Occupancy rate
79%
In line with the state averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Assisted Living Home
Grand Islander Center
Grand Islander Center is located on Aquidneck Island, a suburban, coastal area of Rhode Island. It provides Alzheimer's/dementia care, long-term care, palliative care, and rehabilitation services. The facility is recognized for its quality care and has received multiple awards from the American Health Care Association.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
146
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
78.8%
Residents per day (avg)
115
Occupancy rate
78.8%
Residents per day (avg)
115
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
37% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
54% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
9% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$20.6M
Operating loss
-$55.2K
Privately-owned community
Operated by a business corporation.
Home revenue
$20,591,094.00
Operating loss
$-55,249.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$13.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$20.6M
146-bed community
A larger shared setting that may offer more common spaces and organized community services.
11 years in operation
A community with a solid operating history and experience delivering ongoing care.
About this community
Occupancy
In line with the state averageOccupied beds
115 / 146
License details
Facility type
Nursing Facility
Status
Active
Issuance
February 2, 2015
Additional licensing details
License number:
LTC00790
CMS Certification Number:
415034
Awards:
AHCA Gold Quality Award, AHCA Silver Quality Award, AHCA Bronze Quality Award
Ownership & operating entity
Owner name:
Lauren Ready, ADMINISTRATOR
Safety & Compliance
Emergency Systems:
24-hour emergency alert and response system
Safety Features:
Alarm system to aid in the security of residents with cognitive deficits.
Care Services
Doctor on Staff
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Contact Information
Fax:
(401) 849-6076
Amenities & Lifestyle
Programs & Activities
Activities
Cultural, educational, religious and social activities; recreation activities.
Specific Programs
ShortStay care, LongTerm care, Memory Support, Neurological care and rehabilitation, Respite care, Palliative care, Rehabilitation therapy, Physical therapy, Occupational therapy, Speech therapy, Orthopedic Rehabilitation, On-site Medical Director, On-site Nurse Practitioner, Attending Physicians, Registered Nurses, IV Therapy, Total Parenteral Nutrition (TPN), Audiology care, Colostomy care, Dementia care, Dental care, Personal care, Pet therapy, Physiatry services, Podiatry care, Psychiatric services, Vision care, Wound care, X-ray, Hospice care, Pain management, Case management, Dietary and nutrition needs management, Discharge planning, Individual treatment plans, Medication management, Cultural, educational, religious and social activities, Recreation activities.
Dining & Nutrition
Food Description
Restaurant-Style Dining with in-room dining options and a café with always available menu options.
Inspection History
In Rhode Island, the Department of Health, Center for Health Facilities Regulation is the primary authority for inspecting, licensing, and reporting on all long-term care facilities.
7 visits/inspections
3 visits/inspections triggered by complaints
Results
5 with issues
2 without issues
Show Inspection Reports
Latest inspection
Date:July 1, 2025
Type:Plan Of Correction
40 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health inspections
10
State average N/A
Last Health inspection on Oct 2025
Total health citations
38
State average N/A
Citations per inspection
3.8
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
27 of 38 citations resulted from standard inspections; and 11 of 38 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
In line with State averageState average: N/A
Serious Health citations
1
1
In line with State averageState average: N/A
2 critical citations
1 serious citation
35 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 24, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 24, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Aug 20, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Aug 20, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 20, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 20, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 14, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 14, 2025
Corrected
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.
Compare Assisted Living around Usa The information below is reported by the Rhode Island Department of Health, Center for Health Facilities Regulation.
