Grand Islander Center
Nursing Home Facility
333 Green End Avenue, Middletown, RI 02842
Grand Islander Center is located on Aquidneck Island, a suburban, coastal area of Rhode Island. The Island encompasses three towns: Portsmouth, Middletown and the historic city of Newport. Aquidneck Island is a juxtaposition of rolling pasture land and seaside beauty pocketed by urban-like sprawl. We provide Alzheimer's/dementia care in a secure Homestead Unit; LongTerm, Palliative, Restorative and Pain Management Care; and intensive nursing and rehabilitative care for patients recovering from from surgery or illness in our Transitional Care Unit. Grand Islander Center is the recipient of the American Health Care Association's Bronze and Silver Quality Awards.
Operated by Genesis HealthCare, which runs 507 communities in our directory.
With 146 beds, Grand Islander Center is one of the larger communities in the area, senior care communities in Middletown average about 85 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 77% of its licensed beds. That is below the Middletown average of roughly 85%.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in May 2025 and recorded 20 deficiencies.
Residents receive about 3.4 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 50%.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 40 problems at Grand Islander Center. 2 findings involved harm to a resident. 13 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $21,548.
Findings from the most recent inspection cycle
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide medically-related social services to help each resident achieve the highest possible quality of life.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
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.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Show 12 more
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
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.
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Could cause more than minimal harm, a pattern
Pharmacy Service
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.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide activities to meet all resident's needs.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide enough food/fluids to maintain a resident's health.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Dispose of garbage and refuse properly.
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Could cause more than minimal harm, one or a few residents
Infection Control
Implement a program that monitors antibiotic use.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Grand Islander Center offers assisted living, memory care, nursing home care, hospice care, respite care, and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 146
- Occupancy 77%
- Nursing hours per resident/day 3.4
- Annual staff turnover 50%
- Last health inspection May 2025
Resident & family reviews
No one has shared a review of Grand Islander Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.