Westgate Center For Rehab & Alzheimers Care
750 Union St, Bangor, ME 04401 · For profit - Limited Liability company · 65 certified beds · (207) 942-7336 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (5/5)
- lower-than-typical staff turnover (23% vs 45% nationally) — better care continuity
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 5 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
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
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
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.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 14.8% | 24.4% | 15.4% | typical |
| Long-stay residents who lose too much weight | 10.9% | 5.2% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 1.1% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.0% | 2.2% | 2.0% | better |
| Long-stay residents with depressive symptoms | 53.4% | 11.6% | 6.5% | check this† — see note marked dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 1.4% | 4.1% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 14.3% | 25.6% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 30.3% | 17.4% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 98.4% | 95.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 0.8% | 4.3% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 27.2% | 29.2% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 38.8% | 20.2% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 80.4% | 74.5% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 19.0% | 20.8% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 9.3% | 16.1% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.03 | 1.45 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 0.34 | 2.01 | 1.80 | better |
† This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
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.
51.4% 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 40 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 53.3% 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 45 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 0.29 therapist hours per resident per day in 2026Q1 — more than 45% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 12% 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.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 51.4%CMS range 40.1–65.7 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.1%CMS range 6.5–16.6 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 53.3% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 51.1% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 53.3% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 98.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 3.9% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.8%CMS range 4.4–12.8 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.84 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 65 beds and averages 63.1 residents a day — about 97% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. 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 4.17 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.27 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.91 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 4.02 hrs/resident/day on weekends vs 4.24 on weekdays — 5% thinner on weekends. RN hours go from 1.36 to 1.04 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 23% is below 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.
18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.
- Potential for harm · E2026-05-13 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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 — the official record, unedited, may be distressing
Based on observations and interviews, the facility failed to adequately provide housekeeping services necessary to maintain an environment free from offensive odors for 3 of 3 days of survey (5/11/26 through 5/13/26) on the locked Acadia Unit.Findings:On 5/11/26 at 11 a.m. and 12:56 p.m., upon entering the locked dementia/Alzheimer's Acadia Unit, a strong, foul urine odor was observed and it lingered throughout the unit.On 5/12/26 at 7:30 a.m., 11:55 a.m. and 2:00 p.m., upon entering the Acadia Unit, a strong foul urine odor was observed and it lingered throughout the unit. On 5/13/26 at 9 a.m., and 1p.m., upon entering the Acadia Unit, a strong foul urine odor was observed and it lingered throughout the unit. On 5/13/26 at 1:10 p.m., in an interview with the Acadia Unit RN-Charge Nurse, she stated the Unit does have a strong odor. They open windows when they can; housekeeping cleans daily and they have air freshener sprays.On 5/13/26 at approximately 1:35 p.m., in an interview with the Director of Nursing Services, the surveyor discussed the above findings.
- Potential for harm · E2026-05-13 · tag F0657 — failed to keep the care plan current — patternDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 interviews, the facility failed to ensure a care plan was updated and implemented for 2 of 14 residents reviewed on survey (Resident #3 [R3] and R9). Findings: 1. On [DATE], R3's clinical record was reviewed and indicated the following: -On [DATE], a provider order indicated, Do Not Resuscitate [Do not perform Cardio-Pulmonary Resuscitation (CPR)]. Review of the Care Plan indicated a code status of Full Code (Perform CPR), dated [DATE]. -On [DATE], a provider order indicated, change code status to DNR only not CPR or DNI one time a day. Review of the Care plan indicated a code status of Full Code (Perform CPR), dated [DATE]. -On [DATE], a provider order indicated, NovoLOG FlexPen Subcutaneous Solution Peninjector 100 UNIT/[milliliter (ML)] (Insulin Aspart) Inject as per sliding scale: if 0 - 299 = 0; 300 - 500 = 5, subcutaneously before meals and at bedtime for [Diabetes Mellitus (DMII)]. The care plan does not address R3's insulin orders including goals and interventions for 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.
