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
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 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 June 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 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 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 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 July 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 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 June 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 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 October 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 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 July 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 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 August 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 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 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 31 December 2016
Cost report for 1 July 2016 to 31 December 2016 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 15 August 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 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 May 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 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 June 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 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 April 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 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 3 May 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 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 November 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 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 July 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 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 July 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 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 31 July 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 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 May 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 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 October 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, stated at moderate confidence: −$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 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 8 September 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 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 April 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 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 15 February 2002.
Net income, stated at moderate confidence: −$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 1 August 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 1 August 2026 (Medicare enrollment ownership), under the enrollment of ROYAL WESTERLY LLC (enrollment ID O20160816000093).
| 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: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JAMES S MAMARY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 24.99 | 7/1/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JONATHAN W MAMARY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 24.99 | 7/1/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BULENT OZCAKAR | Individual | CONTRACTED MANAGING EMPLOYEE | 0 | 2/20/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JAMES S MAMARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 7/1/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SUSAN MISTO | Individual | W-2 MANAGING EMPLOYEE | 0 | 8/4/2020 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 September 2024: BULENT OZCAKAR appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: SUSAN MISTO appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- 16 June 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 September 2024: BULENT OZCAKAR appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: SUSAN MISTO appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 19 July 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 14 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 28 June 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 20 October 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 24 July 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 8 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 15 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 17 February 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 19 May 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 3 June 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 18 April 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 3 May 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 21 November 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 19 July 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 22 July 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 31 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 16 May 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 17 October 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- 8 September 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- 3 April 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- 15 February 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 | 19 February 2026 | 19 February 2026 | 9 | 0 |
| 2 | 5 December 2024 | 5 December 2024 | 5 | 0 |
| 3 | 12 January 2024 | 12 January 2024 | 4 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 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 |
|---|---|---|---|---|---|---|---|---|
| 19 February 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 | 27 March 2026 |
| 19 February 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 | 27 March 2026 |
| 19 February 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 | 27 March 2026 |
| 19 February 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 | 27 March 2026 |
| 19 February 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 | 27 March 2026 |
| 19 February 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 | 27 March 2026 |
| 19 February 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 | 27 March 2026 |
| 19 February 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 | 27 March 2026 |
| 19 February 2026 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | 27 March 2026 |
| 4 February 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 | 28 February 2025 |
| 4 February 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 | 28 February 2025 |
| 5 December 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 | 25 December 2024 |
| 5 December 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 | 25 December 2024 |
| 5 December 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 25 December 2024 |
| 12 January 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 | 11 February 2024 |
| 12 January 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 | 11 February 2024 |
| 12 January 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | 11 February 2024 |
| 12 January 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 | 11 February 2024 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 4 February 2025 | Fine | $8,647 | 6855 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 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 | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 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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