D

Grand Islander Center

333 Green End Avenue, Middletown, RI 02842
Score: 44 / 100

Grand Islander Center faces challenges in its CMS ratings, earning a D grade with a score of 44/100. The facility ranks in the 41th percentile among Rhode Island nursing homes, suggesting significant room for improvement.

Staffing at Grand Islander Center is near the national average, with 3.63 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 40 deficiencies at Grand Islander Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.63 3.8 Average
Registered Nurses (RN) 0.71 0.7 Average
Licensed Practical Nurses (LPN) 0.72 0.7 Average
Certified Nursing Assistants (CNA) 2.20 2.4 Average
Weekend Total Nursing 3.30 3.8 Below Average
Weekend RN Hours 0.48 0.7 Below Average

🔍 Inspection & Deficiency History

40
Total Deficiencies
Dec 4, 2025
Most Recent Inspection
🟠 40 Moderate
View recent deficiencies (5 shown)
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Dec 4, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0745 Severity D
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    Dec 4, 2025 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Nov 24, 2025 · Quality of Life and Care Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Nov 24, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Oct 23, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.7% 4.5% Average
Falls with major injury 5.1% 3.0% Worse
On antipsychotic medication 18.7% 14.5% Worse
Urinary tract infections 1.8% 2.5% Better
ADL decline (daily activities) 21.8% 14.0% Worse
Excessive weight loss 5.5% 7.5% Better
New/worsened incontinence 24.6% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 44 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
146
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
May 13, 2025
Deficiencies (Cycle 1)
22