Home / Rhode Island / Middletown
Grand Islander Center
333 Green End Avenue, Middletown, RI 02842 · Newport County · (401) 849-7100
146 certified beds, about 112 residents a day · For profit - Corporation · Medicare and Medicaid since 1975
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 415034 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 14, 2025, inspectors cited 13 health deficiencies (the Rhode Island average is 9.3, the national average 9.2).
Of 40 health citations since April 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $21,548 in the last three years; the largest was $12,438, and the latest is dated November 25, 2025.
Nurses and nurse aides worked 3.37 hours per resident per day, against 3.71 across Rhode Island and 3.86 nationally. Registered nurses accounted for 0.65 of those hours.
49.5% of nursing staff left within the year CMS measured (Rhode Island average 40.6%).
CMS links it to Genesis Healthcare, an affiliated group of 184 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
504/23
905/24
207/24
108/24
111/24
204/25
1305/25
208/25
110/25
211/25
212/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 40 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
29D
7E
2F
Potential for minimal harm
0A
0B
0C
December 5, 2025Complaint inspection · 2 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that residents receive care, consistent with professional standards of practice, relative to 1 of 1 resident reviewed for abnormal blood work, Resident ID #1.
- D Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to provide medically related social services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for 1 of 1 resident reviewed for behaviors, resulting in a transfer to an acute care hospital, Resident ID #1.
November 25, 2025Complaint inspection · 2 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure a resident receives adequate assistance during transfers to prevent accidents for 1 of 1 resident reviewed, resulting in a left spiral distal tibia fracture (a break in the lower shinbone near the ankle, fracture line that spirals around the bone, often caused by a twisting force) and a [NAME] bilateral distal fibula fracture (a break in the fibula bone of both ankles), Resident ID #2.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure that a resident receives care consistent with professional standards of practice relative to physician's orders for 1 of 2 residents reviewed for wound care, Resident ID #1Findings are as follows:Review of a facility reported incident submitted to the Rhode Island of Health on 10/1/2025 states in part, that the resident's daughter had made an allegation of neglect against the facility. According to Mosby's 4th Edition, Fundamentals of Nursing, page 314 states in part, The physician is responsible for directing medical treatment, Nurses are obligated to follow physician's orders unless they believe that the orders are in error or wound harm the clients. [...]
October 24, 2025Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure each resident receives adequate supervision to prevent accidents relative to 1 of 3 residents reviewed for falls with injury, Resident ID #1.
August 20, 2025Complaint inspection · 2 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to develop and implement a comprehensive person-centered care plan for 1 of 1 resident reviewed who had actual fall with injury, Resident ID #1, and for 1 of 6 residents reviewed for transfers, Resident ID #2.
- D 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.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that nursing staff have the appropriate competencies and skill sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical well-being of each resident, as determined by resident assessments and individual plans of care related to abuse and neglect training for 1 of 3 Nursing Assistants (NA) reviewed, Staff A.
May 14, 2025Standard inspection · 13 citations
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review, staff and resident interview, it has been determined that the facility failed to ensure that a resident's comprehensive person-centered care plan was implemented relative to weekly skin assessments for 3 of 7 residents reviewed, Resident ID #s 29, 32 and 172.
- E 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.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that nursing staff have the appropriate competencies and skills sets to provide nursing and related services to assure resident safety, to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident, as determined by resident assessments, and considering the number, acuity, and diagnoses of the facility's resident population, in accordance with the facility assessment, for 4 of 4 nurses reviewed, Staff B, D, E and F. Additionally, the facility failed to have the appropriate competencies and skill sets relative to a peripherally inserted central catheter (PICC; [...]
- E 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.
