Madigan Estates

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.

42.8% 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 64 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 36.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 38 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 0.19 therapist hours per resident per day in 2026Q1 — more than 20% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% 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 99 beds and averages 96.6 residents a day — about 98% 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 3.95 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.85 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.60 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 3.64 hrs/resident/day on weekends vs 4.08 on weekdays — 11% thinner on weekends. RN hours go from 1.06 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 43% is about the same as the national median of 45%.

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

Inspection trend

Deficiencies are 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.

25 citations, most serious first. The 11 most serious are shown; the remaining 14 are one tap away and print in full.

• Actual harm · G2023-11-14 · 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 facility reported incident review, facility investigation, record review, and interviews, the facility failed to ensure that a resident received the proper level of assistance during a transfer when a Certified Nursing Assistant (CNA) did not review how the resident transferred and used a single assist bear hug method, when the resident was a two person Hoyer Mechanical Lift for 1 of 1 incidents received (10/26/23). The failure to transfer the resident via Hoyer Lift resulted in Resident #2 [R2] requiring transfer to an acute care hospital, sustaining a non-displaced fracture proximal to the right tibia, experiencing pain and anxiety after the injury occurred. On 11/14/23, the facility reported incident (FRI) and facility investigation sent to the Division of Licensing and Certification (State Agency) were reviewed. The FRI indicated that on 10/26/23 at 8:00 a.m., CNA #2 attempted to transfer Resident # [R]2 from the bed to a chair. R2 is ordered to transfer via Hoyer (Mechanical) Lift. CNA #2 did a…

  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 · Past Non-Compliance
• Potential for harm · D2025-05-22 · tag F0605 — failed to not use drugs as a restraint — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure an as needed (prn) psychotropic medication met the required 14-day limit for 1 of 5 Resident's reviewed for unnecessary medications (Resident #5 [R5]). Finding: On 5/20/25, during a review of R5's current Physician Orders, it showed that R5 was using the facility's Palliative care end of life order set. The order set included an order for Haldol (a psychotropic medication), with directions that if a resident is less than or equal to 60 kilograms (kg) or greater than [AGE] years of age to give Haldol 0.5 milligrams(mg) to 1 mg intramuscularly (IM) prn for agitation every hour until calm, then every 6 hours prn with no stop date. The medical record lacked evidence of clinical rational to continue the prn psychotropic medication with an extended time frame. Review of the electronic Treatment Administration Record (TAR) revealed that R5 received a prn Haldol dose of 1 mg on 4/16/25, and a prn Haldol dose of 1 mg on 4/18/25. On 4/19/25 the prn Haldol…

  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 · D2025-05-22 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility policy review and interviews, the facility failed to ensure an alleged allegation of physical and verbal abuse was reported to the Division of Licensing and Certification for 1 of 2 residents reviewed (Resident #13 [R13]). Finding: A review of the facility's policy, Abuse Prevention Program: Policy Statement, states, 7. Investigate and report any allegations of abuse within timeframes as required by federal requirements. On 5/11/25, the Division of Licensing and Certification received from Adult Protective services an allegation of verbal and physical abuse toward R13 by Certified Nursing Assistant #2 (CNA2) who was witnessed raising his/her voice, in a derogatory manner and using profanity while working with R13. A review of a facility-provided written statement from Licensed Practical Nurse [LPN] states, .R13 was having a hard time catching his/her breath and that it felt like [CNA2] was trying to pull his/her catheter out of his/her [insertion site] and was being extremely rough with him/her. As I was walking in, I hear CNA2 say to R13, I'm not being mean you're…

  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 · D2025-05-22 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility policy review, record review, and interview, the facility failed to ensure an allegation of physical and verbal abuse was investigated for 1 of 2 complaints reviewed (Resident #13 [R13]). Finding: A review of the facility's policy, Abuse Prevention Program: Policy Statement, states, 7. Investigate and report any allegations of abuse within timeframes as required by federal requirements. On 5/11/25, the Division of Licensing and Certification received from Adult Protective services an allegation of verbal and physical abuse toward Resident #13 by Certified Nursing Assistant #2 (CNA2) who was witnessed raising his/her voice, in a derogatory manner and using profanity while working with R13. A review of a facility-provided written statement from Licensed Practical Nurse [LPN] states, .R13 was having a hard time catching his/her breath and that it felt like [CNA2] was trying to pull his/her catheter out of his/her [insertion site] and was being extremely rough with him/her. As I was walking in, I hear CNA2 say to R13, I'm not being mean you're just a [profanity] jerk.…

  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 · D2025-05-22 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interview, the facility failed to ensure that the Minimum Data Set (MDS) 3.0 was coded accurately on a Significant Change MDS assessment to indicate that a resident had a State Level II Preadmission Screening and Resident Review (PASRR) for 1 of 3 residents reviewed for PASRR (Resident #60 [R60]). Finding: On 5/19/25, R60's clinical record was reviewed and included a Level I PASRR, dated 4/2/24, that indicated that R60 needed a face to face review. On 5/21/25 at 10:09 a.m., the Director of Nursing (DON) provided a surveyor with R60's PASRR Level II, dated 4/15/24. Review of R60's Significant Change MDS, dated [DATE], was coded under Section: A1500 to indicate that R60 did not have a Level II PASRR. On 5/21/25 at 11:10 a.m., the surveyor confirmed with the DON that R60's Significant Change MDS 3.0, dated 12/11/24, was coded incorrectly under section A 1500 for the question, Is the resident currently considered by the state level II PASRR process to have serious mental illness and/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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-22 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — the official record, unedited, may be distressing

