Inspection Reports for
Care Ridge Estate
35 Ridge Rd, Lee, ME 04455, ME, 04455
Back to Facility Profile32 Reports
Inspection Report — Apr 14, 2026
Life Safety
Date: Apr 14, 2026
Visit Reason
The survey was conducted to assess compliance with National Fire Protection Association (NFPA) 101 Life Safety Code, 2012 Edition, and related fire safety regulations.
Findings
The facility failed to provide proper fire door hardware on the only 2-hour fire wall, including missing bottom latching rods and lack of strike plates and fire pins, compromising the fire barrier. Additionally, the facility failed to install and maintain the laundry exhaust duct system properly, with flammable lint accumulation reducing exhaust efficiency. Electrical assemblies were not maintained in compliance with NFPA 70 National Electric Code, risking fire hazards. Firestopping deficiencies were identified and a contract executed to complete required firestopping work.
Deficiencies (4)
K0133: The facility failed to provide proper door hardware on the only 2-hour fire barrier wall, including missing bottom latching rods and lack of strike plates and fire pins, compromising the fire barrier.
K0372: The one-hour smoke barrier wall separating the Blue Spruce House had penetrations filled with combustible pipe material instead of approved firestop systems, creating large open spaces allowing smoke and fire penetration.
K0521: The facility failed to install and maintain the laundry exhaust duct system properly, with flammable lint accumulation inside the duct reducing exhaust efficiency and increasing fire risk.
K0911: Electrical receptacle box in the Balsam resident care wing was missing its cover, exposing wiring and creating a fire hazard.
Report Facts
: 26-1031
: Apr 27, 2026
: Jul 1, 2026
: May 1, 2026
: 5000
Inspection Report — Apr 14, 2026
Date: Apr 14, 2026
Visit Reason
Federal Recertification Survey conducted on 04/14/2026 for Cedar Ridge Center.
Findings
The facility was not in substantial compliance with the National Fire Protection Association 101, Life Safety Code, 2012 Edition. Deficiencies included improper door hardware on 90-minute doors in the only 2-hour fire barrier, penetrations in smoke barrier walls using unapproved materials, improper assembly of laundry exhaust ducts allowing lint accumulation, and missing electrical receptacle box cover in a resident care wing.
Deficiencies (4)
K0133: The 90-minute doors in the only 2-hour fire barrier lacked bottom latching rods and fire pins, causing improper latching and compromising fire safety.
K0372: The one-hour smoke barrier wall had penetrations sealed with stove pipe material instead of approved firestop systems, allowing potential smoke and fire penetration.
K0521: Laundry exhaust ducts were assembled with screws extending into the duct, catching flammable lint and reducing exhaust efficiency.
K0911: An electrical receptacle box by the ice machine drain was missing its cover, posing an electrical safety hazard.
Inspection Report — Apr 13, 2026
Annual Inspection
Date: Apr 13, 2026
Visit Reason
The survey was conducted for the annual Long Term Care Survey Process for Federal Recertification, investigating facility reported intakes and complaints.
Findings
The facility was found not in compliance with multiple regulatory requirements including safe environment, physician visits, food safety, infection control, grievances, chemical restraints, coordination of assessments, and quality of care.
Deficiencies (8)
F0584: The facility failed to provide a safe, functional, and sanitary environment for 2 of 4 days of survey, with issues including warped cabinet edges and dark substances on cabinet surfaces.
F0711: The facility failed to ensure that physician block orders were signed on the day of required regulatory visits for 5 of 5 residents reviewed.
F0812: The facility failed to ensure plumbing fixtures were properly installed to prevent backflow and failed to prepare food under sanitary conditions for 1 of 4 days of survey.
F0880: The facility failed to maintain an infection prevention and control program to prevent spread of infection related to pressure ulcer treatment for 1 of 2 residents observed.
F0585: The facility failed to implement parts of its grievance/concern policy and procedure for 1 of 2 residents that filed grievances, including failure to resolve grievances and provide documentation.
F0605: The facility failed to ensure residents' rights to be free from chemical restraints, including failure to document rationale for PRN psychotropic drug use beyond 14 days for 1 of 5 residents reviewed.
F0644: The facility failed to coordinate assessments with the pre-admission screening and resident review program to avoid duplicate testing and ensure timely reviews for residents with mental disorders.
F0684: The facility failed to ensure physician orders were followed for blood pressure parameters and medication administration for 1 of 5 residents reviewed.
Report Facts
: Array
: Array
: Array
Inspection Report — Jul 22, 2025
Follow-Up
Date: Jul 22, 2025
Visit Reason
Follow-up on deficiencies cited during investigations completed on 6/3/25.
