Inspection Reports for
Merry Gardens Estates
87 JOHN ST, CAMDEN, ME, 04843-1953
Back to Facility Profile15 Reports
Inspection Report — Mar 16, 2026
Complaint Investigation
Date: Mar 16, 2026
Visit Reason
Investigation of facility reported incidents #2727228, #2643232, #2645099 and complaint #2787484.
Findings
Madigan Estates was found to be in compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities. No deficiencies were cited.
Report Facts
: 2727228
: 2643232
: 2645099
: 2787484
Inspection Report — Jul 21, 2025
Annual Inspection
Date: Jul 21, 2025
Visit Reason
The survey was conducted from 7/21/25 through 7/23/25 for the purpose of completing the annual Long Term Care Survey Process for Federal Recertification and to investigate complaints #221042 and #221052.
Findings
The facility was found not in substantial compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities. Deficiencies were identified in Medicaid/Medicare coverage notices, comprehensive assessments and timing, comprehensive care plans, nurse aide performance reviews, infection prevention and control, and resident bed safety.
Deficiencies (9)
F0582: The facility failed to ensure the Skilled Nursing Facility Advance Beneficiary Notices (SNFABN) Form 10055, including appeal rights and liability of payment, were provided at least 2 days prior to the resident's last covered day for 1 of 1 residents whose Medicare Part A services were discontinued.
F0636: The facility failed to complete an annual Comprehensive Minimum Data Set (MDS) 3.0 with Care Area Assessments timely for 1 of 1 resident reviewed for Accident Hazards, missing the 14-day completion deadline from the Assessment Reference Date.
F0637: The facility failed to complete a significant change MDS assessment within 14 days of a resident's admission to hospice services for 2 of 3 sampled residents.
F0638: The facility failed to complete a quarterly Minimum Data Set (MDS) 3.0 in a timely manner for 2 of 12 sampled residents, missing the 14-day completion deadline from the Assessment Reference Date.
F0640: The facility failed to electronically submit discharge MDS data to the State MDS database within 14 days after completion for 4 of 12 residents reviewed, with delays ranging from 33 to 90 days.
F0656: The facility failed to ensure a comprehensive care plan was developed in the area of Hospice care for 2 of 3 residents reviewed, lacking goals and interventions.
F0730: The facility failed to complete annual performance evaluations for 1 of 5 sampled Certified Nursing Assistants (CNA1) in 2024.
F0880: The facility failed to maintain an infection control program by failing to wear gloves during a subcutaneous insulin injection for 1 of 1 resident observed, and failed to ensure the isolation was the least restrictive possible for the resident under the circumstances.
F0880: The facility failed to ensure a bed gap filler (bumper pad) was in place between the mattress and foot of bed frame to eliminate entrapment risk for 1 of 22 resident beds observed.
Report Facts
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Inspection Report — Jul 2, 2025
Annual Inspection
Date: Jul 2, 2025
Visit Reason
Federal Recertification Survey conducted in accordance with 42 Code of Federal Regulations, Part 483.73, Requirements for Long Term Care Facilities.
Findings
Madigan Estates was found to be in substantial compliance with the requirements of Emergency Preparedness and the National Fire Protection Association 101 Life Safety Code 2012 Edition.
Inspection Report — May 20, 2025
Biennial Survey
Date: May 20, 2025
Visit Reason
Federal Recertification Survey conducted in accordance with 42 Code of Federal Regulations Part 483.73 for Long Term Care Facilities.
Findings
The facility was found not in substantial compliance with Life Safety Code and Emergency Preparedness requirements. Deficiencies included obstructed exit corridors, improper locking mechanisms on egress doors, inadequate illuminated exit signage, sprinkler system obstructions, lack of annual fire door inspections, missing emergency stop device on generator, incomplete electrical receptacle testing, and improper use of power strips in patient care areas.
Deficiencies (9)
7.1.10.1: The basement exit corridor by the laundry had 44-gallon clean clothing bins stored, reducing corridor width to 48 inches, obstructing egress.
18.2.2.2.5.1, 19.2.2.2.4, 19.2.2.2.6: Exit doors were equipped with electronic locks without proper delayed egress or access control features, including a door with a keypad lock that did not function properly.
19.2.10.1: Illuminated exit signage did not remain lit when tested and monthly/annual inspections were not performed.
19.3.5.1, 19.3.5.2, 19.3.5.3, 19.3.5.4, 19.3.5.5: The sprinkler system was obstructed by a copper water pipe impacting the spray pattern of a sprinkler head.
