The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Grand Islander Center
Middletown, RI · Medicare-certified · 146 beds
Needs attention
For-profitChain member
2 of 5 overall
Grand Islander Center in Middletown, RI has a 2-star overall rating, with 2 stars for health inspections and 3 stars for staffing and quality measures. It reports nurse staffing at 3.54 hours per resident per day versus the 4.1-hour federal benchmark and has had $33,150 in fines in the last 24 months, including a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.5441 hrs/resident/day
Quality measures
Last inspection: December 5, 2025Penalties, last 24 months: $33,150recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5441.
Staffing detail
- Registered nurses
- 0.72
- Licensed practical nurses
- 0.66
- Nurse aides
- 2.17
- Weekend nursing
- 3.31
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 42%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
18.3%23.8%Worsening
Residents with a fall causing major injury
4%8.5%Worsening
Residents with pressure ulcers (bedsores)
3.8%3.6%No change
Residents with a urinary tract infection
2%0%Improving
Residents who lost too much weight
8.5%8.6%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.5%33.3%Worsening
Residents whose ability to walk got worse
20%26.2%Worsening
Long-stay residents on antianxiety or sleep medication
13.3%9.9%Improving
Short-stay residents newly given an antipsychotic
1.7%2.3%Worsening
Residents with a long-term catheter
0.9%0%Improving
Residents with new or worsening incontinence
24.4%34.1%Worsening
Residents with depressive symptoms
14%33%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.1%—
Long-stay residents given the pneumonia vaccine
96%95.7%No change
Short-stay residents given the seasonal flu vaccine
—74.2%—
Short-stay residents given the pneumonia vaccine
77.8%81%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $19,135 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $14,015 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $33,150 in total fines.
- $19,135
Federal fine
Nov 25, 2025
- $14,015
Federal fine
Oct 24, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of GENESIS HEALTHCARE · 187 homes · 2.4 stars avg
- Occupancy
- 110.6 residents on an average day (76% of 146 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 51 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.