John Clarke Senior Living in Middletown, RI has an overall rating of 4 out of 5 stars, with 4-star ratings for health inspections, staffing, and quality measures. It had no fines in the last 24 months, but reported nurse staffing was 3.69 hours per resident day, below the federal benchmark of 4.1.
Last inspection: April 10, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6931.
Staffing detail
Registered nurses
1.13
Licensed practical nurses
0.02
Nurse aides
2.55
Weekend nursing
3.24
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 21%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
9.7%9.4%No change
Residents with a fall causing major injury
2.1%2.3%No change
Residents with pressure ulcers (bedsores)
4.3%3.6%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.6%2.7%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.4%2.7%Improving
Residents whose ability to walk got worse
—16.8%—
Long-stay residents on antianxiety or sleep medication
12.5%13.5%Worsening
Short-stay residents newly given an antipsychotic
2.9%2%Improving
Residents with a long-term catheter
0%1.6%Worsening
Residents with new or worsening incontinence
18.7%26.3%Worsening
Residents with depressive symptoms
0%2.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
97.8%96.1%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited March 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: D
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited March 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
52.4 residents on an average day (87% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 43 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.