John Clarke Senior Living
Medicare-certified600 Valley Road, Middletown, RI 02842
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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.
Capacity
146 residents
Location
Middletown, RI
Status
Listed in a public registry
333 Green End Avenue, Middletown, Rhode Island 02842
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.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 22 minutesBelow the Rhode Island average |
| Registered nurse time per resident, per day | 39 minutesBelow the Rhode Island average |
| Nursing staff who left in the past year | 50%Above the Rhode Island average |
2 administrators have left the home in the past year.
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.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
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.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide and implement an infection prevention and control program.
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.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Provide activities to meet all resident's needs.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Ensure that residents are free from significant medication errors.
Provide enough food/fluids to maintain a resident's health.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Dispose of garbage and refuse properly.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Implement a program that monitors antibiotic use.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide enough food/fluids to maintain a resident's health.
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.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide or obtain dental services for each resident.
Provide and implement an infection prevention and control program.
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.
Assist a resident in gaining access to vision and hearing services.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide or get specialized rehabilitative services as required for a resident.
2 fines totaling $21,548 in the last three years.
333 Green End AvenueMiddletown, RI 02842
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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.
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.
Yes. Medicare fined Grand Islander Center 2 times in the last three years, totaling $21,548.
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.
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.
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.