Grand Islander Center: Staffing, Turnover, and Inspection Record
Grand Islander Center is a 146-bed for-profit nursing home in Middletown, Rhode Island, part of Genesis Healthcare. In the CMS August 2026 release it reported 2.04 nurse aide hours per resident per day, 17% below the Rhode Island average of 2.46, and 49.5% nursing staff turnover (Rhode Island average 40.6%).
Grand Islander Center
333 Green End AvenueMiddletown, RI 02842
Newport County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Grand Islander Center, nurse aides logged 2.04 hours per resident per day, 17% below the Rhode Island average. With about 112 residents a day, that works out to roughly 229 aide hours a day, or about 29 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 6% below the all-days figure.
| Hours per resident per day | This home | Rhode Island avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.04 | 2.46 | 2.32 |
| Licensed practical nurses | 0.68 | 0.49 | 0.86 |
| Registered nurses | 0.65 | 0.76 | 0.69 |
| All nursing staff | 3.37 | 3.71 | 3.86 |
| All nursing staff, weekends | 3.16 | 3.34 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
49.5% of nursing staff at Grand Islander Center left over the year CMS measured, against a Rhode Island average of 40.6% and a US average of 45.8%. Registered nurse turnover was 36.8%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 14, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 20 health deficiencies (Rhode Island average 9.2). CMS lists 2 fines totaling $21,548 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 25, 2025 | Fine | $12,438 |
| Oct 24, 2025 | Fine | $9,110 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Grand Islander Center holds 2 of 5 overall; the Rhode Island average is 2.9.
About Grand Islander Center
- Ownership: For profit - Corporation
- Chain: Genesis Healthcare, 184 homes
- Legal name: 333 Green End Avenue Operations LLC
- Medicare and Medicaid certified since: Jan 1, 1975
- Councils: resident and family councils
- Area: urban
Nursing homes near Grand Islander Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| John Clarke Senior Living Middletown | 0.2 | 60 | 2.46 | 3.47 | 25.5% | 2 | $14,385 |
| Royal Middletown Nursing Center Middletown | 1.5 | 50 | 2.07 | 3.21 | 62.5% | 2 | $30,590 |
| St Clare Home Newport | 2.2 | 50 | 3.12 | 4.59 | 56.3% | 4 | None |
| AdviniaCare Newport, LLC Newport | 2.4 | 114 | 2.26 | 3.35 | 26.0% | 2 | $16,801 |
| Village House Nursing & Rehabilitation Center Newport | 3.1 | 95 | 2.28 | 3.35 | 28.6% | 4 | $8,018 |
| South County Eden Operations LLC DBA Lakeside Nurs North Kingstown | 11.1 | 120 | 2.11 | 3.20 | 40.8% | 4 | $14,433 |
| Bayview Rehabilitation and Healthcare Center North Kingstown | 11.6 | 120 | 2.24 | 3.29 | 50.5% | 2 | $52,785 |
| Elderwood Of Scallop Shell at Wakefield South Kingstown | 11.8 | 80 | 2.10 | 3.58 | 55.9% | 2 | $89,882 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.