John Clarke Senior Living
Cost data not yet available
Nursing Homes · Medicare certified
333 Green End Avenue · Middletown, RI 02842 · 146 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1083896815. Look this up in the CMS NPPES registry (opens in a new tab)
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Grand Islander Center is a nursing home in Middletown, Rhode Island, in Newport County. Public records list 146 beds. Ownership records list a for-profit operator and tie the listing to Genesis Healthcare. It is Medicare certified. We hold 40 inspection citations for this listing, the most recent dated 5 December 2025. CMS also lists 2 fine or payment denial actions against it. Reported staffing works out to 3.37 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
CMS Care Compare · Source data August 2026
Staffing rating
2.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
35
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
3.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
35
Staffing rating
2.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
35
Records from April 2023 to December 2025.
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).
April 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).
November 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).
August 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).
July 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).
July 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).
May 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).
May 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).
May 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).
May 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).
May 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).
May 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).
May 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).
May 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).
May 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).
April 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).
April 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).
April 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).
April 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).
April 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).
Total fines on file: $33,150
November 25, 2025 · Fine
Citation FINE-138555CMS recorded a civil money penalty of $19,135 against this nursing home on 2025-11-25 (Fine ID: 138555). Source: CMS Care Compare Penalties (as of 2026-07-01).
October 24, 2025 · Fine
Citation FINE-138436CMS recorded a civil money penalty of $14,015 against this nursing home on 2025-10-24 (Fine ID: 138436). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 3.37 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is lower than 2025Q4 (-0.18 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
For profit
CMS Care Compare chain: Genesis Healthcare
Chain ID 237 · 184 facilities in chain (CMS)
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
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Corporation".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Corporation".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
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$12,106/moOther licensed providers in Middletown, with their own public records.
Cost data not yet available
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
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