Nursing home report card · Middletown, RI
Grand Islander Center
333 Green End Avenue, Middletown, RI 02842
Call this home: (401) 849-7100
View this home on Medicare.gov ↗
Quick summary
Below-average Medicare rating
Overall rating is 2 of 5 stars. Its health-inspection rating is 2 of 5. Read the dated inspection findings and separate staffing and care ratings below.
Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.
How recent is this information?
- Medicare file prepared
- Aug 1, 2026
- Our record last updated
- Sep 17, 2026
- Last routine health inspection
- May 14, 2025
These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.
Medicare ratings
One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.
Combines inspection, staffing, and care measures.
Below-average Medicare rating
Based on problems found during health inspections.
Below-average Medicare rating
Based on staffing levels and related measures.
Below-average Medicare rating
Based on reported health and care results.
About average for U.S. nursing homes
What do the ratings and warnings mean?
- Medicare ratings
- One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
- Inspection problems
- Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
- Abuse warning
- Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
- Nursing staff time
- Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.
At a glance
These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.
Care, safety, and resident-rights issues on recent inspections
Building, alarms, exits, and related safety citations
Total fine amounts in the imported penalty records
Medicare home ID: 415034
Inspection findings to read first
Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.
Caused actual harm · isolated case
Nov 25, 2025 · Inspection rule F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Caused actual harm · isolated case
Oct 24, 2025 · Inspection rule F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Could have caused harm · isolated case
Dec 5, 2025 · Inspection rule F0745
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Nursing staff time
These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.
about 39 minutes per resident per day
about 3 hr 22 min per resident per day
about 30 minutes per resident per day
Latest inspection summary
A summary of the most recent routine inspections. You can open the dated findings below.
Inspectors last checked the home’s day-to-day care on May 14, 2025 and wrote up 20 health problems. The same visit also found 3 fire-safety problems. Looking across recent visits: 20 on visit 1, then 13 on visit 2, then 7 on visit 3.
Top issue areas on the latest visit
- Quality of life & care: 8
- Assessment & care planning: 4
- Pharmacy: 3
- miscellaneous: 2
- Infection control: 2
- Nursing & physician services: 2
| Visit | Health check date | Health problems | Fire-safety date | Fire problems |
|---|---|---|---|---|
| #1 | 2025-05-14 | 20 | 2025-05-14 | 3 |
| #2 | 2024-05-31 | 13 | 2024-05-31 | 1 |
| #3 | 2023-04-27 | 7 | 2023-04-27 | 1 |
How this home compares
Compared with state and national averages. The numbers may cover different periods.
- Overall CMS rating: 2 stars — worse than the state average (2.9 stars)
- Health inspection rating: 2 stars — worse than the state average (2.8 stars)
- Staffing rating: 2 stars — worse than the state average (3.2 stars)
- Registered nurse time per resident: 0.65 hours/day
- Total nurse time per resident: 3.37 hours/day
- The latest health inspection listed 20 problems. State and national averages can cover different inspection periods and are not a like-for-like comparison with this inspection.
See the dates used for these averages
Medicare file dates: this home Aug 1, 2026; Rhode Island averages Aug 1, 2026; U.S. averages Oct 1, 2026.
Other concerns in the records
These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.
- Overall star rating is 2 or lower
- Health inspection rating is 2 stars or lower
- Recent citations include infection-control problems
- Inspectors have listed an unusually high number of problems
- Several recent fire-safety problems are on record
- CMS has fined this home in the recent reporting period
How serious were the problems?
Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.
- Caused actual harm2 citations
- Could have caused harm42 citations
- Low risk of harm1 citation
Why inspectors showed up
Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.
- Complaints
- 0
- Routine
- 40
- Fire safety
- 5
- Other
- 0
Who owns it
Names CMS lists as owners or managers · reported as For profit - Corporation.
