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High View Rehabilitation And Living Center

517 Riverview St, Madawaska, ME 04756 · For profit - Corporation · 51 certified beds · (207) 728-3338 Medicare & Medicaid certified

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Special Focus candidate (CMS is watching this home)Behavioral-health or dementia-care citation — no harm found (F0758)3 immediate-jeopardy citations$17,917 in federal fines1 Medicare payment denial
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • CMS lists it as a Special Focus candidate — not on the watch list itself, but among the homes CMS is watching because of its recent inspection history
  • inspectors cited 3 immediate-jeopardy problems — the most serious level
  • a high number of inspection citations overall (32) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $17,917 in federal fines (most recent 2025-04-09)
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection rating is low (1/5)

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.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
66 Bateman Ave
Pharmacy
429 Main St · (207) 728-3815 · Call to confirm hours
Grocery
Foodland1.2 mi
26 J.-Enoil-Michaud Rue · (506) 739-8871 · Call to confirm hours
Park
160 7th Ave · (207) 728-3604 · 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 3 of 5
Long-stay residentspeople who live here 3 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 2 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 rating2★
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 increased18.6%24.4%15.4%worse
Long-stay residents who lose too much weight10.2%5.2%5.4%worse
Long-stay residents with a catheter left in their bladder1.4%1.1%0.9%worse
Long-stay residents with a urinary tract infection4.9%2.2%2.0%worse
Long-stay residents with depressive symptoms3.4%11.6%6.5%better
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 injury0.0%4.1%3.3%check this — see note marked star below the table
Long-stay residents whose ability to walk worsened32.0%25.6%16.1%worse
Long-stay residents on antianxiety or hypnotic medication24.4%17.4%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%95.5%95.3%typical
Long-stay residents with pressure ulcers5.3%4.3%4.7%worse
Long-stay residents with worsening bladder/bowel control34.8%29.2%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table11.6%20.2%17.1%better
Long-stay hospitalizations per 1,000 resident days0.871.451.67better
Long-stay outpatient ER visits per 1,000 resident days3.612.011.80worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

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.

9.4%U.S. median 10.7%
Went back to hospital
0.09U.S. median 0.31
Therapy hours / resident / day
0.06hours / resident / day
Physical therapy
0.02hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.09 therapist hours per resident per day in 2026Q1 — more than 5% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

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 SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.4%CMS range 6.2–14.010.7%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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 dischargenot reported — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.851.02Oct 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

1.31
RN hours/ resident / day
0.12
LPN hours/ resident / day
2.65
Aide hours/ resident / day
4.09
Total nurse hours/ resident / day
0.93
RN hoursweekends
49.0%
Total nursing turnover
35.7%
RN turnover

How full it usually is: this home is certified for 51 beds and averages 37.4 residents a day — about 73% occupied, or roughly 14 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.09 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.31 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.65 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 3.60 hrs/resident/day on weekends vs 4.28 on weekdays — 16% thinner on weekends. RN hours go from 1.46 to 0.93 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 49% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

12
deficiencies at the latest standard inspection (2025-04-09)
11
at the previous standard inspection (2024-05-01)

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.

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.

32 citations, most serious first. The 14 most serious are shown; the remaining 18 are one tap away and print in full.

  • Immediate jeopardy · Kcited before2025-04-09 · 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

    Based on observations, review of facility's Bed Safety policy, clinical record reviews, and interviews, the facility failed to identify hazards in a resident's environment and implement interventions to prevent avoidable accidents/injuries. This failure resulted in Resident #3 (R3) obtaining a skin tear when hitting his/her right arm on the exposed, uncovered, square tubing on the bed frame that the mattress was not wide enough to cover, and failure to identify exposed areas of a bed frame that created a risk of entrapment for Resident #26 (R26). This created an Immediate Jeopardy (IJ) situation for all 35 residents. Findings: On 3/31/25, the facility census was 35; all 35 resident bed frames have a mattress, and 2 quarter size bed rails attached to the bed frames. On 3/31/25, the facility's Bed Safety policy, undated, was reviewed. The policy indicated the following: -To try to prevent deaths/injuries from the beds and related equipment (including the frame, mattress, side rails, headboard, footboard, and bed accessories), the facility shall promote the following approaches:…

