Grand Islander Center
333 Green End Avenue, Middletown RI 02842 · (401) 849-7100 · 83.83% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Grand Islander Center is a large facility located in Middletown, Rhode Island. It looks like this nursing home is among the highest-graded nursing homes we looked at. A score in this range requires top-notch scores across the board. We could not find many negative things to say about this place. Its scores are as good as they get. One of the major highlights of this nursing home's remarkable profile is its inspection rating. We discuss inspections in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 146 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
One of the reasons this ended up being a quality nursing home is it received an A+ in our inspections category. This is simply as good as it gets in this category. These inspection ratings take several factors into consideration, including deficiencies and substantiated complaints. You can find more information about each of these issues by obtaining copies of nursing homes' inspection reports. This facility was assessed 2 deficiencies on its inspection report, but we were relieved to see that none were considered to be severe deficiencies. This means that the inspectors didn't consider any of these deficiencies an imminent risk to resident health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Short-term Care Quality
This nursing home also was awarded an A+ short-term care grade, making it one of the few nursing homes to be given multiple A+ category grades. In calculating these short-term care grades, we assess the nursing home's skilled nursing services, such as those performed by registered nurses, speech therapists, physical therapists and other types of skilled professionals. The goal is to devise a scale for comparing the rehabilitation services of different nursing homes. This facility elevated its score in this category by providing more care from registered nurses than a typical facility. The last statistic we looked at in this category is the number of patients who who were able to eventually return home from the nursing home. We found that it performed as well as just about any nursing home in Rhode Island with 65.4 percent of its patients returning home.
Long-term Care Quality
Turning to another strength for this facility, we gave them one of our stronger scores in our long-term care category as well, with a grade of B+. Facilities that do well in this category tend to provide patients with closer supervision and stay on top of routine healthcare services. In addition to considering the amount of care provided by nurses and other staff, we also looked at the number of residents vaccinated for pneumonia. This nursing home provided the vaccine to 94.90291 percent of its patients, which is better than the average nursing home. Finally, this facility was able to limit hospitalizations. With just 1.07 hospitalizations per one thousand long-term resident days, this nursing home has less hospitalizations than many nursing homes.
Nurse Quality
In the last area, this facility also received an impressive nursing grade, with a B+. This wrapped up an elite report card. In computing a nursing home's nursing grade, we assess the quantity of hours nurses spend with patients and the levels of training of the nurses. This facility provides an impressive 3.5 hours of nursing care per patient daily. Out of this total, more than one fourth of those hours were provided by registered nurses, which is among the most skilled levels of nurses. We add more weight to hours worked by skilled nurses in calculating our nursing ratings. Lastly, we also looked at certain nursing quality measures in computing our nursing grades. These include minimizing residents' pressure ulcers and major falls. We view these metrics as predictive indicators of the caliber of nursing care offered, since better care tends to reduce these problems.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Grand Islander Center Quality Metrics
Minimizes Pressure Ulcers
This is the percentage of patients that suffered from a pressure ulcer. Pressure ulcers, which are also known as bed sores, are often caused by patients not being moved frequently enough. Better nursing care limits the number of pressure ulcers sustained by residents in a nursing home.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This figure tells you the percentage of long-term patients who have suffered falls resulting in serious injury. This is one of the statistics we use in calculating our nursing scores.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percentage of residents who have had a urinary tract infection. These infections are sometimes associated with poorer hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percent of residents given antipsychotic medications. Antipsychotic medications are prescribed to residents for a variety of medical conditions, such as cognitive disorders. Tragically, in some cases, increased usage of these drugs may suggest that a facility is using these drugs to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percentage of long-term stay patients taking antianxiety drugs.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This datapoint measures the percent of long-term patients demonstrating depressive symptoms.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
Measures the percent of long-term stay residents who have received the pneumonia and flu vaccines. Respiratory viruses can be fatal for seniors, making these vaccines vital to patient safety.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This indicates the percent of residents who required additional assistance with activities of daily living over time. High levels of dependence on staff for assistance with ADL's may be a sign of erosion of a resident's health.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric is a measure of the percentage of long-term residents who remained mobile levels.
Percentage of Residents
Higher is Better
Hospitalizations
This metric tracks the number of hospitalizations per thousand days of patient care. Avoiding hospitalizations is critical to preserving the physical health of nursing home residents.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric tracks the number of rehospitalizations per 1,000 days of short-term care. Avoiding rehospitalizations during rehabilitation is important to restoring the physical abilities of residents.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
Measures the number of emergency room visits per thousand days of short-term care. Avoiding medical emergencies is one way to measure patient well-being during rehabilitation.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This tells you the percentage of short-term stay residents who saw functional improvements, such as enhanced ability to perform activities of daily living. High levels of performance with ADL's often correlates with higher quality rehabilitation.
Percentage of Resident
Higher is Better