Hawthorne House

Location & what’s nearby

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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.

47.0% 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 58 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 75.0% 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 44 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 0.16 therapist hours per resident per day in 2026Q1 — more than 13% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 83 beds and averages 68.7 residents a day — about 83% occupied, or roughly 14 beds typically open. It usually has some room. 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 5.56 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.37 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.70 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 5.16 hrs/resident/day on weekends vs 5.73 on weekdays — 10% thinner on weekends. RN hours go from 1.46 to 1.13 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 61% is well above 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 more than at the previous inspection — worsening. 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.

29 citations, most serious first. The 10 most serious are shown; the remaining 19 are one tap away and print in full.

• Potential for harm · Dcited before2026-03-24 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and a review of Safety Data Sheets (SDS), the facility failed to ensure hazardous chemicals were properly secured on 1of 1 day of survey. (3/24/26)Findings: During the environmental tour on 3/24/26 at 11:50 a.m. a soiled utility closet door on the Somerset unit was observed unlocked. The door was equipped with a keypad locking mechanism. The following chemical products stored on a shelf inside the soiled utility closet were observed: Tropiclean, Virex TB Ready-To-Use Disinfectant Cleaner, Hang [NAME] Plus Clinging Disinfectant Bowl Cleaner, Damp Rid Moisture Absorbers. At the time of observation CNA #1 and CNA #2 indicated the keypad lock had not been functioning properly and were unaware of how long it had been inoperable. Staff acknowledged the door should have been secured due to the hazardous chemicals and presence of residents with cognitive impairment on the unit. The Safety Data Sheet for Tropiclean states in Section 4.1 First aid measures: skin contact: Remove affected…

  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 · E2025-05-01 · tag F0578 — failed to honor advance directives / code status — pattern
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews, facility policy review, and interviews, the facility failed to ensure a resident's Advanced Directive documentation was accurate and in the clinical record for 20 of 24 records sampled. Findings: - A review of Resident #20s electronic medical record and their paper medical record lacked evidence that the facility offered, reviewed, or provided written information concerning the right to formulate an advanced directive to the resident and/or resident representative. - A review of Resident #35s electronic medical record and their paper medical record lacked evidence that the facility offered, reviewed, or provided written information concerning the right to formulate an advanced directive to the resident and/or resident representative. - A review of Resident #36s electronic medical record and their paper medical record lacked evidence that the facility offered, reviewed, or provided written information concerning the right to formulate an advanced directive to the resident and/or resident representative. - A review of Resident #45s electronic medical record…

  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 before2025-05-01 · 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 3 of 4 units ([NAME], [NAME] and Somerset) and the laundry room for 2 of 2 facility tours (4/28/25 and 5/5/25). Findings: 1. On 4/28/25 at 12:20 p.m., a surveyor observed in Resident room [ROOM NUMBER] that the bathroom floor was black around the base of the toilet and there was a pink wash bucket on floor under the sink. On 4/28/25 at 12:33 p.m., in an interview, a Registered Nurse confirmed the findings. 2. On 5/01/25 from 8:43 a.m. to 9:30 a.m., an Environmental tour was completed with the Administrator and the Director of Nursing in which the following findings were observed: Laundry: > There were 2 laundry carts that had untreated wooden wheeled bases. [NAME]: > Resident room [ROOM NUMBER]- The privacy curtain was missing hooks, hanging down and in disrepair. > Resident room [ROOM NUMBER] - The floor…

  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 before2025-05-01 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews, the facility failed to ensure that the resident's environment was free of accident hazards by ensuring that cleaning supplies were secured, a toilet was secured to the floor room, closet and bathroom doors had laminate that was not gouged and splintered creating sharp edges, medication and wound care supplies, and a sharp object secured on 3 of 4 units ([NAME] Unit, Geriatric Psychiatric Kennebec Unit (GPKU), and [NAME] Unit) for 1 of 2 environmental tours (4/28/25, and 4/29/25). In addition, the facility failed to store oxygen tanks securely for 1 of 4 days (4/28/25). 1. On 4/28/25 at 10:04 a.m., a surveyor observed a unsecured container of Sani-Cloth Plus Germicidal Disposable Cloth on Resident #51s nightstand. At this time, after surveyor intervention, the Unit Manager of the GPKU removed the chemical from the residents room. The Safety Data Sheet for Sani-Cloth Plus Germicidal Disposable Cloth states in Section 4: First Aid Measures Eyes: Flush eyes with large quantities…