    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
  • Immediate jeopardy · K2025-04-09 · tag F0700 — pattern
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure a resident's bed dimensions were appropriate for a resident resulting in a 10 inch gap between the mattress and the bed rail. This failure created the potential for bodily injury including death by entrapment of body parts, for 1 of 35 residents [Resident #26 (R26]. In addition to the resident in immediate jeopardy, the facility's failure to regularly inspect and monitor bed rails resulted in the potential for harm for 35 out of 35 residents with bed rails. Finding: According to the Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment document, published by the FDA on March 10, 2006, the FDA is recommending a dimensional limit of less than 120 millimeters (4 ¾ inches) for the area between the inside surface of the (bed) rail and the compressed mattress. According to the clinical record, R26 is diagnosed with HEMIPLEGIA AND HEMIPARESIS (paralysis or severe loss of motor function on one side of the body) affecting the resident's left side, and osteoporosis (condition where bones…

    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
  • Immediate jeopardy · K2025-04-09 · tag F0909 — failed to maintain a comfortable temperature — pattern
    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to identify the existing risk for entrapment of body parts through bed inspections, this failure created the potential for severe bodily injury including death by entrapment of body parts, for 3 of 35 residents [Resident #26 (R26), (R3) and (R13)]. In addition to the resident in immediate jeopardy, the facility's failure to implement an effective inspection of all resident bed equipment (bed frames, mattresses, and bed rails) to ensure that bed mattresses fit the bed frames to prevent entrapment of body parts, this has the potential to effect 35 out of 35 residents with bed rails. Findings: On 3/31/25, the facility's Bed Safety policy, undated, was reviewed. The policy indicated, to prevent deaths/injuries, maintenance staff would inspect all beds and related equipment to identify risks and problems including potential entrapment of body parts using the Bionix Bed System Measurement Device (Please see F689). 1. According to the clinical record, R26 is diagnosed with HEMIPLEGIA AND HEMIPARESIS (paralysis 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2022-12-22 · 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 record review and interviews, the facility failed to ensure that one person assist was provided during activities of daily living (ADL's) for 1 of 2 sampled residents (Resident #3), reviewed for falls. The failure to have supervision (one person assist) as directed by the care plan, and the Minimum Data Set (MDS) 3.0, resulted in an avoidable accident; Resident #3 falling during evening ADL's, required transfer to the emergency room, sustained an abrasion and hematoma to the right hip causing an increase in pain and limited mobility. Findings: Review of Resident #3's Resident Incident Report, High View Manor dated 12/5/22 at 2:05 a.m., indicated that on 12/5/22 at 7:00 p.m., Resident was found on the floor by his/her bed laying on his/her right side. Resident stated he/she had finished washing himself/herself and fell to the floor hitting his/her back on the wastepaper basket, but did not hit his/her head. Resident complaining of severe pain to rt (right) hip area. Resident sent to ER (emergency room)…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-04-09 · 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 maintain the building in good repair for 4 of 4 days of survey (3/31/25, 4/1/25, 4/2/25, and 4/3/25). Findings: On 3/31/25 at 11:22 a.m., a surveyor observed chipped paint around the room [ROOM NUMBER] placard, and the wall next to the nurse station door had a large un-painted area around a camera installation. On 4/1/25 at 8:08 a.m., during an interview with a surveyor and the Administrator, Resident #26's (R26) bathroom was observed. The bathroom had a large trash bag taped to the ceiling directing a steady leak of water into a trash barrel. Paint chips and insulation debris was observed in the standing water of the trash barrel. The Administrator stated it has been like that over the winter and will not be repaired until it is warmer outside. The Maintenance, Housekeeping, and Laundry Supervisor was able to redirect all the water into R26's bathroom (R26 does not use the bathroom). On 4/2/25 at 7:30 a.m., a surveyor observed the ceiling outside room…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-04-09 · 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, interviews and record review, the facility failed to ensure the kitchen was maintained in a clean manner on 4 of 4 days of survey (3/31/25, 4/1/25, 4/2/25, and 4/3/25), the facility failed to label thawed nutritional shakes with a thaw date on 1 of 4 days of survey. (3/31/25), the facility failed to discard expired foods on 1 of 4 days of survey (3/31/25), the facility failed to label, and date opened foods for 1 of 4 days of survey (3/31/25). In addition, the facility failed to consistently monitor and document food temperatures for proper cooked temperatures and proper serving temperatures for 94 of 99 meals reviewed. (Food Temperature Log sheets for March and 2 days in April) Findings: On 3/31/25 at 10:50 a.m., during the initial tour of the kitchen a surveyor observed the following areas that were not clean: Under the dish storage rack there was a seam in the linoleum flooring that was raised and had dirt buildup. Under the stove there was a seam in the linoleum flooring that was raised and had dirt buildup. The wall behind the stove was observed to 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-04-09 · tag F0880 — failed to prevent and control infections — pattern
