Inspection Reports for
Bangor Nursing & Rehabilitation Center
103 Texas Ave Suite B, Bangor, ME 04401, United States, ME, 04401
Back to Facility Profile22 Reports
Inspection Report — Mar 10, 2026
Plan of Correction
Date: Mar 10, 2026
Visit Reason
An unannounced visit was conducted to investigate complaints #2786705 and #2788520 regarding pain management.
Findings
This document is the facility's plan of correction for the survey completed on 2026-03-10 addressing pain management deficiencies.
Report Facts
: 2786705
: 2788520
Inspection Report — Mar 3, 2026
Follow-Up
Date: Mar 3, 2026
Visit Reason
Follow-up to the annual Long Term Care Survey Process for Federal Recertification and complaint investigations #199520, #2609602, #267078, #2702437, and #2708058.
Findings
Bangor Nursing and Rehabilitation Center was found to be in compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities. No deficiencies were cited during this follow-up survey.
Report Facts
: Array
Inspection Report — Jan 6, 2026
Biennial Survey
Date: Jan 6, 2026
Visit Reason
Federal Recertification Survey conducted to assess compliance with long-term care emergency preparedness and electrical safety standards.
Findings
The facility was found not in substantial compliance with NFPA 99 and NFPA 101 standards related to electrical systems maintenance and power strip usage in patient care areas. Deficiencies included incomplete annual testing of receptacles and improper use of power strips and adapters in resident rooms.
Deficiencies (3)
K0914: Maintenance testing of hospital-grade receptacles in patient care rooms was incomplete, with 30 of 30 rooms lacking documented annual testing.
K0918: Generator monthly load test was not performed for one month, and weekly inspections were not fully documented as required by NFPA 110.
K0920: Power strips were improperly used as permanent power sources and non-hospital grade adapters were used in resident rooms, violating NFPA standards.
Report Facts
: 30
: 1
: 4
Inspection Report — Feb 11, 2025
Follow-Up
Date: Feb 11, 2025
Visit Reason
Unannounced on-site revisits were conducted to complete a follow-up to the annual Long Term Care Survey Process for Federal Recertification.
Findings
Bangor Nursing & Rehabilitation Center was found to be in compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities, with no deficiencies cited.
Inspection Report — Dec 17, 2024
Plan of Correction
Date: Dec 17, 2024
Visit Reason
This document is the facility's plan of correction for the Fire Marshal annual survey conducted on 12/17/2024.
Findings
This plan of correction addresses deficiencies related to fire safety and life safety code violations cited in the survey dated 12/17/2024, including issues with construction type, means of egress, doors, fire drills, electrical systems, and smoke management.
Report Facts
: Jan 14, 2025
: Jan 30, 2025
: Dec 24, 2024
: Dec 31, 2024
Inspection Report — Jul 24, 2024
Follow-Up
Date: Jul 24, 2024
Visit Reason
An unannounced re-visit was conducted to follow up on the complaint survey dated 6/12/24 with case numbers ME00046140, ME00046505, and ME00047620.
Findings
Bangor Nursing and Rehabilitation 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
case_number: ME00046140
case_number: ME00046505
case_number: ME00047620
Inspection Report — Jan 9, 2024
Complaint Investigation
Date: Jan 9, 2024
Visit Reason
An unannounced on-site visit was conducted to complete the investigation of complaint #ME00046046.
Findings
Bangor Nursing and Rehabilitation Center was found to be in substantial compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities.
Report Facts
: ME00046046
Inspection Report — Dec 11, 2023
Follow-Up
Date: Dec 11, 2023
Visit Reason
Follow-up survey for complaint #ME00045079.
Findings
Bangor Nursing and Rehabilitation Center 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
: ME00045079
Inspection Report — Dec 6, 2023
Complaint Investigation
Date: Dec 6, 2023
Visit Reason
Investigation of complaints #ME00045650 and #ME00045676.
Findings
Bangor Nursing and Rehabilitation Center was found to be in substantial compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities.
Report Facts
: ME00045650
: ME00045676
Inspection Report — Oct 26, 2023
Plan of Correction
Date: Oct 26, 2023
Visit Reason
The survey was conducted to complete the Long Term Care Survey Process recertification and investigate reported incidents and complaints.
