Grand Islander Center
333 Green End Avenue, Middletown, RI 02842 · (401) 849-7100
For profit - Corporation · 146 certified beds
Grand Islander Center has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2025, found 13 citations (the Rhode Island average is 9.3). It was fined 2 times in the last three years, $21,548 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on May 14, 2025 found 13 citations. What an inspection citation means
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 14, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.May 14, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.May 14, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.May 14, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide activities to meet all resident's needs.May 14, 2025 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.May 14, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.May 14, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide for the safe, appropriate administration of IV fluids for a resident when needed.May 14, 2025 · F0694 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate dialysis care/services for a resident who requires such services.May 14, 2025 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.May 14, 2025 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.May 14, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Dispose of garbage and refuse properly.May 14, 2025 · F0814 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Implement a program that monitors antibiotic use.May 14, 2025 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 13 citations.
- Ensure services provided by the nursing facility meet professional standards of quality.December 5, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide medically-related social services to help each resident achieve the highest possible quality of life.December 5, 2025 · F0745 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.November 25, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 25, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 24, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.August 20, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 20, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.April 22, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.April 22, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.November 22, 2024 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 27, 2024 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.July 31, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident’s drug regimen must be free from unnecessary drugs.July 31, 2024 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $12,438November 25, 2025
- Fine of $9,110October 24, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Rhode Island average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.37 | 3.71 | 3.86 |
| Registered nurses (RN) | 0.65 | 0.77 | 0.69 |
| Licensed practical nurses (LPN) | 0.68 | 0.48 | 0.86 |
| Nurse aides | 2.04 | 2.46 | 2.32 |
| Total nursing staff turnover | 49.5% | 40.6% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 146 |
| Average residents per day | 112.1 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- John Clarke Senior Living Middletown · ★★★★★ 2 out of 5 stars
- Royal Middletown Nursing Center Middletown · ★★★★★ 2 out of 5 stars
- St Clare Home Newport · ★★★★★ 4 out of 5 stars
- Village House Nursing & Rehabilitation Center Newport · ★★★★★ 4 out of 5 stars
Compare every nursing home in Middletown, RI · Nursing homes in Rhode Island
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Data from Medicare (CMS), updated October 2026, from Grand Islander Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.