When a state regulator publishes that a facility's owner, controller or operator is about to change, the record is here with every step the state runs, its date and a link to the document. These are official filings, not forecasts.

Rhode Island · skilled nursing

Royal Middletown Nursing Center

Middletown, Rhode Island · CCN 415040 · 50 beds
Official pending filingApplication filed

The regulator's own record shows this step. Nothing about it is predicted.

Where it sits in Rhode Island's process

Rhode Island Health Services Council. Rhode Island, historically: filing to decision 125 days (n 61); first public record to effective 364 days (n 25). This record has been pending 56 days.

  1. Application filed
  2. Application accepted for review
    Not recorded yet.
  3. Health Services Council recommendation
    Not recorded yet.
  4. Director's decision, or withdrawal
    Not recorded yet.
  5. Change effective
    Not recorded yet.
Who controls the facility today

From CMS Medicare enrollment and ownership disclosures for CCN 415040, joined on CMS's own identifiers. This is the current record, before any pending change takes effect.

Operating company
  • ROYAL MIDDLETOWN NURSING CENTER LLC
CMS chain
  • ROYAL HEALTH GROUP · cms affiliation entity
Owners and controllers
  • James S Mamary · 50.02% · 5% or greater direct ownership interest
  • Jonathan W Mamary · 24.99% · 5% or greater direct ownership interest
  • James S Mamary · 24.99% · 5% or greater direct ownership interest

Source: CMS Skilled Nursing Facility Enrollments and All Owners data.cms.gov

Why it may matter

Each label is a rule over the record's own fields. The facts that made it true are listed.

  • Control change pending
    the record describes a change of control or names the proposed owners
    • transaction: change in effective control
  • New operator entity
    the proposed operator's exact legal name is not a CMS-enrolled SNF organization in any state
    • proposed operator: Middletown Nursing and Rehab LLC
    • CMS SNF enrollments file 2026-07-31: no organization with this legal name
  • Operator change pending
    the record names a proposed operator different from the current operator
    • proposed operator: Middletown Nursing and Rehab LLC
    • current operator: Royal Middletown Nursing Center LLC