Inspectors wroteBased on surveyor observation and staff interview, it has been determined that the facility failed to store and label drugs and biological's in accordance with currently accepted professional principles for 3 of 7 medication carts observed, and for 2 of 3 medication rooms.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to maintain an infection prevention and control program to help prevent the transmission of communicable diseases and infections, relative to Enhanced Barrier Precautions (EBP; involves using a gown and gloves during high-contact resident care activities) for 2 of 2 residents reviewed with wounds, Resident ID #s 34 and 47, and for 1 of 1 resident reviewed with a urinary catheter, Resident ID #88.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on surveyor observation, staff and resident interview, it has been determined that the facility failed to provide, based on the comprehensive assessment, care plan and the residents' preferences's, an ongoing program to support the residents' choice of activities which reflect the residents' interests, for 3 of 3 residents reviewed that were unable to watch television in their room from 5/9/2025 through 5/13/2025, Resident ID #'s 2, 86, and 99.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on surveyor observation, record review, and staff and resident interview, it has been determined that the facility failed to ensure that a resident receives care, consistent with professional standards of practice to prevent pressure ulcers (localized injury to the skin and/or underlying tissue, usually over a bony prominence, as a result of intense and/or prolonged pressure) for 1 of 2 residents reviewed, Resident ID #43.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to maintain acceptable parameters of nutritional status, such as usual body weight, for 1 of 5 residents reviewed, who experienced an actual weight loss and the facility failed to follow their own policy relative to weight monitoring, Resident ID #173.
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to meet professional standards of practice, in accordance with physician orders and the comprehensive person-centered care plan, for 1 of 1 resident reviewed who was receiving antibiotics via a peripherally inserted central catheter (PICC; a long flexible tube that is inserted into a vein in the arm and threaded through a larger vein leading to the heart, used to administer intravenous (IV) fluids and medications), Resident ID #173.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that a resident who requires dialysis (a treatment that filters blood when kidneys fail to adequately remove fluids and waste) receive such services consistent with professional standards of practice and the comprehensive person-centered care plan, for 1 of 1 resident reviewed receiving dialysis, Resident ID #83.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that the irregularities identified by the Clinical Consultant Pharmacist during the monthly pharmacist Medication Regimen Review (MRR) were acted upon for 3 of 6 residents reviewed, Resident ID #s 29, 76 and 96.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that residents are free from any significant medication errors, for 1 of 1 resident reviewed for Warfarin/Coumadin therapy (an anticoagulant medication prescribed to reduce the blood's ability to clot, preventing or treating blood clots), Resident ID #21.
- D Dispose of garbage and refuse properly.
Inspectors wroteBased on surveyor observation and staff interview, it has been determined that the facility failed to disposed of garbage and refuse properly relative to 1 of 1 outside dumpster and the surrounding area.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to establish an Infection Prevention and Control Program (IPCP) that must include an antibiotic stewardship program for antibiotic use protocols for 2 of 3 residents, Resident ID #s 100 and 172.
April 22, 2025Complaint inspection · 2 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to immediately inform the resident's representative of an accident involving the resident, which resulted in injury and the decision to transfer the resident to an acute care hospital for 1 of 1 resident reviewed, Resident ID #1.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to meet professional standards of quality relative to evaluating a resident's neurological status after a fall for 2 of 2 residents reviewed, Resident ID #s 1 and 3.
November 22, 2024Complaint inspection · 1 citation
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that residents maintain acceptable parameters of nutritional status, such as usual body weight for 1 of 2 residents reviewed for significant weight loss and/or gain, Resident ID #1.
August 27, 2024Complaint inspection · 1 citation
- D 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.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that a resident's Advanced Directive to refuse lifesaving treatment was followed for 1 of 4 residents reviewed, Resident ID #1.
July 31, 2024Complaint inspection · 2 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that services being provided meet professional standards of practice for 1 of 2 residents reviewed relative to wound care, Resident ID #1.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure a resident's drug regimen is free from unnecessary drugs for 1 of 1 resident reviewed receiving intravenous (medication administered via the vein) antibiotics, Resident ID #1.
May 31, 2024Standard inspection · 9 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on surveyor observation and staff interview, it has been determined that the facility failed to ensure that food is stored and distributed in accordance with professional standards for food service safety, relative to the main kitchen and 3 of 3 kitchenettes observed.
- E Provide or obtain dental services for each resident.
