MyLivingChoice

Grand Islander

333 Green End Avenue

4.2(123 ratings)· Middletown average: 4.2

Part of Genesis HealthCare · 137 communities · 4.1★ average

Grand Islander, photo 11 / 6

Quick Facts

Total units
146
Medicare rating
2 of 5

CMS Care Compare

Ownership
For profit, Corporation
Certified beds
146
Memory Care
Secured Homestead Unit for dementia residents
Short-Term Rehab
Dedicated Transitional Care Unit for recovery stays
Quality Recognition
AHCA Bronze, Silver, and Gold Quality Awards

What Families Think

The Good

  • Secure Homestead Unit for dementia and Alzheimer's care
  • Transitional Care Unit for post-surgery rehabilitation
  • Orthopedic rehab including joint replacement and amputation care
  • Dementia care education recognized by the Alzheimer's Association
  • Received AHCA Bronze, Silver, and Gold Quality Awards

The Bad

  • No published pricing information available
  • No detailed reviews provided despite a 4.2 rating from 123 Google reviews

AI-generated from reviews and community data.

Grand Islander is a senior living community in Middletown, Rhode Island offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 4.2 out of 5 across 123 reviews.

About Grand Islander

Grand Islander Center is a skilled nursing facility in Middletown, Rhode Island, located on Aquidneck Island in a suburban coastal area. The facility provides Alzheimer's and dementia care in a secure Homestead Unit, long-term care, palliative and pain management care, and intensive nursing and rehabilitative care for patients recovering from surgery or illness through its Transitional Care Unit.

The center offers orthopedic rehabilitation services including joint replacement, injury care, and amputation rehabilitation. Specialized dementia care education, recognized by the Alzheimer's Association, incorporates evidence-based practice recommendations in areas such as person-centered care, assessment and care planning, and communication strategies. The facility has received the American Health Care Association's Bronze, Silver, and Gold Quality Awards.

Amenities include comfortable common and lounge areas for residents to gather with family and friends, as well as an alarm system to support the security of residents with cognitive deficits. The facility operates under Genesis HealthCare, a healthcare services company that provides services to skilled nursing and senior living communities.

Types of Care at Grand Islander

Skilled Nursing / Long Term Care

Amenities

Room Amenities

  • Cable or Satellite TV
  • Emergency Call System
  • Private Bathroom
  • Private Rooms
  • Wheelchair Accessible

Meals & Dining

  • Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
  • Restaurant style Dining Room

Community Amenities

  • 24-Hour Staff
  • Chapel / Religious Services
  • Gathering / Activity Spaces
  • Housekeeping
  • Laundry Service
  • Medication Management
  • On-Site Nurse (RN)
  • Security

Activities

  • Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)

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Help Me Choose

Reviews of Grand Islander

4.2overall · 123 ratings combined

4.2★ on Google (123)

David Barbosa

Jul 2026

via Google

The grand islander is one of the best nursing homes I’ve visited!

Jen Rowlett

Jun 2026

via Google

I visit this community often as we have a couple of residents who require our healthcare support. Their staff is very engaged with the residents and genuinely care about providing the best quality of service. I see several improvements occurring, especially as of late...newer staff and a very high level of enthusiasm. I would highly recommend considering Grand Islander for short term rehab as well as long term care for your loved one.

Barbara Babbitt

May 2026

via Google

No stars!! Nurses were very nice<br>Everything else I hope i never have to consider this place again

Stephanie Oloughlin

Apr 2026

via Google

Hallways blocked with clutter, patients hanging around in doorways without direction looking bored.Foul smell in general.No activities for patients and nothing to engage them. Staff do not look happy. Do NOT recommend

John O'Loughlin

Apr 2026

via Google

It was suggested I do a “pop in tour” before having a close friend admitted, so glad I did!<br>Hallways blocked by clutter, foul smell in general. Patients just hanging around in doorways without direction. No activities going on, did not see any supervision. Patients did not even engage with each other. Employees I did see looked irritable. Grand Islander is not an acceptable place for anyone. If I could do a ZERO rating I would.

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Government Inspection History

11 inspection visits in the last three years, 45 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

Dec 5, 2025Health Complaint2 citations
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 6, 2026

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 6, 2026

Nov 25, 2025Health Complaint2 citations
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Nov 20, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 6, 2026

Oct 24, 2025Health Complaint1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Nov 20, 2025

Aug 20, 2025Health Complaint2 citations
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 19, 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 19, 2025

May 14, 2025Fire Safety StandardHealth Standard16 citations
  • Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 30, 2025

  • To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 30, 2025

  • Have simulated fire drills held at unexpected times.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 30, 2025

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 30, 2025

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 30, 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 30, 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 30, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2025

  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2025

  • Ensure that residents are free from significant medication errors.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2025

  • Dispose of garbage and refuse properly.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2025

  • Implement a program that monitors antibiotic use.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2025

  • Provide activities to meet all resident's needs.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2025

Apr 22, 2025Health Complaint2 citations
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 22, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 22, 2025

Nov 22, 2024Health Complaint1 citation
  • Provide enough food/fluids to maintain a resident's health.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 9, 2024

Aug 27, 2024Health Complaint1 citation
  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 26, 2024

Jul 31, 2024Health Complaint2 citations
  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 30, 2024

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 30, 2024

May 31, 2024Fire Safety StandardHealth Standard10 citations
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 30, 2024

  • Install an approved automatic sprinkler system.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 30, 2024

  • Provide or obtain dental services for each resident.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 30, 2024

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 30, 2024

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2024

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2024

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2024

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2024

Apr 27, 2023Fire Safety StandardHealth Standard6 citations
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 18, 2023

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 18, 2023

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 18, 2023

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 18, 2023

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 18, 2023

  • Conduct risk assessment and an All-Hazards approach.

    Severity C of L: potential for minimal harm, widespreadCorrected May 18, 2023

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does Grand Islander offer?

Grand Islander offers Skilled Nursing / Long Term Care.

Where is Grand Islander located?

Grand Islander is located at 333 Green End Avenue in Middletown, Rhode Island.

How did Grand Islander do on recent health and safety inspections?

Grand Islander had 11 government inspection visits in the last three years, with 45 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit Grand Islander?

Submit the Request Information form on this page to connect with Grand Islander and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

Work at Grand Islander? Claim this listing to update photos, pricing, and details. It's free.

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