    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 facility policy review and interviews, the facility failed to notify the Centers for Disease Control and Prevention (CDC) of an outbreak of Norovirus in the facility. In addition, based on review of the facility's Legionella Water Management Program and interview, the facility failed to fully develop and implement a water management program to monitor for and prevent the growth and spread of Legionella and other water-borne pathogens. Findings: The facility's policy, Reporting Communicable Diseases, revised 3/20/25, indicated that the Infection Preventionist is responsible for notifying the local, district, or state health department of confirmed cases of state-specific reportable diseases. The Maine CDC Notifiable diseases and Conditions List, dated 2/17/21, indicated that any cluster/outbreak of illness with potential public health significance needs to be reported. 1. On 3/31/25 at 10:15 a.m., the Administrator stated that the facility is experiencing what was thought to be an outbreak of Norovirus. On 3/31/25 at 3:59 p.m., during an interview with a surveyor, the…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-04-09 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility policy review, record reviews, Centers for Disease Control and Prevention (CDC) recommendations, and interview, the facility failed to offer the updated Pneumococcal vaccination to 3 of 5 residents (Resident #3 [R3], R22, and R29). Findings: The facility's policy, Pneumococcal Vaccine, revised 3/2025, indicated prior to or upon admission, residents will be assessed for eligibility to receive the Pneumococcal vaccine series and when indicated, are offered the vaccine series within thirty (30) days of admission to the facility unless medically contraindicated or the resident has completed the current recommended vaccine series. Assessments of Pneumococcal vaccination status are conducted within five (5) working days of the resident's admission if not conducted prior to admission. Administration of the Pneumococcal vaccines are made in accordance with current CDC recommendations at the time of the vaccination. On 4/3/25 at 9:10 a.m., during an interview with a surveyor, the Nurse Manager-Infection Preventionist stated she was unable to find information to indicate…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-09 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interviews and observations, the facility failed to meet the reasonable needs of residents in the area of bed size for 1 of 35 residents reviewed for accommodation of needs (Resident #13 [R13]) Finding: On 3/31/25 at 2:00 p.m., a surveyor spoke to R13, he/she stated that his/her bed is too short for them and was told by the facility they would get a bed to fit him/her. R13 stated that it has not happened. Observation of the bed shows there is a 3-inch gap from the end of the mattress to the footboard with a rolled-up blanket to fill the gap. R13 is over 6 feet tall and the mattress on the bed is not long enough leaving a gap at the foot of the mattress where his/her feet hang over the edge of the mattress. On 3/31/25 at 2:19 p.m., a surveyor confirmed this finding during an interview with the Maintenance/Housekeeping/Laundry Supervisor and was told the facility has ordered R13 a longer mattress on this date.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-04-09 · 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 clinical record review and interviews, the facility failed to ensure physician orders were followed for 1 of 5 residents reviewed for unnecessary medications (Resident #27, [R27]). Finding: On 4/2/25 during a review of R27's clinical record, a telephone order on 3/21/25 at 17:57 (5:57 p.m.) stated, Eliquis (a blood thinner) oral tablet 2.5 m.g (milligram) give 1 tablet by mouth two times a day related to non-ST elevation MI (myocardial infarction [heart attack]) HOLD 3/22/25 06:00 a.m. - 3/24/25 14:00 (2:00 p.m.), Hold Date / Reason: procedure for wart removal on 3/24/25. Review of R27's medication administration record dated March 2025 stated, on 3/23/25 at 20:00 (8:00 p.m.) H (Hold). On 4/3/25 at 10:38 a.m. in an interview with a surveyor, the Director of Nursing (DON) stated that the Registered Nurse (RN) gave Eliquis to R27 on the evening of 3/23/25 when it should have been held, and the RN only noticed the hold order when she went to chart medication given. A review of Resident/Facility Notification Form to the provider on 3/24/25 stated, Resident's (R27's) Eliquis was…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-09 · 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 — an excerpt from the official record, may be distressing

