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Complaint Investigation

Grand Islander Center

October 24, 2025 · Middletown, RI · 333 Green End Avenue
Citations 1
CMS Rating 2/5
Beds 146
Provider ID 415034
Healthcare Facility
Grand Islander Center
Middletown, RI  ·  View full profile →
Inspection Summary

Grand Islander Center in Middletown, RI — inspection on October 24, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Actual Harm

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.

Facility ID:

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.


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