Grand Islander Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
told that the resident was independent with walking and did not need assistance from staff.During a surveyor interview with the Director of Rehabilitation on 10/23/2025 at 2:43 PM, she revealed that at the time the resident was discharged from physical therapy on 9/5/2025, s/he required supervision/stand-by assistance for ambulation with a rolling walker and was not independent with ambulation. She indicated she would expect staff to stand next to or behind the resident within arm's length ready to assist if needed.During a surveyor interview with the Director of Nursing on 10/24/2025 at 2:34 PM, she revealed that she would expect staff to follow physical therapy recommendations to provide supervision and stand-by assistance as reflected in the resident's MDS and care plan. Additionally, she was unable to provide evidence that the resident was provided with adequate supervision to prevent accidents.
Event ID:
Facility ID:
If continuation sheet
Grand Islander Center in Middletown, RI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Middletown, RI, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Grand Islander Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.