All citations for Royal Middletown Nursing Center
State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.
Last standard health inspection on record
April 30, 2026
Showing 1 to 25 of 33 citations
Harm to a resident
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (December 13, 2025).
Harm to a resident
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
The home gave a date the problem would be corrected (December 13, 2025).
No harm, with potential for more than minimal harm
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
The home gave a date the problem would be corrected (May 15, 2026).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
The home gave a date the problem would be corrected (April 30, 2024).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (April 30, 2024).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
The home gave a date the problem would be corrected (April 30, 2024).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
The home gave a date the problem would be corrected (April 30, 2024).
No harm, with potential for more than minimal harm
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
The home gave a date the problem would be corrected (May 15, 2026).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
The home gave a date the problem would be corrected (December 13, 2025).
No harm, with potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
The home gave a date the problem would be corrected (November 25, 2024).
No harm, with potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
The home gave a date the problem would be corrected (April 30, 2024).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
The home gave a date the problem would be corrected (April 30, 2024).
No harm, with potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
The home gave a date the problem would be corrected (May 15, 2026).
No harm, with potential for more than minimal harm
Respond appropriately to all alleged violations.
The home gave a date the problem would be corrected (May 15, 2026).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
The home gave a date the problem would be corrected (May 15, 2026).
No harm, with potential for more than minimal harm
Provide safe, appropriate pain management for a resident who requires such services.
The home gave a date the problem would be corrected (May 15, 2026).
No harm, with potential for more than minimal harm
Ensure that residents are free from significant medication errors.
The home gave a date the problem would be corrected (May 15, 2026).
No harm, with potential for more than minimal harm
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.
The home gave a date the problem would be corrected (May 15, 2026).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (May 15, 2026).
No harm, with potential for more than minimal harm
Ensure that residents are free from significant medication errors.
The home gave a date the problem would be corrected (March 11, 2026).
No harm, with potential for more than minimal harm
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.
The home gave a date the problem would be corrected (March 11, 2026).
No harm, with potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
The home gave a date the problem would be corrected (January 16, 2026).
Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.