    Based on observations, manufacturer's instructions, facility policy review, and interview, the facility failed to provide oxygen therapy in a sanitary manner for 2 of 4 days of survey (2/10/25 and 2/11/25) for Resident #19 (R19). Finding: The manufacturer's instructions for Invacare Perfecto2 indicated that there is one cabinet filter located on the back of the cabinet; environmental conditions that may require more frequent inspection and cleaning of the filter include, but are not limited to: high dust, air pollutants, etc and to remove the filter and clean as needed. The facility's policy, Departmental (Respiratory Therapy)-Prevention of Infection, revised 3/2025, directed staff to wash filters from oxygen concentrators every seven days with soap and water. 1. On 4/01/25 at 10:21 a.m., a surveyor observed R19 wearing oxygen via nasal cannula and that the oxygen concentrator filter on the back of the machine was very dusty. 2. On 4/2/25 at 8:15 a.m., a surveyor observed that the oxygen concentrator filter on the back of the machine was very dusty. At 8:21 a.m., during 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-09 · tag F0699 — isolated
    Provide care or services that was trauma informed and/or culturally competent.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to identify a resident's current diagnosis of Post-Traumatic Stress Disorder (PTSD) to determine what trigger(s) might cause re-traumatization for 1 of 1 sampled resident reviewed with a current diagnosis of PTSD (Resident #5 [R5]). Finding: On 4/2/25 during a clinical record review for R5, it was noted that R5 had a diagnosis of PTSD listed as an active diagnosis. Review of R5's care plan updated on 2/19/25 lacked evidence that a trauma informed care plan was established to include triggers for this resident's PTSD diagnoses. Review of R5's quarterly Minimum Data Set (MDS) 3.0, Section I, Active Diagnoses, Psychiatric/Mood Disorder, I6100 was coded to indicate R5 had an active diagnosis for Post Traumatic Stress Syndrome (PTSD). On 4/2/25 at approximately 1:30 p.m., during an interview with the Director of Nursing the surveyor confirmed that R5 did not have a trauma informed care plan.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-09 · tag F0867 — failed to act on quality-improvement findings — isolated
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record reviews, the facility's Quality Assurance Committee failed to ensure the plan of correction for identified deficiencies from the annual survey dated 5/1/24 was effective. Findings: At the annual recertification survey of 4/29/24 through 5/1/24, the following deficiencies were cited: F812, F880 and F883. During the annual recertification survey of 3/31/25 through 4/2/25, it was determined that F812, F880 and F883 would be cited again for the same issues: F812 was cited again for failure to ensure the kitchen was maintained in a clean and sanitary manner and failure to discard expired foods; F880 was cited again for failure to implement a water management program to monitor for and prevent the growth and spread of Legionella and other water-borne pathogens; and F883 was cited again for failure to offer the updated Pneumococcal vaccination to 3 of 5 residents. On 4/3/25 at 8:25 a.m., during an interview with a surveyor and the Administrator, repeat deficiencies were reviewed. The Administrator stated the plan of correction from the previous…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-12-23 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews and interview, the facility failed to ensure the physician was notified of a resident's change of condition prior to transfer to the hospital for 1 of 2 sampled residents (Resident #1 [R1]}. Findings: On 12/23/24, R1's clinical record was reviewed. 1. On 12/1/24, a staff member reported to Registered Nurse #1 (RN1) that R1 was not looking like [themselves]. Upon assessment by RN1, R1 was experiencing increased confusion with vital signs within normal limits. R1 was later found by a staff member attempting to eat a tea bag At 6:06 p.m., RN1 called 911 and prepared R1 for a hospital transfer, notifying R1's family member and giving report to the hospital. The clinical record lacked evidence of notifying the Medical Provider prior to this acute care facility transfer. 2. On 12/9/24 at 11:30 a.m., a stall remember reported to RN1 that R1 was not looking well and had slurred speech. Upon assessment by RN1, R1 was alert but unable to answer orientation questions with slurred words and was unable to understand what R1 was saying. Vital signs were within normal…

