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Grand Islander Center

333 Green End Avenue, Middletown, RI 028424018497100Ownership: For profit - CorporationCertified beds: 146Avg. daily residents: 112Chain: Genesis Healthcare (184 facilities)County: Newport

The complete public record on Grand Islander Center, a Medicare & Medicaid–certified nursing home in Middletown, Rhode Island, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★☆☆☆
CMS’s composite of the three ratings below. Rhode Island average: 2.9 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Grand Islander Center holds a 2-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 50% is well above the Rhode Island average of 40%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $21,548 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.37 total nurse staff hours per resident per day
below the state average (3.71)
0.65 RN hours per resident per day
below the state average (0.77)
3.16 weekend nurse staff hours per resident per day
49.5% total nursing staff turnover
above the state average (40.3)
36.8% RN turnover
2 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

May 14, 2025 most recent standard health inspection
20 health deficiencies cited in the most recent inspection cycle
above the state average (9.3)
15 health deficiencies in the two prior cycles combined
$21,548 in federal fines across 2 penalties (last 3 years)
below the state average ($64,128)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

40 citations on record across recent inspections, 2 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
December 5, 20250658Ensure services provided by the nursing facility meet professional standards of quality. ComplaintD · Potential for more than minimal harm
December 5, 20250745Provide medically-related social services to help each resident achieve the highest possible quality of life. ComplaintD · Potential for more than minimal harm
November 25, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintG · Actual harm
November 25, 20250658Ensure services provided by the nursing facility meet professional standards of quality. ComplaintD · Potential for more than minimal harm
October 24, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintG · Actual harm
August 20, 20250656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. ComplaintD · Potential for more than minimal harm
August 20, 20250726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's… ComplaintD · Potential for more than minimal harm
May 14, 20250656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E · Potential for more than minimal harm
May 14, 20250726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's…E · Potential for more than minimal harm
May 14, 20250761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all…E · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.