19.3.5.12: Portable fire extinguishers were not properly installed, inspected, and maintained per NFPA 10 standards.
19.7.6, 8.3.3.1: Annual fire door inspections were not documented or performed by qualified personnel.
8.4.1.1: The emergency generator lacked a remote emergency stop device outside the enclosure.
6.3.4: Electrical receptacles in patient care rooms were not tested and documented annually as required.
10.2.3.6, 10.2.4: Power strips and multi-plug adapters were improperly used in patient care areas, contrary to NFPA 99 and NFPA 70 standards.
Report Facts
: 48
: 44
Inspection Report — May 20, 2025
Annual Inspection
Date: May 20, 2025
Visit Reason
The survey was conducted as an annual federal Recertification Survey to assess compliance with federal regulations and NFPA Life Safety Code standards.
Findings
Madigan Estates was found to be in substantial compliance with Emergency Preparedness but had multiple deficiencies related to Life Safety Code compliance including exit corridor obstructions, egress door locking issues, exit signage, sprinkler system maintenance, portable fire extinguisher installation, fire door inspections, generator emergency stop device, electrical receptacle testing, and improper use of power strips in resident rooms.
Deficiencies (9)
7.1.10.1: The basement exit corridor by the laundry had 8, 44-gallon clean clothing bins stored, reducing corridor width to 48 inches, obstructing means of egress.
K222: The exit door at the end of the corridor in Spruce Wing had a non-functional electronic lock without delayed egress or posted code, opening only upon fire alarm activation; repaired by survey end.
K293: Illuminated exit signs near the Spruce Nurse's station and shower room near room 310 did not remain illuminated during testing, and monthly/annual exit signage inspections were not performed.
K351: A sprinkler head in the basement sprinkler room was obstructed by a copper water pipe impacting its spray pattern; the pipe will be rerouted to remove obstruction.
K355: The Class K fire extinguisher in the kitchen lacked a placard stating the fire protection system must be activated prior to use.
K761: No documentation verified that annual fire door inspections were conducted by qualified personnel; maintenance supervisor lacked formal fire door training.
K911: The generator lacked a remote emergency stop device outside the enclosure; the only stop device was inside the generator housing.
K914: Annual testing and documentation of electrical receptacles in patient care rooms had not been completed within the last 12 months.
K920: Multi-plug adapters were used in resident rooms to add outlets, contrary to NFPA standards prohibiting power strips for non-patient-care-related electrical equipment.
Report Facts
: 48
: 8
: 6
Inspection Report — Mar 25, 2025
Re-Inspection
Date: Mar 25, 2025
Visit Reason
On-site re-visit to the survey dated 2025-01-22 to determine compliance status.
Findings
Madigan Estates 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
: Jan 22, 2025
Inspection Report — Oct 16, 2024
Biennial Survey
Date: Oct 16, 2024
Visit Reason
The inspection was a biennial survey to assess compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs, including infection prevention and control.
Findings
The facility was found non-compliant due to water temperatures in consumer areas exceeding the required range of 105°F to 120°F, with measurements up to 127.7°F in some locations. The Residential Care Director confirmed the findings and maintenance adjusted the water temperature to an acceptable range.
Deficiencies (1)
Water temperature in consumer areas exceeded the required range of 105°F to 120°F.
Report Facts
Water temperature measurement: 127.7
Water temperature measurement: 121.4
Water temperature measurement: 121.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christine Rice | Administrator | Named as facility administrator |
| Residential Care Director | Confirmed findings and contacted maintenance to adjust water temperature |
Inspection Report — May 7, 2024
Re-Inspection
Date: May 7, 2024
Visit Reason
This was an unannounced re-visit conducted to follow up on the annual Long Term Care Survey Process for Federal Recertification dated 3/21/24.
Findings
Madigan Estates was found to be in substantial compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities. No deficiencies were cited.
Inspection Report — Mar 21, 2024
Annual Inspection
Date: Mar 21, 2024
Visit Reason
The survey was conducted as part of the annual Long Term Care Survey Process for Federal Recertification.
Findings
The facility was found not in compliance with multiple federal requirements related to PASARR coordination, quality of care, respiratory care, drug labeling and storage, food safety, and resident records. Deficiencies were identified in notification of mental health diagnoses, diet order adherence, respiratory equipment setup, expired medication removal, food product labeling and storage, and completeness of medical records.
Deficiencies (6)
F644: The facility failed to ensure the State Mental Health authority for PASARR was notified of a newly added diagnosis of bipolar disorder for one resident.
