Grand Islander Center is a large nursing home located in Middletown, Rhode Island. With an overall rating of A-, this facility is among the higher-rated nursing homes we assessed. In fact, this facility is one of the top 25 facilities in Rhode Island. Scroll down to see this nursing home's category grades, which are also quite good. It would be hard to poke holes in this facility's profile.
Grand Islander Center
- Nursing Home
Updated Jun 1, 2022 by Nick Lata
- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- Has Family Council
- For profit - Corporation
- Offers Hospice
- Offers Respite Care
- Offers Inpatient Rehab
- Personal Care
- Medication Management
- Home Making
- Medical Transportation
- Speech Therapy
- IV Antibiotic Therapy
- Wound Care
- Occupational Therapy
- Cardiac Therapy
- Mental Health
- Physical Therapy
- Recreational Therapy
- Pain Management
- Colostomy Care
Registered Staff Hours
In addition to being a great overall grade, this facility also received A+ health inspections in recent years. Its inspections were virtually flawless. We take several aspects of a facility's inspection report into consideration in computing these inspection scores. One key factor is deficiencies. It should be noted that the severity of these deficiencies is usually more meaningful than the quantity of deficiencies, as some of these are relatively minor. This place was hit with 2 deficiencies on its inspection report, but we were relieved to see that none were considered to be severe. This tells you that the inspectors did not deem any of these deficiencies to be an imminent risk to patient health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Short-term Care Quality
This facility also fared very well in the area of short-term care, where we awarded it a score of A. Few facilities performed better in this area. Our short-term care grade is commonly used to measure a facility's performance with rehabilitation. In order to provide quality rehabilitation services, nursing homes generally must provide better levels of highly skilled nursing services. Skilled nursing includes registered nurses, physical therapists, speech therapists and other types of therapists. Fortunately, it looks like this nursing home employs registered nurses. Not all nursing homes employs these types of nurses. However, based on the data they provided, it does not look like the facility employs physical therapists. Lastly, we considered the percentage of residents who eventually returned home from this facility. We found that 6.5 percent of this facility's patients returned home.
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Long-term Care Quality
The third category we analyzed is long-term care. This facility was awarded a very positive long-term care score, with a B in the area. For prospective residents looking for a permanent place to live as opposed to rehabilitation, long-term care grades are an important measure. After considering the volume of care provided by nurses aids and other staff, we turned to the facility's vaccination records. This nursing home vaccinated 93.64162 percent of its residents against pneumonia, which happens to be somewhat lower than we expected but still a reasonably acceptable percentage. Clearly, this place is doing something right in this area as it was able to keep its patients out of the hospital. Indeed, it had less than one hospitalization per 1,000 long-term resident days, which is an impressively low figure.
Moving on to the last category, this facility was given a very strong nursing grade. While this wasn't quite as strong as a few of its other grades, this is still one of the more impressive grades we offer. The nursing category weighs quite a few components, most of which are tied to nursing hours. This particular nursing home provided 0.4 hours of nursing care per resident per day. Finally, we also assessed some nursing quality measures in determining our nursing grades. This nursing home performed very well in terms of avoiding pressure ulcers and major falls. We consider these areas to be good indicators of the quality of nursing care.
Rating Over Time
Compared to national and state averages across all facilities.
Grand Islander Center Quality Metrics
Minimizes Pressure Ulcers
In Grand Islander Center, 7.54% of Patients had Pressure Ulcers
This measures the percentage of long-term care patients which suffered from new or worsened pressure ulcers. We've found that pressure ulcers are a reliable indicator of the quality of nursing care a facility provides.
Minimizes Serious Falls
In Grand Islander Center, 3.81% of Patients had Serious Falls
This tells you the percent of residents that have had a fall which resulted in serious injury.
Minimizes Urinary Tract Infections
In Grand Islander Center, 2.72% of Patients had UTIs
This figure measures the percent of long-term patients who experienced urinary tract infections. Although a higher rate infections could reflect poorly on a facility's cleanliness, it can be difficult to compare between facilities due to nursing homes having varying reporting standards.
Appropriately Uses Anti-Psychotic Medication
In Grand Islander Center, 17.75% of Patients use Anti-Psychotic Medication
This tells you the percent of residents given antipsychotic medications. Antipsychotic medications are given to residents for many conditions, such as dementia. Unfortunately, in some cases, excessive reliance on these medications may suggest that a nursing home is using these medications to control patient behavior.
Appropriately Uses Anti-Anxiety Medication
In Grand Islander Center, 15.06% of Patients use Anti-Anxiety Medication
This indicates the percent of patients who were given antianxiety medications. Antianxiety drugs are given to residents experiencing anxiety or depression.
Managing Depression Among Residents
In Grand Islander Center, 2.96% of Patients
This tells you the percent of residents showing symptoms of depression.
Appropriate Vaccine Usage
In Grand Islander Center, 94.59% of Patients
This indicates the percentage of patients that were administered the flu and pneumonia vaccines. Higher vaccination rates should be standard at this point.
Residents Maintain Autonomy
In Grand Islander Center, 17.47% Percentage of Patients
This metric measures the percent of long-term stay patients who needed additional assistance with activities of daily living over time. ADL's include activities such as getting dressed and taking a bath.
Ability to Keep Residents Mobile
In Grand Islander Center, 23.44% Percentage of Residents
This indicates the percentage of residents who remained mobile levels over time. Optimizing mobility is often a good sign for residents' well-being.
In Grand Islander Center, 1.17 Hospitalizations per 1,000 resident days
This metric measures the number of hospitalizations per thousand days of patient care. Minimizing hospitalizations is important to the physical health of nursing home patients.
Short-term Care: Rehospitalizations
In Grand Islander Center, 23.44 Percentage of Residents Rehospitalized
This indicates the number of times residents are rehospitalized per thousand days of short-term patient care. There is a correlation between keeping patients out of the hospital and a nursing homes short-term rehabilitation performance.
Short-term Care: ER Visits
In Grand Islander Center, 11.31 Percentage of Patients
This is the number of times residents are sent to the emergency room per 1,000 days of short-term care.
Short-term Care: Facilitates Functional Improvement
In Grand Islander Center, 77.51% Percentage of Resident
This is a measure of the percentage of short-term stay patients that experienced functional improvements, such as enhanced ability to perform activities of daily living. Some argue that this is a reasonable measure of a nursing home's rehabilitation services.
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