Grand Islander Center

Nursing Home · Middletown, RI

CMS overall rating 2/5 For profit - Corporation

CMS certification number415034

Contact & location

333 Green End Avenue
Middletown, RI 02842
Newport County
Phone
(401) 849-7100
ZIP code
02842 – all care providers

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Facility details

Certified beds
146
Residents per day
112.1 (77% occupied)
Ownership
For profit - Corporation
Legal name
333 Green End Avenue Operations LLC
Chain
Genesis Healthcare (184 facilities, avg 2.4★)
Medicare certified since
January 1, 1975
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.9
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 3.2
Quality measures★★★★★ 3/5
State avg 3.1
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.37 (state 3.71 · U.S. 3.86)
Registered nurses (RN)
0.65 (state 0.76 · U.S. 0.69)
Licensed practical nurses
0.68 (state 0.49 · U.S. 0.86)
Nurse aides
2.04 (state 2.46 · U.S. 2.32)
Weekend total
3.16 (state 3.34 · U.S. 3.42)
Nursing staff turnover
49.5 (state 40.6 · U.S. 45.8)%
RN turnover
36.8 (state 37.9 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
May 14, 2025
Health deficiencies (last cycle)
20.0 (state 9.2 · U.S. 9.3)
From complaints
7
Citations on record (3 years)
40 health · 5 fire safety · includes actual harm
DateCitationSeverityStatus
2025-12-05 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-06
2025-12-05 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-06
2025-11-25 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-11-20
2025-11-25 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-06
2025-10-24 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-11-20
2025-08-20 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-19
2025-08-20 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.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-19
2025-05-14 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-14 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.
F0726 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-14 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-14 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-14 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-14 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-14 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-14 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-14 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-14 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-14 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-14 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-14 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-04-22 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-22
2025-04-22 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-22
2024-11-22 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-09
2024-08-27 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.
F0578 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-26
2024-07-31 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-30
2024-07-31 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-30
2024-05-31 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-06-30
2024-05-31 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-30
2024-05-31 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-30
2024-05-31 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-30
2024-05-31 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-30
2024-05-31 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.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-30
2024-05-31 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-30
2024-05-31 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-30
2024-05-31 Provide or get specialized rehabilitative services as required for a resident.
F0825 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-30
2023-04-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-05-18
2023-04-27 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-05-18
2023-04-27 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-05-18
2023-04-27 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-05-18
2023-04-27 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-05-18

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $21,548 in fines.

DateTypeAmount
2025-11-25Fine$12,438
2025-10-24Fine$9,110

Ownership & management

NameRoleSince
Genesis Ri Holdings LLC (organization)5%+ Direct Ownership Interest · 100%
Fc-Gen Operations Investment LLC (organization)5%+ Indirect Ownership Interest
Gen Operations I LLC (organization)5%+ Indirect Ownership Interest
Gen Operations II LLC (organization)5%+ Indirect Ownership Interest
Genesis Healthcare INC (organization)5%+ Indirect Ownership Interest
Genesis Healthcare LLC (organization)5%+ Indirect Ownership Interest
Genesis Holdings LLC (organization)5%+ Indirect Ownership Interest
Genesis Operations LLC (organization)5%+ Indirect Ownership Interest
GHC Holdings LLC (organization)5%+ Indirect Ownership Interest
Sun Healthcare Group INC (organization)5%+ Indirect Ownership Interest
Whitman, Arnold (individual)5%+ Indirect Ownership Interest
Genesis Operations LLC (organization)Administrator · NOT APPLICABLE
Lopes, Ronicia (individual)Administrator · NOT APPLICABLE
Verma, Sunil (individual)Administrator · NOT APPLICABLE
Fishman, Steven (individual)Corporate Director · NOT APPLICABLE
Whitman, Arnold (individual)Corporate Director · NOT APPLICABLE
Berg, Michael (individual)Corporate Officer · NOT APPLICABLE
Bridgeford, Laura (individual)Corporate Officer · NOT APPLICABLE
Mendelson, Avi (individual)Corporate Officer · NOT APPLICABLE
Whitman, Arnold (individual)Corporate Officer · NOT APPLICABLE
Lopes, Ronicia (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Grand Islander Center?

Grand Islander Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in Rhode Island.

How many beds does Grand Islander Center have?

It has 146 certified beds and cares for about 112 residents per day.

Has Grand Islander Center been fined?

Yes. CMS lists 2 penalties totaling $21,548 in the last three years.

Who owns Grand Islander Center?

It is part of Genesis Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Grand Islander Center?

(401) 849-7100. The facility is located at 333 Green End Avenue, Middletown, RI 02842.

Other nursing homes in Middletown

Compare all nursing homes in Middletown, RI →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.