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Marshwood Center

33 Roger Street, Lewiston, ME 04240 · For profit - Corporation · 108 certified beds · (207) 784-0108 Medicare & Medicaid certified

Call the home — (207) 784-0108 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 29 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (34% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (29) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • about 22% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
685 Sabattus St · (207) 795-5050 · Call to confirm hours
Pharmacy
692 Sabattus St · (207) 786-0122 · Call to confirm hours
Grocery
Hannaford0.9 mi
692 Sabattus St · (207) 784-0721 · Call to confirm hours
Park
Central Avenue · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased16.5%24.4%15.4%typical
Long-stay residents who lose too much weight7.5%5.2%5.4%worse
Long-stay residents with a catheter left in their bladder1.3%1.1%0.9%worse
Long-stay residents with a urinary tract infection2.8%2.2%2.0%worse
Long-stay residents with depressive symptoms14.3%11.6%6.5%worse
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury1.0%4.1%3.3%better
Long-stay residents whose ability to walk worsened35.8%25.6%16.1%worse
Long-stay residents on antianxiety or hypnotic medication9.8%17.4%18.9%better
Long-stay residents given the seasonal flu vaccine92.9%95.5%95.3%typical
Long-stay residents with pressure ulcers5.5%4.3%4.7%worse
Long-stay residents with worsening bladder/bowel control27.3%29.2%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table17.6%20.2%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.0%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine82.2%74.5%79.4%typical
Short-stay residents rehospitalized after admission17.3%20.8%22.6%better
Short-stay residents with an outpatient ER visit11.1%16.1%12.0%typical
Long-stay hospitalizations per 1,000 resident days0.231.451.67better
Long-stay outpatient ER visits per 1,000 resident days0.512.011.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

60.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 132 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

60.4%U.S. median 51.5%
Got home and stayed home
8.9%U.S. median 10.7%
Went back to hospital
39.2%U.S. median 56.6%
Met the expected recovery
0.43U.S. median 0.31
Therapy hours / resident / day
0.21hours / resident / day
Physical therapy
0.16hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 39.2% 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 130 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 0.43 therapist hours per resident per day in 2026Q1 — more than 74% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF60.4%CMS range 49.1–67.951.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF8.9%CMS range 6.7–12.010.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge39.2%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge41.5%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge41.5%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified93.2%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting92.3%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge95.2%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.1%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization5.5%CMS range 2.8–9.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.091.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

1.03
RN hours/ resident / day
0.53
LPN hours/ resident / day
2.42
Aide hours/ resident / day
3.98
Total nurse hours/ resident / day
0.87
RN hoursweekends
33.6%
Total nursing turnover
45.8%
RN turnover

How full it usually is: this home is certified for 108 beds and averages 101.4 residents a day — about 94% 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 3.98 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.03 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.42 is below 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 3.77 hrs/resident/day on weekends vs 4.06 on weekdays — 7% thinner on weekends. RN hours go from 1.10 to 0.87 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%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

8
deficiencies at the latest standard inspection (2026-03-18)
13
at the previous standard inspection (2024-12-19)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

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 · Ecited before2026-03-18 · 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 6 of 7 units ([NAME], [NAME], [NAME], [NAME], [NAME] and [NAME]) 2 of 2 facility tours.(3/16/26 and 3/18/26)Findings:On 3/18/26 from 3:00 p.m. to 3:45 p.m., two surveyor conducted an Environmental tour with the Administrator, the Director of Nursing, the Maintenance Director, the Maintenance Assistant and the Housekeeping Supervisor in which the following findings were discussed and/or observed. [NAME] Unit:- There were six(6) cracked/broken floor tiles approximately forty one(41) cracked/broken floor tiles in the dining area. - Resident room [ROOM NUMBER] - The bathroom walls were marred/marked with black marks by the baseboard heater. - Resident room [ROOM NUMBER] - A surveyor had observed the heating unit to be pulled away from the wall. This was confirmed by and with the Market Clinical Advisor 3/16/26…

