Nursing Home Checker Compare
2 of 5

Newport County, Rhode Island · Nursing home

Grand Islander Center

2 of 5 overall from CMS

333 Green End Avenue, Middletown, RI 02842

Call (401) 849-7100Directions

At a glance

Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.

Grand Islander Center is a 146-bed nursing home in Middletown, Rhode Island (Newport County). CMS rates it 2 of 5 stars overall as of Aug 2026. It reports 3.37 nurse staffing hours per resident per day, below the Rhode Island average of 3.71. CMS lists 2 fines totaling $21,548 in the past three years.

Certified beds
146
Residents per day (average)
112.1
Certified since
1975 (51 yrs)

For profit - Corporation Participates in Medicare and MedicaidPart of Genesis Healthcare (184 homes)

Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.

Questions to ask Grand Islander Center

Chosen from this home's public data.

  1. CMS lists 2 fines totaling $21,548 in the past three years. What changed after the most recent one?Penalties in CMS data
  2. The latest standard inspection (May 14, 2025) cited 20 health deficiencies; the Rhode Island average is 9.2. Which have been corrected?Inspection results in CMS data
  3. Nursing staff turnover is 49.5%, above the Rhode Island average of 40.6%. How often would the same aides care for my relative?Turnover in CMS data

More in what to ask on a nursing home tour.

CMS star ratings

The vertical line marks the Rhode Island average. Ratings run from 1 to 5. How to read CMS star ratings

Nurse staffing

Hours of care per resident per day, as the home reported to CMS.

What these roles do

Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.

How much nurse staffing is enough? All bars share one scale, 0 to 6 hours. The vertical line marks the Rhode Island average; the national average for all nursing staff is 3.86 hours.

Inspection history

Inspectors cited 40 health deficiencies in the past three years. Of these, 2 involved actual harm; the rest were graded as no actual harm. 13 followed a complaint investigation. The most recent citation at the harm level or above was on Nov 25, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Deficiencies cited at each standard inspection
Inspection dateHealthFire safety
May 14, 2025203
May 31, 2024131
Apr 27, 202371

Rhode Island homes averaged 9.2 health deficiencies in the latest cycle; the national average is 9.3.

Health citations, past three years (40)

  1. DPotential for more than minimal harm, isolated

    Ensure services provided by the nursing facility meet professional standards of quality.

    Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 6, 2026)

  2. DPotential for more than minimal harm, isolated

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Complaint inspection · Quality of Life and Care · Deficient, Provider has date of correction (Jan 6, 2026)

  3. GActual harm, isolated

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

    Complaint inspection · Quality of Life and Care · Past Non-Compliance (Nov 20, 2025)

  4. DPotential for more than minimal harm, isolated

    Ensure services provided by the nursing facility meet professional standards of quality.

    Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 6, 2026)

  5. GActual harm, isolated

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

    Complaint inspection · Quality of Life and Care · Deficient, Provider has date of correction (Nov 20, 2025)

Show 25 more

  1. DPotential for more than minimal harm, isolated

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 19, 2025)

  2. DPotential for more than minimal harm, isolated

    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.

    Complaint inspection · Nursing and Physician Services · Deficient, Provider has date of correction (Sep 19, 2025)

  3. EPotential for more than minimal harm, pattern

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 30, 2025)

  4. EPotential for more than minimal harm, pattern

    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.

    Nursing and Physician Services · Deficient, Provider has date of correction (Jun 30, 2025)

  5. EPotential for more than minimal harm, pattern

    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.

    Pharmacy Service · Deficient, Provider has date of correction (Jun 30, 2025)

  6. EPotential for more than minimal harm, pattern

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Jun 30, 2025)

  7. DPotential for more than minimal harm, isolated

    Provide activities to meet all resident's needs.

    Quality of Life and Care · Deficient, Provider has date of correction (Jun 30, 2025)

  8. DPotential for more than minimal harm, isolated

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Quality of Life and Care · Deficient, Provider has date of correction (Jun 30, 2025)

  9. DPotential for more than minimal harm, isolated

    Provide enough food/fluids to maintain a resident's health.