- Potential for harm · E2026-05-13 · tag F0757 — failed to avoid unnecessary drugs — patternEnsure each resident’s drug regimen must be free from unnecessary drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record reviews and interviews the facility failed to ensure a duplicate order was removed from an electronic Medication Administration Record which resulted in the resident receiving duplicate doses of the same medication for 1 of 5 residents reviewed for unnecessary medications (Resident #10 [R10])Finding:On 5/13/2026 at 12:59 p.m. during a clinical record review R10's signed physician orders dated 4/23/26 indicated that R10 had an order for Senna oral tablet 8.6 milligrams (mg) give 2 tablets by mouth two times a day for constipation hold for loose stools. Review of R10's electronic Medication administration record (MAR) shows that since 3/26/26 R10 has been receiving two separate doses of Senna. On 3/26/26 a second order was entered onto the MAR and R10 received Senna 8.6mg, 2 tablets at 8:00 p.m. and senna docusate sodium (senna-s) 8.6-50 mg 2 tablets at 8:00 p.m. From the date 3/27/26 to 5/13/26 R10 has received both medications twice daily.On 5/13/26 during an interview with the Assistant Director of nursing services (ADNS), she was not able to identify the reason 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.
- Potential for harm · D2026-05-13 · tag F0711 — isolatedEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
What the surveyor found here — the official record, unedited, may be distressing
Based on record reviews and interview, the facility failed to ensure the attending Provider signed the medication Order Review History Report (Physician block orders) that is required during a visit at least every 60 days plus a 10 day grace period for 1 of 5 sampled residents reviewed for unnecessary medications. (Resident #40 [R40]Finding: 1. On 5/13/26, a review of R40's clinical record was completed. Documentation indicated a required regulatory visit was completed on 4/30/26. A provider progress note was completed on 4/30/26, but there was no evidence that the physician block orders were signed until a day later on 5/1/26. The facility was unable to provide evidence that the physician block orders were signed on the day of the required recertification visit. On 5/13/26 at approximately 1:35 p.m., the surveyor discussed and confirmed this finding with the Director of Nursing and the Regional Director of Clinical Operations.
- Potential for harm · E2025-03-26 · tag F0925 — failed to control pests — patternMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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 maintain an effective pest control program so that the facility is free of pests for 1 of 3 units observed for pests (Cascade Unit). Finding: On 3/24/25 a surveyor observed small flies in the following locations: -At 10:20 a.m., a small fly was observed circling over the full recyclable containers bin in the kitchen. -At 10:59 a.m., a small fly was observed in the hall outside resident room [ROOM NUMBER]. -At 11:20 a.m., a small fly was observed on a resident's bedding in room [ROOM NUMBER] and another small fly was observed in the bathroom of room [ROOM NUMBER]. -At 11:35 a.m., a small fly was observed flying in resident room [ROOM NUMBER]. On 3/25/25 a surveyor observed small flies in the following locations: -At 9:28 a.m., a small fly was observed flying in resident room [ROOM NUMBER]. -At 11:30 a.m., a small fly was observed circling the trash in the dining room during the lunch service. -At 2:30 p.m., during an interview with the Food Services…
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.
- Potential for harm · D2025-03-26 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations and interviews, the facility failed to protect a resident's right to a dignified existence and right of self-determination for a visitor for 1 of 1 resident's reviewed for Dignity (Resident # 10 [R10]). Finding: 1. On 3/25/25 at 9:10 a.m., a surveyor observed from the resident hallway, R10 lying in his/her bed. R10's pants were below his/her waste with an exposed brief. A wash basin was observed on the bedside table and R10 was talking with a Certified Nursing Assistant (CNA). After the surveyor knocked on the open door and introduced self, the CNA made 2 attempts to close the door and prevent communication with the resident. The resident provided consent for the surveyor to enter and observe care. On 3/26/25 at 12:00 p.m., during an interview with the Director of Nursing, the surveyor confirmed that R10's right to privacy and self-determination for a visitor was not protected. 2. On 3/25/25 at 9:18 a.m., during an interview with a surveyor and R10, CNA1 and CNA2 entered R10's room and explained to the surveyor that R10's family took the shoes home, that R10…
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.
