Grand Islander Center

333 Green End Avenue, Middletown, RI 02842 · CCN 415034 · 146 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing2 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.

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Serious inspection findings

2025-11-25 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2025-10-24 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

3.11

state median 3.21

Weekend staffing gap

−2%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.53

registered nurses only

Contract (agency) staff

17%

share of all nursing hours

Nursing staff turnover

50%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $33,150 in fines.

Date	Type	Amount
2025-11-25	Fine	$19,135
2025-10-24	Fine	$14,015

Ownership

Ownership type: For profit - Corporation. Part of the GENESIS HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

MERRY WOOD LODGE (ELMORE, AL) — CMS overall1 of 5
KELLER LANDING (TUSCUMBIA, AL) — CMS overall5 of 5
COTTAGE OF THE SHOALS (TUSCUMBIA, AL) — CMS overall4 of 5
RIVER CITY CENTER (DECATUR, AL) — CMS overall1 of 5
MAGNOLIA RIDGE (GARDENDALE, AL) — CMS overall1 of 5
GLENWOOD CENTER (FLORENCE, AL) — CMS overall1 of 5
CYPRESS COVE CARE CENTER (MUSCLE SHOALS, AL) — CMS overall5 of 5
THE EARLWOOD (TORRANCE, CA) — CMS overall1 of 5

Full citation history

By severity: Actual harm: 2 · Potential for more than minimal harm: 38

Survey date	Tag	Category	Severity	Corrected
2025-12-05	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-12-05	F0745	Quality of Life and Care Deficiencies	D	not recorded
2025-11-25	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-11-25	F0689	Quality of Life and Care Deficiencies	G	not recorded
2025-10-24	F0689	Quality of Life and Care Deficiencies	G	not recorded
2025-08-20	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-08-20	F0726	Nursing and Physician Services Deficiencies	D	not recorded
2025-05-14	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-05-14	F0679	Quality of Life and Care Deficiencies	D	not recorded
2025-05-14	F0686	Quality of Life and Care Deficiencies	D	not recorded
2025-05-14	F0692	Quality of Life and Care Deficiencies	D	not recorded
2025-05-14	F0694	Quality of Life and Care Deficiencies	D	not recorded
2025-05-14	F0698	Quality of Life and Care Deficiencies	D	not recorded
2025-05-14	F0726	Nursing and Physician Services Deficiencies	E	not recorded
2025-05-14	F0756	Pharmacy Service Deficiencies	D	not recorded
2025-05-14	F0760	Pharmacy Service Deficiencies	D	not recorded
2025-05-14	F0761	Pharmacy Service Deficiencies	E	not recorded
2025-05-14	F0814	Nutrition and Dietary Deficiencies	D	not recorded
2025-05-14	F0880	Infection Control Deficiencies	E	not recorded
2025-05-14	F0881	Infection Control Deficiencies	D	not recorded
2025-04-22	F0580	Resident Rights Deficiencies	D	not recorded
2025-04-22	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-11-22	F0692	Quality of Life and Care Deficiencies	D	not recorded
2024-08-27	F0578	Resident Rights Deficiencies	D	not recorded
2024-07-31	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-07-31	F0757	Pharmacy Service Deficiencies	D	not recorded
2024-05-31	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-05-31	F0685	Quality of Life and Care Deficiencies	D	not recorded
2024-05-31	F0688	Quality of Life and Care Deficiencies	D	not recorded
2024-05-31	F0690	Quality of Life and Care Deficiencies	D	not recorded
2024-05-31	F0698	Quality of Life and Care Deficiencies	D	not recorded
2024-05-31	F0791	Quality of Life and Care Deficiencies	E	not recorded
2024-05-31	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2024-05-31	F0825	Quality of Life and Care Deficiencies	D	not recorded
2024-05-31	F0880	Infection Control Deficiencies	E	not recorded
2023-04-27	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-04-27	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-04-27	F0689	Quality of Life and Care Deficiencies	E	not recorded
2023-04-27	F0757	Pharmacy Service Deficiencies	D	not recorded
2023-04-27	F0812	Nutrition and Dietary Deficiencies	F	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Grand Islander Center, Middletown” at medicare.gov/care-compare.