Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
91
76 employees · 15 contractors · 34 on an average day John Clarke Senior Living
Nursing Home, Independent Living, Memory Care, Respite Care & Skilled Nursing · Middletown, RI
ALM Inspection Grade
C-
ALM's inspection grade is 70 / 100, a C- — 12 points below the Rhode Island average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 70 / 100, a C- — 12 points below the Rhode Island average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
John Clarke Senior Living
Nursing Home, Independent Living, Memory Care, Respite Care & Skilled Nursing · Middletown, RI
ALM Inspection Grade
C-
ALM's inspection grade is 70 / 100, a C- — 12 points below the Rhode Island average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 70 / 100, a C- — 12 points below the Rhode Island average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
John Clarke Senior Living accepts Medicare, Medicaid, and private pay.
Overview of John Clarke Senior Living
John Clarke Senior Living offers independent living, memory care, respite care, and nursing home care, including skilled nursing, in Middletown, Rhode Island. Independent living provides private apartments without daily care, while memory care offers a secured setting with supervision for someone at risk of wandering.
Skilled nursing provides licensed nursing care on site around the clock, and respite care offers a short stay when a usual caregiver needs to travel or recover. The range of care levels may suit a resident whose needs grow over time without requiring a move to another community.
John Clarke Senior Living opened in 1980 and has 60 beds. Joan M. Woods operates the community, and Medicare, Medicaid, and private pay are accepted, giving families public or personal payment routes depending on the care arrangement.
Total nurse staffing is 3 hours and 34 minutes per resident per day, representing the daily nursing time assigned per resident. Restaurant-style dining gives residents meals in a restaurant-style setting, while the covered patio, pergola, bocce court, and putting green provide outdoor places for dining or recreation.
A hair salon lets residents receive salon services on site, and chaplain services provide on-site religious support. Transportation to local attractions allows residents to attend those outings without arranging their own ride.
The area has a Walk Score of 34, a car-dependent setting where most errands require a car or a ride. Residents who no longer drive would generally need transportation for errands.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 29th out of 54 nursing homes we track in Rhode Island for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 34m
This nursing home is ranked 29th out of 54 nursing homes we track in Rhode Island for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 34mStandout metric: Registered nurse (RN) is +42% above Rhode Island average
3 of 6 metrics below Rhode Island average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 16 are the facility's own employees; no agency contractors work in this role.
16 staff · 8.6-hour shifts
1h 5m
↑ 42% · RI 46mThis facility: 1h 5m per resident per day, 42% above the Rhode Island average of 46m (among Rhode Island facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 16 are the facility's own employees; no agency contractors work in this role.
16 staff · 8.6-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 1 are the facility's own employees; no agency contractors work in this role.
1 staff · 8-hour shifts
0m
↓ 100% · RI 29mThis facility: 0m per resident per day, 100% below the Rhode Island average of 29m (among Rhode Island facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 1 are the facility's own employees; no agency contractors work in this role.
1 staff · 8-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 34 are the facility's own employees; no agency contractors work in this role.
34 staff · 7.3-hour shifts
2h 29m
≈ 0% · RI 2h 28mThis facility: 2h 29m per resident per day, level with the Rhode Island average of 2h 28m (among Rhode Island facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 34 are the facility's own employees; no agency contractors work in this role.
34 staff · 7.3-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
1m
↓ 64% · RI 3mThis facility: 1m per resident per day, 64% below the Rhode Island average of 3m (among Rhode Island facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
3h 10m
↓ 4% · RI 3h 18mThis facility: 3h 10m per resident per day, 4% below the Rhode Island average of 3h 18m (among Rhode Island facilities reporting a recent figure).
