Nursing home · Top rated by CMS
John Clarke Senior Living
600 Valley Road, Middletown, RI 02842 · Map
Non profit - Corporation · 60 certified beds
John Clarke Senior Living is a Medicare-certified nursing home in Middletown, Rhode Island. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.69 hours per resident per day, below the Rhode Island average of 3.72. Its most recent inspection on Feb 26, 2025 cited 1 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How John Clarke Senior Living 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) | 3.69 | 3.72 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 1.16 | 0.77 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.51 | 2.46 | 2.34 | above avg |
| Nursing staff turnover | 33.3% | 40.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 1.0 | 8.7 | 9.5 | below 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.
What inspectors found at John Clarke Senior Living
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 and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 10, 2026 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Sep 25, 2025 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Mar 6, 2024 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Mar 6, 2024 · 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
- 600 Valley Road
Middletown, RI 02842 - CMS certification #
- 415076
- Ownership
- Non profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 51.8
- Provider type
- Medicare and Medicaid
- First certified
- 1982-10-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around John Clarke Senior Living using Google Maps.
Other public records
- Staff pay 2 federal wage cases with violations found, since 2003
- Emergency In hurricane evacuation Zone B
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jul 1, 2007 to Aug 17, 2007. Violations found: Wage garnishment limits. Employer as DOL recorded it: John Clarke Retirement Center (John Clarke Retirement Center, Inc.). Case 1487365.
- Findings for Dec 11, 2003 to Dec 8, 2005. Violations found: Fair Labor Standards Act (pay and hours). Employer as DOL recorded it: John Clarke Retirement Center. Case 1423981.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Newport Hospital, Newport. 1.0 mile away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Grand Islander Center, Middletown. 0.2 miles away, straight line.
- Nearest home health agency office
- Visiting Nurse Home And Hospice, Middleton. 1.1 miles 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, 12.0 miles away, straight line (CMS rating 5 of 5 stars)
Dialysis Center Of Tiverton, Tiverton, 13.0 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, 1.1 miles 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
Continuum Care Hospice, office in West Warwick, 17.0 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Lifespan Physician Group Inc, Newport. 1.0 mile 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.
- Hurricane evacuation zone
- Zone B on the Rhode Island hurricane evacuation areas. (Rhode Island Emergency Management Agency (via RIGIS), map updated Jan 30, 2025)
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (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 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | See above | |
| 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 | Could not read the site |
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Frequently asked questions
Is John Clarke Senior Living a good nursing home?
CMS gives John Clarke Senior Living an overall rating of 5 out of 5 stars, including 5/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is John Clarke Senior Living staffed?
John Clarke Senior Living reports 3.69 total nurse hours per resident per day, compared with the Rhode Island average of 3.72.
Has John Clarke Senior Living had inspection problems?
Its most recent CMS inspection cited 1 deficiencies.
How many beds does John Clarke Senior Living have?
John Clarke Senior Living is certified for 60 beds.