We arrange tours, appointments, and even moving support so you don’t have to
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.
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 is a 60-bed nonprofit nursing home in Middletown, Rhode Island, operated by Joan Woods. Located half a mile from the city center in Newport County, the facility serves long-term residents and short-term patients through its Nursing Center, with memory care and respite care available.
Across inspections over the past several years, John Clarke has recorded 1.3 deficiencies per year — 62% below the Rhode Island average of 3.4. The most recent annual inspection in March 2024 cited two deficiencies related to catheter care and ice machine sanitation; both were corrected within weeks.
A 2022 complaint investigation was substantiated, with findings around care planning and pressure ulcer prevention for specific residents. No fines, Immediate Jeopardy findings, or license actions appear in the record. The facility holds a 4-star overall CMS rating, driven in part by a Health Inspection score nearly 50% above the Rhode Island average.
Nursing staffing averages 3 hours and 40 minutes per resident per day, modestly above the state average, with CNA staffing at 2 hours and 31 minutes — above both state and national benchmarks. The facility’s occupancy rate is 92%, meaningfully higher than Rhode Island’s average of 83.7%, indicating consistent demand and limited availability. The facility accepts Medicare and offers on-site rehabilitation services.
Amenities include an outdoor covered patio, bocce court, putting green, and on-site hair salon — supported by chaplain services and volunteer programming. The campus houses both a traditional Nursing Center and Senior Living Apartments, giving residents options across care levels.
John Clarke Senior Living fits older adults seeking long-term skilled nursing or memory care in a small, nonprofit-run community with a consistent compliance record and stable residential population in Middletown.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 38th out of 56 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 1h 8m per day | ▲ 47% State avg: 46m per day · National avg: 41m per day |
|
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.
| 1m per day | ▼ 97% State avg: 29m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 2h 33m per day | ▲ 3% State avg: 2h 28m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 3h 14m per day | ■ Avg State avg: 3h 18m per day · National avg: 3h 26m per day |
|
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 per day | ▼ 55% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
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.
| 50m per day | ▲ 48% State avg: 34m per day · National avg: 28m per day |
Higher than the Rhode Island average: 83.7%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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Rhode Island state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | RI Average | vs. RI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 5 | 34 | This facility has 85% fewer total deficiencies than a typical Rhode Island nursing home (5 vs. RI avg 34).↓ 85% better |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 1 | 6.8 | This facility has 85% fewer deficiencies per year than a typical Rhode Island nursing home (1 vs. RI avg 6.8).↓ 85% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Rhode Island average 8.3
Last Health inspection on Sep 2025
Rhode Island average 28.1
Rhode Island average 3.48
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
2 of 3 citations resulted from standard inspections; and 1 of 3 resulted from complaint investigations.
38% better than Rhode Island averageRhode Island average: 1.6
100% better than Rhode Island averageRhode Island average: 1.7
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
15% fewer staff per resident than Rhode Island average
7% worse than Rhode Island average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 16 RN Staff are full-time employees. No contractors work on this role.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursAssists with medical care and medications.
All 1 LPN Staff are full-time employees. No contractors work on this role.
1
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursHelps with daily care and mobility.
All 34 CNA Staff are full-time employees. No contractors work on this role.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,450 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 34 | 0 | 34 | 9,821 | 92 | 100% | 7.3 |
| Registered Nurse | 16 | 0 | 16 | 4,270 | 92 | 100% | 8.6 |
| Medication Aide/Technician | 8 | 0 | 8 | 2,460 | 92 | 100% | 7.6 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,243 | 92 | 100% | 6.3 |
| Administrator | 2 | 0 | 2 | 788 | 60 | 65% | 7.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 754 | 62 | 67% | 7.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 508 | 67 | 73% | 7.6 |
| Physical Therapy Aide | 0 | 1 | 1 | 448 | 60 | 65% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 413 | 56 | 61% | 7.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 413 | 55 | 60% | 7.5 |
| Dietitian | 1 | 0 | 1 | 345 | 46 | 50% | 7.5 |
| Dental Services Staff | 2 | 0 | 2 | 263 | 42 | 46% | 6.3 |
| Physical Therapy Assistant | 0 | 3 | 3 | 142 | 42 | 46% | 3.3 |
| Qualified Social Worker | 0 | 2 | 2 | 111 | 53 | 58% | 2.1 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 108 | 55 | 60% | 1.9 |
| Occupational Therapy Aide | 1 | 1 | 2 | 84 | 12 | 13% | 7 |
| Licensed Practical Nurse | 1 | 0 | 1 | 80 | 10 | 11% | 8 |
| Medical Director | 0 | 2 | 2 | 60 | 12 | 13% | 5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 45 | 9 | 10% | 5 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.6
16% better than Rhode Island averageRhode Island average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.8
7% better than Rhode Island averageRhode Island average: 20.2
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
10.6%
46% better than Rhode Island averageRhode Island average: 19.5%
Percent of long-stay residents whose ability to move independently worsened
20.9%
15% worse than Rhode Island averageRhode Island average: 18.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.8%
8% worse than Rhode Island averageRhode Island average: 22.9%
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
31% better than Rhode Island averageRhode Island average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
4.2%
11% better than Rhode Island averageRhode Island average: 4.7%
Percent of long-stay residents with a urinary tract infection
1.0%
55% better than Rhode Island averageRhode Island average: 2.3%
Percent of long-stay residents who lose too much weight
4.8%
11% better than Rhode Island averageRhode Island average: 5.4%
Percent of long-stay residents who have depressive symptoms
1.0%
92% better than Rhode Island averageRhode Island average: 13.5%
Percent of long-stay residents who received an antipsychotic medication
9.3%
57% better than Rhode Island averageRhode Island average: 21.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Rhode Island averageRhode Island average: 93.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Rhode Island averageRhode Island average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
2.40
64% worse than Rhode Island averageRhode Island average: 1.46
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.76
In line with Rhode Island averageRhode Island average: 1.72
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
30% better than Rhode Island averageRhode Island average: 76.2%
Percent of short-stay residents who newly received an antipsychotic medication
2.3%
12% worse than Rhode Island averageRhode Island average: 2.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
28% better than Rhode Island averageRhode Island average: 78.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.2%
8% better than Rhode Island averageRhode Island average: 25.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
22.4%
42% worse than Rhode Island averageRhode Island average: 15.8%
Percentage of SNF residents who experience falls with major injury during their stay.
1.5%
91% worse than Rhode Island averageRhode Island average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
50.9%
5% worse than Rhode Island averageRhode Island average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
60.0%
19% better than Rhode Island averageRhode Island average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
61% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
6% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
58Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for John Clarke Senior Living based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #50 / 60Payroll — State benchmarkedThis home is ranked 50th out of 60 homes in Rhode Island. Shows total annual staff payroll benchmarked to the Rhode Island average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
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.
Add your location
John Clarke Senior Living is located in MIDDLETOWN, Rhode Island.
Here are the financial assistance programs available to residents in Rhode Island.
John Clarke Senior Living is in the Newport East neighborhood of MIDDLETOWN.
The legal owner and operator of John Clarke Senior Living is Joan M. Woods.
John Clarke Senior Living has a walk score of 34. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to RI state health department records, John Clarke Senior Living's license number is LTC00634.
John Clarke Senior Living's occupancy is 92%.
John Clarke Senior Living has 60 beds.
Yes — there are 17 photos of John Clarke Senior Living in the photo gallery on this page.
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
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
