Nursing Homes · Medicare certified
Grand Islander Center
333 Green End Avenue · Middletown, RI 02842 · 146 certified beds
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About Grand Islander Center
Grand Islander Center is a nursing home in Middletown, Rhode Island. Its capacity is 146 beds, above the Newport County median of 60 for nursing homes. It is run by a for-profit operator and is part of Genesis Healthcare. It is Medicare certified. Its public inspection record shows 40 citations, the most recent on December 5, 2025. CMS also lists 4 fines or payment denials against it. Nurse staffing averages 3.32 hours per resident per day. It is one of 3 nursing homes listed in Middletown. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
2.0Staffing
3.0Quality measures
2.0CMS Care Compare, October 2026.
Inspection history (40)
Records from April 2023 to December 2025.
December 5, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 6, 2026.
December 5, 2025
Tag F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 6, 2026.
November 25, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected November 20, 2025.
November 25, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 6, 2026.
October 24, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected November 20, 2025.
August 20, 2025
Tag F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 19, 2025.
August 20, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 19, 2025.
May 14, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 30, 2025.
May 14, 2025
Tag F0761Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 30, 2025.
May 14, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 30, 2025.
May 14, 2025
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 30, 2025.
May 14, 2025
Tag F0679Provide activities to meet all resident's needs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 30, 2025.
May 14, 2025
Tag F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 30, 2025.
May 14, 2025
Tag F0881Implement a program that monitors antibiotic use.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 30, 2025.
May 14, 2025
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 30, 2025.
May 14, 2025
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 30, 2025.
May 14, 2025
Tag F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 30, 2025.
May 14, 2025
Tag F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 30, 2025.
May 14, 2025
Tag F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 30, 2025.
May 14, 2025
Tag F0814Dispose of garbage and refuse properly.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 30, 2025.
Penalties (4)
Total fines: $33,150
August 18, 2026 · Fine
CMS recorded a civil money penalty of $27,378 against this nursing home on August 18, 2026.
August 18, 2026 · Fine
CMS recorded a civil money penalty of $44,370 against this nursing home on August 18, 2026.
November 25, 2025 · Fine
CMS recorded a civil money penalty of $19,135 against this nursing home on November 25, 2025.
October 24, 2025 · Fine
CMS recorded a civil money penalty of $14,015 against this nursing home on October 24, 2025.
Staffing
3.32 nurse hours per resident per day in Q2 2026, down from 3.54 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Genesis Healthcare, a chain of 183 nursing homes.
Average CMS star ratings across the chain: 2.4 overall, 2.3 for health inspections, 2.6 for staffing, 3.6 for quality measures.
- Parent company: Genesis Ri Holdings LLC
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Rhode Island.
Nearby alternatives
Other licensed providers in Middletown.
Royal Middletown Nursing Center
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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