Best Nursing Homes in Lewiston, ME

Why trust this guide? Our editorial team analyzed 10 nursing homes in Lewiston, ME using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in ME
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We analyzed These are the facilities in Lewiston, ME our team has analyzed — not a count of every nursing home provider in Lewiston, ME.
10 homes
Other senior care options in Lewiston:
Avg Overall CMS Rating: 1.5/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Lewiston, ME. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 4.0/ 5The average Staffing Rating across all CMS-certified nursing homes in Lewiston, ME. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 1.5/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Lewiston, ME. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Lewiston (Metro Area)

Info below is compiled from CMS reports & the ME Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine score. It is not a government rating. A dash means we do not publish a grade for that facility: either its public record is too thin to be fair, or we hold nothing for it at all.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Maine average is: 52.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Marshwood Center
NH
HOS
PC
RC
SNF
Lewiston
108
Facility 108
ME AVG 64
Rank #8 / 41
93.9%
Facility 93.9%
ME AVG 87.8%
Rank #14 / 34
+7%
3.68
Facility 3.68
ME AVG 4.50
Rank #25 / 30
B+ -2%-18%
$0
Facility $0
ME AVG $26.4k
Rank #1 / 30
29
Facility 29
ME AVG 28.5
Rank #18 / 30
7.3
Facility 7.3
ME AVG 5.9
Rank #19 / 30
-101-
21
Facility 21
ME AVG 43
Rank #35 / 45
Beth Barends
$13.4MFiscal year ending 09/2023
Facility $13.4MFiscal year ending 09/2023
ME AVG $17.8M
Rank #11 / 27
$6.0MFiscal year ending 09/2023
Facility $6.0MFiscal year ending 09/2023
ME AVG $7.2M
Rank #15 / 27
45.2%Fiscal year ending 09/2023
Facility 45.2%Fiscal year ending 09/2023
ME AVG 52.1%
Rank #22 / 27
205072
St. Mary’s D‘Youville Pavilion
NH
IL
MC
SNF
Lewiston
210
Facility 210
ME AVG 64
Rank #2 / 41
78.7%
Facility 78.7%
ME AVG 87.8%
Rank #28 / 34
-10%
4.19
Facility 4.19
ME AVG 4.50
Rank #17 / 30
C- +43%-7%
$22.2k
Facility $22.2k
ME AVG $26.4k
Rank #1 / 30
28
Facility 28
ME AVG 28.5
Rank #9 / 30
4.0
Facility 4.0
ME AVG 5.9
Rank #11 / 30
1165---$19.9M*Fiscal year ending 2014These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$11.2M*Fiscal year ending 2014These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.56.4%*Fiscal year ending 2014These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.205053
Montello Manor
NH
AL
SNF
Lewiston
37
Facility 37
ME AVG 64
Rank #27 / 41
94.3%
Facility 94.3%
ME AVG 87.8%
Rank #13 / 34
+7%
4.62
Facility 4.62
ME AVG 4.50
Rank #10 / 30
C -38%+3%
$14.5k
Facility $14.5k
ME AVG $26.4k
Rank #26 / 30
39
Facility 39
ME AVG 28.5
Rank #22 / 30
6.5
Facility 6.5
ME AVG 5.9
Rank #25 / 30
135-
33
Facility 33
ME AVG 43
Rank #27 / 45
Richard A. Rousseau Trust B
$5.8MFiscal year ending 12/2023
Facility $5.8MFiscal year ending 12/2023
ME AVG $17.8M
Rank #27 / 27
$2.9MFiscal year ending 12/2023
Facility $2.9MFiscal year ending 12/2023
ME AVG $7.2M
Rank #27 / 27
50.2%Fiscal year ending 12/2023
Facility 50.2%Fiscal year ending 12/2023
ME AVG 52.1%
Rank #17 / 27
205006
Russell Park Rehabilitation & Living Center
NH
AL
RESC
SNF
Lewiston
50
Facility 50
ME AVG 64
Rank #23 / 41
85.8%
Facility 85.8%
ME AVG 87.8%
Rank #26 / 34
-2%
4.03
Facility 4.03
ME AVG 4.50
Rank #20 / 30
B- -34%-11%
$0
Facility $0
ME AVG $26.4k
Rank #1 / 30
44
Facility 44
ME AVG 28.5
Rank #26 / 30
8.8
Facility 8.8
ME AVG 5.9
Rank #27 / 30
-43-
41
Facility 41
ME AVG 43
Rank #21 / 45
-
$7.3MFiscal year ending 12/2023
Facility $7.3MFiscal year ending 12/2023
ME AVG $17.8M
Rank #25 / 27
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
ME AVG $7.2M
Rank #26 / 27
51.4%Fiscal year ending 12/2023
Facility 51.4%Fiscal year ending 12/2023
ME AVG 52.1%
Rank #14 / 27
205052