- Potential for harm · D2025-03-26 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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
Based on interviews and record review, the facility failed to implement a resident's care plan in the area a restorative walking program for 1 of 1 residents reviewed for activities of daily living (Resident #10 [R10]). Finding: On 3/25/25 at 9:35 a.m., during an interview with a surveyor, R10 stated he/she is losing his/her ability to walk. R10 stated, I don't think anyone walked with me after therapy [ended]. I think I am a blind spot. On 3/26/25 at 10:40 a.m., a surveyor observed R10 ambulating in the hallway with Physical Therapy (PT) staff. PT stated nursing notified her of a decline in function and R10 has had several falls prompting her to conduct today's evaluation. On 3/26/25, R10's clinical record was reviewed. The care plan identified R10 as having a functional mobility deficit, for which the intervention AMBULATION: [R10] will ambulate 50-75 feet with 2 wheel walker and extensive assist, as patient is able, last revised on 3/12/25. On 3/26/25 at 12:19 p.m., during an interview with a surveyor and the Director of Nursing (DON), R10's clinical records was reviewed. The DON…
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.
- Potential for harm · D2025-03-26 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record reviews and interviews, the facility failed to complete neurological assessments for a resident who had a fall and hit their head, failed to follow their Bowel Regimen, and failed to follow physician orders for 3 of 18 residents reviewed (Resident #3 [R3], R48, and R6). Findings: 1. On 3/25/25 at 8:47 a.m., R3's clinical record was reviewed. On 3/20/25 at 12:37 p.m., a health status note from Third eye Health with a date of service of 6:04 a.m. it was documented that R3 being seen for an unwitnessed fall that occurred at 5:30 a.m. he/she was found on the floor in their room. R3 has a hematoma to the back of head to left side and reports head pain. Clinical record review shows documentation for Neuro checks that were initiated on 3/21/25 at 1:00 p.m. and lacked evidence that Neuro checks were completed as outlined in their Neurological Evaluation Policy. The facility's Neurological Evaluation Policy dated 4/23 and their neurological (neuro)/vital sign check sheet instructs staff that the licensed nurse performs neurological evaluations whenever there is 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.
- Potential for harm · D2025-03-26 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews, the facility failed to ensure that hot water temperatures in resident rooms and restroom did not exceed 120 degrees Fahrenheit (F) on 2 of 3 days of survey (3/24/25 and 3/25/25). Findings: 1. On 3/24/25 between 11:47 a.m. thru 12:36 p.m., surveyors observed the following hot water temperatures: In room [ROOM NUMBER] at 11:49 a.m., the hot water temperature was 121.7 degrees F and at 11:57 a.m. was 120.9 degrees F; In room [ROOM NUMBER] at 11:59 a.m., the hot water temperature was 121.1 F; In room [ROOM NUMBER] at 12:07 p.m., the hot water temperature was 124.1 F; In room [ROOM NUMBER] at 12:10 p.m., the hot water temperature was 125.0 F; In Cascade Unit Shower/Restroom at 12:25 p.m., the hot water temperature was 125.4 F; In room [ROOM NUMBER] at 12:27 p.m., the hot water temperature was 122.3 F; In room [ROOM NUMBER] at 12:28 p.m., the hot water temperature was 122.3 F; and In room [ROOM NUMBER] at 12:30 p.m., the hot water temperature was 120.5 F. On 3/24/25 at 12:50 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.
- Potential for harm · D2025-03-26 · tag F0730 — isolatedObserve each nurse aide's job performance and give regular training.
What the surveyor found here — the official record, unedited, may be distressing
Based on performance evaluation reviews and interview, the facility failed to complete an annual performance evaluation at least every 12 months for 1 of 5 sampled employees (Certified Nursing Assistant #3 [CNA3]). Finding: CNA3 was hired on 12/20/2012. A review of CNA3's performance evaluation, dated 3/21/23 thru 12/10/24, indicated the evaluation was completed 8 months and 20 days past the 12 month evaluation period. On 3/26/25 at 8:00 a.m., in an interview with the surveyor, the Assistant Director of Nursing, confirmed that CNA3 receive her performance evaluation 8 months and 20 days late.