Inspectors wroteBased on surveyor observation, record review and staff interview, it has been determined that the facility failed to assist residents in obtaining routine dental services for 2 of 2 residents reviewed, Resident ID #s 37 and 69.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on surveyor observation, record review and staff interview, it has been determined that the facility failed to provide a safe and sanitary environment to help prevent the transmission of infections related to a wound dressing change for 1 of 2 residents, Resident ID #329. Additionally, the facility failed to maintain Enhanced Barrier Precautions (EBP; an infection control intervention designed to reduce transmission of multidrug-resistant organisms in nursing homes) for 4 of 5 residents reviewed, Resident ID #s 75, 97, 115, and 329.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice relative to following physician's order for 2 of 2 residents reviewed for fortified diets, Resident ID #s 63 and 88.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on surveyor observations, record review, staff and resident representative interview, it has been determined that the facility failed to ensure that a resident receives assistive devices to maintain hearing abilities for 1 of 1 resident reviewed, Resident ID #63.
- D 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.
Inspectors wroteBased on surveyor observation, record review and staff interview, it has been determined that the facility failed to provide a resident with limited range of motion appropriate treatment and services to increase range of motion and or to prevent further decrease in range of motion for 1of 3 residents reviewed for a mobility device, Resident ID #89.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on record review, staff and resident interviews, it has been determined that the facility failed to provide appropriate treatment and services for 1 of 2 residents reviewed with constipation, Resident ID #103.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that residents who require dialysis (a blood purifying treatment given when kidney function is not optimum) receive such services consistent with professional standards of practice for 1 of 2 residents reviewed for dialysis, Resident ID #64.
- D Provide or get specialized rehabilitative services as required for a resident.
Inspectors wroteBased on surveyor observation, record review, staff and resident interview, it has been determined that the facility failed to provide specialized rehabilitation services such as physical therapy that were required per the resident's comprehensive plan of care for 1 of 1 resident reviewed for rehabilitation services, Resident ID #93.
April 27, 2023Standard inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety relative to the main kitchen.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on surveyor observation, record review, and staff and resident interviews, it has been determined that the facility failed to ensure that a residents environment remains as free from accident hazards as possible for 2 of 4 housekeeping closets observed on the Homestead Unit and Transitional Care Units (TCU).
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to implement a comprehensive person-centered care plan for 1 of 2 residents reviewed, relative to wandering, Resident ID #53.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that services being provided meet professional standards of quality related to following physician's orders for 1 of 4 residents relative to blood sugar monitoring, Resident ID #47.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure a resident's drug regimen is free from unnecessary drugs for 2 of 3 residents reviewed for cardiac medications with parameters, Resident ID #s 36 and 417.
Fire safety inspections
5 fire safety citations on file: 3 on May 14, 2025, 1 on May 31, 2024, 1 on April 27, 2023.
Every fire safety citation5 citations
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Install an approved automatic sprinkler system.
- C Conduct risk assessment and an All-Hazards approach.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| November 25, 2025 | Fine | $12,438 |
| October 24, 2025 | Fine | $9,110 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Rhode Island | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.37 | 3.71 | 3.86 |
| Registered nurses | 0.65 | 0.77 | 0.69 |
| All nursing staff on weekends | 3.16 | 3.34 | 3.42 |
| Nurse aides | 2.04 | ||
| Licensed practical nurses | 0.68 | ||
| Nursing staff turnover (share who left in a year) | 49.5% | 40.6% | 45.8% |
| Registered nurse turnover | 36.8% | 37.9% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.89 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.45 on weekdays and 3.16 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.42 in April to June 2025 to 3.37 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.37 | 0.65 | 3.45 | 3.16 | 16.6% | 0 of 90 | 112 |
| Oct to Dec 2025 | 3.54 | 0.72 | 3.64 | 3.31 | 19.7% | 0 of 92 | 111 |
| Jul to Sep 2025 | 3.63 | 0.71 | 3.76 | 3.30 | 17.7% | 0 of 92 | 110 |
| Apr to Jun 2025 | 3.42 | 0.71 | 3.52 | 3.18 | 25.3% | 0 of 91 | 115 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Rhode Island, Jan to Mar 2026 | 3.67 | 0.69 | 3.82 | 3.30 | 5.4% | 1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Rhode Island