    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 18 citations
  • Potential for harm · Dcited before2024-12-23 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, facility reported incident and written statements review, and interviews, the facility failed to transfer a resident to the hospital timely, after a change in condition for 1 of 2 residents reviewed (Resident #1 [R1]). Finding: On 12/11/24, the facility sent a Reportable Incident Report to the State Agency alleging that there may have been a delay in treatment for R1 on 12/9/24. On 12/23/24, R1's clinical record was reviewed. Documentation in the clinical record on 12/9/24 and written statements obtained during the facility's investigation indicated that on 12/9/24, a Certified Nursing Assistant reported to RN1 and Nurse Manager (NM) that R1 was not looking well and had slurred speech, reported between 11:22 a.m. and 11:30 a.m. NM's written statement indicated that she was the one that said that R1 would be sent to the emergency room (ER); RN1 told NM that she needed to finish giving one insulin and then she would be sending R1 out. NM's statement indicated that she started to prepare…

    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 · E2024-05-01 · tag F0801 — pattern
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interviews, the facility failed to ensure they had a qualified Food Service Director for 3 of 3 days of survey (4/29/24, 4/30/24, and 5/1/24). This has the potential to affect all the residents. Findings: On 4/29/24 at 10:10 a.m., Dietary Aide [DA]2 stated, we do not have a Food Service Director, the Administrator is filling the role until one is hired. We are working on it, but they are hard to find in Northern Maine. On 04/30/24 at 7:55 a.m., in an interview with the Cook, DA1, and DA2; they stated they do not have serve safe certifications. On 04/30/24 at 2:24 p.m., In an interview with a surveyor, the Administrator stated, no, I do not have a serve safe manager certificate. On 05/01/24 at 11:58 a.m., in an interview with the Administrator, a surveyor confirmed the facility did not have a qualified Food Service Director.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-05-01 · 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 interviews, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety by not storing dishes in a sanitary manner for 1 of 3 days of survey (4/30/24), not storing food in a sanitary manner, not wearing hair nets or beard restraints while preparing food, and not maintaining the kitchen in a clean and sanitary manner for wall around oven for 2 of 3 days of survey (4/29/24 and 4/30/24), and not maintaining a clean kitchen floor for 3 of 3 days of survey (4/29/24, 4/30/24, and 5/1/24) . Findings: On 4/29/24 at 10:10 a.m., during initial tour of the kitchen a surveyor observed that portions of the floor were uncleanable, including a circular patch of concrete near the oven, circular slices in the linoleum where tables were relocated within the kitchen, and broken tiles around a drain in front of the walk in freezer. In the dry storage area on the shelf and available for use the following items: 2 cans labeled 28.2oz Mushroom Pieces and Stems, both cans had dented in bottom seals 1 can labeled 7 pounds…

    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 · Ecited before2024-05-01 · tag F0880 — failed to prevent and control infections — pattern
    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 Infection Prevention Control Program (IPCP) review and interview, the facility failed to implement the elements of the Legionella Water Management Program for 1 of 1 Water Management Program reviewed. Finding: On 5/1/24, the facility's Legionella Water Management Program policy was reviewed. In Policy Interpretation and Implementation: Under #5: the water management program includes the following elements: 5c - The identification of areas in the water system that could encourage the growth and spread of Legionella or other waterborne bacteria, including: 1) storage tanks; 2) Water heaters; 3) Filters; 4) Aerators; 5) Showerheads and hoses; 6) Misters, atomizers, air washers and humidifiers; 7) Whirlpool tubs; 8) Fountains; and 9) Medical devices such as CPAP machines, hydrotherapy equipment; etc. 5d - The identification of situations that can lead to Legionella growth, such as: 1) Construction; 2) Water main breaks; 3) Changes in municipal water quality; 4) The presence of biofilm, scale or sediment; 5) Water temperature fluctuations; 6) Water pressure changes; 7) Water…

    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 · Ecited before2024-05-01 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    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 reviews, record reviews, Centers for Disease Control and Prevention (CDC) recommendations, and interview, the facility failed to offer the influenza vaccination to 4 of 5 residents reviewed (Resident [R]9, R15, R24, and R30) and failed to offer the updated Pneumococcal vaccination to 5 of 5 residents (R9, R15, R17, R24, and R30). Findings: The facility's policy, Influenza Vaccine, revised 9/2022, indicated that between October 1st and March 31st each year, the influenza vaccine shall be offered to residents. The facility's policy, Pneumococcal Vaccine, revised 10/2023, indicated prior to or upon admission, residents will be assessed for eligibility to receive the Pneumococcal vaccine series and when indicated, will be offered the vaccine series within thirty days of admission to the facility unless medically contraindicated or the resident has already been vaccination. Assessments of Pneumococcal vaccination status will be conducted within five working days of the resident's admission if…