Show the remaining 8 citations
- Potential for harm · Dcited before2025-03-26 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure 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 and interviews, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety for 2 of 3 days of survey (3/24/25, and 3/25/25). Findings: On 3/24/25 at 10:20 a.m., during the initial tour of the kitchen with the Food Service Supervisor (FSS), a surveyor observed in the walk in freezer, a package of Jennie-O Turkey Breast and Thigh Roast on the shelf. Package observed to have frozen raw meat / juices attached to the side of the package and exposed to the environment. A surveyor confirmed this finding with the FSS at the time of the observation. On 3/25/25 at 11:51 a.m., during a kitchen observation, a surveyor observed [NAME] #1 serving plates and wearing a glove on the right hand only. The gloved hand handled serving spoons and bread to serve food onto dishes. [NAME] #1's bare left hand was observed to be in contact with the surface of the dishes while plating food. [NAME] #1 opened a new bag of bread, walked to the trash, lifted the trash with one hand while reaching the other hand in to throw away 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.
- Potential for harm · D2025-03-26 · tag F0947 — failed to train nurse aides adequately — isolatedEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
What the surveyor found here — the official record, unedited, may be distressing
Based on employee personnel files/in-service training reviews and interview, the facility failed to implement and maintain an effective training program which includes, at a minimum, training on resident rights by failing to ensure that 2 of 5 Certified Nurse Assistants (Certified Nurse Assistant #1 [CNA1] and CNA2) completed the required annual training. Findings: On 3/25/25, during a review of employee personnel files, the following was noted: 1. CNA1 was hired on 8/19/2020. CNA1's employee personnel file lacked evidence of mandatory resident rights education within the last twelve months. 2. CNA2 was hired on 5/27/2021. CNA2's employee personnel file lacked evidence of mandatory resident rights education within the last twelve months. On 3/26/25 at 8:00 a.m., in an interview with the surveyor, the Assistant Director of Nursing, confirmed that there was no evidence that CNA1 and CNA2, had received resident rights training.
- Potential for harm · E2024-01-31 · tag F0638 — patternAssure that each resident’s assessment is updated at least once every 3 months.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record reviews and interview, the facility failed to complete a Quarterly Minimum Data Set (MDS) 3.0 in a timely manner for 7 of 14 sampled residents (Resident [R] R3, R5, R8, R35, R7, R23, R10 ). Findings: 1. On 1/30/24, R3's clinical record was reviewed. R3's Quarterly MDS had an Assessment Reference Date (ARD) of 10/24/23 and was due to be completed by 11/7/23, which is the ARD plus 14 calendar days. R3's Quarterly MDS was completed on 11/27/23, 10 days late. 2. On 1/30/24, R5's clinical record was reviewed. R5's Quarterly MDS had an Assessment Reference Date (ARD) of 12/1/23 and was due to be completed by 12/15/23, which is the ARD plus 14 calendar days. R5's Quarterly MDS was completed on 12/25/23, 10 days late. 3. On 1/30/24, R8's clinical record was reviewed. R8's Quarterly MDS had an Assessment Reference Date (ARD) of 8/25/23 and was due to be completed by 9/8/23, which is the ARD plus 14 calendar days. R8's Quarterly MDS was completed on 9/13/23, 5 days late. 4. On 1/30/24, R35's clinical record was reviewed. R35's Quarterly MDS had an Assessment Reference Date…
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.
