Skilled Nursing

Grand Islander Center

333 Green End Avenue, Middletown, RI 02842

146beds
Skilled Nursingcare types
2/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

3.3h

Hrs/resident · weekday

Expected: 3.6h

3.3h

Hrs/resident · weekend

vs 3.3h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
42%
LPNs
CNAs
46%

Administrator turnover: 2 in the past year — above average

Health Inspection Deficiencies · Last 3 Years

35 standard deficiencies in the last 3 years

View all
0745Severity DDec 5, 2025

Provide medically-related social services to help each resident achieve the highest possible quality of life.

0658Severity DDec 5, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0689Severity GNov 25, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0658Severity DNov 25, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0689Severity GOct 24, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0726Severity DAug 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.

0656Severity DAug 20, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0881Severity DMay 14, 2025

Implement a program that monitors antibiotic use.

0880Severity EMay 14, 2025

Provide and implement an infection prevention and control program.

0814Severity DMay 14, 2025

Dispose of garbage and refuse properly.

0761Severity EMay 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.

0760Severity DMay 14, 2025

Ensure that residents are free from significant medication errors.

0756Severity DMay 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.

0726Severity EMay 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.

0698Severity DMay 14, 2025

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0694Severity DMay 14, 2025

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0692Severity DMay 14, 2025

Provide enough food/fluids to maintain a resident's health.

0686Severity DMay 14, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0679Severity DMay 14, 2025

Provide activities to meet all resident's needs.

0656Severity EMay 14, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0658Severity DApr 22, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0580Severity DApr 22, 2025

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0692Severity DNov 22, 2024

Provide enough food/fluids to maintain a resident's health.

0578Severity DAug 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.

0757Severity DJul 31, 2024

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0658Severity DJul 31, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0880Severity EMay 31, 2024

Provide and implement an infection prevention and control program.

0825Severity DMay 31, 2024

Provide or get specialized rehabilitative services as required for a resident.

0812Severity FMay 31, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0791Severity EMay 31, 2024

Provide or obtain dental services for each resident.

0698Severity DMay 31, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0690Severity DMay 31, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0688Severity DMay 31, 2024

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.

0685Severity DMay 31, 2024

Assist a resident in gaining access to vision and hearing services.

0658Severity DMay 31, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

333 GREEN END AVENUE OPERATIONS LLC· For profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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