D68

Grand Islander Center

Grade D 68/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
2/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

146

Ownership

For profit - Corporation

Total Fines

None

Last Survey

N/A

333 Green End Avenue, Middletown, RI 02842
4018497100

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.72h
LPN
0.73h
CNA
2.24h
Total
3.69h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

GENESIS RI HOLDINGS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2011

100%

FC-GEN OPERATIONS INVESTMENT LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2011

GEN OPERATIONS I LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2011

GEN OPERATIONS II LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2011

GENESIS HEALTHCARE INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2016

GENESIS HEALTHCARE LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2011

GENESIS HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2015

GENESIS OPERATIONS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2011

GHC HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2011

HCCF MANAGEMENT GROUP XI LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2011

SUN HEALTHCARE GROUP INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2015

SUNDANCE REHABILITATION HOLDCO INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2016

WELLTOWER OP LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2024

ZAC PROPERTIES XI LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2011

FISHMAN, STEVEN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2011

WHITMAN, ARNOLD

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2011

LOPES, RONICIA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2024

FISHMAN, STEVEN

IndividualCORPORATE DIRECTORSince Dec 2011

WHITMAN, ARNOLD

IndividualCORPORATE DIRECTORSince Dec 2011

BERG, MICHAEL

IndividualCORPORATE OFFICERSince Dec 2012

BRIDGEFORD, LAURA

IndividualCORPORATE OFFICERSince Apr 2024

MENDELSON, AVI

IndividualCORPORATE OFFICERSince Apr 2024

WHITMAN, ARNOLD

IndividualCORPORATE OFFICERSince Dec 2011

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (40)

November 25, 2025Health2 deficiencies1 severe
0689GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Nov 20, 2025
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jan 6, 2026
October 24, 2025Health1 deficiency1 severe
0689GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Nov 20, 2025
August 20, 2025Health2 deficiencies
0726DMinimal 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.

Nursing and Physician Services Deficiencies

Corrected Sep 19, 2025
0656DMinimal harm, Isolated

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 Deficiencies

Corrected Sep 19, 2025
May 14, 2025Health13 deficiencies
0679DMinimal harm, Isolated

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Jun 30, 2025
0756DMinimal 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 Deficiencies

Corrected Jun 30, 2025
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jun 30, 2025
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 30, 2025
0881DMinimal harm, Isolated

Implement a program that monitors antibiotic use.

Infection Control Deficiencies

Corrected Jun 30, 2025
0656EMinimal 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 Deficiencies

Corrected Jun 30, 2025
0686DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 30, 2025
0692DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 30, 2025
0694DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 30, 2025
0698DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 30, 2025
0726EMinimal 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 Deficiencies

Corrected Jun 30, 2025
0761EMinimal 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 Deficiencies

Corrected Jun 30, 2025
0814DMinimal harm, Isolated

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies

Corrected Jun 30, 2025
April 22, 2025Health2 deficiencies
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected May 22, 2025
0580DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected May 22, 2025
November 22, 2024Health1 deficiency
0692DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Dec 9, 2024
August 27, 2024Health1 deficiency
0578DMinimal 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.

Resident Rights Deficiencies

Corrected Sep 26, 2024
July 31, 2024Health2 deficiencies
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Aug 30, 2024
0757DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Aug 30, 2024
May 31, 2024Health9 deficiencies
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jun 30, 2024
0688DMinimal harm, Isolated

Provide 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.

Quality of Life and Care Deficiencies

Corrected Jun 30, 2024
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Jun 30, 2024
0698DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 30, 2024
0812FMinimal 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 Deficiencies

Corrected Jun 30, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 30, 2024
0685DMinimal harm, Isolated

Assist a resident in gaining access to vision and hearing services.

Quality of Life and Care Deficiencies

Corrected Jun 30, 2024
0791EMinimal harm, Pattern

Provide or obtain dental services for each resident.

Quality of Life and Care Deficiencies

Corrected Jun 30, 2024
0825DMinimal harm, Isolated

Provide or get specialized rehabilitative services as required for a resident.

Quality of Life and Care Deficiencies

Corrected Jun 30, 2024
April 27, 2023Health5 deficiencies
0689EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected May 18, 2023
0656DMinimal harm, Isolated

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 Deficiencies

Corrected May 18, 2023
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected May 18, 2023
0757DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected May 18, 2023
0812FMinimal 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 Deficiencies

Corrected May 18, 2023
January 9, 2023Health2 deficiencies2 severe
0921KImmediate jeopardy, Pattern

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected Jan 25, 2023
0689KImmediate jeopardy, Pattern

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

Quality of Life and Care Deficiencies

Corrected Jan 25, 2023

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Frequently Asked Questions

What is the CareGrader rating for Grand Islander Center?

Grand Islander Center in Middletown, Rhode Island has a CareGrader grade of D (Below Average), with a composite score of 67.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Grand Islander Center?

Grand Islander Center has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Grand Islander Center have?

Grand Islander Center has 40 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does Grand Islander Center have?

Grand Islander Center has 146 certified beds with approximately 110 current residents (75% occupancy). The facility is located at 333 Green End Avenue, Middletown, Rhode Island 02842. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.