Sanfield Rehab & Living Center

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.

Therapy staffing: this home’s payroll records show 0.27 therapist hours per resident per day in 2026Q1 — more than 39% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 35% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 23 beds and averages 22.2 residents a day — about 97% occupied, or roughly 1 bed 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 4.57 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 3.03 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 4.15 hrs/resident/day on weekends vs 4.74 on weekdays — 12% thinner on weekends. RN hours go from 1.32 to 1.17 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 34% 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 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.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · E2025-07-23 · tag F0637 — pattern
  Assess the resident when there is a significant change in condition
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record reviews, the facility failed to complete a significant change in status Minimum Data Set 3.0 (MDS 3.0) assessment within 14 days of a resident's admission to hospice services, for 2 of 3 sampled residents (Resident #10 [R10] and R9). 1.Review of the RAI (Resident Assessment instrument) manual directs that a significant change MDS ARD (assessment reference date) date is no later than 14th calendar day after determination that significant change occurred. Completion is the 14th calendar day after determination. On 7/22/25 at 12:16 p.m., a review of R10's clinical record was completed. R10 was admitted to Hospice on 6/27/25 and a Significant Change MDS was initiated with an Assessment Reference Date (ARD) of 7/3/25 but was not completed. The completion date should have been 7/11/25 and as of 7/22/25 the MDS was not completed. On 7/22/25 at 1:52 p.m., during an interview with a surveyor, The [NAME] President of clinical Services reviewed the clinical records and stated the MDS's had not been completed timely. 2. On 7/21/25, R9's clinical record was reviewed…

  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 · E2025-07-23 · tag F0640 — pattern
  Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews, Minimum Data Set 3.0 (MDS) reviews and interviews, the facility failed to electronically submit discharge MDS data to the State MDS database within 14 days after completion for 4 of 12 residents MDS's reviewed (Resident #2 [R2], R3, R19, R21).1. On 7/21/25, a review of R2's clinical record indicated that R2 was discharged on 6/5/25. A review of R2's discharge MDS with an ARD date of 6/5/25 indicated that assessment was due to be completed by 6/19/25 and was required to be electronically submitted to the State MDS database within 14 days after completion (7/3/25) but had not been submitted at time of review. 2, On 7/21/25, a review of R3's clinical record indicated that R3 was discharged on 6/6/25. A review of R3's discharge MDS with an ARD date of 6/6/25 indicated that assessment was due to be completed by 6/20/25 and was required to be electronically submitted to the State MDS database within 14 days after completion (7/4/25) but had not been submitted at time of review. On 7/22/2025 at 1:52 p.m., during an interview with the [NAME] President of Clinical…

  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 · Ecited before2025-07-23 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, record review and interview, the facility failed to ensure that a care plan was developed in the area of Hospice care for 2 of 3 residents reviewed for Hospice (Resident #10 [R10] and R9). 1. Review of R10's clinical record stated he/she was admitted into Hospice on 6/27/25. The clinical record lacked evidence that a comprehensive care plan had been developed in the area of Hospice care that included goals and interventions. On 7/22/25 at 12:30 p.m., during an interview with the Director of Nursing the surveyor confirmed the above finding. 2. On 7/22/25, R9's clinical record was reviewed indicated R9 was admitted on Hospice on 6/22/25. The clinical record lacked evidence that a comprehensive care plan had been developed in the area of Hospice care that included goals and interventions. On 7/22/25 at 12:31 p.m., during an interview with the Director of Nursing, the surveyor confirmed the above finding.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-23 · tag F0636 — isolated
  Assess 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 Assessments timely for 1 of 1 resident reviewed for Accident Hazards (Resident #17 [R17]). The Long Term Care Facility Resident Assessment Instrument (RAI) User's Manual, Version 1.19.1, dated October 2024, on page 2-16, Section 2.6 Required OBRA Assessments for the MDS provided a table RAI OBRA-required Assessment Summary required assessments that directs when assessments are due to be completed. Annual MDS are due to be completed 14 days from the ARD date. On 7/22/25, a review of R17's clinical record was completed. R17's annual MDS with an Assessment Reference Date (ARD) of 4/2/25 was due to be completed by 4/16/25, 14 days from the ARD date. The CAA completion date was 4/28/25, 12 days late. On 7/23/25 at 10:48 a.m., a surveyor confirmed this finding with the Director of Nursing.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-23 · tag F0638 — isolated
  Assure 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 interviews, the facility failed to complete a quarterly Minimum Data Set (MDS) 3.0 in a timely manner for 2 of 12 sampled residents (Resident #11 [R11] and R7).The Long Term Care Facility Resident Assessment Instrument (RAI) User's Manual, Version 1.19.1, dated October 2024, on page 2-16, Section 2.6 Required OBRA Assessments for the MDS provided a table RAI OBRA-required Assessment Summary required assessments that directs when assessments are due to be completed. Quarterly MDS are due to be completed 14 days from the ARD date. 1. On 7/21/25, R11's clinical record was reviewed. R11's Quarterly MDS had an Assessment Reference Date (ARD) of 7/3/25 and was due to be completed by 7/17/25, which is the ARD plus 14 calendar days. The assessment was not completed at time of review. On 7/22/2025 at 2:37 p.m., during an interview with the [NAME] President of Clinical Services, a surveyor confirmed that R11's quarterly MDS was late. 2. On 7/22/25, R7's clinical record was reviewed. R7's Quarterly MDS had an Assessment Reference Date (ARD) of 7/8/25 and was due to…

