Home / Rhode Island / Middletown
John Clarke Senior Living
600 Valley Road, Middletown, RI 02842 · Newport County · (401) 846-0743
60 certified beds, about 54 residents a day · Non profit - Corporation · Medicare and Medicaid since 1982
CMS Care Compare ratings, data as of September 1, 2026 · CCN 415076 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 10, 2026, inspectors cited 1 health deficiency (the Rhode Island average is 9.3, the national average 9.2).
Of 5 health citations since March 2024, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $14,385 in the last three years; the largest was $14,385, and the latest is dated June 18, 2026.
Nurses and nurse aides worked 3.47 hours per resident per day, against 3.71 across Rhode Island and 3.86 nationally. Registered nurses accounted for 1.01 of those hours.
25.5% of nursing staff left within the year CMS measured (Rhode Island average 40.6%).
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.
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 5 health citations on file.
June 18, 2026Complaint inspection · 1 citation
- J Ensure that residents are free from significant medication errors.
Inspectors wroteBased on clinical record review, resident interview, and staff interview, the facility failed to ensure that residents were free from significant medication errors for 1 of 1 resident reviewed, Resident ID #1. Specifically, the facility administered 50 units of short-acting insulin to the resident instead of the prescribed 50 units of long-acting insulin. This medication error resulted in the resident receiving a medication with a substantially different onset, peak, and duration of action than ordered. The facility's failure to administer the medication as prescribed placed the resident at immediate risk for serious hypoglycemia, loss of consciousness, hospitalization, or death. The deficient practice created a situation in which serious injury, serious harm, serious impairment, or death was likely to occur and therefore constituted Immediate Jeopardy to resident health and safety.
April 10, 2026Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on surveyor observation, clinical record review, and staff interview, the facility failed to maintain an infection control program to help prevent the transmission of infections related to contact precautions (an infection control intervention designed to reduce the transmission of multidrug-resistant organisms in nursing homes) and standard precautions (the minimum infection prevention practices applied to all patients in all healthcare settings, at all times, to protect healthcare workers and patients from the transmission of infectious agents, regardless of the patient's infection status) for 2 of 2 residents reviewed, Resident ID #'s 61 and 19.
September 25, 2025Complaint inspection · 1 citation
- J 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 interview, it has been determined that the facility failed to provide adequate supervision for one of one resident reviewed, Resident ID #1. This resident successfully eloped from the facility on two separate occasions and later entered an unsecured area within the facility, where they sustained a fall that required a hospital transfer for evaluation.
February 26, 2025Standard inspection · 0 citations
March 6, 2024Standard inspection · 2 citations
- 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 and staff interview, it has been determined that the facility failed to provide appropriate treatment and services for 1 of 2 residents reviewed with an indwelling catheter (a flexible tube that collects urine from the bladder and leads to a drainage bag), Resident ID #30.
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to provide a sanitary environment for residents, staff and the public relative to 1 of 2 ice machines.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 18, 2026 | Fine | $14,385 |
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) | 3.47 | 3.71 | 3.86 |
| Registered nurses | 1.01 | 0.77 | 0.69 |
| All nursing staff on weekends | 3.11 | 3.34 | 3.42 |
| Nurse aides | 2.46 | ||
| Licensed practical nurses | 0.00 | ||
| Nursing staff turnover (share who left in a year) | 25.5% | 40.6% | 45.8% |
| Registered nurse turnover | 15.4% | 37.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.73 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 3.62 on weekdays and 3.11 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.45 in April to June 2025 to 3.47 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 | 3.47 | 1.01 | 3.62 | 3.11 | 0.0% | 0 of 90 | 54 |
| Oct to Dec 2025 | 3.69 | 1.13 | 3.87 | 3.24 | 0.0% | 0 of 92 | 52 |
| Jul to Sep 2025 | 3.69 | 1.16 | 3.82 | 3.37 | 0.0% | 0 of 92 | 52 |
| Apr to Jun 2025 | 3.45 | 1.11 | 3.60 | 3.10 | 0.0% | 0 of 91 | 55 |
| 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.
