Nursing Homes
John Clarke Senior Living
Cost data not yet available
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UPDATED JUL 2026
Nursing Homes · Medicare certified
Grand Islander Center
333 Green End Avenue · Middletown, RI 02842 · 146 certified beds
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Public record
CMS Care Compare · Updated Jul 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV
Staffing rating
3.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
35
Inspection history (40)
April 22, 2025 · D
Citation F0658Federal surveyors cited this nursing home on 2025-04-22 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-05-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-22.GOVApril 22, 2025 · D
Citation F0580Federal surveyors cited this nursing home on 2025-04-22 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2025-05-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-22.GOVNovember 22, 2024 · D
Citation F0692Federal surveyors cited this nursing home on 2024-11-22 under CMS tag F0692 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2024-12-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-22.GOVAugust 27, 2024 · D
Citation F0578Federal surveyors cited this nursing home on 2024-08-27 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-09-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-27.GOVJuly 31, 2024 · D
Citation F0757Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0757 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident’s drug regimen must be free from unnecessary drugs. The deficiency was recorded as corrected on 2024-08-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOVJuly 31, 2024 · D
Citation F0658Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2024-08-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOVMay 31, 2024 · D
Citation F0825Federal surveyors cited this nursing home on 2024-05-31 under CMS tag F0825 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide or get specialized rehabilitative services as required for a resident. The deficiency was recorded as corrected on 2024-06-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-31.GOVMay 31, 2024 · E
Citation F0791Federal surveyors cited this nursing home on 2024-05-31 under CMS tag F0791 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide or obtain dental services for each resident. The deficiency was recorded as corrected on 2024-06-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-31.GOVMay 31, 2024 · D
Citation F0698Federal surveyors cited this nursing home on 2024-05-31 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2024-06-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-31.GOVMay 31, 2024 · D
Citation F0658Federal surveyors cited this nursing home on 2024-05-31 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2024-06-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-31.GOVMay 31, 2024 · D
Citation F0685Federal surveyors cited this nursing home on 2024-05-31 under CMS tag F0685 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assist a resident in gaining access to vision and hearing services. The deficiency was recorded as corrected on 2024-06-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-31.GOVMay 31, 2024 · E
Citation F0880Federal surveyors cited this nursing home on 2024-05-31 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-06-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-31.GOVMay 31, 2024 · D
Citation F0690Federal surveyors cited this nursing home on 2024-05-31 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2024-06-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-31.GOVMay 31, 2024 · D
Citation F0688Federal surveyors cited this nursing home on 2024-05-31 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-06-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-31.GOVMay 31, 2024 · F
Citation F0812Federal surveyors cited this nursing home on 2024-05-31 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-06-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-31.GOVApril 27, 2023 · E
Citation F0689Federal surveyors cited this nursing home on 2023-04-27 under CMS tag F0689 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-05-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-27.GOVApril 27, 2023 · D
Citation F0656Federal surveyors cited this nursing home on 2023-04-27 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-05-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-27.GOVApril 27, 2023 · F
Citation F0812Federal surveyors cited this nursing home on 2023-04-27 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2023-05-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-27.GOVApril 27, 2023 · D
Citation F0757Federal surveyors cited this nursing home on 2023-04-27 under CMS tag F0757 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident’s drug regimen must be free from unnecessary drugs. The deficiency was recorded as corrected on 2023-05-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-27.GOVApril 27, 2023 · D
Citation F0658Federal surveyors cited this nursing home on 2023-04-27 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2023-05-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-27.GOV
Penalties
Total fines on file: $33,150
Staffing
Latest: 3.54 nurse staffing hours per resident per day (2026-06-01)
Staffing trend (2 periods)
- 2025Q43.54 hrs/resident/day
- 2026-06-013.54 hrs/resident/day
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit - Corporation
CMS Care Compare chain: Genesis Healthcare
Chain ID 237 · 187 facilities in chain (CMS)
- Chain average overall rating: 2.4
- Chain average health inspection rating: 2.3
- Chain average staffing rating: 2.5
- Chain average quality measure rating: 3.6
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Genesis Ri Holdings LLC
parent · PAC 9335324615
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth Cost of Care Survey · 2024
This provider doesn't publish a specific price to us. Below is the typical RI range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · RI$10,369/moSee full RI cost breakdownSource: Genworth Cost of Care Survey · Updated 2024
Nursing Homes
Median · RI$12,106/moSee full RI cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025
Nearby alternatives
Other licensed providers in Middletown, with their own public records.
Nursing Homes
Royal Middletown Nursing Center
Cost data not yet available
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Check availability and pricing at Grand Islander Center
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Your number goes only to facilities you choose. No call blitz. Ever.