Mainegeneral Rehab & Long Term Care - Gray Birch

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

51.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 73 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 51.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 56 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.76 therapist hours per resident per day in 2026Q1 — more than 93% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 24% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 77 beds and averages 67.4 residents a day — about 88% occupied, or roughly 10 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.73 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.38 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.82 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.18 hrs/resident/day on weekends vs 4.96 on weekdays — 16% thinner on weekends. RN hours go from 1.56 to 0.95 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

28 citations, most serious first. The 11 most serious are shown; the remaining 17 are one tap away and print in full.

• Actual harm · G2023-05-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, interviews, observation, and review of facility policy, the facility failed to ensure that the resident's environment was free of accident/ hazards relating to a food allergy. As a result of this failure, a resident experienced an anaphylactic reaction, requiring administration of epinephrine and emergency transport to an acute care hospital for 1 of 2 residents reviewed for hospitalization (Resident #32). Findings: A review of Resident #32's clinical record was conducted. Resident #32 was originally admitted to the facility in early June of 2022, with a documented allergy to onions. A dietary order dated 6/8/22 states Food Allergy(s): onions and a care plan initiated on 6/8/22 which states Goal: [Resident #32] will tolerate prescribed food/liquid texture diet, Interventions: Dislikes (list): Allergy to onions. Review of a clinical note, dated 11/11/22, states .1745-Dietary informed this staff member that resident has soup with onions in it. (pearl) Resident is allergic. Met resident in the hall who states [he/she] feels bad but is vague and unable…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-30 · tag F0557 — isolated
  Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews, the facility failed to ensure a resident was treated with dignity and respect for 1 of 3 residents reviewed during a complaint investigation (Resident #2).Observations of Resident #2 on 6/30/26 at 9:42 a.m., 11:32 a.m., 12:45 p.m., and 2:16 p.m., a urinary catheter was observed hanging from bedframe visible from door containing a yellow liquid. During an interview on 6/30/26 at 11:32 a.m., Resident #2 stated it bothers him/her that the foley can be seen from the door. During an observation of Resident #2 on 6/30/26 11/45 a.m., Licensed Practical Nurse (LPN)1 states that the foleys the facility uses have the cover attached and normally they are changed out on admission. At this time LPN1 observed Resident #2 and noted the foley is visible from the door and is not covered. Charge nurse stated that it's had to have been that way for a while because that's a hospital foley and not theirs and he/she has been back since last weekend (6/26/26) but should have been changed out, and at the very least covered.During an interview on 6/30/26 at 2:36 p.m.,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · Ecited before2026-01-14 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in a sanitary, orderly, and comfortable environment on 2 of 2 units (Birches and Pines) and for a common area dining room for 1 of 1 facility tour (1/14/26). Findings:On 1/14/26 from 9:00 a.m. to 9:30 a.m., a surveyor did an Environmental Tour with the Administrator, the Environmental Services Supervisor, the Plant Operations Supervisor and a Maintenance Staff member in which the following findings were observed: Dining Room:- The base board heating unit, in a common area dining room, had broken apart metal heater covers that were broken apart exposing sharp fins and metal piping. Birches Unit- Resident room [ROOM NUMBER] - The privacy curtains were missing hooks, hanging down and in disrepair. The bathroom doorframes had chipped/missing paint creating uncleanable surfaces. - Resident room [ROOM NUMBER] - The walls by bed 2 had marred/chipped/missing paint. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-14 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, the facility's Dish Machine Temperature Logs, the facility's Refrigerator/Freezer Temperature Logs, and the facility's the facility's Food Storage policy/procedure, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for a water softening machine, food disposal units, floors, ceiling tiles, and ceiling lights; failed to ensure foods were covered/sealed and/or dated and labeled; failed to ensure dishes weren't wet stacked; failed to ensure refrigerators/freezers and dish washing machines temperatures were monitored/documented; and failed to ensure facial hair protection was used by staff with facial hair. Additionally, the facility failed to ensure that plumbing fixtures were properly installed to prevent backflow as required by the Maine State Plumbing Code for 2 of 3 days of survey (1/12/26 and 1/13/26).Findings:The direct connection of wastewater and potable water is in violation of the 10-114 State of Maine Rules Chapter 226, definition Section A, which defines an Air-Gap Separation - A physical separation…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-14 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews and record reviews, the facility failed to inform visitors and staff of an Influenza outbreak. Furthermore, the facility failed to maintain an Infection Control Program designed to provide a sanitary environment to help prevent the development and transmission of disease and infection related to the use of Personal Protective Equipment (PPE) for 2 of the 3 days of survey.Findings: 1. On 1/12/26 at 8:00 a.m., no signage was noted upon entering the facility regarding active Influenza cases in the building. On 8/12/26 at 8:39 a.m., in an interview with 3 surveyors present, the Director of Nursing informed the surveyors that they are currently in a Flu outbreak, with 2 residents on Pines Unit and 1 resident on Birches Unit. She discussed that the last positive case of the Flu was on 1/9/26. At this time, the surveyor asked if signage should be posted upon entrance to the facility alerting visitors of the Flu outbreak. The DON stated there should be. At this time the surveyor showed the DON that there is no signage upon entering the facility to alert…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-14 · tag F0699 — isolated
