nursing home in Middletown, RI
Grand Islander Center
333 Green End Avenue, Middletown, RI 02842 · (401) 849-7100
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Grand Islander Center at a glance
Grand Islander Center is a 146-bed for-profit nursing home in Middletown, Rhode Island (Newport County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Rhode Island average of 2.9.
Residents receive about 3.4 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.7 hours.
Its most recent standard health inspection (May 14, 2025) found 18 health citations. The Rhode Island average is 9.3.
Federal regulators fined it 2 times in the past three years, totaling $21,548.
Nursing staff turnover is 49.5% per year (state average 40.6%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 146
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Genesis Healthcare
- Medicare-certified since
- January 1, 1975
- Resident/family council
- Both
- County
- Newport County
- CMS Certification Number
- 415034
Ratings
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.37 hrs | 3.71 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.65 hrs | 0.77 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.04 hrs | 2.46 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.16 hrs | 3.34 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 49.5% | 40.6% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 36.8% | 37.9% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 2 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 18 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 112 | 117 | 80.6 | Worse |
Penalties
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $21,548 | $60,948 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 146 | 114 | 107 | |
| Average residents per day | 112 | 99 | 86 | |
| Occupancy | 76.8% | 87.8% | 80.9% |
Long-stay residents
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 7.4% | 3.6% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.2% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 22.5% | 22.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.9% | 2.5% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 0.9% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 27.3% | 19.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 22.9% | 16.8% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6.1% | 5.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 27.5% | 17.2% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 9% | 16.7% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 27.5% | 22.3% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 98.1% | 95.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 90.2% | 94.1% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.6% | 2% | 1.6% | Average |
| Short-stay residents given a flu vaccine (higher is better) | 74.2% | 78.2% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 79.1% | 79% | 82% | Average |
Inspection citations
State inspectors cited this home for 40 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 5, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected January 6, 2026 |
| December 5, 2025 Complaint | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Tag F0745 | D Potential harm, isolated | Corrected January 6, 2026 |
| November 25, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected November 20, 2025 |
| November 25, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected January 6, 2026 |
| October 24, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected November 20, 2025 |
| August 20, 2025 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected September 19, 2025 |
| August 20, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 19, 2025 |
| May 14, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected June 30, 2025 |
| May 14, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected June 30, 2025 |
| May 14, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected June 30, 2025 |
| May 14, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected June 30, 2025 |
| May 14, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 30, 2025 |
| May 14, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected June 30, 2025 |
| May 14, 2025 Standard | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | E Potential harm, pattern | Corrected June 30, 2025 |
| May 14, 2025 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 14, 2025 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 14, 2025 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 14, 2025 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 14, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 14, 2025 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 14, 2025 Standard | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 14, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 14, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected June 30, 2025 |
| April 22, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected May 22, 2025 |
| April 22, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected May 22, 2025 |
| November 22, 2024 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected December 9, 2024 |
| August 27, 2024 Complaint | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected September 26, 2024 |
