Federal inspection record · CMS data as of October 1, 2026
John Clarke Senior Living
600 Valley Road, Middletown, RI · (401) 846-0743
- Certified beds
- 60
- Residents per day
- 54
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 1982
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Rhode Island.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Rhode Island homes
John Clarke Senior Living carries 78 inspection points. That is fewer than 46% of Rhode Island's 71 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Rhode Island: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–54 pts
- 3★ 54–89 pts
- 2★ 89–177.5 pts
- 1★ over 177.5 pts
Bars show every rated home in Rhode Island by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
5 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
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J
Ensure that residents are free from significant medication errors.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care1D
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-04-10
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-02-26
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2024-03-06
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 30 min of nursing staff time a day, 1 h 4 min of it from a registered nurse.
This home
3 h 30 min
Rhode Island average
3 h 47 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 28% of nursing staff and 29% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$9,350 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-06-18 | Fine | $9,350 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 1.7 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.7 pts worse | 3.4 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6 pts better | 100.0% | 94.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.5 pts better | 100.0% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better | 2.8% | 3.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms15.7 pts better | 2.9% | 18.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight3 pts better | 2.1% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.9 pts better | 12.2% | 17.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication14.7 pts better | 7.8% | 22.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.4 pts better | 8.4% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased13.3 pts better | 6.2% | 19.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.9% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 1.7% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.7 pts worse | 25.1% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts better | 3.3% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.5 pts better | 97.8% | 80.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit12.3 pts worse | 27.3% | 15.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse | 2.3% | 2.0% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.2 pts better | 94.9% | 77.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts better | 21.4% | 25.1% | 23.4% |
·
Who owns and runs it
26 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bagwill, John | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Bagwill, John | Corporate Director · Individual | 0% | 1 facilities |
| Chatellier, Peter | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Chatellier, Peter | Corporate Director · Individual | 0% | 1 facilities |
| Chatellier, Peter | Corporate Officer · Individual | 0% | 1 facilities |
| Fairbank, Jennifer | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Fairbank, Jennifer | Corporate Director · Individual | 0% | 1 facilities |
| Hadi, Neima | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Hadi, Neima | Adp Of The SNF · Individual | 0% | 3 facilities |
| Hall, Hugh | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Hall, Hugh | Corporate Director · Individual | 0% | 2 facilities |
| Hall, Hugh | Corporate Officer · Individual | 0% | 2 facilities |
| Maine, David | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Maine, David | Corporate Director · Individual | 0% | 1 facilities |
| Maine, David | Corporate Officer · Individual | 0% | 1 facilities |
| Marion, Joseph | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Marion, Joseph | Corporate Director · Individual | 0% | 1 facilities |
| Mcguire, Christine | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Mcguire, Christine | Corporate Director · Individual | 0% | 1 facilities |
| Mederos, Diane | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Mederos, Diane | Corporate Director · Individual | 0% | 1 facilities |
| Thorpe, John | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Thorpe, John | Corporate Director · Individual | 0% | 1 facilities |
| Thorpe, John | Corporate Officer · Individual | 0% | 1 facilities |
| Woods, Joan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Woods, Joan | Adp Of The SNF · Individual | 0% | 1 facilities |
·
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