Grand Islander Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 120 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (22 vs median 7)
Below average in RI · Below recommended RN staffing · No penalties on record
What this means for your family
Grand Islander Center is a strong choice for rehabilitation therapy, with many families reporting successful recovery outcomes. However, you should be proactive about medication management and discharge planning; ensure you have a clear plan for follow-up care before your loved one leaves. We also recommend visiting at different times of the day to observe staffing levels, as several reviewers noted inconsistencies in responsiveness.
Google Reviews
Google Reviews
120 reviews on Google“Grand Islander Center is frequently praised for its dedicated nursing and therapy staff, with many families highlighting the facility's clean environment and effective communication during the rehabilitation process. However, a recurring pattern of negative reviews points to significant concerns regarding understaffing, slow response times to call buttons, and occasional lapses in medication management or discharge coordination. Families should weigh the strong clinical outcomes reported by many against these specific operational inconsistencies.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy teams
- Clean and well-maintained facility
- Compassionate and attentive nursing staff
- Strong communication with families regarding care plans
Concerns
- Chronic understaffing leading to slow response times (mentioned by 7 reviewers)
- Poor medication management and discharge planning (mentioned by 4 reviewers)
- Unsanitary conditions or strong odors in resident rooms (mentioned by 3 reviewers)
- Lack of responsiveness from administration to family inquiries (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 123 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1Given that your therapy teams are so highly regarded, how do you integrate those physical and occupational therapy sessions into a resident's daily routine?
- 2I noticed that your team is very active in responding to online feedback; how do you translate that commitment to open communication into your day-to-day interactions with families?
- 3With some families expressing concerns about response times, what is your current process for ensuring that call bells are answered promptly during peak hours?
- 4Could you walk me through your current medication management protocols to ensure accuracy and consistency for residents?
- 5How does your team manage the balance between maintaining a clean, odor-free environment and providing high-touch personal care throughout the day?
- 6What specific protocols are in place to ensure that discharge planning is thorough and that families are fully involved in the transition process?
Personalized based on this facility's data
Key Review Excerpts
“My husband was admitted to grand islander after a stroke... PT and OT is 7days a week! Speech is 5… the facilities are clean well kept and the staff is wonderful! The food is delicious with lots of variety.”
“The Homestead Unit, for dementia residents, is by far above any others that I've seen. The fact that they keep the residents engaged in activities all day "together" like a small family, at the same time clean”
“My mom-Essie Bowden-was sent to the hospital a few months ago and we had to pay to keep her room. She got sent back and didn't stay out for all the days we paid for her room. It has been a few months now and we still haven't been reimbursed.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
6
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Grand Islander Center has a concerning pattern of recurring issues, with families filing 13 complaints that triggered federal investigations. The facility consistently struggles with care planning, medication management, and accident prevention across multiple years, indicating systemic problems that persist despite corrections. While all deficiencies show planned correction dates, the repeated nature of core care issues—particularly around developing proper care plans and ensuring medication safety—suggests ongoing challenges in maintaining consistent quality standards.
Dec 5, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Nov 25, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Oct 24, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 20, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
May 14, 2025Routine16
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Apr 22, 2025Complaint4
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Federal Penalties
Fine
Nov 25, 2025
$19,135
Fine
Oct 24, 2025
$14,015
Ownership & Operations
Who Operates This Facility
Grand Islander Center
for profit
Chain Affiliation
Genesis Healthcare
187 facilities nationwide
Chain avg rating: 2.4/5 · Rank 91 of 188
Ownership & Management
Owners
Genesis Ri Holdings LLC
Owner · Organization
Genesis Healthcare LLC
Owner (parent company) · Organization
Genesis Operations LLC
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
120 reviews from families & visitors
Official Website
Visit genesishcc.com
Medicare data downloads
Original nursing home datasets
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