Nursing Homes in Middletown, Rhode Island

Middletown has 3 Medicare-certified nursing homes with 256 beds. The city average CMS rating is 3.3 stars, which is at Rhode Island's state average of 3.1 stars. 1 facility earns a B grade or better and is recommended for family consideration.

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Worth Considering

Facilities graded A or B that meet our quality standards

1 recommended 1 mixed 1 avoid
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City Average

3.3

+0.26 vs state

Total Beds

256

across 3 facilities

High Risk Facilities

0

0 under CMS review

0 with abuse citations

Nurse Availability

57 min

RN time per resident daily

Meets CMS recommendation

Well Staffed

1

exceed staffing threshold

33% of facilities

Zero Fines

1 /3

passed all inspections

✓ Start your search here

Trend

0

improved vs last year

0 declined

B

Top Rated in Middletown

John Clarke Senior Living

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Fines · Deficiencies · Ownership Data · Quality Comparisons

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About Nursing Home Care in Middletown

Middletown, RI, presents a mixed landscape for families seeking nursing home care. The standout is John Clarke Senior Living, which boasts a solid Grade B and a respectable 4-star CMS rating. However, overall options are limited, and families should be cautious as only two of the three facilities in the area meet acceptable standards. While John Clarke offers a reliable choice, the market is concerning for those looking for various options.

For those considering nursing homes in Middletown, John Clarke Senior Living should be at the top of your list, known for its clean record with zero fines in the last three years. Another facility worth mentioning is Grand Islander Center, but it's crucial to note it's not recommended due to serious problems. If you find the options here lacking, it may be beneficial to explore nearby towns for better alternatives.

Families should actively skip the Grand Islander Center, which has a troubling Grade F rating and histories of abuse citations. This facility has consistently underperformed and poses significant risks to residents. When visiting any facility, always observe the environment closely—look for staff interactions with residents and overall cleanliness to ensure your loved one will be well cared for.

Middletown at a Glance

Good News

  • 1 facility with clean records—no fines in 3 years
  • 1 community-run facility (non-profit)
  • 1 facility has more nurses than required

Be Aware

  • Always check recent inspection reports before visiting

What's Changing

  • 3 facilities stayed the same
  • Overall: Middletown is stable

Questions Middletown Families Should Ask

Based on what we found in local inspection data

1

How many RN hours per resident do you provide daily?

CMS recommends 0.75 hrs; Middletown avg is 0.95 hrs (57 min)

2

Have you received any fines in the past 3 years?

1 of 3 Middletown facility has zero fines

3

What were your most recent inspection findings?

Ask for specifics—0 local facilities have serious deficiencies

4

What is your staff-to-resident ratio on weekends?

Weekend staffing often differs from weekday levels

Finding Quality Nursing Home Care in Middletown, Rhode Island

Middletown, Rhode Island's Newport County seat, has 3 Medicare-certified nursing homes with approximately 256 beds. Families have solid options to choose from.

Middletown vs. Rhode Island: Near State Average

Middletown nursing homes perform near the state average on key quality metrics. The city's average CMS rating of 3.33 stars is close to Rhode Island's statewide average of 3.07 stars.

1 of 3 facility earns a B grade or better. Families should still research carefully, as quality varies by facility.

Understanding Our Trust Score System

The Trust Score is a 0-100 rating calculated from CMS's official nursing home database. The score combines five data categories:

  • Health Inspection Results — Recent deficiencies, their severity, and patterns over time
  • Staffing Levels — RN hours, total nursing hours, and weekend staffing
  • Quality Measures — Clinical outcomes like falls, pressure ulcers, and rehospitalizations
  • Penalties — Fines, payment denials, and enforcement actions
  • Complaints — Substantiated complaints and their severity

In Middletown, 1 facility scores a B grade or better, indicating they meet quality benchmarks across these categories. We recommend families prioritize these facilities and carefully research any facility rated C or below before visiting.

Staffing: Meeting Standards in Middletown

Staffing levels are among the most important predictors of nursing home quality. Research consistently shows that facilities with more nursing staff—especially registered nurses—have better outcomes for residents.

Middletown facilities average 0.95 RN hours per resident day, which meets the CMS-recommended threshold of 0.75 hours. The typical Middletown resident receives approximately 57 minutes of RN attention daily—compared to the 45 minutes experts recommend.

1 Middletown facilities exceed CMS staffing recommendations. Families prioritizing staffing should look for facilities with the "Top Staffing" badge and ask specifically about RN hours during facility visits.

Ownership: Mix of For-Profit and Non-Profit

Middletown has 1 non-profit nursing homes and 2 for-profit facilities. 2 of 3 facilities are chain-owned, with the remainder independently operated.

Research suggests non-profit facilities often have higher staffing levels and fewer deficiencies on average, though ownership type alone does not guarantee quality. Families should evaluate each facility individually using inspection data, staffing levels, and recent deficiency reports.

Nearby Alternatives Worth Considering

Families may also want to consider nearby Rhode Island cities for additional options. The following Rhode Island cities offer multiple nursing home options:

Frequently Asked Questions

How many nursing homes are in Middletown, Rhode Island?

Middletown has 3 Medicare-certified nursing homes with a total of 256 beds. The city average CMS rating is 3.3 stars, which is above Rhode Island's state average of 3.1 stars.

What are the best nursing homes in Middletown?

Based on our Trust Score analysis of CMS inspection data, the top-rated nursing homes in Middletown include:

  • John Clarke Senior Living — Grade B, 71/100 Trust Score
  • Royal Middletown Nursing Center — Grade C+, 63/100 Trust Score
  • Grand Islander Center — Grade F, 21/100 Trust Score

These facilities have strong inspection records and staffing levels.

Which Middletown nursing homes should I avoid?

We flag 0 facilities in Middletown as high-risk based on patterns of serious deficiencies, substantial fines, or placement on CMS's Special Focus Facility list. These facilities are marked with warning indicators in our listings above.

We recommend avoiding facilities with: Grade D or F, recent "Immediate Jeopardy" citations (indicating serious harm or risk to residents), or those on CMS's Special Focus Facility list.

The Bottom Line on Middletown Nursing Homes

Middletown offers typical nursing home options for the state. Focus your search on the 1 facility graded A or B, particularly those with zero fines and strong staffing.

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