Findings
The facility was determined to be in substantial compliance with 42 CFR Part 483, Subpart B - Requirements for Long Term Care Facilities. No deficiencies were cited.
Report Facts
: ME00050410
: ME00051016
: ME00051165
: ME00051632
: ME00051659
Inspection Report — Jun 3, 2025
Complaint Investigation
Date: Jun 3, 2025
Visit Reason
On 6/3/25, an unannounced, on-site visit was conducted to complete complaint investigations regarding equal access to quality care and sufficient nursing staff.
Findings
The facility failed to ensure equal access to services when a resident's payor source changed from Medicare to private pay, and failed to maintain sufficient nursing staff to meet residents' needs, resulting in delayed care and unmet assistance requirements.
Deficiencies (2)
F621: The facility failed to ensure equal access to services when a resident's payor source changed from Medicare to private pay, as evidenced by the lack of an active discharge plan and refusal of the resident to move despite qualifying for a lower level of care.
F725: The facility failed to provide sufficient nursing staff with appropriate competencies and skills to assure resident safety and well-being, as shown by multiple resident interviews reporting long wait times for assistance and inadequate staffing coverage.
Report Facts
: 23 of 31 days
: 13
: 3
: 3 or fewer months
Inspection Report — May 29, 2025
Biennial Survey
Date: May 29, 2025
Visit Reason
The inspection was a biennial survey to assess compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV Residential Care Facilities.
Findings
The facility was found not in substantial compliance with licensing, resident care standards, staffing, training, and sanitation requirements. Deficiencies included incomplete background checks, missing documentation in resident service plans and progress notes, incomplete employee records, lack of required staff training, and improper storage of poisonous and toxic materials.
Deficiencies (6)
Facility did not utilize the Maine Background Check Center to obtain comprehensive background checks for 1 of 4 staff records reviewed.
Failed to provide evidence of documentation identifying who participated in the development of the service plan for 1 of 2 resident records reviewed.
Failed to complete twenty-four hour admission progress note with a summary of basic care needs for 1 of 2 resident records reviewed.
Personnel records did not contain job descriptions for 4 of 4 staff records reviewed.
Failed to ensure completion of a Department approved certification course within 120 days of hire for 3 of 4 staff records reviewed.
Failed to ensure cleaning compounds were not stored in the same cabinet or area with insecticides or other poisonous materials.
Report Facts
Staff records reviewed: 4
Resident records reviewed: 2
Staff without required certification: 3
Staff without job descriptions: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vernon Taylor | Administrator | Named in relation to confirmation of findings during exit interview. |
Inspection Report — May 29, 2025
Plan of Correction
Date: May 29, 2025
Visit Reason
The document is a biennial survey inspection report identifying deficiencies in licensing, resident care standards, staffing, and sanitation at Care Ridge Estates, a Level IV PNMI Residential Care Facility.
Findings
The facility was found not in substantial compliance with regulations governing assisted housing programs, with deficiencies including failure to complete required background checks for staff, incomplete service plans and progress notes for residents, missing job descriptions in employee records, lack of required staff training, and improper storage of poisonous materials.
Deficiencies (6)
Facility did not utilize the Maine Background Check Center to obtain comprehensive background check reports for staff.
Failed to provide evidence of documentation identifying who participated in the development of the service plan for a resident.
Failed to complete twenty-four hour admission progress note with summary of basic care needs for a resident.
Personnel records did not contain job descriptions for 4 staff members.
Failed to ensure completion of a Department approved certification course within 120 days of hire for 3 of 4 staff reviewed.
Cleaning compounds were stored in the same cabinet or area with insecticides or other poisonous materials.
Report Facts
Staff records reviewed: 4
Resident records reviewed: 2
Days for service plan development: 30
Days for staff certification course completion: 120
Hours per week direct care: 20
Inspection Report — Mar 25, 2025
Follow-Up
Date: Mar 25, 2025
Visit Reason
This was an unannounced, on-site follow-up visit to assess correction of previously cited deficiencies.
Findings
Cedar Ridge Center was found to be in substantial compliance with applicable regulations and no deficiencies were cited.
Report Facts
: ME00050177
Inspection Report — Mar 25, 2025
Annual Inspection
Date: Mar 25, 2025
Visit Reason
On 3/25/25 an on-site visit was conducted at Cedar Ridge Center for the purpose of conducting a re-visit for annual Long Term Care Survey dated 1/30/25.
