Nursing home
Grand Islander Center
333 Green End Avenue, Middletown, RI 02842 · Map
For profit - Corporation · Part of Genesis Healthcare (193 facilities) · 146 certified beds
Grand Islander Center is a Medicare-certified nursing home in Middletown, Rhode Island. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.63 hours per resident per day, below the Rhode Island average of 3.72. Its most recent inspection on May 14, 2025 cited 22 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Grand Islander Center compares
This facility vs. the Rhode Island and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Rhode Island avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.63 | 3.72 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.71 | 0.77 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.20 | 2.46 | 2.34 | below avg |
| Nursing staff turnover | 44.2% | 40.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 22.0 | 8.7 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the December 5, 2025 inspection was corrected by January 6, 2026
What inspectors found at Grand Islander Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · Dec 5, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Dec 5, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 25, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Nov 25, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 24, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Nursing and Physician Services Deficiencies · Aug 20, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Aug 20, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 14, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · May 14, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · May 14, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · May 14, 2025 · Full report (PDF) - Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · May 14, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 333 Green End Avenue
Middletown, RI 02842 - CMS certification #
- 415034
- Ownership
- For profit - Corporation
- Certified beds
- 146
- Avg residents/day
- 110.0
- Provider type
- Medicare and Medicaid
- First certified
- 1975-01-01
- Chain
- Genesis Healthcare (193 facilities)
- Setting
- Urban
Part of Genesis Healthcare
Genesis Healthcare operates 193 nursing facilities across the United States. View all Genesis Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Grand Islander Center using Google Maps.
Other public records
- Website says Respite stays, works with hospice, transportation, pets allowed
Full public records, with dates and sources
Care and services
From the community’s website
What Grand Islander Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite care
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
Hospice care
(page, checked Oct 12, 2026) - Provides transportation.
Coordinated transportation
(page, checked Oct 12, 2026) - Pets allowed.
Pets Permitted
(page, checked Oct 12, 2026) - Smoke-free.
Smoke free environment
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Newport Hospital, Newport. 1.2 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- John Clarke Senior Living, Middletown. 0.2 miles away, straight line.
- Nearest home health agency office
- Visiting Nurse Home And Hospice, Middleton. 1.0 mile away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 02842 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Wakefield Dialysis Center, Wakefield, 12.2 miles away, straight line (CMS rating 5 of 5 stars)
Dialysis Center Of Tiverton, Tiverton, 12.8 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 02842.
Visiting Nurse Health And Hospice, office in Middletown, 1.0 mile away, straight line (CMS family survey rating 4 of 5 stars)
Athena Rhode Island Hospice LLC, office in Warwick, 16.1 miles away, straight line
Vna Of Care New England, office in Warwick, 17.0 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Lifespan Physician Group Inc, Newport. 1.2 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively moderate, inland flooding relatively moderate, coastal flooding relatively low, wildfire very low, tornado relatively low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Grand Islander Center a good nursing home?
CMS gives Grand Islander Center an overall rating of 2 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Grand Islander Center staffed?
Grand Islander Center reports 3.63 total nurse hours per resident per day, compared with the Rhode Island average of 3.72.
Has Grand Islander Center had inspection problems?
Its most recent CMS inspection cited 22 deficiencies.
How many beds does Grand Islander Center have?
Grand Islander Center is certified for 146 beds.