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Nursing homes in Middletown, RI

Middletown, RI has 3 Medicare-certified nursing homes. None has a 5-star overall rating, and 3 have been fined in the last three years.

Medicare data updated October 2026. Sorted by Medicare's overall rating.

Nursing homeOverall ratingHealth inspectionsStaffingQuality measuresBedsFines
Grand Islander Center333 Green End Avenue · For profit - Corporation 2 out of 5 stars 2 out of 5 stars 2 out of 5 stars 3 out of 5 stars1462 ($21,548)
John Clarke Senior Living600 Valley Road · Non profit - Corporation 2 out of 5 stars 2 out of 5 stars 4 out of 5 stars 4 out of 5 stars601 ($14,385)
Royal Middletown Nursing Center193 Forest Avenue · For profit - Partnership 2 out of 5 stars 2 out of 5 stars 2 out of 5 stars 2 out of 5 stars501 ($19,884)

How to read the ratings. Medicare's overall rating starts from the health inspection rating, which compares each home with others in Rhode Island, then moves up or down a star for very high or very low staffing and quality measure ratings. Ratings are one source among several: Medicare suggests visiting too. How to read a nursing home's star ratings

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Recent inspection problems in Middletown

Citations from each home's latest standard inspection and from complaint inspections in the last three years, newest first. What an inspection citation means

  • Ensure that residents are free from significant medication errors.June 18, 2026 · John Clarke Senior Living · F0760 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
  • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.April 30, 2026 · Royal Middletown Nursing Center · F0557 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
  • Respond appropriately to all alleged violations.April 30, 2026 · Royal Middletown Nursing Center · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 30, 2026 · Royal Middletown Nursing Center · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
  • Provide safe, appropriate pain management for a resident who requires such services.April 30, 2026 · Royal Middletown Nursing Center · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
  • Ensure that residents are free from significant medication errors.April 30, 2026 · Royal Middletown Nursing Center · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
  • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.April 30, 2026 · Royal Middletown Nursing Center · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
  • Provide and implement an infection prevention and control program.April 30, 2026 · Royal Middletown Nursing Center · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 30, 2026 · Royal Middletown Nursing Center · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
  • Not hire anyone with a finding of abuse, neglect, exploitation, or theft.April 30, 2026 · Royal Middletown Nursing Center · F0606 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many

Questions about nursing homes in Middletown

Which nursing home in Middletown has the highest Medicare rating?

Grand Islander Center, John Clarke Senior Living and Royal Middletown Nursing Center share the highest overall rating in Middletown: 2 stars out of 5.

How many nursing homes in Middletown have been fined?

3 of the 3 have been fined in the last three years, $55,817 in all. The most was $21,548, at Grand Islander Center.

Does Medicare flag any nursing homes in Middletown?

No. None of the 3 is a Special Focus Facility or carries Medicare's abuse icon.

Which nursing home in Middletown is the largest?

Grand Islander Center, with 146 certified beds.

Data from Medicare (CMS), updated October 2026, from Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.