Grand Islander Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MIDDLETOWN
146
No
-
-
Job Haines Home
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Bloomfield
40
No
85
Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Conroe
16
No
27
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Conroe
12
No
8
-
Anton’s Assisted Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Boerne
10
No
-
-
Places of interest near Grand Islander Center
0.5 miles from city center
333 GREEN END AVENUE, MIDDLETOWN, RI 02842
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
149
Employees
117
Contractors
32
Staff to resident ratio
1.32:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
55
Average shift
8.6 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
43,243
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
20
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
54
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
22%
9,517 contractor hours this quarter
Certified Nursing Assistant: 13
Licensed Practical Nurse: 11
Registered Nurse: 3
Occupational Therapy Aide: 2
Occupational Therapy Assistant: 2
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 41 | 13 | 54 | 20,243 | 91 | 100% | 9.3 |
| Licensed Practical Nurse | 9 | 11 | 20 | 5,900 | 91 | 100% | 9.1 |
| Registered Nurse | 16 | 3 | 19 | 5,888 | 91 | 100% | 8.7 |
| Medication Aide/Technician | 9 | 0 | 9 | 1,929 | 90 | 99% | 7.8 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,136 | 63 | 69% | 8.7 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,131 | 76 | 84% | 7.6 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,109 | 64 | 70% | 7.4 |
| Other Dietary Services Staff | 5 | 0 | 5 | 970 | 88 | 97% | 7.6 |
| Physical Therapy Aide | 6 | 0 | 6 | 912 | 67 | 74% | 7.4 |
| Qualified Social Worker | 2 | 0 | 2 | 827 | 66 | 73% | 7.2 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 821 | 76 | 84% | 7.4 |
| Physical Therapy Assistant | 7 | 0 | 7 | 630 | 74 | 81% | 7.1 |
| Administrator | 2 | 0 | 2 | 488 | 61 | 67% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 472 | 58 | 64% | 8.1 |
| RN Director of Nursing | 1 | 0 | 1 | 350 | 44 | 48% | 8 |
| Occupational Therapy Aide | 0 | 2 | 2 | 292 | 37 | 41% | 7.7 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 92 | 13 | 14% | 7 |
| Medical Director | 0 | 1 | 1 | 48 | 11 | 12% | 4.4 |
| Other Social Services Staff | 1 | 0 | 1 | 7 | 1 | 1% | 6.5 |
54 Certified Nursing Assistant
% of Days
100%
20 Licensed Practical Nurse
% of Days
100%
19 Registered Nurse
% of Days
100%
9 Medication Aide/Technician
% of Days
99%
4 Clinical Nurse Specialist
% of Days
69%
4 Speech Language Pathologist
% of Days
84%
4 Mental Health Service Worker
% of Days
70%
5 Other Dietary Services Staff
% of Days
97%
6 Physical Therapy Aide
% of Days
74%
2 Qualified Social Worker
% of Days
73%
4 Respiratory Therapy Technician
% of Days
84%
7 Physical Therapy Assistant
% of Days
81%
2 Administrator
% of Days
67%
2 Nurse Practitioner
% of Days
64%
1 RN Director of Nursing
% of Days
48%
2 Occupational Therapy Aide
% of Days
41%
2 Occupational Therapy Assistant
% of Days
14%
1 Medical Director
% of Days
12%
1 Other Social Services Staff
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
113 residents
Residents by payment source
Medicare
15 residents (13.3%)
Medicaid
74 residents (65.5%)
Private pay or other
24 residents (21.2%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.9
6% worse than State averageState average: 10.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.9
9% worse than State averageState average: 20.2
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
19.9%
Percent of long-stay residents whose need for help with daily activities has increased
19.9%
In line with State averageState average: 19.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.3%
Percent of long-stay residents whose ability to move independently worsened
19.3%
6% worse than State averageState average: 18.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.6%
16% worse than State averageState average: 22.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
14% worse than State averageState average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.8%
Percent of long-stay high risk residents with pressure ulcers
4.8%
In line with State averageState average: 4.7%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.3%
Percent of long-stay residents with a urinary tract infection
2.3%
In line with State averageState average: 2.3%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.2%
Percent of long-stay residents who lose too much weight
6.2%
14% worse than State averageState average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
15.8%
Percent of long-stay residents who have depressive symptoms
15.8%
18% worse than State averageState average: 13.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
16.0%
Percent of long-stay residents who received an antipsychotic medication
16.0%
25% better than State averageState average: 21.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
In line with State averageState average: 93.1%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.1%
In line with State averageState average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.7%
7% better than State averageState average: 76.2%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
25% better than State averageState average: 2.0%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
74.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
74.2%
5% worse than State averageState average: 78.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 Jan 2026)
Total fines amount
$35K
63% lower than State averageState average: $94K
Number of fines
1
65% fewer fines than State averageState average: 2.8
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState average: 0.4
Fines amount comparison
Fines amount comparison
This facility
$35K
State average
$94K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 9, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 9, 2023
$35K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Grand Islander Center based on CMS SNF Cost Reports.
Occupancy Rate
79.8%
↑ 1.9pp vs 2022
Net Income
-$55,249
↑ ~$1.5M vs 2022
Total Payroll
$11,746,361
↑ ~$543K vs 2022
Profit Margin
-0.3%
↑ 8.1pp vs 2022
Loading trend charts...
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