    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 · E2024-05-01 · tag F0887 — pattern
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    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 clinical records review, facility policy review, Centers for Disease Control and Prevention (CDC) recommendations, and interview, the facility failed to follow the CDC guidelines and offer the updated 2023-2024 Coronavirus (COVID-19) vaccine doses for 4 of 5 residents reviewed (Resident [R]15, R17, R24, and R30). Findings: The facility's policy, COVID-19 Vaccination of Residents, revised 6/2023, indicated that vaccine recommendations and schedules are consistent with the Centers for Disease Control Interim Clinical Considerations for the Use of COVID-19 Vaccines in the United States. Booster vaccine doses are provided in accordance with current CDC guidance. The CDC website, Stay Up to Date with COVID-19 Vaccines | CDC, indicated that CDC recommends the 2023-2024 updated COVID-19 vaccines: Pfizer-BioNTech, Moderna, or Novavax, to protect against serious illness from COVID-19 and that people aged 65 years and older who received 1 dose of any updated 2023-2024 COVID-19 vaccine (Pfizer-BioNTech, Moderna 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-01 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview, the facility failed to notify the physician of a change in status for 1 of 1 sampled residents reviewed for a choking event, (Resident [R]1). Finding: On 4/29/24 at 11:36 a.m., a surveyor observed from the hallway a Certified Nursing Assistant Medication Aide (CNA-M) checking on R1 who was choking. The surveyor heard coughing sounds, almost vomiting, choking sounds, then more repetitive coughing. CNA-M left to get the Registered Nurse (RN3). On 4/29/24 at 11:39 a.m., RN3 entered the room to aid R1. R1's coughing cleared. RN3 stated to the surveyor that the gravy must have gone down the wrong pipe. On 04/29/24 11:41 a.m., RN3 stated that CNA-M is supervising him to eat now. On 04/29/24 at 12:24 p.m., RN3 documented the choking incident in a nurse note as Category: Change of Condition. The note indicates initiating a nursing measure of aspirations precaution monitoring opened [for] 72 hours. There was no evidence to indicate the provider was notified of the incident. On 5/1/24 at 10:30 a.m., in an interview the interim Director 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-01 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    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 identify the reason for a transfer on the transfer notice and failed notify the resident and/or the resident's representative in writing of the transfer/discharge to an acute care hospital for 1 of 1 residents sampled for hospitalizations (Resident [R]34). Finding: R34 was admitted to the facility on [DATE] and transferred to the hospital on 2/27/24. A review of R34's clinical record lacked evidence of the reason for the transfer identified on the transfer form. This form was signed by the resident on 2/27/24 and also had an area that was to be completed that indicated who received this written notice, that was blank. On 4/29/24 at 2:30 p.m., during an interview with a surveyor, the Social Worker-Conditional stated that the nurses complete the form when they fill out the paperwork for the transfer. On 04/30/24 at 9:34 a.m., during an interview with a surveyor, Registered Nurse (RN) 2 stated that she called the Resident Representative, but she did not…