  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 · E2025-05-01 · tag F0881 — failed to use antibiotics responsibly — pattern
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews, and interviews, the facility failed to implement an Antibiotic Stewardship Program (ASP) that includes protocols and a system to effectively monitor antibiotic use. This has the potential to affect all residents receiving an antibiotic. Findings: Review of the Infection Preventionist monthly log for antibiotics Infections 2025 spreadsheet lists a total of 13 resident infections from 1/1/25 through 3/11/25. The spreadsheet includes the Resident name, antibiotic given with start and stop date; however, the spreadsheet is not complete. There are six columns that have the headings, Bacteria, UTI, Soft tissue, Blood, Influenza, Surgery that are blank. Review of Infection Preventionist monthly log for antibiotics lacks evidence of the Infection Preventionist following through on the antibiotic use, the trends of infections and/or organisms, clusters of infections, and type of antibiotics used. On 5/1/25 at 12:08 p.m., during an interview with a surveyor, the Administrator and Director of Nursing discussed tracking infections of what residents have and what…

  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 · D2025-05-01 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record reviews and interview, the facility failed to coordinate assessments for the Pre-admission Screening and Resident Review (PASRR) Level I and Level II program for 1 of 3 sampled residents with a possible serious mental disorder (Resident #45). Findings: During review of Resident #45s clinical record, a surveyor noted that a PASRR Level I completed by Maximus on 4/19/24 required a face-to-face Level II evaluation. The surveyor could not find evidence that the PASRR Level II instructions were followed to ensure completion of a PASRR Level II for determination of potential recommended specialized services. In an interview with the Administrator on 4/30/25 at 12:35 p.m., a surveyor confirmed that there is no evidence that a face-to-face Level II evaluation was completed to ensure completion of a PASRR Level II for determination of potential recommended specialized services.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-01 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interviews, the facility failed to adequately follow physician orders for 15 minute checks for 1 of 1 resident reviewed for 15 minute checks (Resident #30). Findings: Review of Resident #30s clinical record shows a physician order for 15 minute checks. Ensure 15 minute check paper sheet is filled out which was initiated on 3/27/25 and discontinued on 4/16/25 for suicidal ideation. Review of Resident #30s 15 minute checks from 3/27/25 through 4/16/25 shows missing checks on the below dates: -On 3/30/25 there are 29 missing checks. -On 3/31/25 there are 59 missing checks. -On 4/1/25 there are 26 missing checks. -On 4/3/25 there are 11 missing checks. -On 4/7/25 there are 75 missing checks. -On 4/9/25 there are 28 missing checks. -On 4/11/25 there are 7 missing checks. On 4/30/25 at 10:30 a.m., the above information was confirmed with the Director of Nursing.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-01 · tag F0730 — isolated
  Observe 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 interviews, the facility failed to complete annual performance evaluations at least every 12 months for 3 of 5 sampled employees. (Certified Nursing Assistant (CNA) #1, #3, #4) Findings: 1. CNA#1 was hired in 7/2001. The facility was unable to provide evidence of completed annual performance evaluations for 2024. 2. CNA#3 was hired in 7/2023. The facility was unable to provide evidence of completed annual performance evaluations for 2024. 3. CNA#4 was hired in 3/1990. The facility was unable to provide evidence of completed annual performance evaluations for 2024. On 4/30/25 at 10:20 a.m., the above information was confirmed with the Facility Administrator.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-01 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews, the facility failed to ensure expired medications were removed from the supply available for use in 1 of 4 medication carts observed ([NAME] Unit]. Findings: On 4/29/25 at 7:34 a.m., a surveyor observed a medication cart on the Long Hall of the [NAME] Unit. A surveyor observed a medication punch card of Codeine Sulfate 30mg that expired on 1/2025, still in the medication cart and available for use. This was called to the attention of Certified Nursing Assistant - Medications #1 that was adminstering medications from the cart that day and then given to Registered Nurse #2. This was confirmed with the Director of Nursing on 4/29/25 at approximately 9:00 a.m.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-01 · tag F0812 — failed to store, cook, and serve food safely — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and review of the facility's Dish Machine Temperature policy/procedure(High Temp Dishwashers), the facility's Refrigerator and Freezer Temperatures policy/procedure, and the facility's Food Storage policy/procedure, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for ceiling lights, table legs, floors, chemical hoses, sink drains, and a standing floor mixer: failed to ensure dishes and cups were not wet stacked; failed to ensure foods were dated and labeled in the walk-in refrigerators, the walk-in freezer and the dry storage area and failed to ensure that liquids on a juice/liquid delivery cart, used for unit service, were not expired for 2 of 2 observations on 1 of 4 days of survey (5/28/25). Findings: The facility's Dish Machine Temperature policy/procedure(High Temp Dishwashers) dated 2021 noted: Policy: Dishwashing staff will monitor and record dish machine wash and rinse temperatures to assure proper sanitizing of dishes. 2. Staff…

  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

“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.

Part of a chain

This home belongs to FIRST ATLANTIC HEALTHCARE — 10 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 →

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

CMS files one row per role, so the 20 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

2 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.

About 75% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $531K 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 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