F684: The facility failed to ensure a physician's order for a mechanical soft diet was followed for one resident, including serving inconsistent diet items and not following physician's diet orders.
F695: The facility failed to ensure respiratory care equipment was properly hooked up for one resident, including oxygen tubing not attached correctly to the humidification bottle.
F761: The facility failed to ensure expired medications and topicals were removed from treatment carts and medication storage areas, and failed to maintain proper labeling and storage conditions for drugs and biologicals.
F812: The facility failed to ensure food products were dated and labeled properly, and dented cans were removed from circulation, including several undated or dented canned food items found in dry storage.
F842: The facility failed to maintain complete and accurate medical records for two residents, including lack of verbal orders documentation, incomplete catheter and medication administration records, and missing physician orders for discontinuation of catheters and potassium supplementation.
Report Facts
: 8UDL11
: 0309
: 3/18/24 through 3/21/24
: 3/3/22
: 9/13/22
: 4/26/23
: 4/27/23
: 3/14/24
: Array
: Array
: Not specified
: Array
Inspection Report — Mar 18, 2024
Annual Inspection
Date: Mar 18, 2024
Visit Reason
The survey was conducted as part of the annual Long Term Care Survey Process for Federal Recertification.
Findings
The facility was found not in compliance with multiple federal requirements including coordination of PASARR assessments, quality of care, respiratory care, medication storage, food safety, and resident record management.
Deficiencies (6)
F644: The facility failed to notify the State Mental Health authority for PASRR of a newly added diagnosis of bipolar disorder for Resident #74, missing required coordination for level II resident review.
F684: The facility failed to follow a physician's order for a mechanical soft diet for Resident #5, serving regular consistency food contrary to the order.
F695: Respiratory care equipment for Resident #143 was not hooked up properly; the humidification bottle was not attached to the oxygen concentrator as required.
F761: The facility failed to remove expired medications and topicals from treatment and medication carts and storage rooms, and failed to monitor temperatures in a medication refrigerator storing insulin.
F812: Food products were not dated or labeled properly, and dented cans were not removed from use on multiple days of the survey.
F842: Clinical records for Residents #144 and #83 were incomplete and inaccurate, lacking written physician orders for catheter discontinuation, potassium supplementation, and insulin discontinuation.
Report Facts
: 1
: 1
: 1
: 1
: 1
Inspection Report — Feb 21, 2024
Complaint Investigation
Date: Feb 21, 2024
Visit Reason
Investigation of facility reported incidents #ME00046016 and #ME00046408.
Findings
Madigan Estates was found to be in compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities. No deficiencies were cited.
Report Facts
case_number: ME00046016
case_number: ME00046408
Inspection Report — Nov 14, 2023
Complaint Investigation
Date: Nov 14, 2023
Visit Reason
An unannounced on-site visit was conducted to investigate facility reported incidents #ME00044184, #ME00044724, #ME00045100, and #ME00045384.
Findings
The facility was found not in compliance with requirements related to abuse prevention and accident hazards. Specifically, the facility failed to protect residents from abuse by allowing an alleged perpetrator to work before investigation completion and failed to ensure adequate supervision and assistance during resident transfers, resulting in injury.
Deficiencies (2)
§483.12(b)(5)(iii): The facility failed to prevent retaliation by allowing the alleged perpetrator to work two scheduled shifts prior to investigation completion.
§483.25(d)(1)(2): The facility failed to ensure a resident received adequate supervision and assistance during transfer, resulting in a non-displaced fracture and pain.
Report Facts
: Jul 3, 2023
: Jun 29, 2023
: Jul 6, 2023
: 2023-07-04 21:57
: Oct 26, 2023
: Apr 20, 2023
: 2023-10-31 to 2023-11-03
Inspection Report — Jul 26, 2023
Follow-Up
Date: Jul 26, 2023
Visit Reason
An unannounced on-site visit was conducted at Madigan Estates for the purpose of follow-up to citations issued for the annual Long Term Care Survey Process dated 5/24/23.
Findings
Madigan Estates was determined to be in substantial compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities. No deficiencies were cited during this follow-up survey.
Inspection Report
Visit Reason
Failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day period
Findings
The facility failed to report complete COVID-19 data to the CDC's NHSN between 01/15/2024 and 01/21/2024 as required by regulation, potentially causing more than minimal harm to all residents.
Deficiencies (1)
F 884: The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day period as required by regulation.
Report Facts
: Jan 15, 2024
: Jan 21, 2024
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