Inspection Reports for
The Grande At South Portland
25 Country Club Rd, South Portland, ME 04106, United States, ME, 04106
Back to Facility Profile4 Reports
Inspection Report — Mar 19, 2025
Complaint Investigation
Date: Mar 19, 2025
Visit Reason
A complaint investigation was conducted due to allegations that the facility was out of compliance with regulations governing assisted housing programs, specifically regarding resident rights and care.
Complaint Details
The complaint investigation 2025-AHP-40514 was substantiated with findings that the facility was out of compliance with regulations governing assisted housing programs, specifically regarding resident communication rights and care planning.
Findings
The facility was found non-compliant with regulations related to resident rights to communicate privately, development and implementation of a comprehensive service plan, and maintenance of ongoing progress notes. Specifically, one resident was not assisted with phone calls, lacked a fully developed service plan addressing all needs, and did not have adequate monthly progress notes documenting implementation and significant changes.
Deficiencies (3)
Resident was not assisted with phone calls, violating the right to communicate privately with persons of choice.
Service plan did not address all areas in which the resident needed assistance or describe strategies to meet those needs.
Ongoing progress notes were not maintained at least monthly on implementation of the service plan or significant changes in the resident's life.
Report Facts
Complaint Investigation Number: 2025-AHP-40514
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nicole Guenette | Assisted Housing Program Manager | Signed letter regarding complaint investigation and plan of correction |
| Caitlin Marsanskis | Administrator | Named in relation to findings and interviewed during investigation |
| Employee #1 | Interviewed regarding resident care and phone assistance | |
| Employee #3 | Interviewed regarding resident isolation and medication safety |
Inspection Report — Mar 10, 2025
Complaint Investigation
Date: Mar 10, 2025
Visit Reason
Complaint investigation regarding resident assistance and care plan compliance.
Findings
The facility failed to assist a resident with telephone communication, did not develop a comprehensive service plan addressing all resident needs, and lacked ongoing monthly progress notes documenting significant changes in the resident's life.
Deficiencies (3)
5.15: Residents must be assisted with telephone communication; one resident was not assisted with phone calls.
12.3.1: A service plan must address all areas where the resident needs assistance; one resident's plan lacked documented strategies to meet communication needs.
12.4: The facility must maintain monthly progress notes on service plan implementation and significant resident changes; one resident's notes lacked documentation of progress and significant life changes.
Report Facts
: 2025-AHP-40514
Inspection Report — Oct 29, 2024
Biennial Survey
Date: Oct 29, 2024
Visit Reason
The inspection was a biennial survey to assess compliance with regulations governing the licensing and functioning of a Level IV Residential Care Facility and Infection Prevention and Control.
Findings
The facility was found non-compliant with several regulatory requirements including incomplete records for Schedule II controlled substances, lack of a current diet manual, unsanitary conditions of kitchen equipment, inadequate dishwasher sanitization temperatures and lack of test kits, and absence of proof of rabies vaccination for a facility cat.
Deficiencies (5)
Failed to include prescription number, dosage, frequency, and method of administration in Schedule II controlled substances record for one resident.
Facility failed to ensure there was a current therapeutic diet manual.
Ice machine in memory care unit kitchen was not maintained in a clean and sanitary manner.
Facility chemical sanitizing dishwasher did not reach required rinse-water temperature and lacked an approved test kit to measure sanitizer residual.
Facility failed to provide evidence of current rabies vaccination for a facility cat.
Report Facts
Dishwasher test cycles: 4
Dishwasher temperature: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caitlin Marsanskis | Administrator | Named as facility administrator |
| Wellness Director | Reviewed medication record deficiency at exit meeting | |
| Executive Chef | Confirmed lack of current diet manual | |
| Director of Maintenance | Confirmed findings related to ice machine, dishwasher, and rabies vaccination at exit interview |
Report
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