★★☆☆☆CMS 2/560 bedsNon-profitMedicaid
- Nurse hours
- 3.47 /day
- Staff turnover
- 26%
- Serious cites
- 0
John Clarke Senior Living runs a leaner nursing floor than most, 3.47 hours of nurse staffing per resident day against a national average of 3.86, with weekends dropping roughly another 10% below its own weekday coverage. The trade-off looks deliberate: turnover sits at 25.5% while the country averages 45.8%, so the aides and nurses here tend to stay. The home carries four deficiencies on its current record, one serious enough to involve harm or jeopardy, and no abuse citations. Inspections came in April 2026. If the C grade gives you pause, the numbers behind it are thin coverage and one real lapse, not a pattern of churn.
★★☆☆☆CMS 2/5146 bedsFor-profitMedicaid
- Nurse hours
- 3.37 /day
- Staff turnover
- 50%
- Serious cites
- 0
Grand Islander Center runs 146 beds in Middletown under corporate for-profit ownership, and the staffing numbers are where I'd start. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly 6% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Annual turnover of 49.5% tops the national figure of 45.8%, meaning the aides and nurses caring for your relative are cycling out at a faster clip than usual.
The inspection record backs that up: 40 deficiencies on file, two of them serious enough to involve harm or jeopardy, and $33,150 in fines across two penalties. The last inspection was May 2025, so the picture is current.
★★☆☆☆CMS 2/550 bedsFor-profitMedicaid
- Nurse hours
- 3.21 /day
- Staff turnover
- 63%
- Serious cites
- 0
Nurse staffing at Royal Middletown runs 3.21 hours per resident day, about 17% under the national average, and weekends dip roughly 8% below the home's own weekday levels. Turnover sits at 62.5% against a national average of 45.8%, so the people providing care change often. The current inspection record carries 26 deficiencies, four tied to abuse and two serious enough to put residents in harm's way, along with one fine of $30,590. All three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5. This for-profit partnership was last inspected on April 30, 2026, and its record is thin where it matters most.