CCN 415034 · Newport County, Rhode Island
Grand Islander Center
333 Green End Avenue, Middletown, RI 02842
Grand Islander Center is a 146-bed for-profit nursing home in Middletown, Rhode Island, first certified for Medicare or Medicaid in 1975. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 112.1 residents a day, about 77% of its certified beds. It has an active FHA-insured Section 232 loan: $8.7 million originally, at 3.10%, with $7.6 million outstanding as of September 30, 2026 and maturity in November 2054.
Facility facts
- Certified beds
- 146
- Average residents per day
- 112.1 (76.8% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- 333 Green End Avenue Operations LLC
- Certified since
- Jan 1, 1975
- Chain or affiliated group
- Genesis Healthcare (184 facilities, chain average 2.3 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Rhode Island median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 13 at 1, 21 at 2, 7 at 3, 20 at 4, 10 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.37 | 3.58 | 3.68 |
| RN hours per resident per day | 0.65 | 0.72 | 0.58 |
| Weekend nurse hours per resident per day | 3.16 | ||
| Nursing staff turnover | 49.5% | 39.3% | 44.9% |
| Occupancy (residents / beds) | 76.8% | 89.9% | 85.7% |
| Fines reported by CMS | 2 totaling $21,548 | ||
| Health deficiencies, latest standard survey | 18 (May 14, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Grand Islander Center meets that part today: 2 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Genesis Ri Holdings LLCOrganization | Direct Ownership Interest | 100% | 04/01/2011 |
| Fc-Gen Operations Investment LLCOrganization | Indirect Ownership Interest | n/a | 04/01/2011 |
| Gen Operations I LLCOrganization | Indirect Ownership Interest | n/a | 04/01/2011 |
| Gen Operations II LLCOrganization | Indirect Ownership Interest | n/a | 04/01/2011 |
| Genesis Healthcare IncOrganization | Indirect Ownership Interest | n/a | 02/02/2016 |
| Genesis Healthcare LLCOrganization | Indirect Ownership Interest | n/a | 04/01/2011 |
| Genesis Holdings LLCOrganization | Indirect Ownership Interest | n/a | 02/02/2015 |
| Genesis Operations LLCOrganization | Indirect Ownership Interest | n/a | 04/01/2011 |
| Ghc Holdings LLCOrganization | Indirect Ownership Interest | n/a | 04/01/2011 |
| Sun Healthcare Group IncOrganization | Indirect Ownership Interest | n/a | 02/02/2015 |
| Whitman, ArnoldIndividual | Indirect Ownership Interest | n/a | 12/31/2011 |
| Lopes, RoniciaIndividual | Operational / Managerial Control | n/a | 12/02/2024 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Oct 31, 2019 | 223(f) refinance or purchaseHUD project name: Dynasty - Grand Islander Center, 146 beds. Lender at endorsement: Keybank National Association | $8,680,000 | Active: 3.10%, $7,634,102 balanceMatures Nov 1, 2054. Servicer: Keybank National Association | 01622030 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.