Home›Rhode Island›Newport County›Grand Islander Center
B
Good

Grand Islander Center

333 Green End Avenue · Middletown, RI 02842

4018497100 · For profit - Corporation

146 beds110 residents126 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Grand Islander Center receives an overall staffing grade of B (Good). With 3.6293 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.7099 HPRD, below the recommended 0.75. It is 0.27 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.06% compared to weekdays. The facility relies heavily on temporary agency staff (17.74% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.7099 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️17.74% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.6293hrs/resident/day▼ 0.27
CMS benchmark: 3.48
RN HPRD
0.7099hrs/resident/day▲ 0.03
Recommended: 0.75
Weekend Drop-off
12.06%
3.7573 weekday → 3.3043 weekend
Agency Staff
17.74%
4.09% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.023hrs/resident/day
Direct care aides
LPN HPRD
0.7212hrs/resident/day
Licensed practical nurses
Consistency
0.2796std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Newport County Average+0.12 HPRD
3.51
03.63 HPRD
vs. Rhode Island State Average-0.09 HPRD
3.72
03.63 HPRD
vs. National Average-0.27 HPRD
3.90
03.63 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Grand Islander Center ★
Middletown · This facility
—
B
3.62930.7099★★☆☆☆
John Clarke Senior Living
Middletown
0.2 mi
B
3.69521.161★★★★★
Royal Middletown Nursing Center
Middletown
1.5 mi
C
3.00220.9522★★☆☆☆
St Clare Home
Newport
2.2 mi
A
4.38811.1253★★★☆☆
Heatherwood Rehabilitation and Health Care Center
Newport
2.3 mi
C
3.04570.6981★★☆☆☆
Village House Nursing & Rehabilitation Center
Newport
3.1 mi
C
3.27440.8119★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

11
Inspections
40
Total Deficiencies
$0
Fines Assessed
Dec 5, 2025Health
2 deficiencies cited
▼
Nov 25, 2025Health
2 deficiencies cited· Includes actual harm
▼
Oct 24, 2025Health
1 deficiency cited· Includes actual harm
▼
Aug 20, 2025Health
2 deficiencies cited
▼
May 14, 2025Health
13 deficiencies cited
▼
Apr 22, 2025Health
2 deficiencies cited
▼
Nov 22, 2024Health
1 deficiency cited
▼
Aug 27, 2024Health
1 deficiency cited
▼
Jul 31, 2024Health
2 deficiencies cited
▼
May 31, 2024Health
9 deficiencies cited
▼
Apr 27, 2023Health
5 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.