    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 · E2026-03-18 · tag F0657 — failed to keep the care plan current — pattern
    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 interviews and record review, the facility failed to review and revise the care plan by an interdisciplinary team (IDT), that included, to the extent possible, participation of the resident and/or his/her representative after each Minimum Data Set (MDS) assessment for 5 of 28 residents reviewed for care planning (Residents #1, #8, #35, #60, and #63). Findings: 1. Review of Resident #1's medical record contained a Quarterly Minimum Data Set (MDS) version 3.0 dated 1/6/26. The clinical record lacked evidence of his/her IDT meeting being held within 7 days of the quarterly MDS assessment On 3/18/26 at 9:30 a.m., in an interview with the Market Clinical Advisor, who confirmed that Resident #1's IDT meeting was not held within 7 days of the quarterly MDS assessment. 2. Review of Resident #8's medical record contained a Quarterly MDS version 3.0 dated 12/16/25 and 3/12/26. The clinical record lacked evidence of his/her IDT meeting being held within 7 days of the two quarterly MDS assessments. 3. Review of Resident #60's medical record contained a Quarterly MDS version 3.0 dated…

    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 before2026-03-18 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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 — the official record, unedited, may be distressing

    Based on observations and interviews the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for walls, floors, air conditioner vents, and ceiling tiles for 1 of 1 kitchen tour (3/16/26).Findings:On 3/16/26 from 8:16 a.m. to 8:48 a.m. two surveyors conducted an initial kitchen tour with the Director of Operations for Dietary for Health Care Services in which the following findings were observed and discussed:-The wall behind the stove has missing sheet rock.-The kitchen floor had food debris and trash under tables and equipment.-The floor in the walk-in freezer had chipped/missing paint creating an uncleanable surface.-The air conditioner vents were soiled with dust/dirt.-Approximately 15 ceiling tiles and the ceiling grids above the stove were stained yellowish and soiled with dust/dirt.On 3/16/26 at 8:48 a.m., in an interview with two surveyors, the Director of Operations of Dietary for Health Care Services confirmed the findings.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-03-18 · tag F0842 — failed to keep accurate, complete medical records — pattern
    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 — an excerpt from the official record, may be distressing

    Based on record reviews and interviews, the facility failed to ensure the Medication Administration Records (MAR) and Treatment Administration Records (TAR) were accurately completed for 7 of 28 residents reviewed (Resident #1, #3, #8, #14, #35, #60, and #63).Findings: 1. On 4/2/25 a surveyor reviewed Resident #1's clinical record which showed an active physician order initiated on 12/9/25 for Humalog Solution 100 units/milliliters with instructions to Inject per sliding scale if 0-150= 0 units (if blood glucose is less than 70, call MD (medical doctor); 151-200 = 2 units; 201-250 = 4 units; 251-300 = 6 units; 301-230 = 8 units; 351+ = 10 units and 9 (if blood glucose is greater than 400, call MD immediately for further instruction), subcutaneously before meals for sliding scale insulin coverage for diabetes must take finger stick blood glucose prior to administration. A review of his/her Medication Administration Record/Treatment Administration Record for the month of March, lacked evidence that Resident #1's blood sugars were checked and insulin was given on 3/1/26, 3/5/26,…

    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 · D2026-03-18 · tag F0557 — isolated
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    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 protect and promote a resident's dignity for 1 of 2 residents sampled for hygiene for 2 of 3 days of survey. (Resident #24).Findings:Resident #24 was admitted to facility in February 2026 with diagnoses of right tibia and fibula fracture.The most recent Brief Interview for Mental Status (BIMS) was 14 out of 15 indicating [he/she] is cognitively intact.Review of Resident#24's current care plan initiated 2/10/26 stated, Resident is at risk for decreased ability to perform ADL(s) (Activities of Dailly Living) in grooming, personal hygiene requires 1 person extensive assistance with bathing, and grooming .On 3/16/26 at 10:56 a.m., observation of Resident #24 sitting in his/her wheelchair with long white facial hair on his/her chin. At this time, during an interview the resident was asked if having facial hair was a concern. The resident replied, Yes it does, I have tried to get someone to help me, there's men here so I know they have shavers. The surveyor…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-03-18 · 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 observations, interviews, and a review of Safety Data Sheets (SDS), the facility failed to ensure that the resident environment remained free from the potential risk of accidents, relating to the storage of chemicals being properly secured for 1 of 3 days of survey (3/16/26).Findings:On 3/16/26 at 11:18 a.m., observation of the [NAME] unit spa with an unlocked and ajar closet door which residents had access to. Closer observation showed the closet contained 5 gallons of Cid-A-L (tm) II (disinfectant, virucide and fungicide chemical).Safety Data Sheet noted the following:Restrictions of Use: Do not ingest. Avoid contact with skin and eyes. Keep out of reach of children. Do not allow product to go directly down storm sewer.First Aid Measures Eye Contact: Flush eyes with plenty of water for at least 15 minutes. Skin Contact: Wash off skin and remove contaminated clothing. Do not reuse contaminated clothing. Inhalation: If dust, vapors or mist cause distress, remove to fresh air. Use oxygen or artificial…

