Nursing homes · Rhode Island

Royal Middletown Nursing and Rehabilitation

Middletown, RI · ~47 workers · 2 years of OSHA Injury Tracking Application data.

F
Failing Safety Record
33.2
Avg TCR
6.5
Industry avg
0
Fatalities
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The verdict

Royal Middletown Nursing and Rehabilitation runs at 510% of its industry's injury rate - far more dangerous than the typical Nursing homes workplace, earning a grade F.

Royal Middletown Nursing and Rehabilitation: 33.2 TCR = 510% of Nursing homes BLS 6.5 · 2y Form 300A (see methodology below)

Royal Middletown Nursing and Rehabilitation safety composite

Royal Middletown Nursing and Rehabilitation scores strongest on fatalities (safer than 51% of same-industry peers) and weakest on total case rate (tcr) (safer than 0%), blended into one 0-100 breakdown against same-industry peers. A missing measure drops out and redistributes its weight rather than deflating the score. This is a per-dimension breakdown, distinct from the single letter grade above it (which weights TCR alone against the BLS industry benchmark).

F

15/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 33.18 per 100 workers

Safer than 0% of industry peers

DART rate
F 22.51 per 100 workers

Safer than 5% of industry peers

Fatalities
D 0

Safer than 51% of industry peers

Benchmarked live against every credibly-rated employer in the same NAICS industry code in the current OSHA extract (a segment must have at least 8 rated peers to benchmark). Not a legal or compliance determination; PlainSafetyScore's own weighting (TCR 40%, DART 35%, fatalities 25%).

Rising injury rate

Royal Middletown Nursing and Rehabilitation: 28.8 → 37.5 TCR

Peak year 2022 @ 37.5 TCR · DART/TCR 0.68× in 2022

Royal Middletown Nursing and Rehabilitation's TCR rose 8.7 from 28.8 in 2016 to 37.5 in 2022. In 2022, DART was 0.68× this establishment's average TCR (severity share of cases).

OSHA ITA Form 300A scorecard

Establishment book 623110 · Middletown, RI ABOVE-IND · SMALL

Grade F · TCR 33.2 · 510% of ind

  • DART 22.5 DART
  • RANK #86/86
  • PHOTO Andover Manor Rehab …
  • BOOK 2y book
  • INJ 10 inj
  • SIZE ~47 FTE

Nearest TCR peer: Andover Manor Rehab and Nursing (3.2 TCR gap)

Read with this employer → · Industry book → · Rhode Island employers → · Look up another →

Royal Middletown Nursing and Rehabilitation in the TCR neighbourhood

Average Total Case Rate among this establishment and nearest same-industry peers

TCR

What this shows Royal Middletown Nursing and Rehabilitation averages 33.2 TCR (510% of the Nursing homes BLS benchmark).

Source U.S. Department of Labor, OSHA Injury Tracking Application (Form 300A) As of 2026-09-26

Royal Middletown Nursing and Rehabilitation TCR series: 2016=28.8 · 2022=37.5 · BLS 6.5

Where Royal Middletown Nursing and Rehabilitation falls in its industry

15,252 Nursing homes establishments

Safer than 0% of graded establishments in this industry, whose median TCR is 6.6.

More dangerous than peersSafer than peers

Narrower to Rhode Island alone (the establishments it most directly competes with for workers and contracts): ranked #86 safest of 86 Nursing homes employers in Rhode Island.

Royal Middletown Nursing and Rehabilitation (47 employees, TCR 33.2) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6 2×2 strategic matrix plotting 30 entities by Average employees (X) and Total Case Rate (Y), with a crosshair dividing the plot into four quadrants. Larger & higher-riskSmaller & higher-riskLarger & saferSmaller & safer than peers 0100200300400 010203040 Average employees Total Case Rate Royal Middletown Nursing and Rehabilitation
Royal Middletown Nursing and Rehabilitation (47 employees, TCR 33.2) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6

Royal Middletown Nursing and Rehabilitation has fewer employees than the Nursing homes median and a higher injury rate than the industry's median TCR of 6.6. Workforce size and injury rate do not always move together within the same industry -- some of its smaller peers run higher rates than its larger ones, and vice versa.

Year-by-Year Safety Data

Year TCR DART Injuries Illnesses Fatalities
2022 37.5 22.5 6 4 0
2016 28.8 14.4 4 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

623110 · RI · Middletown

15,252 Nursing homes employers nationwide with a credible TCR · 1,610 rated employers in Rhode Island with headcount on file · 67 employers in Middletown, RI · 4 cross-state NAT-TCR peers · 4 cross-state NAT-SIZE peers. Closest matches by relationship code are listed below.

Rel Establishment Metric
NAICS-TCR Andover Manor Rehab and Nursing 30.0 TCR
NAICS-TCR The Shook Home 29.9 TCR
NAICS-TCR 226_338 29.9 TCR
NAICS-TCR 9288-752 29.9 TCR
STATE-SIZE HG166 47 FTE
STATE-SIZE 0044 - RIV 47 FTE
STATE-SIZE 439100-WESTERLY PO 47 FTE
STATE-SIZE 2662-4102 47 FTE
CITY-NEAR SEACORP 534 FTE
CITY-NEAR Systems Engineering Associates Corporation HQ 463 FTE
CITY-NEAR James L Maher Center 198 FTE
CITY-NEAR Middletown Main Office 156 FTE
NAT-TCR Rockland Facility 30.0 TCR
NAT-TCR 048 Juvenile Detention Center 30.0 TCR
NAT-TCR Governor Juan F. Luis Hospital and Medical Center 30.0 TCR
NAT-TCR Kemper Moving Systems 30.0 TCR
NAT-SIZE Riverside Diagnostic/Breast Imaging-OP 47 FTE
NAT-SIZE ISD 991- ELC Pipestone 47 FTE
NAT-SIZE ISD 492 Austin Sumner Elementary 47 FTE
NAT-SIZE HG444 47 FTE

Rel codes: NAICS-TCR · STATE-SIZE · CITY-NEAR · NAT-TCR/NAT-SIZE cross-state. Read with this employer →

Data Source: OSHA Injury Tracking Application (ITA), mandatory establishment-level injury/illness reports. Grades compare employer Total Case Rate (TCR) to BLS IIF industry benchmarks. Data covers years reported by this establishment: 2022, 2016. This is publicly available government data - not a legal determination of workplace conditions.

Read our methodology - how this data is sourced, computed, and verified.

Data sourced from official public datasets. See our methodology for details.