Grand Islander Center
333 Green End Avenue, Middletown, RI 02842 · CCN 415034
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 146
- Avg residents/day
- 110.0
- Phone
- 4018497100
Inspection history vs Rhode Island & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Rhode Island avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-14 | 22 | 8.7 | 9.5 | +13.3 worse |
| 2 | 2024-05-31 | 13 | 9.3 | 9.8 | +3.7 worse |
| 3 | 2023-04-27 | 5 | 10.4 | 9.3 | -5.4 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 8 |
| Resident assessment and care planning | 5 |
| Nursing and physician services | 2 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 3 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.63 | 44.2% |
| RN staffing (reported) | 0.71 | 28.0% |
| Total nurse staffing (adjusted) | 3.69 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- GENESIS HEALTHCARE
- Facilities in chain
- 193
- Chain avg overall
- 2.40 / 5
Inspection citations (40)2 actual harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-12-05 · Health · corrected 2026-01-06
Potential for more than minimal harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2025-12-05 · Health · corrected 2026-01-06
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-11-25 · Health · corrected 2026-01-06
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-25 · Health · corrected 2025-11-20
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-24 · Health · corrected 2025-11-20
Actual harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-20 · Health · corrected 2025-09-19
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-08-20 · Health · corrected 2025-09-19
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-14 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2025-05-14 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-14 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-05-14 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-05-14 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-05-14 · Health · corrected 2025-06-30
Potential for more than minimal harm
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-05-14 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-05-14 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-05-14 · Health · corrected 2025-06-30
Potential for more than minimal harm
- EF0761Ensure 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.2025-05-14 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0814Dispose of garbage and refuse properly.2025-05-14 · Health · corrected 2025-06-30
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-05-14 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2025-05-14 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-04-22 · Health · corrected 2025-05-22
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-22 · Health · corrected 2025-05-22
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-11-22 · Health · corrected 2024-12-09
Potential for more than minimal harm
- DF0578Honor 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.2024-08-27 · Health · corrected 2024-09-26
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-07-31 · Health · corrected 2024-08-30
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-07-31 · Health · corrected 2024-08-30
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-05-31 · Health · corrected 2024-06-30
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2024-05-31 · Health · corrected 2024-06-30
Potential for more than minimal harm
- DF0688Provide 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.2024-05-31 · Health · corrected 2024-06-30
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-05-31 · Health · corrected 2024-06-30
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-05-31 · Health · corrected 2024-06-30
Potential for more than minimal harm
- EF0791Provide or obtain dental services for each resident.2024-05-31 · Health · corrected 2024-06-30
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-31 · Health · corrected 2024-06-30
Potential for more than minimal harm
- DF0825Provide or get specialized rehabilitative services as required for a resident.2024-05-31 · Health · corrected 2024-06-30
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-05-31 · Health · corrected 2024-06-30
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-27 · Health · corrected 2023-05-18
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-04-27 · Health · corrected 2023-05-18
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-27 · Health · corrected 2023-05-18
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-04-27 · Health · corrected 2023-05-18
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-27 · Health · corrected 2023-05-18
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GENESIS RI HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2011-04-01 |
| FC-GEN OPERATIONS INVESTMENT LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-04-01 |
| GEN OPERATIONS I LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-04-01 |
| GEN OPERATIONS II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-04-01 |
| GENESIS HEALTHCARE INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-02-02 |
| GENESIS HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-04-01 |
| GENESIS HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| GENESIS OPERATIONS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-04-01 |
| GHC HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-04-01 |
| HCCF MANAGEMENT GROUP XI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-12-31 |
| SUN HEALTHCARE GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| SUNDANCE REHABILITATION HOLDCO INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-01-01 |
| WELLTOWER OP LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-02 |
| ZAC PROPERTIES XI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-12-31 |
| FISHMAN, STEVEN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-12-31 |
| WHITMAN, ARNOLD | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-12-31 |
| LOPES, RONICIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-02 |
| FISHMAN, STEVEN | Individual | CORPORATE DIRECTOR | — | 2011-12-31 |
| WHITMAN, ARNOLD | Individual | CORPORATE DIRECTOR | — | 2011-12-31 |
| BERG, MICHAEL | Individual | CORPORATE OFFICER | — | 2012-12-01 |
| BRIDGEFORD, LAURA | Individual | CORPORATE OFFICER | — | 2024-04-01 |
| MENDELSON, AVI | Individual | CORPORATE OFFICER | — | 2024-04-01 |
| WHITMAN, ARNOLD | Individual | CORPORATE OFFICER | — | 2011-12-31 |
Other facilities in Middletown
| Name | Overall | Beds |
|---|---|---|
| John Clarke Senior Living | ★★★★★ | 60 |
| Royal Middletown Nursing Center | ★★★☆☆ | 50 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.