Rhode Island › Newport County › Middletown
Grand Islander Center
333 Green End Avenue, Middletown, RI 02842
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Grand Islander Center is a For-profit, corporation nursing home in Middletown, Rhode Island, certified for 146 beds and caring for about 112 residents a day.
CMS gives it 2 of 5 stars overall, below the Rhode Island median of 3; the health inspection rating is 2, staffing 2 and quality measures 3.
Inspectors recorded 40 health deficiencies across the three most recent survey cycles (20, 13, 7 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 27.4 per 100 beds, about the same as the state median of 24.8.
CMS lists 2 penalties in the period covered: fines totalling $22K.
Reported nurse staffing is 3.4 hours per resident per day (0.6 RN), close to the Rhode Island median of 3.6; nursing staff turnover is 49.5%.
Compared with county, state and nation
| Measure | This facility | Newport Co. median | Rhode Island median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 40 | 26 | 25 | 28.7 |
| Citations per 100 beds | 27.4 | 36.8 | 24.8 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.6 | 3.9 |
| RN hours per resident day | 0.6 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 49.5% | 49.5% | 39.3% | 45.8% |
| Fines listed | $21,548 | $16,801 | $22,205 | — |
County and state figures are medians across facilities (6 in the county, 72 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Rhode Island average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 May 2025, 31 May 2024.
Severity mix: G ×2 D ×29 E ×7 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 5 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 6 Jan 2026 |
| 5 Dec 2025 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 6 Jan 2026 |
| 25 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 20 Nov 2025 |
| 25 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 6 Jan 2026 |
| 24 Oct 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 20 Nov 2025 |
| 20 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 19 Sep 2025 |
| 20 Aug 2025 | F0726 | 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. | D | Complaint investigation | 19 Sep 2025 |
| 14 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 30 Jun 2025 |
| 14 May 2025 | F0726 | 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. | E | Standard survey | 30 Jun 2025 |
| 14 May 2025 | F0761 | 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 | Standard survey | 30 Jun 2025 |
| 14 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Jun 2025 |
| 14 May 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 30 Jun 2025 |
| 14 May 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 30 Jun 2025 |
| 14 May 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 30 Jun 2025 |
| 14 May 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 30 Jun 2025 |
| 14 May 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 30 Jun 2025 |
| 14 May 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 30 Jun 2025 |
| 14 May 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 30 Jun 2025 |
| 14 May 2025 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 30 Jun 2025 |
| 14 May 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 30 Jun 2025 |
| 22 Apr 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 22 May 2025 |
| 22 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 22 May 2025 |
| 22 Nov 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 9 Dec 2024 |
| 27 Aug 2024 | F0578 | 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. | D | Complaint investigation | 26 Sep 2024 |
| 31 Jul 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 30 Aug 2024 |
| 31 Jul 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 30 Aug 2024 |
| 31 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Jun 2024 |
| 31 May 2024 | F0791 | Provide or obtain dental services for each resident. | E | Standard survey | 30 Jun 2024 |
| 31 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Jun 2024 |
| 31 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 30 Jun 2024 |
| 31 May 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 30 Jun 2024 |
| 31 May 2024 | F0688 | 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. | D | Standard survey | 30 Jun 2024 |
| 31 May 2024 | F0690 | 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 | Standard survey | 30 Jun 2024 |
| 31 May 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 30 Jun 2024 |
| 31 May 2024 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 30 Jun 2024 |
| 27 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 18 May 2023 |
| 27 Apr 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 18 May 2023 |
| 27 Apr 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 18 May 2023 |
| 27 Apr 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 18 May 2023 |
| 27 Apr 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 18 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 Nov 2025 | Fine | $12,438 | |
| 24 Oct 2025 | Fine | $9,110 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Rhode Island average. Turnover: nursing staff 49.5%, RNs 36.8%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Rhode Island median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 27.3% | 19.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.9% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.4% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 1.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.9% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.2% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.5% | 22.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: 333 Green End Avenue Operations Llc. Chain: Genesis Healthcare (184 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Genesis Ri Holdings LLC | 5% or greater direct ownership interest | 100% | 04/01/2011 |
| Fc-Gen Operations Investment LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 04/01/2011 |
| Gen Operations I LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 04/01/2011 |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/02/2016 |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 04/01/2011 |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/02/2015 |
| Genesis Operations LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 04/01/2011 |
| Ghc Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 04/01/2011 |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/02/2015 |
| Genesis Operations LLC | Adp of the snf | NOT APPLICABLE | 02/04/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Newport County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| St Clare Home | Newport | 50 | 4 | 5 | 4 | 22 | 44.0 | — | 21 May 2026 |
| Village House Nursing & Rehabilitation Center | Newport | 95 | 4 | 4 | 4 | 12 | 12.6 | $8K | 12 Mar 2026 |
| Adviniacare Newport, LLC | Newport | 114 | 2 | 2 | 4 | 42 | 36.8 | $17K | 17 Jun 2026 |
| John Clarke Senior Living | Middletown | 60 | 2 | 2 | 4 | 5 | 8.3 | $14K | 18 Jun 2026 |
| Royal Middletown Nursing Center | Middletown | 50 | 2 | 2 | 2 | 26 | 52.0 | $31K | 30 Apr 2026 |
All 6 facilities in Newport County
Questions and answers
How many deficiencies has Grand Islander Center been cited for?
40 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Rhode Island median is 25 per facility.
Has Grand Islander Center been fined?
Yes. CMS lists fines totalling $22K in the period covered.
How does staffing at Grand Islander Center compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Rhode Island median of 3.6 and a national average of 3.9.
Who operates Grand Islander Center?
It is part of the Genesis Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Genesis Ri Holdings LLC, Fc-Gen Operations Investment LLC and Gen Operations I LLC. Individual owners and managers are not listed on this site.
When was Grand Islander Center last inspected?
The most recent survey or investigation in the CMS record is dated 5 Dec 2025; the most recent standard health survey was 14 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.