Skilled nursing facility · CMS certification number 415004
Royal of Westerly Nursing Center
Westerly, Rhode Island · Medicare and Medicaid
Certified beds, as filed in Care Compare: 66
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $8,647.00 · Payment denials: 0. The most recent penalty on file: February 4, 2025, Fine, $8,647. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 16, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,638,607 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,056,186 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,582,421 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,959,356 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $623,065 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $67,090 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $690,155 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $690,155 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 24,156 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,221 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 10,862 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,889 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 22,972 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 71 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 12 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 77 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 905.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 143.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1431841, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,610,011 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $933,839 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,676,172 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,328,216 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $347,956 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $60,095 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $408,051 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $408,051 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,084 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 184 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 440.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1389215, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 14, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,573,041 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $838,215 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,734,826 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,842,456 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$107,630 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $737,625 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $629,995 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $629,995 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,253 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 210 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 928.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 101.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1358346, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 28, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,709,391 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $681,898 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,027,493 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,025,957 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,536 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,173,531 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,175,067 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,175,067 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,355 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 604.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1323377, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 20, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,313,039 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $388,702 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,924,337 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,351,740 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$427,403 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $620,102 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $192,699 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $192,699 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,435 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 137 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 247.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1302529, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,269,595 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,159,533 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,110,062 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,111,774 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $998,288 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $468 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $998,756 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $998,756 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,952 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 614.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 146.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1261456, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 8, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,349,071 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,372,303 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,976,768 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,194,205 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $782,563 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,625 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $784,188 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $784,188 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,172 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 151 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 991 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 146.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240144, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,770,044 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,122,206 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,647,838 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,051,099 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $596,739 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $121,960 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $718,699 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $718,699 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,445 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 115 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 577.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 195.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207699, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for July 1, 2016 to December 31, 2016 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 15, 2017.
None of these figures is carried on this report.
CMS report record 1173334, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 19, 2016.
None of these figures is carried on this report.
CMS report record 1124215, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 3, 2015.
None of these figures is carried on this report.
CMS report record 1092890, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2014.
None of these figures is carried on this report.
CMS report record 1058522, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 3, 2013.
None of these figures is carried on this report.
CMS report record 1028587, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 21, 2012.
None of these figures is carried on this report.
CMS report record 1020585, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 19, 2011.
None of these figures is carried on this report.
CMS report record 410880, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 22, 2010.
None of these figures is carried on this report.
CMS report record 383099, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 31, 2009.
None of these figures is carried on this report.
CMS report record 353513, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 16, 2008.
None of these figures is carried on this report.
CMS report record 309219, read from the public cost report file SNFFY2007.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 17, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,742,697 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,790,087 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$47,390 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,062 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$35,328 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,422 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 97 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 566.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 210.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264757, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on September 8, 2005.
None of these figures is carried on this report.
CMS report record 232318, read from the public cost report file SNFFY2004.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 3, 2003.
None of these figures is carried on this report.
CMS report record 134350, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 15, 2002.
Net income: −$574,507 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
CMS report record 57567, read from the public cost report file SNFFY2000.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| MAMARY, JAMES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 50% | since 07/01/2016 |
| OZCAKAR, BULENT | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/20/2024 |
| MAMARY, JAMES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2016 |
| MISTO, SUSAN | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 08/04/2020 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of ROYAL WESTERLY LLC (enrollment ID O20160816000093).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| JAMES S MAMARY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50.02 | 7/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES S MAMARY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 24.99 | 7/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONATHAN W MAMARY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 24.99 | 7/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BULENT OZCAKAR | Individual | CONTRACTED MANAGING EMPLOYEE | 0 | 2/20/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES S MAMARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 7/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN MISTO | Individual | W-2 MANAGING EMPLOYEE | 0 | 8/4/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2024: BULENT OZCAKAR (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since February 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: SUSAN MISTO (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since August 4, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- June 16, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 1, 2024: BULENT OZCAKAR (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since February 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: SUSAN MISTO (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since August 4, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- July 19, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 14, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- June 28, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- October 20, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- July 24, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 8, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 15, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- February 17, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- May 19, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- June 3, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- April 18, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- May 3, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- November 21, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- July 19, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- July 22, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- July 31, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- May 16, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- October 17, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- September 8, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- April 3, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- February 15, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | February 19, 2026 | February 19, 2026 | 9 | 0 |
| 2 | December 5, 2024 | December 5, 2024 | 5 | 0 |
| 3 | January 12, 2024 | January 12, 2024 | 4 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
18 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| February 19, 2026 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | E | No | Deficient, Provider has date of correction | March 27, 2026 |
| February 19, 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | March 27, 2026 |
| February 19, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | March 27, 2026 |
| February 19, 2026 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | No | Deficient, Provider has date of correction | March 27, 2026 |
| February 19, 2026 | Health | F 0710 | Nursing and Physician Services Deficiencies | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | E | No | Deficient, Provider has date of correction | March 27, 2026 |
| February 19, 2026 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | No | Deficient, Provider has date of correction | March 27, 2026 |
| February 19, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | 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. | E | No | Deficient, Provider has date of correction | March 27, 2026 |
| February 19, 2026 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | March 27, 2026 |
| February 19, 2026 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | March 27, 2026 |
| February 4, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | February 28, 2025 |
| February 4, 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | February 28, 2025 |
| December 5, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | December 25, 2024 |
| December 5, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | December 25, 2024 |
| December 5, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | December 25, 2024 |
| January 12, 2024 | Health | F 0568 | Resident Rights Deficiencies | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | B | No | Deficient, Provider has date of correction | February 11, 2024 |
| January 12, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | February 11, 2024 |
| January 12, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | February 11, 2024 |
| January 12, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | 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. | E | No | Deficient, Provider has date of correction | February 11, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| February 4, 2025 | Fine | $8,647 | 6855 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Partnership |
| Legal Business Name | ROYAL WESTERLY LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1967-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Washington |
| Telephone Number | 4015964925 |
| Chain Name | ROYAL HEALTH GROUP |
| Chain ID | 457 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 66 |
| Average Number of Residents per Day | 61.1 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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The citable document for Royal of Westerly Nursing Center
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Rhode Island at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 415004.