Rank badges are statewide: each nursing home is ranked against every ME nursing home we track that reports that metric, not just the 10 analyzed for Lewiston. See how we rank facilities

Overview of Marshwood Center

Marshwood Center is a nursing home in Lewiston, ME that provides skilled nursing, hospice care, palliative care, and respite care. Skilled nursing gives residents licensed nursing care on site around the clock, while hospice and palliative care support comfort-focused care for people with serious or life-limiting illness. Respite care provides a short stay for someone whose usual caregiver needs time away.

Post-hospital, short-term rehabilitation and rehabilitation therapy support recovery after a hospital stay, and orthopedic rehabilitation focuses therapy on orthopedic recovery. Long-term care is also available for residents who need ongoing nursing support. Marshwood Center may be a good fit for a resident whose needs range from short-term rehabilitation or respite to ongoing skilled nursing, including someone needing hospice or palliative care.

The home has 108 beds and offers private and semi-private rooms. A private room gives one resident a room to themselves, while a semi-private room provides shared accommodation. Medicaid, Medicare, and private pay are accepted; Medicare can help cover short-term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay uses personal funds.

Total nurse staffing is 3 hours and 41 minutes per resident per day, representing the daily nursing time allocated to each resident. The community has a fitness room, activity room, beauty salon and barber services, rehabilitation services, and transportation, giving residents access to exercise, activities, grooming, therapy, and transportation without arranging each service independently. Pets are allowed, so a resident may be able to keep a pet with them.

Contact Marshwood Center

Overview of St. Mary’s D‘youville Pavilion

St. Mary’s D’Youville Pavilion proudly approaches nursing care as a person-centered service. It provides a warm and welcoming atmosphere for its residents to maintain comfort in a homey setting. With an emphasis on independent living, memory care, and long-term and short-term care, the home offers an environment where residents continuously grow as individuals in a nurturing environment that maximizes everyone’s quality of life.
St. Mary’s D’Youville Place specializes in surgical recovery, skilled nursing, therapeutic rehabilitation, short-term recovery, and long-term care. Other community features include housekeeping, transportation, social events, recreational activities, and specialized programs.

Contact St. Mary’s D‘Youville Pavilion

Overview of Montello Manor

Montello Manor has provided quality services in Lewiston for over 50 years. With an emphasis on skilled nursing and rehabilitation services, a balanced lifestyle of comfort and calmness is met with full support. Residents of the community are encouraged to have a strong sense of freedom with no shame of being able to receive additional assistance.
Montello’s lifestyle is easy and worry-free, offering short-term care, hospital-to-home services, and therapies. Their amenities and services include laundry, transportation, healthy and savory chef-prepared meals, social activities, and fitness activities.

Contact Montello Manor

Overview of Russell Park Rehabilitation & Living Center

Based in the area of Lewiston, Maine, Russell Park Rehabilitation & Living Center is a trusted senior care provider, specializing in short-term care and long-term care. Residents needing support with their recovery process after an injury or any form of hospitalization are offered access to comprehensive rehabilitation services. This 62-bed community prides itself in delivering care services based on the residents’ individual choices, ensuring they are met with care plans that best suit their specific needs.

The community closely collaborates with residents and their families and forms a strong connection with them to fully understand their needs and pain points, making care delivery more convenient and effective. Residents are also offered a full range of fun and stimulating activities designed to provide them endless opportunities to enjoy their minds as they go through the recovery process.

Contact Russell Park Rehabilitation & Living Center

Overview of Marshwood

Marshwood Center of the Genesis Healthcare Community is a nursing home ideal for residents who seek to relax and recover. Specializing in short-term rehabilitation and long-term care, the multi-awarded community provides professional and compassionate service for its residents. Marshwood Center cultivates the holistic needs of its residents in a home-like setting.
The services are multidisciplinary for both skilled nursing and rehabilitation– focusing on post-surgical care, on-site therapy (physical, occupational, speech), strength conditioning, mobility improvement; colostomy care, dementia care, pain management, wound care; and medical professionals are on-call– medical directors, nurse practitioners, and physicians.

Contact Marshwood

Overview of Fifty Eight Sargent Avenue

Four beds is a small number by any measure, and at Fifty Eight Sargent Avenue in Lewiston, Maine, all four are currently full. The Level III licensed residential care facility occupies a single-story building on Sargent Avenue, administered by Brian Vye. It’s not a campus; it’s closer to a household.

