Grand Islander Center
Grand Islander Center is a 146-bed nursing home in Middletown, Rhode Island. CMS has certified it for Medicare and Medicaid since 1975-01-01. It averages 112.1 residents a day.
What harm was found in the violations cited at Grand Islander Center?
CMS lists 40 health-inspection deficiencies for Grand Islander Center since 2023-04-27, 35 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-12-05.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-12-05 | F0658, F0745 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide medically-related social services to help each resident achieve the highest possible quality of life. | D |
| 2025-11-25 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-11-25 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2025-10-24 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-08-20 | F0656, F0726 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. | D |
| 2025-05-14 | F0656, F0726, F0761, F0880 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / 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. / Provide and implement an infection prevention and control program. | E |
| 2025-05-14 | F0679, F0686, F0692, F0694, F0698, F0756, F0760, F0814, F0881 | Provide activities to meet all resident's needs. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure that residents are free from significant medication errors. / Dispose of garbage and refuse properly. / Implement a program that monitors antibiotic use. | D |
| 2025-04-22 | F0580, F0658 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-11-22 | F0692 | Provide enough food/fluids to maintain a resident's health. | D |
| 2024-08-27 | F0578 | 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. | D |
| 2024-07-31 | F0658, F0757 | Ensure services provided by the nursing facility meet professional standards of quality. / Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| 2024-05-31 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-05-31 | F0791, F0880 | Provide or obtain dental services for each resident. / Provide and implement an infection prevention and control program. | E |
| 2024-05-31 | F0658, F0685, F0688, F0690, F0698, F0825 | Ensure services provided by the nursing facility meet professional standards of quality. / Assist a resident in gaining access to vision and hearing services. / 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide or get specialized rehabilitative services as required for a resident. | D |
| 2023-04-27 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-04-27 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2023-04-27 | F0656, F0658, F0757 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
Why was Grand Islander Center fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2025-11-25 | Fine | $12,438 |
| 2025-10-24 | Fine | $9,110 |
How is Grand Islander Center staffed relative to the RI average?
| Measure | This facility | RI average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.36785 | 3.71423 |
| Total nursing staff turnover (%) | 49.5 | 40.6 |
| Average number of residents per day | 112.1 | 98.3 |
Who owns Grand Islander Center, and what chain is it in?
Grand Islander Center is registered with CMS as For profit - Corporation, operates under the legal business name 333 GREEN END AVENUE OPERATIONS LLC and belongs to the GENESIS HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | GENESIS RI HOLDINGS LLC | since 04/01/2011 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | FC-GEN OPERATIONS INVESTMENT LLC, GEN OPERATIONS I LLC, GEN OPERATIONS II LLC, GENESIS HEALTHCARE INC, GENESIS HEALTHCARE LLC, GENESIS HOLDINGS LLC, GENESIS OPERATIONS LLC, GHC HOLDINGS LLC, SUN HEALTHCARE GROUP INC, WHITMAN, ARNOLD | since 02/02/2015 |
| CORPORATE DIRECTOR | FISHMAN, STEVEN, WHITMAN, ARNOLD | since 12/31/2011 |
| CORPORATE OFFICER | BERG, MICHAEL, BRIDGEFORD, LAURA, MENDELSON, AVI, WHITMAN, ARNOLD | since 04/01/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | LOPES, RONICIA | since 12/02/2024 |
| ADP OF THE SNF | GENESIS OPERATIONS LLC, LOPES, RONICIA, VERMA, SUNIL | since 02/04/2025 |
Were you or a family member harmed at Grand Islander Center?