Grand Islander

    333 Green End Ave, Middletown, RI 02842
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    Reviews

    4.10·(131)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.9
    • Staff

      4.2
    • Meals

      2.8
    • Amenities

      2.8
    • Value

      1.0

    Pros

    • Compassionate and attentive nursing and caregiving staff
    • Skilled rehabilitation services (physical, occupational, speech)
    • Successful short-term rehab outcomes and home discharges
    • Engaging activities program including art and music therapy
    • Dedicated memory-care unit with individualized programming
    • Clean and well-maintained public areas
    • Supportive admissions and social-work assistance
    • Varied and accommodating dining options in many instances
    • Flexible visitation policies and pet-friendly environment
    • Proactive infection-control procedures and clear COVID guidance
    • Responsive maintenance and on-site repair capability
    • Regular clinical updates and family communication by some teams

    Cons

    • Inconsistent staffing levels and high caregiver turnover
    • Slow response to call bells and assistance requests
    • Gaps in medication-management and refill processes
    • Unreliable therapy scheduling and cancellations
    • Variable meal quality and limited therapeutic-diet accommodation
    • Breakdowns in family communication and discharge coordination
    • Billing, paperwork, and reimbursement errors
    • Inconsistent room-level cleanliness and odor concerns
    • Equipment maintenance and supply reliability gaps
    • Use of temporary staff reducing continuity of care
    • Weak handoff procedures for transport and post-discharge care
    • Insufficient social-services follow-through

    Summary of reviews

    Residents and families describe a facility with clear strengths in clinical rehabilitation, compassionate caregiving, and activity programming alongside notable operational inconsistencies. Many reviewers praise the nursing staff, long-tenured caregivers, and therapists for thoughtful hands-on care and successful short-term rehabilitation that enabled return home. The memory-care unit and recreation offerings (art, music, pet visits) are frequently cited as enhancing resident engagement and quality of life. Several accounts also highlight effective admissions support, proactive infection-control communication, and helpful on-site maintenance responses.

    At the same time, a substantial pattern of operational weaknesses emerges. Staffing levels fluctuate, with CNA turnover and use of temporary staff cited as contributors to inconsistent day-to-day support and slower response times to assistance requests. Families describe gaps in medication-management and refill processes, unreliable therapy scheduling (including cancelled or missed PT sessions), and variability in meal quality and the facility's ability to meet special-diet needs. These process gaps have downstream effects on resident comfort and rehabilitation continuity.

    Communication and administrative processes show wide variation. Some clinical teams, social workers, and administrators receive praise for regular updates and thoughtful coordination, while others are characterized as unresponsive when families seek clarification, discharge plans, or billing resolutions. There are recurring issues with paperwork, billing, and reimbursements, and several reviews describe problematic discharge handoffs and transport coordination that leave families without adequate post-discharge instructions.

    Facility- and room-level conditions are similarly mixed. Public areas are often described as clean and welcoming, and some families note timely maintenance and helpful repairs. However, other accounts document room-level cleanliness issues, odor concerns in specific areas, peeling furniture, and broken equipment or supplies that are slow to be replaced. These inconsistencies suggest variable unit-level oversight rather than uniform facilitywide practice.

    For prospective residents and families: the Grand Islander may offer strong clinical rehabilitation, compassionate core staff, and robust activity programs, but experience can vary by unit and shift. When evaluating placement, ask about current staffing ratios, contingency plans for agency/temporary staff, typical therapy schedules and cancellation policies, medication-refill procedures, dietary accommodations, discharge planning protocols, and the facility’s process for resolving billing or paperwork disputes. An on-site tour, direct conversations with the therapy and nursing leads, and written confirmation of discharge and billing procedures can help set clear expectations and identify whether the facility’s strengths align with the resident’s needs.

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    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Grand Islander is located at 333 Green End Ave, Middletown, RI, 02842.

    About Grand Islander

    Grand Islander Center sits at 333 Green End Avenue in Middletown, Rhode Island, and the place is run for profit with a focus on skilled nursing, memory care, and rehabilitation for older adults or those needing help after an illness or surgery. Folks will find handicap accessible features all around and this building has things like a 24-hour emergency call system, smoke-free air, and round-the-clock supervision for safety. There's a transitional care unit to help people recover from surgery or illness, plus long-term care, palliative and pain management services, restorative care, and many options for respite stays if caregivers need a break. The Homestead Unit is a secure area meant for Alzheimer's and dementia care, and memory support services are built into most programs for people with cognitive changes, offering structured activities to boost engagement. Grand Islander has a dementia waiver program to help Medicaid patients, and staff know how to assist folks with mild cognitive impairment or who are non-ambulatory or need transfer help. There's also support for veterans and Hispanic or Latino residents, special programs like Namaste, and translation for languages other than English among the team.

    Meals are nutritious with a focus on variety, made by chefs and planners, and people can eat in the dining room, a private area, the café, or in their own rooms if needed. There's a barber and salon, spa services, and plenty of housekeeping, laundry, and mail or newspaper service. Amenities include arts spaces, walking paths, a garden, a sunroom, and common lounges with a fireplace. For staying active and social, the facility offers an activity room, fitness space, wellness programs, and activities like movie nights, along with opportunities for religious, educational, or community engagement.

    Medical care runs deep here-registered nurses, attending physicians, a nurse practitioner, and medical director watch over everyone and take care of needs like medication management, wound and pain care, hospice and palliative care, IV therapy, dental and eye care, psychiatric and physiatry services, colostomy care, TPN, orthopedic and neurological rehabilitation, plus occupational, physical, and speech therapies. The center offers incontinence and personal care, vision and podiatry attention, audiology checks, pet therapy, and help with transfers, dressing, and most daily living tasks.

    The building's well-equipped for helping folks with complex medical backgrounds, especially after hospital stays, in the short term or for a longer period. Individual treatment plans get put together for each resident and case management keeps everything organized, especially during discharge planning. Transportation and parking come with the place, outings are coordinated, and the grounds feature garden and courtyard views in a quiet, suburban setting. Grand Islander doesn't have new beds open right now, but the place stays on the Findhelp platform, keeps up with the National Alliance for Care at Home, and has ties to Genesis HealthCare Inc. and A Place For Mom. The awards for Best Meals and Dining, Best Activities, and Most Friendly come from customer feedback, and regular training for dementia care comes from evidence-based practices by Genesis HealthCare, working towards consistent quality for residents. The environment feels welcoming, staff speak English and, in some cases, other languages, and amenities meet the daily needs of older adults without making too much fuss-clean rooms with adjustable air, internet and phone access, cable TV, and simple comforts that can make a difference for seniors and their families.

    People often ask...

    Grand Islander offers assisted living, memory care, and skilled nursing.

    There are 12 photos of Grand Islander on Mirador.

    The full address for this community is 333 Green End Ave, Middletown, RI 02842.

    No, Grand Islander does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Grand Islander. The information above has not been verified or approved by the owner or operator. For exact information, please contact Grand Islander directly. There is no cost for this service. We are compensated by the community you select.

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