- Potential for harm · Ecited before2024-01-31 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 and interviews the facility failed to ensure that plumbing fixtures were properly installed to prevent backflow as required by the Maine State Plumbing Code on 1 of 3 survey days (1/29/24). In addition, the facility failed to ensure products in the reach-in refrigerator located in the kitchen were labeled on 2 of 3 days of survey (1/29/24, 1/30/24). Findings: 1. On 1/29/24, at 11:00 a.m., three surveyors observed there was an improper air gap provided on the drain lines of the ice machine located in the hallway leading to the kitchen. This direct connection of wastewater and potable water was in violation of the 10-114 State of Maine Rules Chapter 226, definition Section A, which defines an Air-Gap Separation - A physical separation between the free-flowing discharge end of a potable water supply pipeline and an open or non-pressure receiving vessel. An air-gap separation shall be at least twice the diameter of the supply pipe measured vertically above the overflow rim of the vessel - in no case less than one inch (2.54 cm). On 1/29/24 at 11:10 a.m., a surveyor…
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.
- Potential for harm · D2024-01-31 · tag F0636 — isolatedAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
What the surveyor found here — the official record, unedited, may be distressing
Based on record review and interview, the facility failed to complete an Annual Comprehensive Minimum Data Set (MDS) 3.0 with Care Area Assessment (CAA) in a timely manner for 2 of 14 sampled residents (Resident [R] 7, Resident [R] 6). Findings: 1. On 1/31/24, a review of R7's clinical record was reviewed. R7's Annual MDS with CAA had an Assessment Reference Date (ARD) of 9/3/23 and was due to be completed by 9/17/23, which is the ARD plus 14 calendar days. R7's Annual MDS was completed on 9/18/23, 1 day late. On 1/31/24 at 8:25 a.m., during an interview with a surveyor, the MDS Coordinator, stated she has been behind on finishing the MDS's in a timely manner. 2. On 1/31/24, a review of R6's clinical record was reviewed. R6's Annual MDS with CAA had an ARD of 1/12/24, and was due to be completed by 1/26/24, which is the ARD plus 14 calendar days. R6's Annual MDS was completed on 1/30/24, 4 days late. On 1/31/24 at 8:25 a.m., during an interview with the MDS Coordinator, two surveyors confirmed this finding when she stated she has been behind on finishing the MDS's in a timely manner.
- Potential for harm · D2024-01-31 · tag F0637 — isolatedAssess the resident when there is a significant change in condition
What the surveyor found here — the official record, unedited, may be distressing
Based on record review and interview, the facility failed to complete a Comprehensive Minimum Data Set (MDS) 3.0 with Care Area Assessment (CAA) for a significant change in status, in a timely manner for 1 of 14 sampled residents (Resident #9[R9]). Finding: On 1/31/24, R9's clinical record was reviewed. R9's significant change in status MDS with CAA had an Assessment Reference Date (ARD) of 12/05/23, which was due to be completed by 12/19/23 (which is the ARD plus 14 calendar days). R9's MDS with CAA was completed on 12/25/23, 6 days late. On 1/31/24 at 8:25 a.m., during an interview with the MDS Coordinator, two surveyors confirmed this finding when she stated she has been behind on finishing the MDS's in a timely manner.
- Potential for harm · D2024-01-31 · tag F0814 — failed to dispose of garbage properly — isolatedDispose of garbage and refuse properly.
What the surveyor found here — the official record, unedited, may be distressing
Based on observations and interview, the facility failed to ensure garbage was properly disposed of and contained to prevent the harborage and feeding of pests for 1 of 3 days of survey (1/31/24). Finding: On 1/31/24 at approximately 12:12 p.m., two surveyors observed the dumpster filled with garbage bags not allowing the covers to be closed. During this observation the two surveyors observed a full black garbage bag that was under the dumpster that was spilling some of the contents on the ground on the right side of the dumpster, behind the dumpster were two bags filled with garbage. On 1/31/24 at 12:14 p.m., the two surveyors confirmed with the Maintenance Supervisor, Food Service Director, Director of Nursing, Assistant Director of Nursing, and the Regional Director of clinical operations that the dumpster was full not allowing the covers to be closed and the garbage bags that were under and behind the dumpster.
