Grand Islander Center
333 Green End Avenue · Middletown, RI · 02842 · 4018497100
146 certified beds For profit - Corporation Chain: Genesis Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.54 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.72 | 0.55–0.75 |
| Weekend hours / resident-day | 3.31 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | 2 · $33,150 |
Inspection citations (40 in the current record)
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Potential for harm · D December 5, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2025 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected January 6, 2026 · Quality of Life and Care
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Actual harm · G November 25, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 20, 2025 · Quality of Life and Care
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Potential for harm · D November 25, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 6, 2026 · Resident Assessment and Care Planning
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Actual harm · G October 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 20, 2025 · Quality of Life and Care
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Potential for harm · D August 20, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 20, 2025 · found via complaint
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.
Corrected September 19, 2025 · Nursing and Physician Services
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Potential for harm · E May 14, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 14, 2025
Provide activities to meet all resident's needs.
Corrected June 30, 2025 · Quality of Life and Care
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Potential for harm · D May 14, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 30, 2025 · Quality of Life and Care
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Potential for harm · D May 14, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected June 30, 2025 · Quality of Life and Care
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Potential for harm · D May 14, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected June 30, 2025 · Quality of Life and Care
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Potential for harm · D May 14, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected June 30, 2025 · Quality of Life and Care
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Potential for harm · E May 14, 2025
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.
Corrected June 30, 2025 · Nursing and Physician Services
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Potential for harm · D May 14, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected June 30, 2025 · Pharmacy Service
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Potential for harm · D May 14, 2025
Ensure that residents are free from significant medication errors.
Corrected June 30, 2025 · Pharmacy Service
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Potential for harm · E 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.
Corrected June 30, 2025 · Pharmacy Service
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Potential for harm · D May 14, 2025
Dispose of garbage and refuse properly.
Corrected June 30, 2025 · Nutrition and Dietary
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Potential for harm · E May 14, 2025
Provide and implement an infection prevention and control program.
Corrected June 30, 2025 · Infection Control
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Potential for harm · D May 14, 2025
Implement a program that monitors antibiotic use.
Corrected June 30, 2025 · Infection Control
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Potential for harm · D April 22, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 22, 2025 · Resident Rights
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Potential for harm · D April 22, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 22, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected December 9, 2024 · Quality of Life and Care
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Potential for harm · D August 27, 2024 · found via complaint
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.
Corrected September 26, 2024 · Resident Rights
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Potential for harm · D July 31, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 30, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 25, 2025 | Fine | $19,135 |
| October 24, 2025 | Fine | $14,015 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 415034 · certified since January 1, 1975. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.