Gorham 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.

68.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 74 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 72.0% 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 50 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 0.38 therapist hours per resident per day in 2026Q1 — more than 66% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% 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 69 beds and averages 62.3 residents a day — about 90% occupied, or roughly 7 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 4.84 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.33 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.08 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 4.39 hrs/resident/day on weekends vs 5.02 on weekdays — 13% thinner on weekends. RN hours go from 1.55 to 0.78 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 53% is about the same as the national median of 45%. 1 administrator has left in the past year.

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.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

• Potential for harm · Ecited before2026-02-11 · 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, interviews, record review and facility policy, the facility failed to maintain adequate housekeeping and maintenance services to maintain a sanitary, orderly, and comfortable interior on 3 of 3 units (Windsor I, Windsor II and Cottage). In addition, the facility failed to ensure a resident's personal belongings are kept safe and secure for 1 of 1 resident reviewed for personal property. (Resident #4) 1.On 2/11/26 at 8:25a.m. surveyor observed the Kitchen for unit Windsor 2, a surveyor observed that the floor was excessively dirty and with a build-up of debris in the corners. It was observed that all of the flat services were covered with a heavy layer of dust. Housekeeper #1, stated that she was here and cleaned this unit yesterday. 2. On 2/22/26 at 8:40a.m. - A surveyor called the Housekeeping Supervisor and he observed and confirmed the condition of the unit kitchen, the dust behind the hallway hand rail, the stain on the front of the Nurses station, the top of the cabinet that holds 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 · E2026-02-11 · tag F0605 — failed to not use drugs as a restraint — pattern
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and interviews, the facility failed to follow a Physician order for 1 of 5 sampled resident reviewed for unnecessary medications (#2), failed to ensure the prescribed medication included a specific, diagnosed, and documented condition with symptoms which may be causing distress to the resident (#67), and failed to monitor side effects of psychotropic medications for 1 of 2 residents reviewed for psychotropic medications (Resident #8 and #42). 1. Resident #2's medical record contained a provider's order dated 6/27/25 for Trazodone HCl 50 mg (milligram). Give 0.5 tablet by mouth at bedtime for insomnia. AND Give 0.5 tablet by mouth every 12 hours as needed for anxiety 0.5 tab = 25mg x 90 days. Review of the medication administration record from October 2025 through February 2026 indicated the as needed Trazadone was still available for administration. On 2/10/26 at 1:31 p.m., during an interview, the above order was reviewed with the Regional Director of Operations and the Director of Nursing (DON) who both confirmed the order for the PRN trazadone was…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-11 · 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, record review, and interviews, the facility failed to ensure that the resident's environment was free of accident hazards relating to unsafe flooring in resident areas, a broken electrical outlet, and a broken floor heater for 1 of 3 units (Cottage Unit). Findings:On 2/9/26 from 10:14 a.m. to 10:27 a.m., a surveyor observed the following findings in the Cottages Unit:- The flooring was ripped up and curled up in room's 5 and 9.- The flooring in room's 2 and 6 were lifting/bowed.- The flooring in room [ROOM NUMBER]'s bathroom had a hole in front of the toilet, exposing the sub flooring. Around the hole, when stepped on, the flooring sank in. - There was a chipped and loose tile in the Whirlpool room shower.- Resident room [ROOM NUMBER]'s heater was missing the cover exposing piping and sharp metal fins.- The staff breakroom, which is unlocked and the door is kept open, had a broken electrical outlet.On 2/9/25 at 10:28 a.m., in an interview with Registered Nurse (RN) #1 stated she has put…

  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 · E2026-02-11 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to follow up on Consultant Pharmacist recommendations timely, and failed to ensure that the Consultant Pharmacist reported on identified ongoing irregularities for 2 of 5 residents reviewed for unnecessary medications (Resident #1 and #2).Findings: 1. On 2/10/26 a review of Resident #1's clinical record was completed. Documentation in the physician orders indicated the resident had a current order for Mirtazapine 15mg (milligrams). Give 1 tablet by mouth at bedtime for depression/anxiety.A review of the Pharmacy Drug Regimen Review dated 12/18/25 indicated a pharmacist recommendation to: This resident has been on Sertraline 100mg qd (daily) and Mirtazapine 15mg qhs (at hour of sleep) and due for annual evaluation. Please evaluate the current dose and consider a gradual taper to ensure this resident is using the lowest possible effective or optimal dose. Attempt dose reduction to Mirtazapine 7.5mg qhs as tolerated.As of 2/11/26 the clinical record lacked evidence that the Pharmacist recommendations have been reviewed or…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-11 · tag F0847 — pattern
  Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
  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 interviews and record review, the facility failed to ensure the terms and conditions of a binding arbitration agreement were clearly communicated to the residents or their representatives and not required as a condition of admission due to the agreement being a part of the admission paperwork for 3 of 3 residents reviewed for Arbitration. (Residents 63, 77, 56, and 76) 1- On 2/9/26 at 9:30a.m., during the Entrance Conference, the Acting Administrator and when asked, she stated that there were no residents with a Binding Arbitration Agreement with the facility. 2- On 2/10/26 at 8:30a.m., during a review of the admission Packet, a surveyor discovered a form for Binding Arbitration in the admission Packet. A review of the Electronic Medical Record (EMR) for selected residents, it was discovered that three residents had electronically signed the Binding arbitration agreement. (Residents 77, 56, and 76.) 3- On 2/10/26 at 8:45a.m., during an Interview with the Acting Administrator, when this was called to her…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-11 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor 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 review of the facility's incident report, record review, interview, and internal investigation, the facility failed to ensure staff spoke to residents in a dignified manner for 1 of 29 residents reviewed in the initial pool sample for abuse (R10).Findings: On 1/30/26, the facility reported an incident to the Division of Licensing and Certification, which stated on 1/30/26, staff had observed a Licensed Practical Nurse (LPN) speak in a verbally inappropriate manner with a resident. On 2/10/26, a review of the facility's internal investigation revealed that on 1/30/26, two staff members entered R10's unit and observed R10 exhibiting agitation and behaviors that are typical for R10. The unit nurse was observed speaking to the resident in a loud voice and was overheard stating 'I don't want to talk to you. Nobody wants to talk to you. I don't want to talk to you (R10), Nobody wants to talk to you. Shut up. Nobody is talking to you, nobody is listening to you.' The resident and nurse were separated and staff removed the resident from the unit to distract and check in with…