| July 31, 2024 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected August 30, 2024 |
| July 31, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected August 30, 2024 |
| May 31, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected June 30, 2024 |
| May 31, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 30, 2024 |
| May 31, 2024 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | E Potential harm, pattern | Corrected June 30, 2024 |
| May 31, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 30, 2024 |
| May 31, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected June 30, 2024 |
| May 31, 2024 Standard | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825 | D Potential harm, isolated | Corrected June 30, 2024 |
| May 31, 2024 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected June 30, 2024 |
| May 31, 2024 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected June 30, 2024 |
| May 31, 2024 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected June 30, 2024 |
| May 31, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected June 30, 2024 |
| April 27, 2023 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | C No harm, widespread | Corrected May 18, 2023 |
| April 27, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 18, 2023 |
| April 27, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected May 18, 2023 |
| April 27, 2023 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected May 18, 2023 |
| April 27, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected May 18, 2023 |
| April 27, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected May 18, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $21,548 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 25, 2025 | Fine | $12,438 |
| October 24, 2025 | Fine | $9,110 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| GENESIS RI HOLDINGS LLC Organization | 5% or greater direct ownership interest | 100% | 04/01/2011 |
| FC-GEN OPERATIONS INVESTMENT LLC Organization | 5% or greater indirect ownership interest | — | 04/01/2011 |
| GENESIS HEALTHCARE INC Organization | 5% or greater indirect ownership interest | — | 02/02/2016 |
| GENESIS HEALTHCARE LLC Organization | 5% or greater indirect ownership interest | — | 04/01/2011 |
| GENESIS HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 02/02/2015 |
| GENESIS OPERATIONS LLC Organization | 5% or greater indirect ownership interest | — | 04/01/2011 |
| GEN OPERATIONS II LLC Organization | 5% or greater indirect ownership interest | — | 04/01/2011 |
| GEN OPERATIONS I LLC Organization | 5% or greater indirect ownership interest | — | 04/01/2011 |
| GHC HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 04/01/2011 |
| SUN HEALTHCARE GROUP INC Organization | 5% or greater indirect ownership interest | — | 02/02/2015 |
| WHITMAN, ARNOLD Individual | 5% or greater indirect ownership interest | — | 12/31/2011 |
| GENESIS OPERATIONS LLC Organization | adp of the snf | NOT APPLICABLE | 02/04/2025 |
| LOPES, RONICIA Individual | adp of the snf | NOT APPLICABLE | 02/04/2025 |
| VERMA, SUNIL Individual | adp of the snf | NOT APPLICABLE | 06/02/2016 |
| FISHMAN, STEVEN Individual | corporate director | NOT APPLICABLE | 12/31/2011 |
| WHITMAN, ARNOLD Individual | corporate director | NOT APPLICABLE | 12/31/2011 |
| BERG, MICHAEL Individual | corporate officer | NOT APPLICABLE | 12/01/2012 |
| BRIDGEFORD, LAURA Individual | corporate officer | NOT APPLICABLE | 04/01/2024 |
| MENDELSON, AVI Individual | corporate officer | NOT APPLICABLE | 04/01/2024 |
| WHITMAN, ARNOLD Individual | corporate officer | NOT APPLICABLE | 12/31/2011 |
| LOPES, RONICIA Individual | operational/managerial control | NOT APPLICABLE | 12/02/2024 |
Other nursing homes near Grand Islander Center
- ★★★★★2Below average
Royal Middletown Nursing Center
193 Forest Avenue, Middletown, RI 02842 · 1.5 mi
For-profit · 50 beds · Part of Royal Health Group
★★★★★2Below average- ★★★★★4Above average
Adviniacare Newport, LLC
398 Bellevue Avenue, Newport, RI 02840 · 2.4 mi
For-profit · 114 beds · Part of Adviniacare
★★★★★2Below averageVillage House Nursing & Rehabilitation Center
70 Harrison Avenue, Newport, RI 02840 · 3.1 mi
For-profit · 95 beds
★★★★★4Above averageSouth County Eden Operations LLC DBA Lakeside Nurs
740 Oak Hill Road, North Kingstown, RI 02852 · 11.1 mi
For-profit · 120 beds · Part of Eden Healthcare
★★★★★4Above average
Frequently asked questions
What is Grand Islander Center's rating?
Grand Islander Center has 2 out of 5 stars on the CMS overall star rating. The average for Rhode Island nursing homes is 2.9 stars.
How many inspection citations did Grand Islander Center receive?
Its most recent standard health inspection found 18 citations, compared with a Rhode Island average of 9.3. Every citation is listed on this page with its severity.
Does Grand Islander Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Grand Islander Center?
It is for profit - corporation and part of Genesis Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Grand Islander Center and how do I contact it?
Grand Islander Center is at 333 Green End Avenue, Middletown, RI 02842. Phone: (401) 849-7100.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.