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Data / Nursing homes / Rhode Island / Grand Islander Center

Grand Islander Center, Middletown, RI: 2 star rating, fined $93,296 across 4 fines

Grand Islander Center in Middletown, RI is owned by Genesis Ri Holdings LLC, is rated 2 of 5 stars by Medicare, and was fined $93,296 across 4 fines in the three years to October 1, 2026. CMS lists 38 health citations from inspections in that time, the latest survey on August 18, 2026, and 3 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Rhode Island
Address
333 Green End Avenue, Middletown, RI 02842
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measure rating
2 of 5
Certified beds
146
Residents per day
108 on average
Ownership type
For profit, corporation
Legal business name
333 Green End Avenue Operations LLC
Chain
Genesis Healthcare, 183 facilities
Fines
$93,296 across 4 fines, three years to October 1, 2026
Payment denials
0
Health citations
38, of which 3 with actual harm or immediate jeopardy
Latest survey
August 18, 2026
CMS Certification Number
415034
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
August 18, 2026Fine$44,370Not listeddata.cms.gov
August 18, 2026Fine$27,378Not listeddata.cms.gov
November 25, 2025Fine$12,438Not listeddata.cms.gov
October 24, 2025Fine$9,110Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 18, 2026F700Try 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.J: isolated, immediate jeopardyPast noncomplianceMarch 30, 2026data.cms.gov
August 18, 2026F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 14, 2026data.cms.gov
August 18, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 14, 2026data.cms.gov
December 5, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 6, 2026data.cms.gov
December 5, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 6, 2026data.cms.gov
November 25, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmPast noncomplianceNovember 20, 2025data.cms.gov
November 25, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 6, 2026data.cms.gov
October 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedNovember 20, 2025data.cms.gov
August 20, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2025data.cms.gov
August 20, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2025data.cms.gov
May 14, 2025F881Implement a program that monitors antibiotic use.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
May 14, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
May 14, 2025F814Dispose of garbage and refuse properly.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
May 14, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
May 14, 2025F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
May 14, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
May 14, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
May 14, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
May 14, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
May 14, 2025F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
May 14, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
May 14, 2025F679Provide activities to meet all resident's needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
May 14, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
April 22, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2025data.cms.gov
April 22, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2025data.cms.gov
November 22, 2024F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 9, 2024data.cms.gov
August 27, 2024F578Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2024data.cms.gov
July 31, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 30, 2024data.cms.gov
July 31, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 30, 2024data.cms.gov
May 31, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 30, 2024data.cms.gov
May 31, 2024F825Provide or get specialized rehabilitative services as required for a resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2024data.cms.gov
May 31, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 30, 2024data.cms.gov
May 31, 2024F791Provide or obtain dental services for each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 30, 2024data.cms.gov
May 31, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2024data.cms.gov
May 31, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2024data.cms.gov
May 31, 2024F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2024data.cms.gov
May 31, 2024F685Assist a resident in gaining access to vision and hearing services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2024data.cms.gov
May 31, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 10 individual or personal trusts (1 owners, 1 managers, 6 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Genesis Ri Holdings LLCDirect owner100%April 1, 2011data.cms.gov
Fc-Gen Operations Investment LLCIndirect ownerNot listedApril 1, 2011data.cms.gov
GEN Operations I LLCIndirect ownerNot listedApril 1, 2011data.cms.gov
GEN Operations II LLCIndirect ownerNot listedApril 1, 2011data.cms.gov
Genesis Healthcare IncIndirect ownerNot listedFebruary 2, 2016data.cms.gov
Genesis Healthcare LLCIndirect ownerNot listedApril 1, 2011data.cms.gov
Genesis Holdings LLCIndirect ownerNot listedFebruary 2, 2015data.cms.gov
Genesis Operations LLCIndirect ownerNot listedApril 1, 2011data.cms.gov
GHC Holdings LLCIndirect ownerNot listedApril 1, 2011data.cms.gov
Sun Healthcare Group IncIndirect ownerNot listedFebruary 2, 2015data.cms.gov
Genesis Operations LLCAdditional disclosable partyNot listedFebruary 4, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.