For-profit

Grand Islander Center

333 Green End Avenue, Middletown, RI 02842

(401) 849-7100 · Genesis Healthcare

Compare nursing homes in Middletown

2CMS overall rating · out of 5

At a glance

CMS data snapshot: 2026-08-01 · Sources and limitations
2 of 5Overall
2 of 5Health inspections
2 of 5Staffing
3 of 5Resident quality
OwnershipFor profit - CorporationCertified beds146
Estimated occupancy76.8%Latest inspection2025-05-14

County and Rhode Island comparison

Navy: facility · Teal: county · Gray: Rhode Island
Overall rating
Facility: 2 of 5
worse
Health-inspection score
Facility: 116.0 points
worse
Total nurse staffing
Facility: 3.37 hours/day
worse
RN staffing
Facility: 0.65 hours/day
worse
Staff turnover
Facility: 49.5%
worse
Latest health deficiencies
Facility: 20 deficiencies
worse
View data table
MetricFacilityCountyRhode Island
Overall rating2 of 52 of 53 of 5
Health-inspection score116.0 points115.8 points75.9 points
Total nurse staffing3.37 hours/day3.36 hours/day3.58 hours/day
RN staffing0.65 hours/day0.86 hours/day0.72 hours/day
Staff turnover49.5%39.1%39.3%
Latest health deficiencies20 deficiencies11 deficiencies7 deficiencies

Comparisons describe CMS data; they are not recommendations.

Inspection history

2025-05-14
20 deficiencies
Highest severity: E

Immediate-jeopardy citations: 0

F656 · Severity E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-30

F726 · Severity 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.

Nursing and Physician Services Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-30

F761 · Severity 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.

Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-30

F880 · Severity E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-30

F679 · Severity D

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-30

F686 · Severity D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-30

F692 · Severity D

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-30

F694 · Severity D

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-30

F698 · Severity D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-30

F756 · Severity D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-30

F760 · Severity D

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-30

F814 · Severity D

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-30

F881 · Severity D

Implement a program that monitors antibiotic use.

Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2025-06-30
2024-05-31
13 deficiencies
Highest severity: F

Immediate-jeopardy citations: 0

F812 · Severity F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-06-30

F791 · Severity E

Provide or obtain dental services for each resident.

Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-06-30

F880 · Severity E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-06-30

F658 · Severity D

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-06-30

F685 · Severity D

Assist a resident in gaining access to vision and hearing services.

Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-06-30

F688 · Severity 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.

Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-06-30

F690 · Severity 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.

Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-06-30

F698 · Severity D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-06-30

F825 · Severity D

Provide or get specialized rehabilitative services as required for a resident.

Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2024-06-30
2023-04-27
7 deficiencies
Highest severity: F

Immediate-jeopardy citations: 0

F812 · Severity F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-05-18

F689 · Severity E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-05-18

F656 · Severity D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-05-18

F658 · Severity D

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-05-18

F757 · Severity D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies · Standard survey citation · Deficient, Provider has date of correction 2023-05-18

Staffing composition

2.04 hours/dayNurse aide
0.68 hours/dayLPN
0.65 hours/dayRN
Total staffing
3.37 hours/day
County median
3.36 hours/day
Rhode Island median
3.58 hours/day
Weekend total
3.16 hours/day
Staff turnover
49.5%
RN turnover
36.8%

Reported averages, not a real-time staffing schedule.

Resident outcomes

Lower is generally better

Hospitalizations

1.6 per 1,000 dayssimilarRhode Island: 1.5 per 1,000 days · County: 1.6 per 1,000 days
20250101-20251231

Emergency-department visits

2.1 per 1,000 daysworseRhode Island: 1.6 per 1,000 days · County: 2.1 per 1,000 days
20250101-20251231

Falls with major injury

7.4%worseRhode Island: 3.3% · County: 4.6%
2025Q2-2026Q1

Pressure ulcers

4.2%similarRhode Island: 4.2% · County: 4.1%
2025Q2-2026Q1

Urinary tract infections

1.9%similarRhode Island: 2.0% · County: 2.2%
2025Q2-2026Q1

Antipsychotic medication use

22.5%similarRhode Island: 22.3% · County: 22.7%
2025Q2-2026Q1

These group measures do not predict an individual resident’s experience.

Questions to ask

Use these prompts during a tour or phone call
  1. How many RNs are typically on site during days, nights, and weekends?

    Suggested because of: rn staffing
  2. What is driving staff turnover, and what is being done to retain nurses and aides?

    Suggested because of: staff turnover
  3. What fall-prevention program is used, and how are families notified after a fall?

    Suggested because of: falls major injury
  4. What operational changes followed the facility's most recent penalty?

    Suggested because of: penalties
  5. How will the care plan be developed, reviewed, and shared with our family?

    Suggested because of: general care planning

Facility Details

Certified beds
146
Average daily residents
112.1
Ownership
For profit - Corporation
Provider type
Medicare and Medicaid
In hospital
No
Date certified
1975-01-01
CCN
415034

Staffing Data

Reported measureValue
Nurse aide hours2.03838
Lpn hours0.68238
Rn hours0.64709
Reported total hours3.36785
Weekend total hours3.16207
Weekend rn hours0.50184
Adjusted total hours3.317
Total turnover percent49.5
Rn turnover percent36.8
Administrators left2

Hours are per resident per day; turnover values are percentages. Missing values are not zero.

Penalties & Enforcement

$21,548.00Total fines
2Number of fines
0Payment denials
DateTypeAmount
2025-11-25Fine$12,438.00
2025-10-24Fine$9,110.00

Totals reflect the supplied CMS records, not a lifetime total.

Citations

20Health citations
5Fire safety citations

Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.

Serious Deficiencies

RI counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.

2

2025-11-25 · G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-10-24 · G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Ownership & Operators

NameRoleShare
GENESIS RI HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
FC-GEN OPERATIONS INVESTMENT LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
GEN OPERATIONS I LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
GEN OPERATIONS II LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
GENESIS HEALTHCARE INC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
GENESIS HEALTHCARE LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
GENESIS HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
GENESIS OPERATIONS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
GHC HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
SUN HEALTHCARE GROUP INC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
WHITMAN, ARNOLD5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
FISHMAN, STEVENCORPORATE DIRECTORNOT APPLICABLE
WHITMAN, ARNOLDCORPORATE DIRECTORNOT APPLICABLE
BERG, MICHAELCORPORATE OFFICERNOT APPLICABLE
BRIDGEFORD, LAURACORPORATE OFFICERNOT APPLICABLE
MENDELSON, AVICORPORATE OFFICERNOT APPLICABLE
WHITMAN, ARNOLDCORPORATE OFFICERNOT APPLICABLE
LOPES, RONICIAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GENESIS OPERATIONS LLCADP OF THE SNFNOT APPLICABLE
LOPES, RONICIAADP OF THE SNFNOT APPLICABLE
VERMA, SUNILADP OF THE SNFNOT APPLICABLE

Helpful resources

Educational information, not medical or legal advice. Data & methodology