    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 · Dcited before2026-03-18 · tag F0814 — failed to dispose of garbage properly — isolated
    Dispose of garbage and refuse properly.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to maintain a garbage storage area in a sanitary condition to prevent the harborage and feeding of pests for 3 of 3 dumpsters for 1 of 3 days of survey (3/16/26).Finding:On 3/16/26 at 8:18 a.m., a surveyor observed food and trash to be on the ground around 3 of 3 dumpsters.On 3/16/26 at 8:48 a.m., in an interview with two surveyors the Director of Operations for Dietary for Health Care confirmed the finding.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-18 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, record review and facility policy, the facility failed to maintain an Infection Control Program designed to provide a sanitary environment to help prevent the development and transmission of disease and infection related to the management of residents with Clostridium Difficile (C-diff - a highly contagious bacterium (germ) that causes diarrhea and colitis) infection for 1 of 3 residents reviewed for Transmission Based Precautions. (#117)Finding:Resident #117 was admitted with a diagnosis of Clostridioides difficile. The current care plan for actual infection of Clostridioides difficile initiated on 3/14/26, had interventions of Contact Precautions.On 3/16/26 at 10:33 a.m., observation of Resident #117's room with a posted Contact Precautions sign on the door instructing staff to put on gloves and a gown before entering the room. Next to the door was a 3 draw plastic bin containing Personal Protective Equipment (PPE) of gloves and gowns. At this time, Resident #117 stated he/she was on contact precautions due to having C-diff and is on an…

    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 · E2024-12-19 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interview, the facility failed to ensure that the resident and/or resident representative written information, concerning the right to accept or refuse medical or surgical treatment and/or formulate and advanced directive, was completed for 4 of 10 residents reviewed for advanced directives. (Residents #70, #90, #306, and #405) Findings: 1. Resident #70 was admitted to the facility on [DATE]. Review of Resident #70's clinical record lacked evidence that the facility provided/obtained resident and/or resident representative written information concerning the right to accept or refuse medical or surgical treatment and/or formulate an advance directive. 2. Resident #90 was admitted to the facility on [DATE]. Review of Resident #90 's clinical record lacked evidence that the facility provided/obtained resident and/or resident representative written information concerning the right to accept or refuse medical or surgical treatment and/or formulate an advance directive. On 12/17/24 at 3:25…

    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 before2024-12-19 · 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 interview, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in a sanitary, orderly, and comfortable environment on 7 of 7 units ([NAME], [NAME], [NAME], [NAME], [NAME], [NAME] and [NAME]) and the Activity Room for 1 of 1 facility tour. Findings: On 12/19/24 from 8:05 a.m. to 8:40 a.m., 2 surveyors conducted an Environmental Tour with the Maintenance Director, the Director of Nursing and the Administrator in which the following findings were observed: [NAME] Unit(100s) - Resident room [ROOM NUMBER] - The privacy curtain was missing hooks and hanging down and in disrepair. The room heating unit had a cracked/broken top plastic grill with rough edges. The bathrooms walls were marred/marked with black marks. - Resident room [ROOM NUMBER] - The bathroom floor was heavily soiled with dirt. - Resident room [ROOM NUMBER] - The caulking around the base of the toilet was dirty. The privacy curtain was missing hooks and hanging down…