- CORPORATE OFFICER · Individual · NOT APPLICABLE · since 12/01/2012
- CORPORATE OFFICER · Individual · NOT APPLICABLE · since 04/01/2024
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST · Organization · NO PERCENTAGE PROVIDED · since 04/01/2011
- CORPORATE DIRECTOR · Individual · NOT APPLICABLE · since 12/31/2011
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST · Organization · NO PERCENTAGE PROVIDED · since 04/01/2011
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST · Organization · NO PERCENTAGE PROVIDED · since 04/01/2011
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST · Organization · NO PERCENTAGE PROVIDED · since 02/02/2016
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST · Organization · NO PERCENTAGE PROVIDED · since 04/01/2011
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST · Organization · NO PERCENTAGE PROVIDED · since 02/02/2015
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST · Organization · NO PERCENTAGE PROVIDED · since 04/01/2011
- ADP OF THE SNF · Organization · NOT APPLICABLE · since 02/04/2025
- 5% OR GREATER DIRECT OWNERSHIP INTEREST · Organization · 100% · since 04/01/2011
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST · Organization · NO PERCENTAGE PROVIDED · since 04/01/2011
- ADP OF THE SNF · Individual · NOT APPLICABLE · since 02/04/2025
- OPERATIONAL/MANAGERIAL CONTROL · Individual · NOT APPLICABLE · since 12/02/2024
- CORPORATE OFFICER · Individual · NOT APPLICABLE · since 04/01/2024
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST · Organization · NO PERCENTAGE PROVIDED · since 02/02/2015
- ADP OF THE SNF · Individual · NOT APPLICABLE · since 06/02/2016
- CORPORATE OFFICER · Individual · NOT APPLICABLE · since 12/31/2011
- CORPORATE DIRECTOR · Individual · NOT APPLICABLE · since 12/31/2011
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST · Individual · NO PERCENTAGE PROVIDED · since 12/31/2011
Other homes in this group: All Genesis Healthcare nursing homes
Inspection history
Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.
December 5, 20252 findings
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0658 · code D
Ensure services provided by the nursing facility meet professional standards of quality.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0745 · code D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
November 25, 20252 findings
- Quality of Life and Care problemsCaused actual harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0689 · code G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0658 · code D
Ensure services provided by the nursing facility meet professional standards of quality.
October 24, 20251 finding
- Quality of Life and Care problemsCaused actual harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0689 · code G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 20, 20252 findings
- Nursing and Physician Services problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0726 · code D
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.
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0656 · code D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
May 14, 202516 findings
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0686 · code D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0692 · code D
Provide enough food/fluids to maintain a resident's health.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0694 · code D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0698 · code D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- Pharmacy Service problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0756 · code D
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 problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0760 · code D
Ensure that residents are free from significant medication errors.
- Nutrition and Dietary problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0814 · code D
Dispose of garbage and refuse properly.
- Infection Control problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0881 · code D
Implement a program that monitors antibiotic use.
- Miscellaneous problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0712 · code F
Have simulated fire drills held at unexpected times.
- Miscellaneous problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0761 · code F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- Egress problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0211 · code F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- Resident Assessment and Care Planning problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0656 · code E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Nursing and Physician Services problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0726 · code E
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.
- Pharmacy Service problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0761 · code E
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.
- Infection Control problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0880 · code E
Provide and implement an infection prevention and control program.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0679 · code D
Provide activities to meet all resident's needs.
April 22, 20252 findings
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0658 · code D
Ensure services provided by the nursing facility meet professional standards of quality.
- Resident Rights problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0580 · code D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
November 22, 20241 finding
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0692 · code D
Provide enough food/fluids to maintain a resident's health.
August 27, 20241 finding
- Resident Rights problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0578 · code D
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.
July 31, 20242 findings
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0658 · code D
Ensure services provided by the nursing facility meet professional standards of quality.
- Pharmacy Service problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0757 · code D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
May 31, 202410 findings
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0685 · code D
Assist a resident in gaining access to vision and hearing services.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0688 · code D
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 problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0690 · code D
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 problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0698 · code D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0825 · code D
Provide or get specialized rehabilitative services as required for a resident.
- Nutrition and Dietary problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag F0812 · code F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Quality of Life and Care problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0791 · code E
Provide or obtain dental services for each resident.
- Infection Control problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0880 · code E
Provide and implement an infection prevention and control program.
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0658 · code D
Ensure services provided by the nursing facility meet professional standards of quality.
- Smoke problemsCould have caused harm · pattern case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0351 · code E
Install an approved automatic sprinkler system.
April 27, 20236 findings
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0658 · code D
Ensure services provided by the nursing facility meet professional standards of quality.
- Quality of Life and Care problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0689 · code E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Nutrition and Dietary problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag F0812 · code F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Pharmacy Service problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0757 · code D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- Emergency Preparedness problemsLow risk of harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag E0006 · code C
Conduct risk assessment and an All-Hazards approach.
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0656 · code D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Fines & penalties
These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.
- Fine · Nov 25, 2025$12,438
- Fine · Oct 24, 2025$9,110
Other homes in this chain
Genesis Healthcare · other locations in Rhode Island
Related topics
Questions about Grand Islander Center
What is Grand Islander Center's Medicare star rating?
Has Grand Islander Center been fined?
Does Grand Islander Center have a Medicare abuse warning?
How does Grand Islander Center compare with other nursing homes in Rhode Island?
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