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Rhode Island, all employers | |||
| CNAs (nursing assistants) | $22.33 | $21.52 to $22.82 | 10,220 |
| LPNs and LVNs | $38.51 | $37.45 to $39.02 | 1,290 |
| Registered nurses | $48.39 | $39.35 to $51.49 | 10,090 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Rhode Island | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 27.3 | 19.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.9 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.4 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.6 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.9 | 16.8 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.2 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.5 | 22.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.4 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.0 | 14.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.7 | 1.8 |
Owners and operators
Legal business name: 333 GREEN END AVENUE OPERATIONS LLC. CMS links this home to Genesis Healthcare, a group of 184 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Genesis Ri Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 04/01/2011 |
| Fc-Gen Operations Investment LLC | 5% or greater indirect ownership interest | Organization | 04/01/2011 | |
| Gen Operations I LLC | 5% or greater indirect ownership interest | Organization | 04/01/2011 | |
| Gen Operations II LLC | 5% or greater indirect ownership interest | Organization | 04/01/2011 | |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | Organization | 02/02/2016 | |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | Organization | 04/01/2011 | |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Genesis Operations LLC | 5% or greater indirect ownership interest | Organization | 04/01/2011 | |
| Ghc Holdings LLC | 5% or greater indirect ownership interest | Organization | 04/01/2011 | |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Whitman, Arnold | 5% or greater indirect ownership interest | Individual | 12/31/2011 | |
| Fishman, Steven | Corporate director | Individual | 12/31/2011 | |
| Whitman, Arnold | Corporate director | Individual | 12/31/2011 | |
| Berg, Michael | Corporate officer | Individual | 12/01/2012 | |
| Bridgeford, Laura | Corporate officer | Individual | 04/01/2024 | |
| Mendelson, Avi | Corporate officer | Individual | 04/01/2024 | |
| Whitman, Arnold | Corporate officer | Individual | 12/31/2011 | |
| Lopes, Ronicia | Operational/managerial control | Individual | 12/02/2024 | |
| Genesis Operations LLC | Adp of the SNF | Organization | 02/04/2025 | |
| Lopes, Ronicia | Adp of the SNF | Individual | 02/04/2025 | |
| Verma, Sunil | Adp of the SNF | Individual | 06/02/2016 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 16 problems in this area, most recently on December 5, 2025: "Provide medically-related social services to help each resident achieve the highest possible quality of life."
- When is the care plan meeting, and can family attend it?Inspectors cited 9 problems in this area, most recently on December 5, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on May 14, 2025: "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."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on May 14, 2025: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.16 hours per resident per day, below the Rhode Island average of 3.34.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- John Clarke Senior Living Middletown, 0.2 mi · 2 of 5 stars · 5 citations
- Royal Middletown Nursing Center Middletown, 1.5 mi · 2 of 5 stars · 26 citations
- St. Clare Home Newport, 2.2 mi · 4 of 5 stars · 22 citations
- Adviniacare Newport, LLC Newport, 2.4 mi · 2 of 5 stars · 41 citations
- Village House Nursing & Rehabilitation Center Newport, 3.1 mi · 4 of 5 stars · 12 citations
- South County Eden Operations LLC Dba Lakeside Nurs North Kingstown, 11.1 mi · 4 of 5 stars · 18 citations
- Adviniacare Scallop Shell, LLC South Kingstown, 11.3 mi · 2 of 5 stars · 24 citations
- Bayview Rehabilitation and Healthcare Center North Kingstown, 11.6 mi · 2 of 5 stars · 32 citations
Rhode Island contacts for a concern about a nursing home
These are the official offices in Rhode Island. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Office of the RI State Long Term Care Ombudsman, Alliance for Better Long Term Care, (401) 785-3340. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: RIDOH Online License Verification, facility search, where Rhode Island publishes its own records on licensed homes.
Common questions
- What is Grand Islander Center's Medicare star rating?
- CMS rates Grand Islander Center 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Grand Islander Center get at its last inspection?
- 13 health deficiencies at the standard inspection on May 14, 2025. The Rhode Island average is 9.3.
- Has Grand Islander Center been fined?
- Yes. CMS lists 2 fines totaling $21,548 in the last three years.
- Does Grand Islander Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Grand Islander Center?
- CMS lists 21 owners and managers, and links the home to Genesis Healthcare. Legal business name: 333 GREEN END AVENUE OPERATIONS LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.