    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
Show the remaining 19 citations
  • Potential for harm · Ecited before2024-12-19 · 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, interviews, and a review of Safety Data Sheets (SDS), the facility failed to ensure that the resident's environment was free of accident hazards relating to the storage of chemicals being properly secured for 3 of 3 observations for 2 of 4 days of survey (12/16/24 and 12/18/24). Findings: The Safety Data Sheet for Clorox Healthcare Bleach Germicidal Wipes noted the following: 4. First Aid Measures Eye contact: Rinse thoroughly with water as necessary. If symptoms persist, call a physician. Skin contact: Wash with soap and water. If skin irritation persist, call a physician. Inhalation: Remove to fresh air. If breathing is difficult, trained personnel should give oxygen. If symptoms persist, call a physician. Ingestion: Drink one to two glasses of water. Get medical attention if symptoms occur. The Safety Data Sheet for Pure Bright Germicidal Ultra Bleach noted the following: 4. First Aid Measures Eye contact: Immediately flush with plenty of water. After initial flushing, remove any…

    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 · E2024-12-19 · tag F0725 — failed to have enough nursing staff — pattern
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interviews, the facility failed to ensure sufficient direct care staff were scheduled and on duty to meet the needs of residents that reside in the facility. This has the potential to affect all residents needing assistance with Activities of Daily Living (ADL's). Findings: Review of Payroll Based Journal staffing report revealed the facility triggered for Excessively Low Weekend Staffing during the fourth quarter 4 (July 1, 2024 through September 30, 2024). On 12/19/24 at approx. 11:00 a.m., review of weekend staffing from July 1, 2024 through September 30, 2024, both the Director of Nursing and the Scheduler/Payroll/Human Resource personal confirmed the facility did not have enough staff to meet resident needs on the weekends.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-12-19 · tag F0726 — failed to have competent, trained nursing staff — pattern
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure that 8 out of 25 licensed staff had current certification in Healthcare Basic Life Support (BLS) as required by facility. Licensed Practical Nurse (LPN) #2, Registered Nurse (RN) #2, RN#3, RN#4, RN#5, RN#6, RN #7 and RN#8. Findings: A surveyor reviewed the Job Descriptions for Registered Nurses and Licensed Practical Nurses at the facility and found under Specific Educational/Vocational Requirements: Maintains current BLS/CPR certification A surveyor reviewed the documentation provided by the facility for the 25 licensed staff currently employed and found 8 staff without documentation of a current BLS/CPR certification. LPN #2, RN #2, RN#3, RN#4, RN#5, RN #6, RN#7 and RN #8. On [DATE] at 1:13 p.m. a surveyor met with the Director of Nursing and discussed the above findings.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-12-19 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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 interview, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for the floor, the walk-in freezer, a sink, a food mixer, ceiling tiles, a food disposal unit, a blender and a convection oven; failed to ensure food in the dry storage room was closed and secured shut; and failed to ensure that the kitchen ice machine was plumbed in accordance with code requirements to prevent food contamination for 1 of 1 kitchen tour for 1 of 1 day of survey (12/16/24). Findings: This direct connection of waste water and potable water was in violation of the 10-114 State of Maine Rules Chapter 226, definition Section A, which defines an Air-Gap Separation - A physical separation between the free-flowing discharge end of a potable water supply pipeline and an open or non-pressure receiving vessel. An air-gap separation shall be at least twice the diameter of the supply pipe measured vertically above the overflow rim of the vessel - in no case less than one inch (2.54 cm) and the Code of Federal Regulation, Title 21, Part 1250, Section 1250,…

    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 · D2024-12-19 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    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, observations and record reviews, the facility failed to meet the reasonable needs of residents in the areas of beverage choices and bed size for 2 out of 16 residents screened for accomodation of needs (Resident #42 and Resident #356) Findings: 1. On 12/17/24 at 1:30 p.m., during a resident council meeting, Resident #42 complained that she cannot get Ginger Ale to drink unless the nurse calls the Kitchen and says that the resident is sick. On 12/18/24 at 11:50 a.m., a surveyor asked the staff on [NAME] Unit if they had ever been told that the residents could not have Ginger Ale unless the resident was ill? Medication Technician (MT) #1 and Certified Nursing Assistant (CNA) #1 stated that they have both been told that. When we call to the Kitchen and ask, we have been told that residents cannot get Ginger Ale unless they are sick. On 12/18/24 11:45 a.m., a surveyor asked the Food Service Director if the residents can get Ginger Ale. He stated that if their diet allows them, they can have…

