Quick answers
- Where is Grand Islander Center?
- 333 Green End Avenue, Middletown, RI 02842, in Newport County, Rhode Island.
- What is the phone number of Grand Islander Center?
- (401) 849-7100, as listed by Medicare (CMS).
- What is the Medicare star rating of Grand Islander Center?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Grand Islander Center been fined?
- Medicare lists 4 fines totaling $93,296.
- What did inspectors find at Grand Islander Center?
- In its last three inspection cycles (April 27, 2023 to August 18, 2026), Medicare lists 43 health citations; the most serious was level J. 3 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (April 27, 2023 to August 18, 2026), Grand Islander Center had 43 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 3 of them were level G or higher (actual harm or immediate jeopardy). It was fined $93,296 in total (4 fines, the latest on August 18, 2026). Nurse staffing is 3.32 hours per resident per day; the Rhode Island average is 3.78 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: May 14, 2025 — 21 health citations
Inspections in this cycle: May 14, 2025 (standard health inspection); October 24, 2025 (complaint investigation); November 25, 2025 (complaint investigation); December 5, 2025 (complaint investigation); August 18, 2026 (complaint investigation).
F0700 Level J
“Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 18 less serious citations (levels A to F)
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0726 Level 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.”
F0761 Level 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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0835 Level D
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0745 Level D
“Provide medically-related social services to help each resident achieve the highest possible quality of life.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0679 Level D
“Provide activities to meet all resident's needs.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0694 Level D
“Provide for the safe, appropriate administration of IV fluids for a resident when needed.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
F0814 Level D
“Dispose of garbage and refuse properly.”
F0881 Level D
“Implement a program that monitors antibiotic use.”
Previous cycle: May 31, 2024 — 14 health citations
Inspections in this cycle: May 31, 2024 (standard health inspection); November 22, 2024 (complaint investigation); April 22, 2025 (complaint investigation); August 20, 2025 (complaint investigation).
Show 14 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0791 Level E
“Provide or obtain dental services for each resident.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0726 Level D
“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.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0685 Level D
“Assist a resident in gaining access to vision and hearing services.”
F0688 Level 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.”
F0690 Level 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.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0825 Level D
“Provide or get specialized rehabilitative services as required for a resident.”
Earlier cycle: April 27, 2023 — 8 health citations
Inspections in this cycle: April 27, 2023 (standard health inspection); July 31, 2024 (complaint investigation); August 27, 2024 (complaint investigation).
Show 8 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0578 Level D
“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.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (5)
K0211 Level F
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0351 Level E
“Install an approved automatic sprinkler system.”
E0006 Level C
“Conduct risk assessment and an All-Hazards approach.”
Fines and payment denials
Total fines over about the last three years: $93,296 (4 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| August 18, 2026 | Fine | $27,378 |
| August 18, 2026 | Fine | $44,370 |
| November 25, 2025 | Fine | $12,438 |
| October 24, 2025 | Fine | $9,110 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Rhode Island | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.73 | 0.77 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.62 | 0.49 | 0.86 |
| Nurse aide hours per resident per day | 1.98 | 2.52 | 2.35 |
| Total nurse staff hours per resident per day | 3.32 | 3.78 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.08 | 3.37 | 3.43 |
| RN hours per resident per day on the weekend | 0.53 | 0.55 | 0.48 |
| Nursing staff turnover (per year) | 48.0% | 40.0% | 45.3% |
| RN turnover (per year) | 50.0% | 38.8% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 183 nursing homes: Genesis Healthcare.
Legal business name: 333 Green End Avenue Operations LLC.
Owners and managers Medicare lists (11)
| Name | Role | Share | Since |
|---|---|---|---|
| Genesis RI Holdings LLC | Direct owner | 100% | April 1, 2011 |
| Fc-Gen Operations Investment LLC | Indirect owner | — | April 1, 2011 |
| Gen Operations I LLC | Indirect owner | — | April 1, 2011 |
| Gen Operations II LLC | Indirect owner | — | April 1, 2011 |
| Genesis Healthcare Inc | Indirect owner | — | February 2, 2016 |
| Genesis Healthcare LLC | Indirect owner | — | April 1, 2011 |
| Genesis Holdings LLC | Indirect owner | — | February 2, 2015 |
| Genesis Operations LLC | Indirect owner | — | April 1, 2011 |
| GHC Holdings LLC | Indirect owner | — | April 1, 2011 |
| Sun Healthcare Group Inc | Indirect owner | — | February 2, 2015 |
| Whitman, Arnold | Indirect owner | — | December 31, 2011 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 146 |
| Average residents per day | 108.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Genesis Healthcare |
| Legal business name | 333 Green End Avenue Operations LLC |
| First approved by Medicare/Medicaid | 1975-01-01 |
| Resident and family councils | Resident and family councils |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 333 Green End Avenue, Middletown, RI 02842 |
| County | Newport County |
| State | Rhode Island |
| Phone | (401) 849‑7100 |
| CMS Certification Number | 415034 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- John Clarke Senior Living0.2 mi · Middletown, RI · 3 of 5 stars
- Royal Middletown Nursing Center1.5 mi · Middletown, RI · 2 of 5 stars
- St Clare Home2.2 mi · Newport, RI · 4 of 5 stars
- AdviniaCare Newport, LLC2.4 mi · Newport, RI · 1 of 5 stars
- Village House Nursing & Rehabilitation Center3.1 mi · Newport, RI · 4 of 5 stars
Nearest hospital emergency rooms
- Newport Hospital1.2 mi · Newport, RI · Acute Care Hospital
- South County Hospital Inc12 mi · Wakefield, RI · Acute Care Hospital
- Saint Anne's Hospital14 mi · Fall River, MA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13