Middletown · 02842
John Clarke Senior Living
600 Valley Road
Middletown, RI 02842
Grand Islander Center
⌖ Middletown, RI · Newport County
No photos yet
Medicare overall rating 2 of 5 stars
Certified beds146
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)
About Grand Islander Center
Grand Islander Center is a 146-bed for-profit nursing home in Middletown, RI. Medicare rates it 2 out of 5 stars overall (below average); the average in Rhode Island is 2.9. At its last full inspection (May 2025), inspectors found 18 problems, more than the Rhode Island average of 9.3. 2 citations in its recent inspections were for residents being harmed or put in immediate danger. Nurses and aides spend about 3 hr 22 min a day with each resident, about the same as the Rhode Island average of 3 hr 43 min. About 50% of its nursing staff left in the past year. Medicare fined it $21,548 in the last three years. Its quality ratings are similar for short-term rehab (3 of 5) and long-term care (2 of 5).
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Is this your home? Tell families what makes it special: add photos, a description, care programs and amenities, and answer anything Medicare’s data flags.
Key details
Facility nameGrand Islander Center
LocationNewport County, Rhode Island
Phone(401) 849-7100
Address333 Green End Avenue, Middletown, RI 02842 · Newport County
CMS provider number415034
Ownership typeFor-profit (corporation)
Operating companyGenesis Healthcare · 184 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJanuary 1, 1975 (51 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
5 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
About average
- Nurse staffing per resident3 hr 22 min a dayRhode Island average: 3 hr 43 minAbout average
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Serious health citations2 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in Nov 2025 (within the past year). All 2 were later corrected.Ask about this
- Fines and penalties2 fines totaling $21,548Federal penalties from the last three years, most recently in Nov 2025 (within the past year). The national average is $30,972 per home.Worth asking about
- Health citations at last inspection18 (May 2025)Rhode Island average: 9.3. Most citations are minor and corrected within weeks.Worse than state average
- Registered nurse time per resident39 min a dayRhode Island average: 46 minWorse than state average
- Nursing staff turnover50% a yearRhode Island average: 41%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Rhode Island average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital20.4%State average: 24.3%About average
- Needed an emergency room visit14.0%State average: 14.6%About average
- Newly given antipsychotic drugs1.6%State average: 2.0%Better than average
Physical therapist time: about 5 minutes per resident a day. That is more than the state average of 4 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury7.4%State average: 3.6%Worse than average
- Pressure sores (bedsores)4.2%State average: 4.2%About average
- Given antipsychotic drugs22.5%State average: 22.5%About average
- Hospital stays per 1,000 resident days1.6State average: 1.6About average
Source: Medicare (CMS) quality measures, compared with the Rhode Island average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Rhode Island, Medicaid pays for 63% of resident days at a typical home.
- 68% Medicaid
- 8% Medicare
- 24% Private pay, insurance and other
Beds in use, on average85%Rhode Island typical: 87%
Cost of care per resident day$387Rhode Island typical: $369
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 2 stars now, down from 5 stars in January 2019. It has ranged from 1 to 5 stars and changed 11 times.
Overall rating2★
Health inspections2★
Staffing2★
Quality of care3★
Nurse hours per resident per day3.4
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 4 | 4 | 5 | 3.6 |
| Jan 2020 | 4 | 4 | 4 | 4 | 3.4 |
| Jan 2021 | 5 | 4 | 4 | 5 | 3.7 |
| Jan 2022 | 4 | 4 | 4 | 4 | 3.7 |
| Jan 2023 | 1 | 1 | 4 | 2 | 3.5 |
| Jan 2024 | 1 | 1 | 3 | 4 | 3.5 |
| Feb 2025 | 2 | 2 | 3 | 4 | 3.5 |
| Feb 2026 | 2 | 2 | 3 | 2 | 3.6 |
| Sep 2026 | 2 | 2 | 2 | 3 | 3.4 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
Loading…
Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
Other nursing homes near Middletown
Looking at more than one home? Here are other facilities from the directory in Middletown and the nearby area.
Middletown · 02842
Royal Middletown Nursing Center
193 Forest Avenue
Middletown, RI 02842
Newport · 02840
St Clare Home
309 Spring Street
Newport, RI 02840
Explore the area
View more homes nearby
Browse nursing homes in Middletown and the surrounding area.
See all nearby homes →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.