    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 · D2024-12-19 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    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 that 1 of 2 residents reviewed with a specialized mental health diagnosis, whose stay went beyond the expected 30 days, had been referred to the appropriate state-designated authority for Pre-admission Screening & Resident Review Level II (PASRR) evaluation and determination (Residents #91). Finding: Resident #91 was admitted to the facility on [DATE] with diagnosis of Major Depressive Disorder and Suicidal Ideations. Resident #91's clinical record contained a PASRR Level I determination letter dated 8/27/24 that stated further PASRR evaluation was not required due to a Time Limited Waiver of 30 days. Resident #91 had a suspected or confirmed PASRR Condition: Mental Health Disability. Resident #91 was not discharged after a short stay and was assessed to be Nursing Facility level of care and continued to reside in the facility. The clinical record lacked evidence to indicate that the PASRR Level I was forwarded again to the State Mental Health…

    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 · D2024-12-19 · tag F0685 — isolated
    Assist a resident in gaining access to vision and hearing services.
    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 policy, interviews, and record review the facility failed to complete an personal property list, identify, and assist resident to get new eye glasses when they were lost for 1 of 41 resident reviewed during survey. Findings: Review of the facility policy titled Personal Property: Patient's revised on 8/15/23 states that personnel will identify and record the patient/patient's belongings upon admission to a center Any loss or breakage of a patient's personal item will be documented on the property loss form be the person receiving the report, and then referred to the Administrator . Administrator or designee will investigate the lost item. On 12/16/24 at 11:06 a.m., during an interview with Resident #63, stated his/her glasses have been missing for several months. Review of quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #63 had a Brief Interview for Mental Status (BIMS) of 15 of 15, indicating he/she s cognitively intact. Reviwe of quarterly Minimum Data Set (MDS) dated [DATE],…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-19 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on Interviews and record reviews, the facility failed to prevent a decrease in the Range of Motion (ROM) and/or mobility for 2 of 11 residents screened for maintenance of physical abilities following discharge from physical/occupational therapies. (Resident #45 and Resident #500) Findings: 1. On 12/18/24 at 10:13 a.m. a surveyor reviewed a binder provided by therapy services with Restorative Nursing Program Goals Sheets for residents discharged from Physical and/or Occupational therapy. This binder contains the after therapy plans recommended to maintain the physical abilities the resident achieved during therapy. A surveyor located a plan for Resident #500 in this binder, dated 7/9/24, that stated: Ambulate with walker, gait belt and wheelchair follow 1-2 times a day as patient allows. Have patient do lower extremity home exercise program once a day as patient allows (program in patient room). Record review of Resident #500's care plan failed to find the above program as an intervention. Facility was unable to provide any documentation that the above program was followed 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-19 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on facility policy, observations, and interviews, the facility failed to maintain a sanitary environment to help prevent the development and transmission of disease and infection related to respiratory care for 2 of 2 residents reviewed for respiratory care (Resident 98 and 405). Findings: Review of facility procedure titled Oxygen: Nasal Cannula last revised on 8/7/23 states Date and store cannula in a treatment bag when not in use. On 12/16/24 at 1:09 p.m. and on 12/17/24 at 7:48 a.m., observation of Resident 98's nebulizer tubing stored on bedside table. On 12/16/24 at 2:36 p.m. and on 12/17/24 at 7:44 a.m., observation of Resisent 405's oxygen tubing stored under the oxygen concentrator handle. 12/17/24 3:42 p.m., during an interview with the Director of Nursing, the above information was confirmed.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-19 · tag F0868 — isolated
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    What the surveyor found here — the official record, unedited, may be distressing