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
47m
↑ 38% · RI 34mThis facility: 47m per resident per day, 38% above the Rhode Island average of 34m (among Rhode Island facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
91
76 employees · 15 contractors · 34 on an average day
91 total staff / 55 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.65 : 1
↓ 10% · RI 1.83This facility: 1.65 staff per resident, 10% below the Rhode Island average of 1.83 (among Rhode Island facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
91 staff ÷ 55 residents
See full Rhode Island ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.1 h
↓ 7% · RI 7.6 hThis facility: 7.1 h, 7% below the Rhode Island average of 7.6 h (among Rhode Island facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
22,354 staff hours this quarter
See full Rhode Island ranking →93.5% of staff hours were worked by the facility's own employees
Rhode Island average: 93% · Contractors this quarter: Respiratory Therapy Technician (3), Physical Therapy Assistant (3), Qualified Social Worker (2), Speech Language Pathologist (2), Medical Director (2), Physical Therapy Aide (1), Occupational Therapy Assistant (1), Occupational Therapy Aide (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
60
Rank #56 / 65Bed count — State benchmarked This nursing home is ranked 56th out of 65 nursing homes we track in Rhode Island for bed count. Shows this facility's certified or reported bed count compared to other Rhode Island facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
60
Rank #56 / 65Bed count — State benchmarked This nursing home is ranked 56th out of 65 nursing homes we track in Rhode Island for bed count. Shows this facility's certified or reported bed count compared to other Rhode Island facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #40 / 64Walk Score — State benchmarked This nursing home is ranked 40th out of 64 nursing homes we track in Rhode Island for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Rhode Island facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #40 / 64Walk Score — State benchmarked This nursing home is ranked 40th out of 64 nursing homes we track in Rhode Island for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Rhode Island facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
34
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #15 / 53Occupancy rate — State benchmarked This nursing home is ranked 15th out of 53 nursing homes we track in Rhode Island for occupancy. Shows this facility's occupancy rate versus the Rhode Island average, with its Statewide rank out of 53. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #15 / 53Occupancy rate — State benchmarked This nursing home is ranked 15th out of 53 nursing homes we track in Rhode Island for occupancy. Shows this facility's occupancy rate versus the Rhode Island average, with its Statewide rank out of 53. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
91.7%
This home usually has limited availability
Based on 55 residents and 60 beds. Source: state inspection report (Mar 2024)
Higher than the Rhode Island average: 83.8%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
156
days
About This Community
Facility TypeNursing Facility
StatusActive
IssuanceOctober 18, 1909
License NumberLTC00634
CMS Certification Number415076
Inspection Rating5-star rating from Medicare.gov
Owner NameJoan M. Woods
Profit StatusNonprofit
Resident Council
Accept Medicare
Short-Term Rehabilitation
Physical Therapy
Occupational Therapy
Speech Therapy
Orthopedic CareMedical care for bone, joint, muscle, and connective-tissue problems, including injuries, arthritis, and mobility concerns. It may involve orthopedic specialists or treatment plans.
Post Cardiac Care
Dietitian
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
TransportationListed as: Transportation with CNA assistance
Social Work & Case Management
Fax(401) 848-5890
Pets not allowed
Minimum Age55
Beauty Salon
Patio
Putting Green
PergolaAn open garden structure with a lattice roof for shade.