Findings
Cedar Ridge Center was determined to be in compliance with 42 CFR Part 483, Subpart B-Requirements for Long Term Care Facilities, indicating substantial compliance with no deficiencies cited.
Inspection Report — Jan 29, 2025
Date: Jan 29, 2025
Visit Reason
Federal Recertification Survey conducted at Cedar Ridge Center, a long-term care facility.
Findings
The facility was found not in substantial compliance with multiple federal regulations related to emergency preparedness, fire safety, and electrical systems. Deficiencies include lack of emergency preparedness plans, inadequate training, fire safety hazards such as blocked egress paths and missing fire extinguishers, and electrical outlet hazards.
Deficiencies (11)
E015: The facility failed to maintain provision of subsistence needs for staff and patients during emergencies, including food, water, medical, and pharmaceutical supplies, and alternate energy sources.
E037: The facility did not provide required emergency preparedness training and documentation for staff, including initial and annual training and knowledge of emergency procedures.
K211: The means of egress were not continuously maintained free of all obstructions, including a hole in the exit discharge paved pathway that could affect evacuation.
K324: Cooking facilities were not properly installed and maintained, including a gas stove lacking an approved method to ensure appliance return to approved location after maintenance.
K355: Portable fire extinguishers were not properly selected, installed, inspected, and maintained according to standards, including missing placards and extinguishers within 30 feet of cooking appliances.
K363: Corridor doors failed to resist passage of smoke as required, including a hole in the scheduling manager's office door.
K371: Smoke barriers were not maintained to code, including missing one-hour smoke barrier walls and incomplete documentation of smoke barrier dimensions.
K911: Electrical outlets had broken covers exposing openings, creating safety hazards.
K918: The facility failed to install a remote emergency shut-off device for the emergency power source as required by NFPA 110 standards.
K919: Electrical equipment was not properly maintained or inspected, including failure to recharge battery-operated wheelchairs and missing placards for fire extinguishers.
K923: Oxygen cylinder storage was not compliant with safety standards, including outdoor storage without proper enclosure and signage.
Report Facts
: Jan 29, 2025
: 10:00 AM to 3:00 PM
: monthly for three months
: Jun 29, 2025
Inspection Report — Jan 28, 2025
Annual Inspection
Date: Jan 28, 2025
Visit Reason
The survey was conducted for the annual Long Term Care Survey Process, Federal Recertification, and complaint investigations.
Findings
The facility was found not in compliance with several federal regulations related to resident rights, room/roommate changes, advance directives, comprehensive care plans, respiratory care, nursing staff sufficiency, pharmacy services, food safety, and infection control. Multiple audits and staff re-education are planned to address these issues.
Deficiencies (13)
F550: The facility failed to provide care to residents in a manner that maintains each resident's dignity by failing to serve all residents seated at the same table at the same time during dining observations.
F559: The facility failed to appropriately notify a resident and/or resident representative in a timely manner prior to changing a resident's room or roommate.
F578: The facility failed to ensure that residents and/or their representatives were provided written information concerning the right to accept or refuse medical or surgical treatment and/or formulate an advance directive, as evidenced by incomplete documentation for 8 of 16 residents reviewed.
F656: The facility failed to develop and implement comprehensive care plans for residents with Post-Traumatic Stress Disorder (PTSD), including measurable objectives and timeframes, for 3 of 4 sampled residents reviewed.
F657: The facility failed to review, revise, and update a care plan in the area of PTSD for 1 of 4 residents reviewed, as evidenced by Resident #18's care plan not being reviewed or updated to include goals, interventions, or triggers.
F695: The facility failed to maintain respiratory equipment in a sanitary manner and failed to prevent development and transmission of disease related to respiratory care for 3 of 4 days of survey.
F725: The facility failed to ensure sufficient nursing staff with appropriate competencies and skills to provide nursing and related services to assure resident safety and maintain the highest practicable physical, mental, and psychosocial well-being.
F755: The facility failed to establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation, as two people authorized to administer medications failed to sign the Shift Count page for multiple shifts.
F758: The facility failed to ensure that residents' clinical records included complete behavior monitoring flow sheets for psychotropic medications and monitoring for side effects.
F761: The facility failed to properly label and store drugs and biologicals, including insulin pens that were expired or undated, and failed to ensure medications/biologicals were dated and properly disposed of according to manufacturer specifications.
F812: The facility failed to maintain the kitchen in a clean and sanitary manner, including food storage areas, walk-in refrigerators, and dishwashing areas.
F847: The facility failed to ensure residents signed binding arbitration agreements or were educated on the agreements, as 4 of 5 residents reviewed lacked proper documentation or understanding of the agreements.