    Based on review of the Quality Assessment and Assurance (QAA) attendance sheets and interview, the facility failed to ensure that an Infection Preventionist attended 2 of 4 quarterly QAA meetings. Finding: A review of the quarterly QAA meeting attendance sheets indicated that an Infection Preventionist did not attend the 7/25/24 and 10/31/24 quarterly QAA meetings. On 12/18/24 at approximately 9:00 a.m., in an interview with the surveyor, the Administrator stated, she does not know why the Infection Preventionist (I/P) was not at the July meeting, but she left the facility in mid-October, so she was not at the October meeting. Since that time there has not been anyone in that role. A new I/P has been hired. She was just here on Monday to finalize her position. The above was confirmed with the Marketing Clinical Advisor on 12/18/24 at 2:00p.m.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-08-20 · 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 6 units ([NAME], [NAME] and [NAME]) for 1 of 1 days of survey.(8/20/24) Findings: 1. On 8/20/24 from 8:55 a.m., to 9:25 a.m., during tour of the Gilber Unit by a surveyor, the following findings were observed: > Resident room [ROOM NUMBER] - The wall heater unit has chipped/missing paint and had rust on it creating an uncleanable surface. The walls around the room and in the bathroom were marred/marked. > Resident room [ROOM NUMBER] - The bathroom walls were marred/marked. > Resident room [ROOM NUMBER] - The room wall heating unit has chipped/missing paint and had rust on it creating an uncleanable surface. Additionally the walls were marred/marked around the entire room. > Resident room [ROOM NUMBER] - The privacy curtain, between the two resident beds, had large dirty and stained areas in multiple…

    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 before2024-08-20 · 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 — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to ensure that the resident's environment was free of accident hazards relating to a base board heater, a wooden resident room door and a resident toilet for 1 of 1 day of survey. (8/20/24) Findings: 1. On 8/20/24 at 8:55 a.m., a surveyor observed the following on the [NAME] Unit: > Resident room [ROOM NUMBER] - The bath room toilet was loose and not secured to the floor. Additionally, the bathroom door had chipped/gouged and splintered wood which was sharp. 2. On 8/20/24 from 9:35 a.m. and 10:15 a.m., a surveyor observed the following on the [NAME] Unit: > Resident room [ROOM NUMBER] - The base board heater was broken apart creating sharp metal. > Resident room [ROOM NUMBER] - The entrance door had chipped/gouged and splintered wood which was sharp. On 8/20/24 at 10:15 a.m., in an interview, the surveyor discussed the findings with the Director of Nursing.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-09-21 · 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 good repair and in a sanitary condition for 7 of 7 Units ([NAME], [NAME], [NAME], [NAME], [NAME], [NAME], and [NAME]), the laundry room, the first floor common area, and the second floor common area for 3 of 3 environmental tours (9/18/23. 9/19/23 and 9/21/23) Findings: 1. On 9/18/23 at 10:15 a.m., a surveyor observed dried liquid and food residue on the floor under and in front of the unit refrigerator. On 9/18/23 at 10:19 a.m., Certified Nursing Assistant[CNA #1} confirmed the findings. 2. On 9/19/23 between 9:27 a.m. and 10:06 a.m. on the [NAME] Unit, a surveyor observed the following: > Resident #68's wheelchair was heavily soiled with dirt/debris > Resident #60's Broda chair was soiled with dirt/debris > Resident #14's wheelchair was heavily soiled with dirt debris. On 9/19/23 at 2:29 p.m., a surveyor confirmed the above findings with the Administrator,…

    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 before2023-09-21 · 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 — 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 that the resident's environment was free of accident hazards relating to a patient lifts for 2 of 2 facility tours, for 1 of 3 days of survey. (9/18/23) Findings: 1. On 9/18/23 at 10:05 a.m., a surveyor observed an EZ sit-to-stand patient lift on the [NAME] Unit that was missing the left side lift/swing arm safety clip which is used to secure the lift sling/pads on the lift/swing arm when in use. 2. On 9/18/23 at 10:22 a.m., a surveyor observed an EZ sit-to-stand patient lift on the [NAME] Unit that was missing both the left side lift/swing arm safety clip and the right side lift/swing arm safety clip which is used to secure the lift sling/pads on the lift/swing arm when in use. On 9/18/23 at 11:22 a.m., in an interview, the Director of Nursing confirmed that the two sit-to-stand patient lifts were missing safety hooks on the lift/swing arm and the lifts were accident hazards.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-09-21 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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, interview, and the facility's Food and Nutrition Services Policies and Procedures, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for ceiling lights, ceiling vents, the hood exhaust system, the food mixer, the cook stove and the grease trap cover. Further, the facility failed to ensure all staff were wearing facial hair protectors. Additionally, the facility failed to ensure foods were labeled in the walk-in freezer for 2 of 2 tours on 1 of 4 days of survey. (9/18/23) Findings: Review of the facility's Food and Nutrition Services Policies and Procedures, Food Receiving and Storage Policy (last reviewed 5/1/23) noted: FNS407 Food Handling Policy: Foods are stored, prepared, and served in a safe and sanitary manner. 22.1 Unused portions that have been properly handled, refrigerated, covered, labeled, and dated with used by dates or frozen and reheated and served 26. The following is a guide to use when establishing a use by date for food items. The manufacturers expiration date, when available, is the use by date for…

