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Medicare-certifiedSkilled Nursing

Grand Islander Center

Middletown, Rhode IslandMedicare inspection record
(401) 849-7100

About Grand Islander Center

Grand Islander Center brings together experienced medical staff and compassionate care in Middletown, Rhode Island. Our skilled nursing and rehabilitation programs focus on helping residents regain strength and independence after hospitalization or injury, with personalized treatment plans and 24-hour professional support.

Community at a glance

Capacity

146 residents

Location

Middletown, RI

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

333 Green End Avenue, Middletown, Rhode Island 02842

(401) 849-7100

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on May 14, 2025, state inspectors cited 18 health deficiencies (the Rhode Island average is 9.3).

Nurses and nurse aides spend 3 hours 22 minutes with each resident a day, below the Rhode Island average of 3 hours 43 minutes.

Medicare fined Grand Islander Center 2 times in the last three years, $21,548 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 22 minutesBelow the Rhode Island average
Registered nurse time per resident, per day39 minutesBelow the Rhode Island average
Nursing staff who left in the past year50%Above the Rhode Island average

2 administrators have left the home in the past year.

Inspections

35 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

December 5, 2025 · Complaint investigation · 2 citations

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 6, 2026
  • Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 6, 2026

November 25, 2025 · Complaint investigation · 2 citations

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintAlready fixed by Nov 20, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 6, 2026
October 24, 2025 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Nov 20, 2025
August 20, 2025 · Complaint investigation · 2 citations+
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Sep 19, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Sep 19, 2025
May 14, 2025 · Standard inspection · 13 citations+
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jun 30, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jun 30, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jun 30, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Jun 30, 2025
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 30, 2025
  • Provide activities to meet all resident's needs.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 30, 2025
  • Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 30, 2025
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 30, 2025
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 30, 2025
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 30, 2025
  • Dispose of garbage and refuse properly.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jun 30, 2025
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 30, 2025
  • Implement a program that monitors antibiotic use.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jun 30, 2025
April 22, 2025 · Complaint investigation · 2 citations+
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 22, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 22, 2025
November 22, 2024 · Complaint investigation · 1 citation+
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 9, 2024
August 27, 2024 · Complaint investigation · 1 citation+
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Sep 26, 2024
July 31, 2024 · Complaint investigation · 2 citations+
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 30, 2024
  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Aug 30, 2024
May 31, 2024 · Standard inspection · 9 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jun 30, 2024
  • Provide or obtain dental services for each resident.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jun 30, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jun 30, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 30, 2024
  • Assist a resident in gaining access to vision and hearing services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 30, 2024
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 30, 2024
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 30, 2024
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 30, 2024
  • Provide or get specialized rehabilitative services as required for a resident.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 30, 2024

Fines and payment denials

2 fines totaling $21,548 in the last three years.

  • November 25, 2025Fine: $12,438
  • October 24, 2025Fine: $9,110

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
333 Green End Avenue Operations LLC
Medicare-certified beds
146
Average residents per day
112
Accepts
Medicare and Medicaid
First certified
January 1, 1975
Part of a chain
Genesis Healthcare, 184 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Both
Sprinklers in all required areas
Yes
CMS Certification Number
415034

Location

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333 Green End AvenueMiddletown, RI 02842

12 other communities within 10 miles

Senior living near Middletown

Questions about Grand Islander Center

How did Grand Islander Center do on its last inspection?+

State inspectors visited on May 14, 2025 and cited 18 health deficiencies, 5 of them from complaint investigations. The Rhode Island average is 9.3.

How much nursing care does each resident get at Grand Islander Center?+

Nurses and aides spend 3 hours 22 minutes with each resident per day, including 39 minutes from registered nurses. 50% of nursing staff left over the past year.

Has Grand Islander Center been fined by Medicare?+

Yes. Medicare fined Grand Islander Center 2 times in the last three years, totaling $21,548.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Middletown Skilled Nursing in Rhode Island Skilled Nursing guide Information last updated October 2026