  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 · D2025-07-23 · 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 review and interview, the facility failed to complete annual performance evaluations at least every 12 months for 1 of 5 sampled employees (Certified Nursing Assistant #1 [CNA1]). 1. CNA1 was hired on 8/3/2004. The facility was unable to provide evidence of a completed annual performance evaluations for 2024. On 7/23/25 at 12:45 p.m., in an interview with a surveyor, the Administrator confirmed that CNA1 had not received an annual performance evaluations in 2024.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-23 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observations, record review and interview, the facility failed to maintain an Infection Control Program designed to help prevent the development and transmission of disease and infection by failing to wear gloves during a subcutaneous injection for 1 of 1 resident observed during medication administration. (Resident# 12 [R12])On 7/22/25 at 7:50 a.m., the Charge Nurse was observed in the nurse's station preparing R12's Lantus insulin dose 25 units with no infection control concerns. The Charge Nurse then entered R12's room and asked him/her where they wanted their injection. The charge nurse then cleaned the abdominal area with an alcohol prep pad and then administered the 25 units of Lantus subcutaneously without wearing gloves.At this time the Charge Nurse acknowledged that she did not wear gloves during this insulin injection and that she should have been wearing gloves, the surveyor confirmed this finding.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-23 · tag F0909 — failed to maintain a comfortable temperature — isolated
  Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observations and interview, the facility failed to ensure that a bed gap filler (bumper pad) was in place between the mattress and foot of bed frame to eliminate the potential risk of entrapment of body parts for 1 of 22 resident beds observed (Resident #17 [R17]).On 7/21/2025 at 12:42 p.m., two surveyors observed a gap stuffed with blankets between the foot board of bed frame and mattress of R17's bed. The gap between the end of the mattress and foot board was 5 inches. On 7/21/25 at 2:15 p.m., during an observation of R17's bed, the Administrator stated that there should have been a bumper pad in place and not stuffed with blankets, thinking maybe it was soiled and sent for cleaning. The bumper pad was immediately put in place by the facility.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2022-08-24 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  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 assist residents to organize and hold monthly Resident Council meetings for 3 of 20 residents reviewed for Resident Council. This has the potential to affect all residents in the facility. Findings: During an interview on 8/22/22 at 11:09 a.m. Resident #19 indicated that he/she does not know if the facility is having a Resident Council and has not been invited but would like to attend. Review of clinical record indicated he/she was admitted on [DATE]. During an interview on 8/22/22 at 11:45 a.m., Resident #18 indicated that he/she has never been invited to a Resident Council meeting but would attend. Review of clinical record indicated He/she was admitted on [DATE]. During an interview on 8/23/22 at 8:16 a.m., Resident #12 indicated that he/she had never been invited to Resident Council meeting but would attend. Review of clinical record indicated He/she was admitted on [DATE]. Review of Resident Council minutes binder revealed Resident Council meeting…

  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 · E2022-08-24 · tag F0572 — pattern
  Give residents a notice of rights, rules, services and charges.
  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 review of resident council meeting minutes and interview, the facility failed to inform residents of his or her rights on an ongoing basis after admission for 3 of 20 Residents reviewed for Resident Rights. (#19, #18, #12) Findings: During an interview on 8/22/22 at 11:09 a.m. Resident #19 indicated that he/she has not been informed of her rights as a resident since his/her admission and does not know where to find them. Review of clinical record revealed he/she was admitted [DATE]. During an interview on 8/22/22 at 11:45 a.m., Resident #18 indicated that resident rights were given to him/her on admission but does not know where they are. Review of clinical record revealed he/she was admitted [DATE]. During an interview on 8/23/22 at 8:16 a.m., Resident #12 indicated that he/she knew what resident rights are but doesn't remember anyone reviewing them with him/her and does not know where to find them. Review of clinical record revealed he/she was admitted [DATE]. Review of Resident Council minutes binder…

  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

“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 NORTH COUNTRY ASSOCIATES — 9 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 3 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted.

What families pay in ME