    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 · D2023-09-21 · 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 observation, record review and interview, the facility failed to ensure that Oxygen was administered according to physicians orders for 1 out of 3 sampled residents. (#69) Finding: On 9/20/23 at 9:00 a.m., a surveyor observed Resident 69's Flowmeter on the oxygen concentrator was set at 5 liters per minute (LPM) delivering a continuous flow of oxygen at 5 LPM. A review of Resident 69's physician's order dated 6/14/23 instructed staff to administer supplemental oxygen via nasal cannula at 2 liters, as needed, for Shortness of Breath. On 9/20/23 at 9:44 a.m., a surveyor confirmed this finding with the Nurse Manager of the Short Stay unit that Resident 69's order for supplemental oxygen was not being administered according to physicians orders.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-09-21 · tag F0814 — failed to dispose of garbage properly — isolated
    Dispose of garbage and refuse properly.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to maintain garbage storage areas in a sanitary condition to prevent the harborage and feeding of pests for 2 of 3 dumpsters for 1 of 3 days of survey. (9/18/23) Findings: On 9/18/23 at 9:20 a.m., a surveyor and the Food Service Director observed 2 of 3 dumpsters, one with the left side door open exposing trash and one with both the left side door and right side open exposing trash. Additionally, there was paper trash and used disposable gloves on the ground around the dumpsters. On 9/18/23 at 9:20 a.m., in an interview, the Food Service Director confirmed the finding. On 9/18/23 at 10:00 a.m., in an interview, the surveyor discussed the finding with the Administrator and the Director of Nursing.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • No harm found · Bcited before2024-12-19 · tag F0732 — pattern
    Post nurse staffing information every day.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, record review and interview, the facility failed to post nurse staffing information on a daily basis including: the resident census per shift for 3 of 4 survey days. In addition, the facility failed to maintain records of the posted daily nurse staffing data for a minimum of 18 months. Findings: On 12/16/24, 12/17/24 and 12/18/24, a surveyor observed the nurse staffing information posted in the main entrance, the posting lacked the resident census. On 12/18/24 at 7:58 a.m., during an interview, the Scheduler/Payroll/HR personal, confirmed the lack of the resident census on the posted nurse staffing. During this interview, she confirmed the facility does not maintaining records of the daily posted staffing sheets and was unaware that she needed to keep them for minimum of 18 months. On 12/18/24 at 8:10 a.m., the above was confirmed with the Registered Nurse Market Clinical Advisor.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • No harm found · Bcited before2023-09-21 · tag F0732 — pattern
    Post nurse staffing information every day.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to post the current daily nurse staffing information between 9/16/23 and 9/18/23. Finding: On 9/18/23 at 9:00 a.m., two surveyors entering the facility observed the nurse staffing information posted on the first floor entrance door. The date on the nurse staffing information was 9/15/23; staffing for three days earlier. On 9/21/23 at 08:05 a.m., in an interview, the Director of Nursing confirmed that the nurse staffing information was not posted for 9/16/23, 9/17/23 and 9/18/23.