  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 · D2026-02-11 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, the facility failed to inform a Resident Representative (RR), in advance, of treatment risks and benefits, options, and alternatives related to use of psychotropic medications for 1 of 5 sampled residents reviewed for psychoactive medication use (R67). Finding: On 2/11/26, a review of the clinical record for R67 revealed that on 10/10/25, orders for new medications, Seroquel (an antipsychotic), and Trazodone (an antidepressant), were to be started in the evening. The medical record lacked evidence that consent was given for treatment with these new medications by the RR and that the RR was informed of the risks and the benefits of treatment with these psychoactive medications, or alternative options. On 2/11/26 at 1:00 p.m., in an interview with a surveyor, the Director of Nursing confirmed the finding.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-11 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  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 review and interview, the facility failed to issue a written transfer/discharge notice, which included information regarding appeal rights and the name and address of the Office of the State Long-Term Care Ombudsman, and a written bed-hold notice which specifies the duration of the bed-hold for to residents or their representative for 2 of 4 sampled residents transferred/discharged by the facility to an acute care hospital (Resident #67 and #69.)1. Documentation in Resident #67's clinical record indicated that the resident was transferred to the acute care hospital on [DATE]. There was no evidence in the clinical record indicating that Resident #67 or the Resident's Representative was provided with written transfer/discharge notice, which included information regarding appeal rights, the name and address of the Office of the State Long-Term Care Ombudsman or a written bed-hold notice that specified the duration of the bed-hold. On 2/11/26 at 1:00 p.m., during an interview the above was confirmed…

  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 · Dcited before2026-02-11 · tag F0657 — failed to keep the care plan current — isolated
  Develop 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

  Based on record review and interview, the facility failed to review, revise and update a care plan in the areas of wound care, psychotropic drug use, and dementia care to reflect the current needs for 1 of 22 sampled residents (R67).Findings:Clinical record review for R67 revealed diagnoses that included Alzheimer's Disease, Depression, Type 2 Diabetes Mellitus, left foot ulcer with 4th and 5th toe amputations, and peripheral arterial disease. 1. On 12/16/25, orders from the wound clinic stated Today we applied Grafix #2 (a bioengineered skin substitute) to the left foot wound then a negative pressure wound dressing called PICO, which should remain in place until Monday, 12/22/25. Caution: The PICO dressing should stay intact the entire time. Please assure that PICO tubing is held against the body INSIDE of tubular compression and INSIDE of pant leg then the PICO battery clipped to the waist band to avoid potential fall hazard. Please assist the patient with all clothing changes and bathroom trips. Do NOT get the dressing wet.It is possible for the PICO dressing to lose a seal,…

  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 · D2026-02-11 · tag F0865 — failed to run a quality-improvement (QAPI) program — isolated
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review, the facility failed to make a Good Faith effort to develop, implement, and maintain an effective, comprehensive, data-driven QAPI program that focuses on indicators of the outcomes of care and quality of life, as evidenced by the failure to follow-up on the multiple emails reporting the unsafe conditions of The Cottage unit. Findings:On 2/9/26 at 11:00a.m. - Significant Concerns about the environment at The Cottage brought by Surveyor and two other surveyors observed the environment and found multiple safety concerns. On 2/10/26 at approximately 1:30p.m. this surveyor reviewed the QAPI documentation to find: QAPI Meeting attendance for the past year with all required members were in attendanceQAPI agenda that did not present environmental concerns reported from The Cottage.QAPI Program/PlanOn 2/11/26 at 1:45p.m. in an interview with the Administrator and the Regional Director of Operations, they stated that the concerns that were identified as a need for repairs in the Cottage were slated to be done as a Part of Phase 2 in the facility…

  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.

  Administration 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 SENIOR LIFESTYLE — 4 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 40 rows in the source record cover these 26 parties — each is shown once here with every role it holds. Nothing is omitted.

15 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 $1.7M 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