Apartments Overlooking Green End Pond
Activities
Musical Performances
Arts & Crafts
Senior Olympic Games
Bocce Ball
- Outings to restaurants, local farms, the beach, museums, and shops
Chaplain Services
Chapel
Worship Services
Prayer Groups
Room Types
Studio
Private Room
Semi-Private / Shared Room
CMS Health Inspection History
ALM Inspection Grade
70 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
12 points below the Rhode Island average for CMS-certified facilities (82/100)
Category breakdown
Citations
Typical
80 severity-weighted points (5 deficiencies) · 21% lower than the typical CMS-certified RI facility (median: 101)
Enforcement
Typical
$14,385 in fines · 1 enforcement action
Persistence
Strong
2 days to fix issues · much faster than the typical CMS-certified RI facility (median: 27)
Total health inspections
4
↓ 53% · RI 8.5This facility: 4, 53% below the RI average of 8.5 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
5
Rank #3 / 55Health citations — State benchmarked This nursing home is ranked 3rd out of 55 nursing homes we track in Rhode Island for health citations. Shows this facility's total health deficiency citations benchmarked to the Rhode Island State average, with a ranking across all 55 RI facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 82% · RI 28.3This facility: 5, 82% below the RI average of 28.3 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
1.25
Rank #1 / 55Citations per inspection — State benchmarked This nursing home is ranked 1st out of 55 nursing homes we track in Rhode Island for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Rhode Island mean across 55 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 63% · RI 3.42This facility: 1.25, 63% below the RI average of 3.42 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
5 of 5 citations corrected
Critical
J–L
2
↑ 33% · RI 1.5This facility: 2, 33% above the RI average of 1.5 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · RI 1.6This facility: 0, 100% below the RI average of 1.6 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
3
↓ 88% · RI 24.5This facility: 3, 88% below the RI average of 24.5 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · RI 0.6This facility: 0, 100% below the RI average of 0.6 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Jun 18, 2026 · 1 citation (Pharmacy, critical), corrected
Most cited category: Quality of Life & Care, 2 of 5 citations · 4 categories in total
Citations history
Most recent first
Jun 18, 2026
1 citation
Pharmacy critical citation
Corrected
Corrected
Apr 10, 2026
1 citation
Infection Control moderate citation
Corrected
Corrected
Sep 25, 2025
1 citation
Quality of Care critical citation
Corrected
Corrected
Mar 06, 2024
2 citations
Environmental moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Top deficiency categories
Share of 5 citations
Quality of Life & Care
2 deficiencies (40%)
Infection Control
1 deficiency (20%)
Pharmacy Services
1 deficiency (20%)
Environmental
1 deficiency (20%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
3 of 5 citations resulted from standard inspections; and 2 of 5 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Aug 2026
1 penalty in the past 3 years
Latest: Jun 18, 2026 · $14,385 civil money penalty
Jun 18, 2026 · $14,385 civil money penalty
Total fines
$14,385
↓ 84% · RI $88KThis facility: $14,385, 84% below the Rhode Island average of $88,327. Average among the 53 Rhode Island facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #21 / 56Federal fines — State benchmarked This nursing home is ranked 21st out of 56 nursing homes we track in Rhode Island for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Rhode Island average among facilities with fines, and where it ranks among 56 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 66% · RI 2.91This facility: 1, 66% below the Rhode Island average of 2.91. Average among the 53 Rhode Island facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
RI avg 0.38Rhode Island average: 0.38. Average among the 53 Rhode Island facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Penalty history · past 3 years
Jun 18, 2026
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$14,385
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$14,385Fine amount comparison
This facility
$14,385
Rhode Island average
$88,327
US average
$67,417
Totals count every penalty on record; the history lists the past 3 years. Rhode Island and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Rhode Island average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 23% · RI 3.2This facility: 4.0, 23% above the RI average of 3.2 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 66% · RI 2.4This facility: 4.0, 66% above the RI average of 2.4 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
5.6
Score · lower is better
↓ 43% · RI 9.9This facility: 5.6, 43% below the RI average of 9.9 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
15.1
Score · lower is better