- No harm found · B2026-05-13 · tag F0842 — failed to keep accurate, complete medical records — patternSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review and interviews, the facility failed to ensure that a resident record contained accurate, complete, and/or readily accessible information for 1 of 1 resident(s) reviewed hospice (Resident #45 [R45]).Findings:On 5/11/26, R45's clinical record was reviewed and indicated the following:-On 3/26/26, a health status note indicated R45 was discharged from hospice services.-On 4/1/26 at 1:15 p.m., a provider note stated, [R45], . now on hospice level care. Patient is seen today for weekly hospice visit. The clinical record lacked evidence that R45 was receiving hospice services at the time of the visit.-On 4/8/26 at 11:30 a.m., a provider note stated, [R45], . now on hospice level care. Patient is seen today for weekly hospice visit. The clinical record lacked evidence that R45 was receiving hospice services at the time of the visit.-On 4/15/26 at 11:45 a.m., a provider note stated, [R45], .now on hospice level care. Patient is seen today for weekly hospice visit. Patient has been on hospice since 4/10/2024. The clinical record lacked evidence that R45…
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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to NATIONAL HEALTH CARE ASSOCIATES — 42 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 5 of 5 | 3.2 | +1.8 vs chain |
| Health inspection | 4 of 5 | 2.8 | +1.2 vs chain |
| Staffing | 5 of 5 | 3.0 | +2.0 vs chain |
| Quality measures | 5 of 5 | 4.1 | +0.9 vs chain |
The other 41 homes this chain runs (chain average 3.2★, per CMS)
Showing 40 of 41; lowest-rated first.
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| MSO ASSOCIATES LLC | Organization | DIRECT OWNERSHIP INTEREST | since 06/01/2014 |
| BOKOW, BARRY | Individual | DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 06/01/2014 |
| GEFFNER, IRA | Individual | DIRECT OWNERSHIP INTEREST | since 06/01/2014 |
| LOPIANSKY, REBECCA | Individual | DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | since 05/14/2025 |
| OSTREICHER, DAVID | Individual | DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | since 05/14/2025 |
| OSTREICHER, MARC | Individual | DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | since 05/14/2025 |
| STEG, YITZCHOK | Individual | DIRECT OWNERSHIP INTEREST | since 06/01/2014 |
| MARVIN OSTREICHER FAMILY TRUST 2012 | Organization | INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | since 06/01/2014 |
| SUSAN OSTREICHER FAMILY TRUST 2012 | Organization | INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | since 06/01/2014 |
| OSTREICHER, SUSAN | Individual | INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | since 06/01/2013 |
| GILMARTIN, THOMAS | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 07/01/2016 |
| MAYFIELD, KELLI | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2025 |
| OSTREICHER, MARVIN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 06/01/2014 |
| PIERCE, BRENDA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 07/15/2025 |
| BARRY BOKOW 2012 FAMILY TRUST | Organization | ADP OF THE SNF | since 08/07/2020 |
| BPB VENTURES LLC | Organization | ADP OF THE SNF | since 08/07/2020 |
| CEDAR HILL NG TRUST | Organization | ADP OF THE SNF | since 05/14/2025 |
| JUNIPER NG TRUST | Organization | ADP OF THE SNF | since 05/14/2025 |
| NATIONAL HEALTH CARE ASSOCIATES INC | Organization | ADP OF THE SNF | since 06/01/2014 |
| OAK DRIVE NG TRUST | Organization | ADP OF THE SNF | since 05/14/2025 |
| PREFERRED PROFESSIONAL SERVICES LLC | Organization | ADP OF THE SNF | since 06/01/2014 |
| PREFERRED THERAPY SOLUTIONS LLC | Organization | ADP OF THE SNF | since 06/01/2014 |
| ROLLING HILL NG TRUST | Organization | ADP OF THE SNF | since 05/14/2025 |
| BOKOW, MICHAEL | Individual | ADP OF THE SNF | since 09/30/2015 |
| STEG, SHAYNA | Individual | ADP OF THE SNF | since 05/14/2025 |
CMS files one row per role, so the 37 rows in the source record cover these 25 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
12 organizational owners 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 $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. 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, FY2023). 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
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Maine Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 205105. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-13, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.