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.
April 22, 2025
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 22, 2025.
April 22, 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 May 22, 2025.
November 22, 2024
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 9, 2024.
August 27, 2024
Tag F0578Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 26, 2024.
July 31, 2024
Tag F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 30, 2024.
July 31, 2024
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 August 30, 2024.
May 31, 2024
Tag F0825Provide or get specialized rehabilitative services as required for a resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 30, 2024.
May 31, 2024
Tag F0688Provide 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 30, 2024.
May 31, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected June 30, 2024.
May 31, 2024
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 30, 2024.
May 31, 2024
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, 2024.
May 31, 2024
Tag F0685Assist a resident in gaining access to vision and hearing services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 30, 2024.
May 31, 2024
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, 2024.
May 31, 2024
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 June 30, 2024.
May 31, 2024
Tag F0791Provide or obtain dental services for each resident.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 30, 2024.
April 27, 2023
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 18, 2023.
April 27, 2023
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 May 18, 2023.
April 27, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 18, 2023.
April 27, 2023
Tag F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 18, 2023.
April 27, 2023
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 May 18, 2023.
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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