↓ 23% · RI 19.6This facility: 15.1, 23% below the RI average of 19.6 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 10 better, 2 worse, 1 near RI average
8 short-stay measures: 4 better, 1 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
7.6%
↓ 61% · RI 19.6This facility: 7.6, 61% below the RI average of 19.6 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
7.6%
↓ 61% · RI 19.6This facility: 7.6, 61% below the RI average of 19.6 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
11.3%
↓ 33% · RI 16.8This facility: 11.3, 33% below the RI average of 16.8 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
11.3%
↓ 33% · RI 16.8This facility: 11.3, 33% below the RI average of 16.8 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.2%
↑ 18% · RI 22.3This facility: 26.2, 18% above the RI average of 22.3 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.2%
↑ 18% · RI 22.3This facility: 26.2, 18% above the RI average of 22.3 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
2.3%
↓ 9% · RI 2.5This facility: 2.3, 9% below the RI average of 2.5 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.3%
↓ 9% · RI 2.5This facility: 2.3, 9% below the RI average of 2.5 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
↓ 38% · RI 3.6This facility: 2.3, 38% below the RI average of 3.6 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
↓ 38% · RI 3.6This facility: 2.3, 38% below the RI average of 3.6 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
3.9%
↓ 6% · RI 4.2This facility: 3.9, 6% below the RI average of 4.2 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
3.9%
↓ 6% · RI 4.2This facility: 3.9, 6% below the RI average of 4.2 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
2.8%
↓ 45% · RI 5.1This facility: 2.8, 45% below the RI average of 5.1 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
2.8%
↓ 45% · RI 5.1This facility: 2.8, 45% below the RI average of 5.1 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
2.9%
↓ 83% · RI 17.2This facility: 2.9, 83% below the RI average of 17.2 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
2.9%
↓ 83% · RI 17.2This facility: 2.9, 83% below the RI average of 17.2 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
7.9%
↓ 65% · RI 22.8This facility: 7.9, 65% below the RI average of 22.8 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
7.9%
↓ 65% · RI 22.8This facility: 7.9, 65% below the RI average of 22.8 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 6% · RI 94.1This facility: 100.0, 6% above the RI average of 94.1 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 6% · RI 94.1This facility: 100.0, 6% above the RI average of 94.1 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 5% · RI 95.2This facility: 100.0, 5% above the RI average of 95.2 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 5% · RI 95.2This facility: 100.0, 5% above the RI average of 95.2 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.40
↑ 64% · RI 1.46This facility: 2.40, 64% above the RI average of 1.46 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
2.40
↑ 64% · RI 1.46This facility: 2.40, 64% above the RI average of 1.46 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.76
↑ 2% · RI 1.72This facility: 1.76, 2% above the RI average of 1.72 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.76
↑ 2% · RI 1.72This facility: 1.76, 2% above the RI average of 1.72 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
50.9%
↓ 5% · US 53.7This facility: 50.9, 5% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
50.9%
↓ 5% · US 53.7This facility: 50.9, 5% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
60.0%
↑ 19% · US 50.6This facility: 60.0, 19% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
60.0%
↑ 19% · US 50.6This facility: 60.0, 19% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.5%
↑ 91% · US 0.8This facility: 1.5, 91% above the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
1.5%
↑ 91% · US 0.8This facility: 1.5, 91% above the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
↓ 17% · RI 2.0This facility: 1.6, 17% below the RI average of 2.0 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
↓ 17% · RI 2.0This facility: 1.6, 17% below the RI average of 2.0 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
↑ 23% · RI 79.0This facility: 97.5, 23% above the RI average of 79.0 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
↑ 23% · RI 79.0This facility: 97.5, 23% above the RI average of 79.0 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 28% · RI 78.2This facility: 100.0, 28% above the RI average of 78.2 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 28% · RI 78.2This facility: 100.0, 28% above the RI average of 78.2 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.2%
↓ 8% · RI 25.1This facility: 23.2, 8% below the RI average of 25.1 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.2%
↓ 8% · RI 25.1This facility: 23.2, 8% below the RI average of 25.1 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
22.4%
↑ 42% · RI 15.8This facility: 22.4, 42% above the RI average of 15.8 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