    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 · D2024-05-01 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to notify the resident and/or the resident's representative in writing of a bed hold notice after a transfer/admission to an acute care hospital for 1 of 1 residents sampled for hospitalizations (Resident [R]34). Finding: R34 was admitted to the facility on [DATE] and transferred to the hospital and was admitted on [DATE]. The Bed Hold Notification form was signed by the resident on 2/27/24 and also had an area that was to be completed that indicated who received this written notice, that was blank. On 4/29/24 at 2:30 p.m., during an interview with a surveyor, the Social Worker-Conditional stated that the nurses complete the form when they fill out the paperwork for the transfer. On 04/30/24 at 9:34 a.m., during an interview with a surveyor, Registered Nurse (RN) 2 stated that she called the Resident Representative but she did not mail a written copy of the notice, nor did she give a written copy to the resident after the notice was signed.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-01 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, facility protocol, and interviews, the facility failed to complete neurological (neuro) assessments for 1 of 1 residents reviewed who fell and hit their head (Resident [R]136) and the facility failed to ensure Physician orders were followed for 1 of 1 resident observed for Activities of Daily Living (ADL) care (the acts of bathing, dressing, and personal hygiene care), (Resident [R]16). Findings: A review of the facility's protocol, High View Rehab and Nursing Center Fall Protocol, revised 9/1/23, indicated that If resident hits his/her head or are suspected of hitting their head, initiate neuro checks every shift for 72 hours. 1. A review of R136's clinical record included a nursing note written by Registered Nurse (RN)4 that indicated R136 was on the floor, the nose was bruised and tender to touch and slightly abraded (scraped). R136 was sent to the hospital for evaluation for a possible concussion. A review of the hospital records indicated that on 4/5/24, R136 was sent to the hospital after R136 rolled out of bed, hit his/her nose, landed on the floor,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-01 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to ensure the pharmacist identified an irregularity for a psychotropic medication for 1 of 4 residents reviewed for the use of Psychotropic medications (Resident [R]28) Finding: On 5/1/24 at 10:00 a.m., R28's clinical record was reviewed, it revealed that the R28 was on an anti-psychotic medication, Olanzapine. R28's current physician order dated 4/16/24 contained a treatment to complete Abnormal Involuntary Movement Scale (AIMS) testing every 6 months. The last AIMS test completed for R28 was done on 5/27/23. On 05/01/24 at 10:55 a.m. During a clinical record review with the Minimum Data Set (MDS) nurse. The surveyor confirmed at this time the Pharmacist did not identify in their monthly medication reviews that the AIMS test for R28 was not completed in November and that the AIMS test is supposed to be done every 6 months.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-01 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to ensure an Abnormal Involuntary Movement Scale (AIMS), used to monitor for potentially irreversible side effects of anti-psychotic medications, was completed every 6 months for 1 of 4 sampled residents reviewed for the use of Psychotropic medications (Resident [R] 28). Finding: On 5/1/24 at 10:00 a.m., R28's clinical record was reviewed, and revealed that the R28 was on an anti-psychotic medication, Olanzapine. R28's current physician order dated 4/16/24 contained a treatment to complete Abnormal Involuntary Movement Scale (AIMS) testing every 6 months. In the electronic record under the other assessments tab, documentation shows the last AIMS test was completed on 5/27/23. Review of the electronic treatment administration record (e-tar) shows that the AIMS test was due to be completed on 11/26/23, the AIMS test was not completed. On 5/1/24 at 10:55 a.m., during an interview with the Minimum Data Set (MDS) Nurse the surveyor confirmed that the AIMS test was not completed for R28 in November.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-12-22 · tag F0676 — failed to keep up residents' daily-living abilities — pattern
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews and interviews, the facility failed to provide services to maintain and/or improve residents highest level of ambulation and Active Range of Motion (AROM), the facility failed to provide Restorative services as outlined in the resident's restorative therapy program care planned for 8 of 8 sampled residents (Resident #17, #20, #26, #32, #2, #8, #9 and #3). Findings: 1. Resident #17's care plan indicated, I need to participate in restorative therapy 3-6 times per week for transfer training: I need to practice transferring to/from bed to chair and transferring to/from the toilet or commode. Cue me for proper technique, hand or foot placements, pacing and I need to participate in restorative therapy 3-6 times per week for ambulation with assistance and using an assistive device as needed (distance is as I can tolerate x 15 minutes. Assist me to ambulate to and from meals and activities A review of the Restorative Participation Roster dated from 10/2/22 to 12/21/22, indicates that Resident #17 did not receive ambulation or transfer training as directed for 10 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 · E2022-12-22 · 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 — an excerpt from the official record, may be distressing