  Provide care or services that was trauma informed and/or culturally competent.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, the facility failed to identify a resident's current diagnosis of Post-Traumatic Stress Disorder (PTSD)/trauma to determine what trigger(s) might cause re-traumatization for 1 of 1 resident reviewed with a current diagnosis of PTSD (Resident #9).Finding:Resident #9 was admitted in 2024 with a diagnosis to include post-traumatic stress disorder.Review of Resident #9's active trauma informed care plan lacked evidence of his/her triggers for the resident's PTSD diagnoses.Review of Resident #9's Quarterly Minimum Data Set (MDS) 3.0 created 10/9/25, Section I, Active Diagnoses, Psychiatric/Mood Disorder, I6100 was coded to indicate Resident #9 had an active diagnosis for Post Traumatic Stress Syndrome (PTSD). The surveyor was unable to find information in the clinical record that indicated what Resident #9's PTSD was caused by or what events might cause re-traumatization.On 1/13/26 at 3:28 p.m., In a interview with the social worker, the surveyor confirmed that Resident #9s care plan did not include PTSD triggers.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-14 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and interview, the facility failed to ensure expired medications were removed from available supply in 1 of 3 medications carts observed. Findings:On 1/13/26 at 10:47 a.m. on Pine Unit during an observation of medication cart #3 the surveyor found Resident #9's Capsaicin Cream 0.1% 2oz with a use by date of 11/2025, and anti-Diarrheal 2 milligram, Loperamide Hydrochloride tablets with a use by date of 8/2025. On 1/13/26 at 10:50 a.m. in an interview with Registered Nurse #1, the surveyor confirmed the expired medications were not removed from available supply.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-14 · tag F0814 — failed to dispose of garbage properly — isolated
  Dispose of garbage and refuse properly.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and interview, the facility failed to ensure that garbage and refuse were disposed of in a manner to prevent pest infestation for 1 of 3 survey days. (1/12/26). Findings: On 1/12/26 between 8:20 a.m. to 9:30 a.m. during an initial kitchen tour, a surveyor observed a dumpster with the top left lid open exposing refuse. On 1/12/26 at 9:30 a.m., in an interview with the Food Service Director, the surveyor confirmed that the dumpster lid was observed open exposing refuse.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-07 · tag F0583 — failed to protect personal privacy — pattern
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews, the facility failed to ensure the confidentiality of protected resident health information by displaying on monitors next to a resident's name and room number identification, what therapeutic needs they required, time of a meal corresponding with a group activity, what device was required to obtain the resident's weight, walking program, and shower day for 2 of 3 days of survey. In addition, the facility failed to protect and promote a resident's privacy and confidentiality for 1 of 1 residents reviewed for privacy (Resident #54 [R54]). Findings: 1. On 8/5/24 at noon, during an initial tour, it was observed that on the corridor walls, outside the resident's room, on the Birch Unit and the Pine Unit, the resident's full name, room number and bed location ('A' means bed by door of room/'B' means bed by window of room) is posted. On 8/5/24 between noon and 1:00 p.m., the surveyors observed a large monitor on the wall across from the Birch Unit nurse's station and a large monitor on the wall near the Pine Unit nurse's station that could be seen by…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-08-07 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interview, the facility failed to develop a Comprehensive Care Plan that addressed the physical needs of 1 of 5 residents reviewed for Respiratory (Resident #15 [R15]) and failed to ensure that a care plan was developed in the area of Post Traumatic Stress Disorder (PTSD) for 1 of 1 residents reviewed for PTSD (R56). Findings: 1. On 8/7/24, clinical record review indicated R15 was admitted on [DATE]. Admitting diagnoses included Obstructive Sleep Apnea (OSA) and Congestive Heart Failure (CHF). Orders for these diagnoses include the use of 2 liters of oxygen at night and daily weight monitoring. On 8/7/24 at 11:02 a.m., the surveyor confirmed with the Director of Nursing that the Care Plan does not address R15's use of oxygen, or the diagnoses of OSA or CHF. 2. On 8/6/24, a surveyor reviewed R56's clinical record which included a diagnosis of Post-traumatic stress disorder (PTSD) with a start date of 11/5/21, which was the admission date for R56. A physician progress note with the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-07 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record reviews, facility policy, and interviews, the facility failed to provide a sanitary environment to help prevent the development and transmission of disease and infection related to respiratory care for 5 of 6 residents reviewed for respiratory care (Resident #9 [R9]), Resident #60 [R60], Resident #221 [R221]), Resident #15 [R15], Resident #49 [R49]). Findings: The facilities policy on Obtaining and Use of Oxygen Devises, last revised on 7/23/24. Under section 4 procedures, subsection C Cleaning/changing of oxygen equipment states the particle filter on the concentrators should be removed and cleaned weekly. 1. On 8/5/24 at 3:56 p.m., observation of R9's oxygen (O2) nasal cannula tubing stored over the O2 concentrator handle. On 8/6/24 at 8:00 a.m., and on 8/7/24 at 7:12 a.m., additional observation of R9's O2 nasal cannula tubing wrapped up and hanging over the cylinder on the back of his/her wheelchair. 2. On 8/5/24 at 12:41 p.m., observation of R221's O2 nasal cannula tubing wrapped up and stored under the handle of the oxygen concentrator. On 8/6/24…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 30 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported −$26K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in ME