    Nursing and Physician Services 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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to GENESIS HEALTHCARE — 184 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 →

RatingThis homeChain avg
Overall 3 of 52.4+0.6 vs chain
Health inspection 3 of 52.3+0.7 vs chain
Staffing 4 of 52.5+1.5 vs chain
Quality measures 4 of 53.5+0.5 vs chain
The other 183 homes this chain runs (chain average 2.4★, per CMS)
1 of 5Alexandria Care CenterLos Angeles, CA 1 of 5Bay Crest Care CenterTorrance, CA 1 of 5Bethlehem North Skilled Nursing And RehabilitationBethlehem, PA 1 of 5Bethlehem South Skilled Nursing And RehabilitationBethlehem, PA 1 of 5Bridgeville Rehabilitation & Care CenterBridgeville, PA 1 of 5Brightwood CenterFollansbee, WV 1 of 5Carlisle Skilled Nursing And Rehabilitation CenterCarlisle, PA 1 of 5Casa De Oro CenterLas Cruces, NM 1 of 5Devonshire Care CenterHemet, CA 1 of 5Gettysburg CenterGettysburg, PA 1 of 5Glenwood CenterFlorence, AL 1 of 5Heritage CenterHuntington, WV 1 of 5Hidden Valley CenterOak Hill, WV 1 of 5Inners Creek Skilled Nursing And Rehabilitation CeDallastown, PA 1 of 5Jersey Shore Skilled Nursing And Rehabilitation CeJersey Shore, PA 1 of 5Kingston Court Skilled Nursing And RehabilitationYork, PA 1 of 5Las Palomas CenterAlbuquerque, NM 1 of 5Lebanon Center, Genesis HealthCareLebanon, NH 1 of 5Lebanon Skilled Nursing And Rehabilitation CenterLebanon, PA 1 of 5Linden Grove Health Care CenterPuyallup, WA 1 of 5Magnolia RidgeGardendale, AL 1 of 5Marmet CenterMarmet, WV 1 of 5Meridian CenterHigh Point, NC 1 of 5Merry Wood LodgeElmore, AL 1 of 5Mount Olive CenterMount Olive, NC 1 of 5Mountain Ridge Center, Genesis HealthCareFranklin, NH 1 of 5Oak Grove CenterWaterville, ME 1 of 5Oceanside Skilled Nursing And RehabilitationHampton, NH 1 of 5Orchard Park Health Care & Rehab CenterTacoma, WA 1 of 5Parkersburg CenterParkersburg, WV 1 of 5Pembroke CenterPembroke, NC 1 of 5Pine LodgeBeckley, WV 1 of 5Playa Del Rey CenterPlaya del Rey, CA 1 of 5Pocahontas CenterMarlinton, WV 1 of 5Pottstown Skilled Nursing and Rehabilitation CentePottstown, PA 1 of 5Putnam CenterHurricane, WV 1 of 5Ridgewood CenterRidgewood, NJ 1 of 5Rio Rancho CenterRio Rancho, NM 1 of 5River City CenterDecatur, AL 1 of 5River Ridge CenterKennebunk, ME

Showing 40 of 183; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
GENESIS HEALTHCARE OF MAINE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 08/01/2008
FC-GEN OPERATIONS INVESTMENT LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 04/01/2011
GEN OPERATIONS I LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 04/01/2011
GEN OPERATIONS II LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 04/01/2011
GENESIS HEALTHCARE INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS HEALTHCARE LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 04/01/2011
GENESIS HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GHC HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 08/01/2008
SUN HEALTHCARE GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
WHITMAN, ARNOLDIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
BERG, MICHAELIndividualCORPORATE OFFICERsince 12/01/2012
BRIDGEFORD, LAURAIndividualCORPORATE OFFICERsince 06/01/2024
MENDELSON, AVIIndividualCORPORATE OFFICERsince 06/01/2024
BARENDS, BETHIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/24/2025
MORRIS, DIANEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/23/2023
STADLER, DANIELIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/24/2025

CMS files one row per role, so the 19 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.

9 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.

$13.4M
Net patient revenuemost recent cost report
-4.0%
Operating marginrevenue minus expenses
$3.0M
Related-party expense22% of expenses
Who pays — share of resident-days
Medicaid 68%Medicare 12%Other / private 21%

This home reported $3.0M paid to related parties — landlords or management companies under common ownership — equal to about 22% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$396per resident / day
operating cost
$12,042per month
≈ monthly operating cost
$381per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Maine Medicaid page.

Typical monthly cost in Maine
$13,976/mo
Nursing home (semi-private)
$14,904/mo
Nursing home (private)
$8,205/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 205072. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-18, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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