    Based on interviews and record reviews, the facility failed to ensure sufficient direct care staff were scheduled and on duty to meet the needs of residents that have a restorative care plan for 1 of 1 floor. Findings: 1.On 12/19/22 at 10:10 a.m., during an interview with a resident he/she stated that staffing is a concern. At mealtime it is the worst because if you have to use the bathroom they can't come and help you and you have to wait if you can until the meal is done. He/she also stated they don't always have time to help set them up to brush their teeth or do their exercise program (restorative). 2. On 12/19/22 at 10:20 a.m.; interview with a resident he/she stated it usually takes them 5-10 minutes to come help, and it happens at all times of the day. He/she also stated that when he/she asks to use the bathroom and they don't come help me I end up wetting myself and this makes me sad I don't like to be wet. 3. On 12/19/22 10:30 a.m. during an interview with a resident he/she stated that they wear Depends and has since before they came here, but mostly it is because they…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-22 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, 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 1 residents reviewed that were admitted in the past 30 days (Resident #135). Finding: On 12/20/22, Resident #135's clinical record was reviewed. Resident #135 was admitted to the facility on [DATE]. A review of the resident's physician orders indicated that the resident was admitted with a wound that required a daily dressing change and monitoring, was on an anti-coagulant and an opioid pain medication. A review of the baseline care plan indicated that it was completed within 48 hours but the care areas for wound, anti-coagulant use and pain regimen were not completed. On 12/20/22 at 1:05 p.m., during an interview with a surveyor, the Minimum Data Set (MDS) Coordinator was unable to find these in the baseline care plan.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-22 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record reviews and interview, the facility failed to develop/implement a care plan for 1 of 3 sampled residents with a history of post-traumatic stress disorder (PTSD) (Resident #30). Finding: On 12/20/22, Resident #30's clinical record was reviewed and indicated that on 11/14/19, a diagnosis of PTSD was added. The most recent Minimum Data Set (MDS) quarterly, dated 11/24/22, indicated under section I6100 that PTSD was checked. A review of Resident #30's care plan, last updated 12/14/22, lacked evidence of this care area with interventions being developed. On 12/20/22 at 2:32 p.m. , during an interview with a surveyor, the MDS Coordinator was able to state what Resident #30's trauma and triggers were but was unable to find this in Resident #30's 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 · Dcited before2022-12-22 · 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 — the official record, unedited, may be distressing

    Based on record reviews and interview, the facility failed to follow a physician order for 1 of 5 residents reviewed for unnecessary medications (Resident #135). Finding: On 12/19/22, Resident #135's clinical record was reviewed and included a physician order, dated 12/5/22, that directed staff to hold Metoprolol (blood pressure medication) if the systolic blood pressure was less than 100 or pulse less than 55. Documentation on the Electronic Medication Administration Record (EMAR) for December indicated that on 12/9/22, Resident #135's systolic blood pressure was 98 but the EMAR was check marked that the medication was administered even though the systolic blood pressure was less than 100. On 12/20/22 at 1:05 p.m., during an interview with the Minimum Data Set (MDS) Coordinator, a surveyor confirmed this finding.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2022-12-22 · tag F0577 — pattern
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interviews, the facility failed to post in a place readily accessible to residents, family members, and legal representatives, the results of the most recent survey of the facility for 1 of 1 floors. Finding: On 12/22/22 at 11:20 a.m., two surveyors observed the Residents Information Binder located in a rack across from the nurses' station on the second floor. This binder included the State Survey results, with the most recent results from a survey dated 12/31/18, although the State Agency had completed surveys in 2022 on 8/30/22 and 4/24/22. At 11:30 a.m., during an interview with a surveyor, the Director of Nursing stated that was the only book on the second floor that included the State Survey results. At 11:45 a.m., during an interview with the Administrator, the surveyor confirmed this finding.

    Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

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

$17,917 in federal fines across 1 penalty. 1 Medicare payment denial on record.

  • $17,917 — penalty dated 2025-04-09
  • Medicare payment denial — starting 2025-04-24 for 8 days

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

Owner / managerTypeRoleShareSince
ASTLE, DENISEIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST31%since 03/16/2015
DUGAL, LOUISIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL69%since 01/07/1979
COTE-DAIGLE, NANCYIndividualW-2 MANAGING EMPLOYEEsince 03/16/2015

CMS files one row per role, so the 4 rows in the source record cover these 3 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.

$4.3M
Net patient revenuemost recent cost report
-6.5%
Operating marginrevenue minus expenses
$126K
Related-party expense3% of expenses
Who pays — share of resident-days
Medicaid 90%Medicare 6%Other / private 4%

About 90% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $126K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

$361per resident / day
operating cost
$10,975per month
≈ monthly operating cost
$339per 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 205114. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-09, 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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