. Interviews with staff, including nurses and therapists, revealed a lack of communication regarding the resident's condition. The resident's physician confirmed that he had not been notified of the edema, which he would have expected given the change in the resident's condition. The failure to notify the physician and address the resident's pain and edema in a timely manner resulted in the resident being unable to be discharged home as planned, due to increased pain and difficulty with mobility.
Medication Administration Error in LTC Facility
Penalty
Summary
The facility failed to ensure that a resident's medication regimen was free from significant errors. A resident, who was initially admitted in June 2021 and readmitted in October 2024, was diagnosed with hypercholesterolemia and hypertension. The resident was prescribed Lipitor 20 mg daily to manage high cholesterol. On June 27, 2024, a consultant pharmacist recommended reducing the Lipitor dosage to 10 mg daily, which the physician approved with a start date of July 9, 2024. However, the July 2024 Medication Administration Record indicated that both the 20 mg and 10 mg doses of Lipitor were administered on July 9, 10, 12, and 13, 2024, resulting in the resident receiving a total of 30 mg daily instead of the prescribed 10 mg. During interviews, the LPN and the Director of Nursing Services acknowledged the error and were unable to provide evidence that the 20 mg dose was discontinued as ordered. This oversight led to the resident receiving an incorrect dosage of medication over several days.
Inadequate Infection Control Measures for Residents with MDROs
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the mishandling of transmission-based precautions for two residents. Resident ID #13, who was readmitted with a MRSA infection, was not properly managed under contact precautions. During a wound treatment observation, a nurse failed to sanitize medical supplies and equipment after use, and the resident's room lacked the appropriate contact precautions signage. The nurse acknowledged these lapses, including not sanitizing a sit-to-stand lift used for the resident. Resident ID #260, admitted with a history of ESBL, was not placed on Enhanced Barrier Precautions (EBP) as required by the facility's policy. Despite the resident's need for assistance with activities of daily living and incontinence, staff did not implement EBP. The facility's Director of Nursing Services and Infection Preventionist confirmed that the resident was not on any precautions, contrary to the facility's policy. The surveyor's observations and staff interviews highlighted the facility's failure to adhere to its own infection control policies, resulting in inadequate precautions for residents with multidrug-resistant organisms. The deficiencies were acknowledged by the facility's Director of Nursing Services, who confirmed the lapses in maintaining appropriate infection control measures.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Westerly
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Westerly Health Center | 2 mi | — | 0 | 0 |
| Apple Rehab Clipper | 2.6 mi | — | 0 | 0 |
| Avalon Health Care Center At Stoneridge | 6.3 mi | — | 0 | 0 |
| Pendleton Rehabilitation And Nursing Center | 6.4 mi | — | 1 | 0 |
| Apple Rehab Mystic | 7 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.