Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Grand Islander Center
Middletown, RI · 146 certified beds · Last Life Safety survey May 14, 2025
CMS Certification Number 415034 · first certified January 1975
Ownership
Operated by GENESIS HEALTHCARE · For profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within RI
5 citations — more than 54% of the 72 certified nursing homes in RI. Compared within RI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 3 citations; the earlier surveys in the window averaged 1. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (April 2026 to July 2026), and past the point by which nine in ten RI facilities have been surveyed. This facility’s last Life Safety survey was May 2025. Facilities in RI are typically surveyed 11–14 months after the last one (median 12), measured over 117 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Emergency preparedness
1 of the 5 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 5 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in RI, and nationally. Surveyors differ markedly between states, so the RI figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 5 |
| Median facility in RI | 4 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| April 27, 2023 | 1 |
| May 31, 2024 | 1 |
| May 14, 2025 | 3 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 1 | 2025-05-14 |
| K-0712 | Have simulated fire drills held at unexpected times. | 1 | 2025-05-14 |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | 1 | 2023-04-27 |
| K-0351 | Install an approved automatic sprinkler system. | 1 | 2024-05-31 |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | 1 | 2025-05-14 |
What the citations cover
- Miscellaneous Deficiencies 2
- Emergency Preparedness Deficiencies 1
- Smoke Deficiencies 1
- Egress Deficiencies 1
| Category | Citations |
|---|---|
| Miscellaneous Deficiencies | 2 |
| Emergency Preparedness Deficiencies | 1 |
| Smoke Deficiencies | 1 |
| Egress Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
May 14, 2025 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (June 30, 2025) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (June 30, 2025) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (June 30, 2025) |
May 31, 2024 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (June 30, 2024) |
April 27, 2023 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (May 18, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.