  Based on clinical record review and interview, the facility failed to ensure a baseline care plan was developed and implemented within 48 hours, that included the instructions needed to provide minimum healthcare information necessary to properly care for 1 of 5 newly admitted residents (Resident #26 [R26]). Finding: On 5/21/25, R26's clinical record was reviewed and indicated that R26 was admitted to the facility in April of 2025 with a Foley catheter in place. The baseline care plan lacked evidence for the use of a Foley catheter. On 5/21/25 at 1:32 p.m., during an interview with a surveyor, the Director of Nursing stated that she could not find the Foley catheter addressed in the baseline care plan. The surveyor confirmed this finding during this interview.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-22 · 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 — the official record, unedited, may be distressing

  Based on record reviews and interview, the facility failed to revise a care plan after a resident qualfied for Preadmission Screening and Resident Review (PASRR) Level II services for 1 of 3 residents reviewed for PASRR (Resident #60 [R60]). Finding: On 5/19/25, R60's clinical record was reviewed. The surveyor noted that the PASRR, dated 4/2/24, stated to Refer for Level II face to face onsite but the surveyor was unable to locate this document. On 5/21/25 at 10:09 a.m., the Director of Nursing provided a surveyor with R60's PASRR Level II, dated 4/15/24. At 11:10 a.m., the surveyor confirmed with the DON that R60's care plan lacked evidence of a care area for the PASRR Level II services.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-22 · 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 — an excerpt from the official record, may be distressing

  Based on record reviews, policy review, and interviews, the facility failed to follow a policy for completing neurological assessments after a fall for 1 of 2 sampled residents who had fallen and hit their head (Resident #66 [R66]). Finding: The facility's policy, Neurological Post-fall Assessment Protocol, undated, directed staff to assess the resident immediately after a fall. If a resident is believe to have hit his/her head, the Neurological Post-fall Assessment Protocol will be initiated which included assessing the blood pressure, pulse, respiratory rate, pupil assessment, level of consciousness, speech and motor response. The Neurological assessment will be performed as follows: -As soon as it is safe to do so following the incident - Every 15 minutes times (x) 1 hour (hr) - Every 30 minutes x 1 hr - Every 60 minutes x 2 hr - Once per 12 hr shift x 24 hrs - Continue x 72 hrs total if any changes from baseline are observed. On 5/20/25, R66's clinical record was reviewed and indicated the resident had a witnessed fall on 3/6/25 at 10:29 p.m., hitting his/her head on the edge of…

  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 · D2025-05-22 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record reviews and interview, the facility failed to ensure the physician orders included an order for the use of a Foley catheter for 1 of 2 residents (Resident #26 [R26]). Finding: On 5/21/25, R26's clinical record was reviewed and indicated that R26 was admitted to the facility in April of 2025 with a Foley catheter in place. A review of the physician orders thru 5/7/25 lacked evidence of an order for the use of a Foley catheter, noting that the Foley catheter was removed on 5/8/25. On 5/21/25 at 1:32 p.m., during an interview with a surveyor, the Director of Nursing stated that she could not find an order for the use of a Foley catheter. The surveyor confirmed this finding during this interview.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-22 · 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

  Based on observations and interviews, the facility failed to ensure that dented cans were removed from use, the facility failed to ensure products in the reach-in refrigerator located in the kitchens back room were labeled, in addition the facility failed to ensure all kitchen staff were wearing facial hair restraints on 1 of 4 days of survey (5/19/25) Findings: On 5/19/25 at 10:50 a.m., during the initial tour of the kitchen, a surveyor observed in the dry food storage area the following dented cans, on the shelf and available for use: 1 6.56 pounds (lbs.) of diced peaches with a dent on the top seal of the can 2 50-ounce (oz) cans of tomato soup with a dent on the top seal of the can 1 112 oz can of apple filling with a dent on the bottom seal of the can At 10:55 a.m., the surveyor observed that in the reach in cooler near the steam table, on the top shelf was a steamtable pan covered in plastic wrap that was not labeled or dated. At 11:00 a.m., the surveyor observed the reach in cooler that was in the back storage room/break room area that had 4 trays each with dishes of food…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-22 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record reviews and interview, the facility failed to ensure that a resident's record contained the Power of Attorney paperwork for 1 of 6 residents reviewed for Advance Directives (Resident #60 [R60]). Finding: On 5/20/25, R60's clinical record was reviewed and indicated on the profile section of the electronic record that R60 had a Power of Attorney (POA) but the surveyor was unable to locate this document. On 5/21/25 at 11:10 a.m., during an interview with a surveyor, the Director of Nursing stated they did not have a copy of R60's POA paperwork on file. The surveyor confirmed this finding during this interview.

  Resident Assessment and Care Planning 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

$11,450 in federal fines across 1 penalty.

• $11,450 — penalty dated 2023-11-14

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 12 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

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 $192K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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