22.4%
↑ 42% · RI 15.8This facility: 22.4, 42% above the RI average of 15.8 (among RI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
John Clarke Senior Living’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 52 Rhode Island nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, but less than last year
−9.6% operating margin
+6.7 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($1.5M) turns it into a net profit to $0.8M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Payroll in line with Rhode Island homes
66.7% payroll share of revenue
RI average 64.4%Rank #22 / 52Payroll % of net patient revenue — State benchmarked This nursing home is ranked 22nd out of 52 nursing homes we track in Rhode Island for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Rhode Island average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.3M while revenue rose $0.8M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Rhode Island homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | RI median | Compared with RI homesRank in RI | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $7.5M | +$0.8M | Trend 20172024 | RI median $12.4M | Rank in RI Rank #44 / 52Net patient revenue — State benchmarked This nursing home is ranked 44th out of 52 nursing homes we track in Rhode Island for net patient revenue. Shows this facility's net patient revenue compared to the Rhode Island average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 16% of homes | Below RI median Higher net patient revenue than 16% of RI homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $8.2M | +$0.4M | Trend 20172024 | RI median — | Rank in RI Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.7M | +$0.4M | Trend 20172024 | RI median — | Rank in RI Not ranked | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −9.6% | +6.7 pts | Trend 20172024 | RI median — | Rank in RI Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $1.5M | — | Trend — | RI median — | Rank in RI Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | $0.8M | +$0.3M | Trend — | RI median — | Rank in RI Not ranked | Profit The bottom line is above zero after other income. |
Staffing spend
Staff spending in line with Rhode Island homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | RI median | Compared with RI homesRank in RI | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $5.0M | +$0.3M | Trend 20172024 | RI median $7.6M | Rank in RI Rank #43 / 52Payroll costs — State benchmarked This nursing home is ranked 43rd out of 52 nursing homes we track in Rhode Island for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Rhode Island average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 18% of homes | Below RI median Higher payroll than 18% of RI homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 66.7% | −2.9 pts | Trend 20172024 | RI median 62.2% | Rank in RI Rank #22 / 52Payroll % of net patient revenue — State benchmarked This nursing home is ranked 22nd out of 52 nursing homes we track in Rhode Island for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Rhode Island average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Rhode Island that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 59% of homes | Near RI average The RI average is 64.4% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · RI benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Rhode Island payroll average.
% of net patient revenue
Payroll share Operating margin RI payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $5.4M | $5.7M | $5.7M | $5.4M | $5.7M | $6.0M | $6.7M | $7.5M |
| Operating expenses | $5.9M | $6.6M | $6.3M | $6.3M | $6.2M | $7.0M | $7.8M | $8.2M |
| Net patient income | −$0.5M | −$1.0M | −$0.6M | −$0.9M | −$0.6M | −$0.9M | −$1.1M | −$0.7M |
| Operating margin | −8.8% | −17.0% | −10.9% | −17.0% | −9.9% | −15.7% | −16.4% | −9.6% |
| Net income | −$0.4M | −$1.0M | −$0.6M | $0.3M | −$0.1M | $0.4M | $0.5M | $0.8M |
| Payroll costs | $3.5M | $3.9M | $3.7M | $3.8M | $3.9M | $4.0M | $4.7M | $5.0M |
| Payroll share of revenue | 65.2% | 69.8% | 65.9% | 70.9% | 69.2% | 66.6% | 69.6% | 66.7% |
| Beds | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 |
| Gross revenue | $6.4M | $6.9M | $7.1M | $7.7M | $6.5M | $6.8M | $7.8M | $8.3M |
| Salaries | $2.7M | $3.1M | $2.9M | $3.1M | $3.1M | $3.4M | $3.8M | $4.1M |
| Wage-related costs | $0.8M | $0.8M | $0.8M | $0.7M | $0.8M | $0.7M | $0.8M | $0.9M |
| Contract labor | $0.4M | $0.3M | $0.3M | $0.3M | $0.3M | $0.2M | $0.3M | $0.3M |
| Other operating costs | $2.3M | $2.7M | $2.5M | $2.5M | $2.3M | $3.0M | $3.1M | $3.2M |
| Net patient revenue per day | $268 | $282 | $291 | $301 | $308 | $341 | $340 | $363 |
| Cost per day | $292 | $330 | $323 | $352 | $339 | $395 | $396 | $398 |
| Average length of stay | 286.7 days | 174.1 days | 68.9 days | 130.9 days | 159.7 days | 117.9 days | 174.1 days | 155.7 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
132 admissions · FY2024
Residents admitted during the year.