F880: The facility failed to establish and maintain an infection prevention and control program to prevent development and transmission of communicable diseases, including failure to post signage and ensure proper use of PPE for residents requiring Enhanced Barrier Precautions.
Report Facts
: Array
: 7
Inspection Report — Jan 15, 2025
Complaint Investigation
Date: Jan 15, 2025
Visit Reason
An unannounced, on-site visit was conducted to investigate complaint #ME00050177 regarding Cedar Ridge Center.
Findings
The facility was found not in substantial compliance with 42 CFR Part 483, Subpart B, specifically failing to develop and implement baseline care plans within 48 hours of admission for residents, and failing to maintain complete and accurate medical records for wounds for one resident.
Deficiencies (2)
F 655: The facility failed to develop and implement a baseline care plan within 48 hours of admission for one of three residents reviewed during a complaint investigation.
F 842: The facility failed to maintain complete and accurate medical records for wounds, including lacking provider orders for treatments for one resident with a Deep Tissue Injury.
Report Facts
: ME00050177
: Feb 25, 2025
: Feb 25, 2025
Inspection Report — Nov 25, 2024
Complaint Investigation
Date: Nov 25, 2024
Visit Reason
An unannounced on-site visit was conducted to investigate complaints #ME00049757, #ME00049554, #ME00049506, and #ME00049488.
Findings
Cedar Ridge Center was determined to be in substantial compliance with 42 CFR Part 483, Subpart B - Requirements for Long Term Care Facilities. No deficiencies were cited.
Report Facts
: ME00049757
: ME00049554
: ME00049506
: ME00049488
Inspection Report — Nov 13, 2024
Follow-Up
Date: Nov 13, 2024
Visit Reason
On-site follow-up visit conducted to investigate complaints #ME00048451, #ME00048539, #ME00048576, #ME00048615, and #ME00048644.
Complaint Details
Complaints investigated: #ME00048451, #ME00048539, #ME00048576, #ME00048615, #ME00048644.
Findings
Cedar Ridge Center was found to be in substantial compliance with 42 CFR 483, Subpart B-Requirements for Long Term Care Facilities. No deficiencies were cited.
Inspection Report — Sep 23, 2024
Complaint Investigation
Date: Sep 23, 2024
Visit Reason
Complaint investigations ME#00048696, ME#00048884, and ME#00048901 were conducted.
Findings
The facility was found to be in substantial compliance with 42 CFR Part 483, Subpart B- Requirements for Long Term Care Facilities. No deficiencies were cited.
Report Facts
: ME#00048696
: ME#00048884
: ME#00048901
Inspection Report — Sep 3, 2024
Original Licensing
Date: Sep 3, 2024
Visit Reason
This report documents an unannounced on-site visit conducted to investigate complaints #ME00048451, #ME00048539, #ME00048576, #ME00048615, and #ME00048644.
Findings
The facility was found not in compliance with multiple federal requirements related to falls management, baseline care planning, comprehensive care plans, infection prevention, and medication management. Deficiencies were identified in notification of changes, care plan accuracy, infection control, and safe operation of equipment.
Deficiencies (9)
F580: The facility failed to ensure that a resident's physician and/or representative were notified immediately of an unwitnessed fall and failed to follow its own falls management policy for 1 of 9 residents reviewed.
F655: The facility failed to develop and implement a baseline care plan within 48 hours of admission for 1 of 9 residents reviewed.
F656: The facility failed to develop and implement a comprehensive person-centered care plan consistent with resident rights for 1 of 4 sampled residents requiring a mechanical device for transfer.
F657: The facility failed to ensure that a comprehensive care plan was revised to reflect a resident's current status for 1 of 2 residents reviewed for infection prevention and control.
F695: The facility failed to provide a sanitary environment to prevent infection and transmission related to oxygen and nebulizer use for 2 of 2 residents reviewed.
F757: The facility failed to ensure that a resident's drug regimen was free from unnecessary drugs by administering excessive doses of Ativan and failing to monitor for side effects.
F842: The facility failed to maintain accurate and accessible medical records for 1 of 2 residents reviewed for oxygen tubing documentation.
F880: The facility failed to establish and maintain an infection prevention and control program designed to provide a safe environment and prevent transmission of communicable diseases for 1 day of survey.
F908: The facility failed to ensure that a resident's bed was maintained in good repair and safe operating condition for 1 of 1 day of survey.
Report Facts
: Array
: 9
: 4
: 2
: 1
Inspection Report — Jul 24, 2024
Follow-Up
Date: Jul 24, 2024
Visit Reason
Follow-up to the complaint survey conducted on 5/7/24 and 5/8/24.