    Quality of Life and Care · Deficient, Provider has date of correction (Jun 30, 2025)

  10. DPotential for more than minimal harm, isolated

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Quality of Life and Care · Deficient, Provider has date of correction (Jun 30, 2025)

  11. DPotential for more than minimal harm, isolated

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Quality of Life and Care · Deficient, Provider has date of correction (Jun 30, 2025)

  12. DPotential for more than minimal harm, isolated

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pharmacy Service · Deficient, Provider has date of correction (Jun 30, 2025)

  13. DPotential for more than minimal harm, isolated

    Ensure that residents are free from significant medication errors.

    Pharmacy Service · Deficient, Provider has date of correction (Jun 30, 2025)

  14. DPotential for more than minimal harm, isolated

    Dispose of garbage and refuse properly.

    Nutrition and Dietary · Deficient, Provider has date of correction (Jun 30, 2025)

  15. DPotential for more than minimal harm, isolated

    Implement a program that monitors antibiotic use.

    Infection Control · Deficient, Provider has date of correction (Jun 30, 2025)

  16. DPotential for more than minimal harm, isolated

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Complaint inspection · Resident Rights · Deficient, Provider has date of correction (May 22, 2025)

  17. DPotential for more than minimal harm, isolated

    Ensure services provided by the nursing facility meet professional standards of quality.

    Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 22, 2025)

  18. DPotential for more than minimal harm, isolated

    Provide enough food/fluids to maintain a resident's health.

    Complaint inspection · Quality of Life and Care · Deficient, Provider has date of correction (Dec 9, 2024)

  19. DPotential for more than minimal harm, isolated

    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.

    Complaint inspection · Resident Rights · Deficient, Provider has date of correction (Sep 26, 2024)

  20. DPotential for more than minimal harm, isolated

    Ensure services provided by the nursing facility meet professional standards of quality.

    Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 30, 2024)

  21. DPotential for more than minimal harm, isolated

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Complaint inspection · Pharmacy Service · Deficient, Provider has date of correction (Aug 30, 2024)

  22. FPotential for more than minimal harm, widespread

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary · Deficient, Provider has date of correction (Jun 30, 2024)

  23. EPotential for more than minimal harm, pattern

    Provide or obtain dental services for each resident.

    Quality of Life and Care · Deficient, Provider has date of correction (Jun 30, 2024)

  24. EPotential for more than minimal harm, pattern

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Jun 30, 2024)

  25. DPotential for more than minimal harm, isolated

    Ensure services provided by the nursing facility meet professional standards of quality.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 30, 2024)

Showing the 30 most recent of 40.

What severity letters A to L mean

Penalties, past three years

DateTypeAmount
Nov 25, 2025Fine$12,438
Oct 24, 2025Fine$9,110

Rhode Island homes averaged 2.1 fines and $65,018 in fine amounts; the national averages are 0.9 and $31,093.

Cost

Not in the public data. CMS does not publish what a nursing home charges.

Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.

Compared within Rhode Island

Common questions

What is the CMS star rating for Grand Islander Center?

Grand Islander Center has an overall rating of 2 of 5 stars from CMS as of Aug 2026. Its health inspection rating is 2, staffing is 2 and quality measures is 3.

How many beds does Grand Islander Center have?

Grand Islander Center has 146 certified beds. It averages 112.1 residents per day, about 76.8% of its certified beds.

How much nursing care do residents get at Grand Islander Center?

The home reports 3.37 hours of nurse staffing per resident per day, including 0.65 hours from registered nurses. The Rhode Island average is 3.71 hours and 0.76 hours from registered nurses.

Has Grand Islander Center been fined?

Yes. CMS lists 2 fines totaling $21,548 in the past three years.

Does Grand Islander Center accept Medicare or Medicaid?

CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.

Nearest nursing homes

Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Newport County

Who to call in Rhode Island

These offices serve residents of every nursing home in Rhode Island.

Rhode Island staffing, bed-hold and Medicaid rules · Residents' rights in every state

Call (401) 849-7100 Compare

Source: CMS Provider Data Catalog, nursing home datasets processed Aug 1, 2026. CMS Certification Number 415034. Check the official record on Medicare.gov

See something shown incorrectly? Tell us. To change the underlying record, the home must contact CMS or its state survey agency.