Medicare
68 · 52%
Medicaid
23 · 17%
Private pay & other
41 · 31%
Resident snapshot
55 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
10 · 18%
Medicaid
28 · 51%
Private pay & other
17 · 31%
Leaving
132 discharges · FY2024
Residents discharged during the year.
Medicare
42 · 32%
Medicaid
17 · 13%
Private pay & other
73 · 55%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near John Clarke Senior Living
0.5 miles from city center
Estimated distance in miles from Middletown's city center to John Clarke Senior Living's address, calculated via Google Maps.
Calculate Travel Distance to John Clarke Senior Living
Add your location
Compare Nursing Homes around the area
Info below is compiled from CMS reports & the RI Dept. of Health (RIDOH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
|
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
|
Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
|
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
|
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
|
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
|
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
|
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
|
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
|
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
|
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
|
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
|
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
|
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
|
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
|
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
|
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
|
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
|
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
|
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
|
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
|
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
|
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
|
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
|
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Rhode Island average is: 64.4% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
|
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Briarcliffe Manor | NH AL IL MC RC SNF | Johnston | 122
Facility
122
RI AVG
109
Rank
#26 / 65 | A+ |
91.0%
Facility
91.0%
RI AVG
83.8%
Rank
#17 / 53 | +9% | 5.30
Facility
5.30
RI AVG
3.92
Rank
#3 / 54 | -28% | +35% | $0
Facility
$0
RI AVG
$88.3k
Rank
#1 / 56 | 4
Facility
4
RI AVG
28.3
Rank
#2 / 55 | 2.0
Facility
2.0
RI AVG
3.4
Rank
#2 / 55 | - | 111 | A+ |
38
Facility
38
RI AVG
49
Rank
#37 / 64 | Adm Akshay K. Talwar | $13.9MFiscal year ending 12/2024
Facility
$13.9MFiscal year ending 12/2024
RI AVG
$12.6M
Rank
#21 / 52 | $10.4MFiscal year ending 12/2024
Facility
$10.4MFiscal year ending 12/2024
RI AVG
$7.6M
Rank
#8 / 52 | 74.3%Fiscal year ending 12/2024
Facility
74.3%Fiscal year ending 12/2024
RI AVG
64.4%
Rank
#10 / 52 | 415012 | ||||
| The Dawn Hill Home for Rehab and Healthcare | NH MC SNF | Bristol | 133
Facility
133
RI AVG
109
Rank
#18 / 65 | B+ |
88.7%
Facility
88.7%
RI AVG
83.8%
Rank
#24 / 53 | +6% | 3.42
Facility
3.42
RI AVG
3.92
Rank
#26 / 54 | -36% | -13% | $33.8k
Facility
$33.8k
RI AVG
$88.3k
Rank
#28 / 56 | 33
Facility
33
RI AVG
28.3
Rank
#37 / 55 | 2.4
Facility
2.4
RI AVG
3.4
Rank
#4 / 55 | 2 | 118 | - |
63
Facility
63
RI AVG
49
Rank
#25 / 64 | Administrator Douglas C Klein III | $16.7MFiscal year ending 12/2024