That scale shapes everything else about the place. Residents choose between private and semi-private rooms, and with only four people under one roof, the staff-to-resident dynamic looks nothing like a larger facility’s. The neighborhood itself is car-dependent, carrying a Walk Score of 22, so getting around still means driving rather than walking to nearby errands.

Regulatory reviews of the facility have tended to focus on care planning and documentation, a standard area of oversight for facilities like this one rather than a sign of trouble in day-to-day care. It’s the kind of theme regulators check across the board, not something specific to how residents are treated here.

For families weighing a smaller, quieter alternative to a large assisted living campus, Fifty Eight Sargent Avenue offers exactly that: four rooms, one administrator, and a scale of care that’s more household than it is a large institution.

Contact Fifty Eight Sargent Avenue

Overview of Seventy Six Bradley Street

Overlooking the scenic area of Lewiston, ME, Seventy Six Bradley Street is a warm and welcoming senior living community, offering assisted living and memory care services. Offering a round the clock team of dependable caregivers, the community warrants each resident immediate assistance during emergencies and personalized services tailored to their needs. Residents are provided with cozy and easy to navigate living spaces that guarantee utmost comfort and safety, fostering a comfortable living experience.

Dedicated to giving residents a well-rounded experience, the community also offers an array of conveniences and amenities, such as chapel, concierge, transportation, and pharmacy services. A fitness room is available to provide residents with space and opportunities for physical activities, while a talented culinary team prepares three delicious meals daily to give residents the nourishment they need. With its extensive services, a reliable care team, and array of thoughtful perks, the community guarantees a relaxing retirement experience.

Contact Seventy Six Bradley Street

Overview of Martin Drive

Martin Drive sits on Martin Drive itself in Lewiston, Maine, a four-bed community in Androscoggin County that offers memory care, assisted living, independent living, and nursing home services under one roof. That combination in a building this small is unusual. Most facilities offering all four care types operate at a much larger scale.

The two-story building sits in a moderately walkable pocket of the city (Walk Score 61), so some errands are doable on foot even if a car still helps for most trips. Rooms come as private or semi-private, and residents have access to transportation services and fitness and recreation options, covering basic mobility and activity needs without requiring family to arrange every outing.

Four beds is a small number by any measure, closer to a household than an institution. That scale can mean tighter staff familiarity with each resident’s habits and needs, though it also means less of the programming variety a larger community might offer. Families drawn to a quiet, low-turnover setting will find that here; those wanting a broader activity calendar or bigger social circle may want to look elsewhere.

The mix of care types under one small roof suggests a place built for continuity, letting a resident’s needs change over time without a move to a new facility.

Contact Martin Drive

Overview of Montello Manor

Richard A. Rousseau Trust B operates Montello Manor Inc., a 37-bed nursing home in Lewiston, Maine, that has provided skilled nursing, rehabilitation, and assisted living services for over 50 years. The facility maintains a steady 81 percent occupancy rate, meaning open beds are limited due to consistent local demand. The surrounding neighborhood has a mix of nearby services that are somewhat reachable on foot, though visitors and residents will still need a vehicle for most trips around the area.

Daily operations rely on a nursing team that logs an average of four hours of direct, hands-on care per resident every day. Registered nurses, practical nurses, and aides split this time to manage clinical treatments, hospital-to-home recovery services, and physical therapy sessions. The trust also runs Montello Commons and Montello Heights nearby, giving families alternative residential options within the same organization if their care needs change.

State health regulators perform regular licensing and safety reviews at this facility to check compliance with nursing home codes.

Older adults looking into care placements can contact the admissions office to check on open room availability or to discuss the intake forms.

Contact Montello Manor Inc.

Overview of Odd Fellows and Rebekahs‘ Home of Maine

Nestling in Auburn, Maine, Odd Fellows is a not-for-profit skilled nursing and rehabilitation center that provides graceful living for short-term or long-term residents. Professional and compassionate caregivers receive supportive assistance for everyday living with enriching activities that contribute to a high success rate for recovery. Odd Fellows is proud to be a results-driven rehabilitation center where families and residents are empowered to reach healthcare excellence. 
Residential lifestyle is inclusive of comprehensive amenities and services that help with day-to-day. Its community features include 24/7 nursing and care, housekeeping, transportation, meals served, social activities, and stimulating programs.

Contact Odd Fellows and Rebekahs‘ Home of Maine

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in Lewiston, ME

What's the difference between assisted living and a nursing home in Maine?

Assisted living in Maine is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Maine Medicaid cover nursing home care?

Yes — Maine Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 10 nursing homes in Lewiston, ME. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Lewiston, ME?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Lewiston, ME, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Lewiston, ME?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.