Findings
Cedar Ridge Center was found to be in substantial compliance with 42 CFR 483, Subpart B-Requirements for Long Term Care Facilities. No deficiencies were cited during this follow-up survey.
Inspection Report — Jun 18, 2024
Complaint Investigation
Date: Jun 18, 2024
Visit Reason
An unannounced on-site visit was conducted for the purpose of complaint investigation #ME00047650, #ME00047709, and #ME00047747.
Findings
Cedar Ridge Center was determined to be in substantial compliance with 42 CFR Part 483, Subpart B- Requirements for Long Term Care Facilities. No deficiencies were cited.
Report Facts
: Array
Inspection Report — Mar 1, 2024
Complaint Investigation
Date: Mar 1, 2024
Visit Reason
A complaint investigation was conducted at the facility.
Complaint Details
Complaint investigation completed with no deficiencies found.
Findings
No deficiencies were found during the complaint investigation review.
Inspection Report — Feb 5, 2024
Complaint Investigation
Date: Feb 5, 2024
Visit Reason
The inspection was conducted as a complaint investigation identified as 2023-AHP-35816 for Care Ridge Estates, a Level IV PNMI Residential Care Facility.
Complaint Details
Complaint investigation 2023-AHP-35816 completed with findings of substantial compliance.
Findings
Care Ridge Estates was found to be in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV PNMI Residential Care Facilities, Part of 10-144, Chapter 113.
Inspection Report — Aug 24, 2023
Complaint Investigation
Date: Aug 24, 2023
Visit Reason
Complaint investigation #ME00041774 was conducted on-site.
Findings
The facility was found to be in substantial compliance with 42 CFR Part 483, Subpart B- Requirements for Long Term Care Facilities.
Inspection Report — 235948 H1 SOD
Complaint Investigation
Date: 235948 H1 SOD
Visit Reason
An unannounced on-site visit was conducted to investigate Complaint #3016314.
Findings
Cedar Ridge Center was determined to be in substantial compliance with 42 CFR Part 483, Subpart B – Requirements for Long Term Care Facilities.
Report Facts
: 3016314
Inspection Report — 3KAI21 SOD
Date: 3KAI21 SOD
Visit Reason
Federal Recertification Survey
Findings
The facility was found not in substantial compliance with emergency preparedness and life safety code requirements. Multiple deficiencies were identified related to emergency preparedness training, equipment maintenance, and fire safety.
Deficiencies (11)
E015: The facility failed to maintain provision of subsistence needs for staff and patients during emergencies, including lack of documentation for emergency preparedness plans and memorandums of understanding.
E037: The facility failed to maintain an annual emergency preparedness training program for staff as required by 42 CFR 483.73.
K211: The facility failed to ensure that aisles, passageways, corridors, exit discharges, and exit locations were continuously maintained free of obstructions to full use in case of emergency.
K324: The facility failed to properly install and maintain equipment protected by the kitchen hood extinguishing system, including a wheeled 6-burner gas-fired stove/oven without approved methods to ensure appliance return to approved design location after maintenance.
K355: The facility failed to properly select, install, inspect, and maintain portable fire extinguishers, including lack of placard near the class K extinguisher and absence of class K extinguishers within 30 feet of the cooking stove.
K363: Doors protecting corridor openings were not maintained to resist passage of smoke and did not comply with NFPA 101 requirements, including lack of positive latching hardware and clearance exceeding 1 inch.
K371: The facility failed to maintain required smoke barriers, including a hole in the scheduling manager's office door and missing one-hour smoke barrier walls as indicated on building plans.
K911: The facility failed to maintain electrical systems, including missing faceplates on electrical receptacles at the nurses station.
K918: The facility failed to maintain essential electrical system maintenance and testing, including failure to annually confirm generator capability to supply emergency power within 10 seconds.
K919: The facility failed to maintain electrical equipment, including failure to recharge electrical equipment in accordance with NFPA 99 standards.
K923: The facility failed to ensure safe storage of gas cylinders, including storing oxygen cylinders in an enclosure without proper signage and separation from combustibles.
Report Facts
: 75
: 2200
: 88
: 2
Inspection Report — 3KAI22 POC
Original Licensing
Date: 3KAI22 POC
Visit Reason
Initial licensing survey for Cedar Ridge Center, a long term care facility.
Findings
Cedar Ridge Center is in substantial compliance with 42 Code of Federal Regulations Part 483 and Emergency Preparedness Requirements for Long Term Care Facilities.
Document — 3KAI22 SOD
Date: 3KAI22 SOD
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