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 | 7.6 | 19.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.4 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.3 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.3 | 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 | 11.3 | 16.8 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.9 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.9 | 22.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.6 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 23.6 | 14.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.7 | 1.8 |
Owners and operators
Legal business name: JOHN CLARKE RETIREMENT CENTER.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bagwill, John | Managing control - governing body | Individual | 02/20/2020 | |
| Chatellier, Peter | Managing control - governing body | Individual | 01/01/1990 | |
| Fairbank, Jennifer | Managing control - governing body | Individual | 09/22/2021 | |
| Hall, Hugh | Managing control - governing body | Individual | 06/01/2020 | |
| Maine, David | Managing control - governing body | Individual | 01/01/1990 | |
| Marion, Joseph | Managing control - governing body | Individual | 04/21/2022 | |
| McGuire, Christine | Managing control - governing body | Individual | 09/15/2024 | |
| Mederos, Diane | Managing control - governing body | Individual | 09/23/2024 | |
| Thorpe, John | Managing control - governing body | Individual | 06/15/2003 | |
| Bagwill, John | Corporate director | Individual | 03/15/2020 | |
| Chatellier, Peter | Corporate director | Individual | 06/15/1990 | |
| Fairbank, Jennifer | Corporate director | Individual | 09/15/2021 | |
| Hall, Hugh | Corporate director | Individual | 06/15/2020 | |
| Maine, David | Corporate director | Individual | 06/15/1990 | |
| Marion, Joseph | Corporate director | Individual | 04/15/2022 | |
| McGuire, Christine | Corporate director | Individual | 09/15/2024 | |
| Mederos, Diane | Corporate director | Individual | 09/15/2024 | |
| Thorpe, John | Corporate director | Individual | 06/15/2003 | |
| Chatellier, Peter | Corporate officer | Individual | 06/27/2024 | |
| Hall, Hugh | Corporate officer | Individual | 06/27/2024 | |
| Maine, David | Corporate officer | Individual | 04/01/1998 | |
| Thorpe, John | Corporate officer | Individual | 04/01/2000 | |
| Khurshid, Shahzad | Operational/managerial control | Individual | 03/01/2016 | |
| Woods, Joan | Operational/managerial control | Individual | 04/13/2020 | |
| Khurshid, Shahzad | Adp of the SNF | Individual | 03/01/2016 | |
| Woods, Joan | Adp of the SNF | Individual | 04/13/2020 |
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 2 problems in this area, most recently on September 25, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 18, 2026: "Ensure that residents are free from significant medication errors."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on April 10, 2026: "Provide and implement an infection prevention and control program."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on March 6, 2024: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.11 hours per resident per day, below the Rhode Island average of 3.34.
Other nursing homes nearby
- Grand Islander Center Middletown, 0.2 mi · 2 of 5 stars · 40 citations
- Royal Middletown Nursing Center Middletown, 1.6 mi · 2 of 5 stars · 26 citations
- St. Clare Home Newport, 2 mi · 4 of 5 stars · 22 citations
- Adviniacare Newport, LLC Newport, 2.2 mi · 2 of 5 stars · 41 citations
- Village House Nursing & Rehabilitation Center Newport, 2.9 mi · 4 of 5 stars · 12 citations
- South County Eden Operations LLC Dba Lakeside Nurs North Kingstown, 11 mi · 4 of 5 stars · 18 citations
- Adviniacare Scallop Shell, LLC South Kingstown, 11.2 mi · 2 of 5 stars · 24 citations
- Bayview Rehabilitation and Healthcare Center North Kingstown, 11.7 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 John Clarke Senior Living's Medicare star rating?
- CMS rates John Clarke Senior Living 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did John Clarke Senior Living get at its last inspection?
- 1 health deficiency at the standard inspection on April 10, 2026. The Rhode Island average is 9.3.
- Has John Clarke Senior Living been fined?
- Yes. CMS lists 1 fine totaling $14,385 in the last three years.
- Does John Clarke Senior Living 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 John Clarke Senior Living?
- CMS lists 26 owners and managers. Legal business name: JOHN CLARKE RETIREMENT CENTER.
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.