Grand Islander Center
Nursing home in Middletown, Rhode Island, CMS certification number 415034
333 Green End Avenue, Middletown, RI 02842 · Newport County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 146
- Certified for
- Medicare and Medicaid
- Last standard inspection
- May 14, 2025
- Deficiencies at that inspection
- 21
- Fines in 3 years
- $93,296 (4)
Does Grand Islander Center take Medicare and Medicaid?
Yes to both. Grand Islander Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 3 of 5 |
| Quality of resident care | 2 of 5 |
| Long-stay quality | 1 of 5 |
| Short-stay quality | 3 of 5 |
Nurse staffing hours and turnover
These are the hours Grand Islander Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.32
- Registered nurse hours
- 0.73
- Licensed practical nurse hours
- 0.62
- Nurse aide hours
- 1.98
- Weekend total hours
- 3.08
- Nursing staff turnover
- 48%
- Registered nurse turnover
- 50%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on May 14, 2025 and cited 21 deficiencies, plus 8 from complaint visits.
The visit before, on May 31, 2024, found 9.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Grand Islander Center 4 times in the past 3 years, for $93,296 in total.
Beds and residents
On an average day 108.3 residents live here, about 74% of its 146 certified beds.
- Certified beds
- 146
- Average residents per day
- 108.3
- Certified since
- January 1, 1975
- Resident or family council
- Both
Who owns Grand Islander Center
- Legal business name
- 333 Green End Avenue Operations LLC
- Ownership type
- For profit - Corporation
- Chain
- 183 homes nationally under Genesis Healthcare, 2.4-star chain average
Other nursing homes near Grand Islander Center
- John Clarke Senior Living600 Valley Road, Middletown 02842
- Royal Middletown Nursing Center193 Forest Avenue, Middletown 02842
- St Clare Home309 Spring Street, Newport 02840
- AdviniaCare Newport, LLC398 Bellevue Avenue, Newport 02840
- Village House Nursing & Rehabilitation Center70 Harrison Avenue, Newport 02840
Who inspects nursing homes in Rhode Island
Rhode Island's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Rhode Island, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Grand Islander Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Grand Islander Center
What is the CMS star rating of Grand Islander Center?
2 out of 5 stars overall.
Does Grand Islander Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Grand Islander Center?
21 cited at the last standard visit.
Who owns Grand Islander Center?
333 Green End Avenue Operations LLC, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.