Rhode Island ›Middletown

Grand Islander Center

333 Green End Avenue, Middletown, RI 02842 · Newport County · 146 certified beds · avg 112 residents/day · certified since Jan 1, 1975

Part of chain: GENESIS HEALTHCARE (184 facilities, chain avg rating 2.4★)

2/5
Health inspection rating (on-site)
2
Serious findings on record
$21,548
Fines, last 3 years
3.32
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Nov 25, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Nov 20, 2025 (Past Non-Compliance)

▲ Actual harm, one-off · Oct 24, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Nov 20, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (40)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Dec 5, 2025D · Potential for harm, one-offThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Dec 5, 2025D · Potential for harm, one-offThe facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint
Nov 25, 2025▲ G · Actual harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Nov 25, 2025D · Potential for harm, one-offThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Oct 24, 2025▲ G · Actual harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Aug 20, 2025D · Potential for harm, one-offThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Aug 20, 2025D · Potential for harm, one-offThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
May 14, 2025E · Potential for harm, repeatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 14, 2025E · Potential for harm, repeatedThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
May 14, 2025E · Potential for harm, repeatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
May 14, 2025E · Potential for harm, repeatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 14, 2025D · Potential for harm, one-offThe facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
May 14, 2025D · Potential for harm, one-offThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
May 14, 2025D · Potential for harm, one-offThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
May 14, 2025D · Potential for harm, one-offThe facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
May 14, 2025D · Potential for harm, one-offThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
May 14, 2025D · Potential for harm, one-offThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
May 14, 2025D · Potential for harm, one-offThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
May 14, 2025D · Potential for harm, one-offThe facility did not dispose of garbage and refuse properly.
May 14, 2025D · Potential for harm, one-offThe facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Apr 22, 2025D · Potential for harm, one-offThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Apr 22, 2025D · Potential for harm, one-offThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Nov 22, 2024D · Potential for harm, one-offThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Aug 27, 2024D · Potential for harm, one-offThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint
Jul 31, 2024D · Potential for harm, one-offThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Jul 31, 2024D · Potential for harm, one-offThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint
May 31, 2024F · Potential for harm, facility-wideThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 31, 2024E · Potential for harm, repeatedThe facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
May 31, 2024E · Potential for harm, repeatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 31, 2024D · Potential for harm, one-offThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
May 31, 2024D · Potential for harm, one-offThe facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
May 31, 2024D · Potential for harm, one-offThe facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
May 31, 2024D · Potential for harm, one-offThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
May 31, 2024D · Potential for harm, one-offThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
May 31, 2024D · Potential for harm, one-offThe facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them.
Apr 27, 2023F · Potential for harm, facility-wideThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 27, 2023E · Potential for harm, repeatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 27, 2023D · Potential for harm, one-offThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 27, 2023D · Potential for harm, one-offThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Apr 27, 2023D · Potential for harm, one-offThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (9 → 13).

YearCitationsSerious (G–L)Worst severity that year
202350F
2024130F
2025222G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $21,548.

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

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityRhode Island avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.323.883.95bottom 26% in Rhode Island; bottom 27% in the U.S.
Registered Nurse hours0.640.800.69bottom 30% in Rhode Island; top 43% in the U.S.
Weekend total nurse staffing3.113.483.50bottom 38% in Rhode Island; bottom 37% in the U.S.
Weekend RN hours (not acuity-adjusted)0.500.550.48bottom 48% in Rhode Island; top 33% in the U.S.
Total nursing staff turnover (%)49.540.645.8bottom 19% in Rhode Island; bottom 38% in the U.S.
RN turnover (%)36.837.942.9bottom 42% in Rhode Island; top 41% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.37, RN 0.65, weekend 3.16. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / managerTypeRoleStakeSince
Fc-Gen Operations Investment LLCOrganization5% or Greater Indirect Ownership Interest—04/01/2011
Gen Operations I LLCOrganization5% or Greater Indirect Ownership Interest—04/01/2011
Gen Operations II LLCOrganization5% or Greater Indirect Ownership Interest—04/01/2011
Genesis Healthcare INCOrganization5% or Greater Indirect Ownership Interest—02/02/2016
Genesis Healthcare LLCOrganization5% or Greater Indirect Ownership Interest—04/01/2011
Genesis Holdings LLCOrganization5% or Greater Indirect Ownership Interest—02/02/2015
Genesis Operations LLCOrganization5% or Greater Indirect Ownership Interest—04/01/2011
Genesis Ri Holdings LLCOrganization5% or Greater Direct Ownership Interest100%04/01/2011
GHC Holdings LLCOrganization5% or Greater Indirect Ownership Interest—04/01/2011
Sun Healthcare Group INCOrganization5% or Greater Indirect Ownership Interest—02/02/2015
Whitman, ArnoldIndividual5% or Greater Indirect Ownership Interest—12/31/2011
Berg, MichaelIndividualCorporate OfficerNOT APPLICABLE12/01/2012
Bridgeford, LauraIndividualCorporate OfficerNOT APPLICABLE04/01/2024
Fishman, StevenIndividualCorporate DirectorNOT APPLICABLE12/31/2011
Genesis Operations LLCOrganizationADP of the SNFNOT APPLICABLE02/04/2025
Lopes, RoniciaIndividualOperational/Managerial ControlNOT APPLICABLE12/02/2024
Lopes, RoniciaIndividualADP of the SNFNOT APPLICABLE02/04/2025
Mendelson, AviIndividualCorporate OfficerNOT APPLICABLE04/01/2024
Verma, SunilIndividualADP of the SNFNOT APPLICABLE06/02/2016
Whitman, ArnoldIndividualCorporate DirectorNOT APPLICABLE12/31/2011

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

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Bayview Rehabilitation and Healthcare Center11.6 miNorth Kingstown, RI★★☆☆☆2/5
Elderwood of Scallop Shell at Wakefield11.8 miSouth Kingstown, RI★★☆☆☆2/5
Roberts Health Centre INC11.8 miNorth Kingstown, RI★★★★★4/5
Silver Creek Rehab and Healthcare Center12.0 miBristol, RI★★☆☆☆2/5
The Dawn Hill Home for Rehab and Healthcare12.5 miBristol, RI★★★★☆4/5
Mill Brook Rehabilitation and Healthcare Center13.0 miFall River, MA★★★★☆3/5

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Facility data as of CMS processing date 2026-08-01. CCN 415034.