| Grand Islander Center | |
| 333 Green End Avenue, Middletown, Rhode Island 02842 | |
| (401) 849-7100 | |
| Name | Grand Islander Center |
|---|---|
| Location | 333 Green End Avenue, Middletown, Rhode Island |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 146 |
| Occupancy Rate | 76.78% |
| Medicare ID (CCN) | 415034 |
| Legal Business Name | 333 Green End Avenue Operations LLC |
| Ownership Type | For Profit - Corporation |
| Chain | Genesis Healthcare (184 nursing homes) |
| Chain Average Overall Rating | 2.4 out of 5 |
| NPI Number | 1083896815 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | 333 Green End Avenue Operations LLC |
| Doing Business As | Grand Islander Center |
| Address | 333 Green End Ave, Middletown, RI 02842 |
| Phone Number | 401-849-7100 |
| NPI Number | 1033413000 |
| Match | Possible same name, address or phone number |
| Organization Name | Sava Seniorcare |
| Address | 333 Green End Ave, Middletown, RI 02842 |
| Phone Number | 401-849-7100 |
| NPI Number | 1285589168 |
| Match | Possible same name, address or phone number |
| Organization Name | 333 Green End Avenue Opco, LLC |
| Address | 333 Green End Ave, Middletown, RI 02842 |
| Phone Number | 323-928-9445 |
| NPI Number | 1568419372 |
| Match | Possible same name, address or phone number |
| Organization Name | Health Resources of Middletown R I Inc |
| Doing Business As | Grand Islander Center |
| Address | 333 Green End Ave, Middletown, RI 02842 |
| Phone Number | 401-849-7100 |
| NPI Number | 1821235847 |
| Match | Possible same name, address or phone number |
| Organization Name | Genesis Rehabilitative Services |
| Address | 333 Green End Ave, Middletown, RI 02842 |
| Phone Number | 401-849-7100 |
| NPI Number | 1952708919 |
| Match | Possible same name, address or phone number |
| Organization Name | Genesis Rehabiliation Services |
| Address | 333 Green End Ave, Middletown, RI 02842 |
| Phone Number | 401-849-7100 |
| NPI Number | 1962781534 |
| Match | Possible same name, address or phone number |
| Organization Name | Genesis Rehabilitation Center |
| Address | 333 Green End Ave, Middletown, RI 02842 |
| Phone Number | 401-849-7100 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.37 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.65 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 2.04 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.16 | 3.42 |
| RN hours per resident per day on the weekend | 0.5 | 0.48 |
| Physical therapist hours per resident per day | 0.08 | 0.07 |
| Total nursing staff turnover | 49.5% | 45.8% |
| Registered nurse turnover | 36.8% | 42.9% |
| Number of administrators who have left the nursing home | 2 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $21,548 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Dec 5, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jan 6, 2026 |
| Dec 5, 2025 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jan 6, 2026 |
| Nov 25, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Past non-compliance (already corrected) |
| Nov 25, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jan 6, 2026 |
| Oct 24, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Nov 20, 2025 |
| Aug 20, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Sep 19, 2025 |
| Aug 20, 2025 | 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. F0726, Nursing and Physician Services, Complaint inspection | Potential for harm, isolated | Corrected by Sep 19, 2025 |
| May 14, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jun 30, 2025 |
| May 14, 2025 | 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. F0726, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Jun 30, 2025 |
| May 14, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jun 30, 2025 |
| May 14, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jun 30, 2025 |
| May 14, 2025 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 30, 2025 |
| May 14, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 30, 2025 |
| May 14, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 30, 2025 |
| May 14, 2025 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 30, 2025 |
| May 14, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 30, 2025 |
| May 14, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 30, 2025 |
| May 14, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 30, 2025 |
| May 14, 2025 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jun 30, 2025 |
| May 14, 2025 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jun 30, 2025 |
| Apr 22, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by May 22, 2025 |
| Apr 22, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by May 22, 2025 |
| Nov 22, 2024 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 9, 2024 |
| Aug 27, 2024 | 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. F0578, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Sep 26, 2024 |
| Jul 31, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Aug 30, 2024 |
| Jul 31, 2024 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Aug 30, 2024 |
| May 31, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jun 30, 2024 |
| May 31, 2024 | Provide or obtain dental services for each resident. F0791, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jun 30, 2024 |
| May 31, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jun 30, 2024 |
| May 31, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 30, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.33 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 6.07 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.45 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.89 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 27.45 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.39 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.24 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.06 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.56 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 22.93 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.01 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.11 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 74.19 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.21 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.5 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 22.52 | 15.38 |
John Clarke Senior Living Location: 600 Valley Road, Middletown, Rhode Island 02842 Phone: (401) 846-0743 |
Royal Middletown Nursing Center Location: 193 Forest Avenue, Middletown, Rhode Island 02842 Phone: (401) 847-2777 |