Facility
$16.7MFiscal year ending 12/2024
RI AVG
$12.6M
Rank
#9 / 52 | $8.7MFiscal year ending 12/2024
Facility
$8.7MFiscal year ending 12/2024
RI AVG
$7.6M
Rank
#21 / 52 | 51.8%Fiscal year ending 12/2024
Facility
51.8%Fiscal year ending 12/2024
RI AVG
64.4%
Rank
#41 / 52 | 415050 | ||||
| St Clare – Newport | NH ADC AL MC SNF | Newport | 62
Facility
62
RI AVG
109
Rank
#54 / 65 | A+ | - | - | 4.76
Facility
4.76
RI AVG
3.92
Rank
#9 / 54 | -29% | +21% | $0
Facility
$0
RI AVG
$88.3k
Rank
#1 / 56 | 22
Facility
22
RI AVG
28.3
Rank
#18 / 55 | 3.7
Facility
3.7
RI AVG
3.4
Rank
#32 / 55 | - | 50 | - |
68
Facility
68
RI AVG
49
Rank
#20 / 64 | Laura Dos Santos | $11.4MFiscal year ending 12/2024
Facility
$11.4MFiscal year ending 12/2024
RI AVG
$12.6M
Rank
#29 / 52 | $5.3MFiscal year ending 12/2024
Facility
$5.3MFiscal year ending 12/2024
RI AVG
$7.6M
Rank
#38 / 52 | 47.1%Fiscal year ending 12/2024
Facility
47.1%Fiscal year ending 12/2024
RI AVG
64.4%
Rank
#48 / 52 | 415111 | ||||
| John Clarke Senior Living | NH IL MC RC SNF | Middletown (Newport East) | 60
Facility
60
RI AVG
109
Rank
#56 / 65 | C- |
91.7%
Facility
91.7%
RI AVG
83.8%
Rank
#15 / 53 | +9% | 3.56
Facility
3.56
RI AVG
3.92
Rank
#29 / 54 | +30% | -9% | $14.4k
Facility
$14.4k
RI AVG
$88.3k
Rank
#21 / 56 | 5
Facility
5
RI AVG
28.3
Rank
#3 / 55 | 1.3
Facility
1.3
RI AVG
3.4
Rank
#1 / 55 | 2 | 55 | - |
34
Facility
34
RI AVG
49
Rank
#40 / 64 | Joan M. Woods | $7.5MFiscal year ending 12/2024
Facility
$7.5MFiscal year ending 12/2024
RI AVG
$12.6M
Rank
#44 / 52 | $5.0MFiscal year ending 12/2024
Facility
$5.0MFiscal year ending 12/2024
RI AVG
$7.6M
Rank
#43 / 52 | 66.7%Fiscal year ending 12/2024
Facility
66.7%Fiscal year ending 12/2024
RI AVG
64.4%
Rank
#22 / 52 | 415076 | ||||
| Friendly Home | NH HOS MC SNF | Woonsocket | 126
Facility
126
RI AVG
109
Rank
#25 / 65 | C |
88.1%
Facility
88.1%
RI AVG
83.8%
Rank
#25 / 53 | +5% | 3.64
Facility
3.64
RI AVG
3.92
Rank
#26 / 54 | -8% | -7% | $107.7k
Facility
$107.7k
RI AVG
$88.3k
Rank
#44 / 56 | 38
Facility
38
RI AVG
28.3
Rank
#42 / 55 | 4.2
Facility
4.2
RI AVG
3.4
Rank
#40 / 55 | 6 | 111 | A+ |
24
Facility
24
RI AVG
49
Rank
#48 / 64 | Cheryl Picard | $12.4M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $7.6M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 61.2%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 415044 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other RI nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Frequently Asked Questions about John Clarke Senior Living
What neighborhood is John Clarke Senior Living in?
John Clarke Senior Living is in the Newport East neighborhood of MIDDLETOWN.
Who is the owner of John Clarke Senior Living?
John Clarke Senior Living is legally operated by Joan M. Woods.
Is John Clarke Senior Living in a walkable area?
John Clarke Senior Living has a walk score of 34. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of John Clarke Senior Living?
According to RI state health department records, John Clarke Senior Living's license number is LTC00634.
What is the occupancy rate at John Clarke Senior Living?
John Clarke Senior Living's occupancy is 91.7%.
Are pets allowed at John Clarke Senior Living?
No, John Clarke Senior Living has a no-pet policy.
What is the best email address for John Clarke Senior Living?
The team at John Clarke Senior Living can be reached at info@johnclarkeseniorliving.org.
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Updated on