Findings
This document is the facility's plan of correction for the Annual survey completed on 10/26/2023. It addresses deficiencies related to resident self-determination, privacy and confidentiality of records, PASARR screening, comprehensive care plans, quality of care, physician supervision, medication reviews, staffing data submission, infection prevention and control, and required in-service training for nurse aides.
Report Facts
: 9
: 2
: 17
: 5
: 1
: 1
: 4
: 2
: 51
: 0
: 5
: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
Inspection Report — Oct 23, 2023
Date: Oct 23, 2023
Visit Reason
The facility was surveyed for Federal participation requirements for Life Safety Code and Emergency Preparedness compliance.
Findings
The facility was found not to be in substantial compliance with Life Safety Code and Emergency Preparedness requirements. Deficiencies were identified in emergency preparedness planning, means of egress, sprinkler system maintenance, and electrical equipment safety.
Deficiencies (6)
E004: The facility failed to conduct the annual review of the Emergency Preparedness Plan since 2021, not meeting 42 CFR §483.73(a).
K211: The nursing facility failed to ensure means of egress were free from all obstructions in patient areas as required by NFPA 101, 2012 edition.
K232: The facility failed to maintain the required exit corridor width due to wheelchairs and patient lifts stored in exit corridors, violating NFPA 101 Life Safety Code.
K353: The facility failed to properly inspect, test, and maintain the automatic sprinkler and standpipe systems as required by NFPA 25 and NFPA 101.
K911: The facility failed to ensure electrical cabinets were free from obstructions and maintained adequate working space per NFPA 70, National Electrical Code, 2011 edition.
K920: The facility failed to ensure power strips were used only for patient-care-related electrical equipment and removed unauthorized power strips in patient care areas, violating NFPA 101.
Report Facts
: Oct 23, 2023
: Nov 2, 2023
: Jan 25, 2024
: Apr 25, 2024
Inspection Report — T9CU21 SOD
Date: T9CU21 SOD
Visit Reason
Federal Recertification Survey conducted to the National Fire Protection Association 101 Life Safety Code 2012 Edition.
Findings
The facility was found not in substantial compliance with NFPA 101 Life Safety Code 2012 Edition. Multiple deficiencies were identified including construction type issues, means of egress obstructions, locking mechanisms on egress doors, self-closing door failures, corridor width obstructions, inadequate exit signage, fire alarm system testing deficiencies, corridor door smoke resistance failures, incomplete fire drills, electrical system access and maintenance issues, and improper use of power strips.
Deficiencies (12)
K133: The facility failed to provide a two-hour fire barrier separating an outbuilding constructed of combustible materials attached to the exterior wall near the loading dock area.
K211: The means of egress was obstructed by uneven, deteriorated walkways with grass growing through cracks, and some walkways did not end at a public way.
K222: Doors in the means of egress were locked requiring staff intervention to exit, and garden gates had latches preventing egress from fenced areas.
K223: Doors in hazardous areas were not self-closing; specifically, the door to the CNA Supply Room was held open and would not self-close due to missing parts.
K232: Exit corridor widths were obstructed by stored carts, portable vital signs devices, and an AED protruding into the corridor, impeding egress.
K293: Exit signage was inadequate at entrances to the Skilled Bed corridor, failing to direct occupants to a second means of egress.
K345: The fire alarm system lacked documentation of smoke detector sensitivity testing within the past five years.
K363: Patient room corridor doors had gaps exceeding 1/2 inch allowing passage of smoke into rooms.
K712: The facility failed to conduct required quarterly fire drills on each shift, with missing drills in Q4 2023, Q2 2024 (third shift), and Q3 2024 (second shift).
K911: Electrical panels in the Steam Room were obstructed by stored items, preventing safe access and maintenance.
K918: Generator maintenance records were incomplete; missing load test records for June, July, and August, no documentation of weekly/monthly battery testing, and no annual fuel testing documentation.
K920: Power strips were improperly used as permanent power sources for refrigerators and medical dispensing cabinets in the Medication Room, violating NFPA standards.
Report Facts
: 2012
: Dec 17, 2024
: Array
: Array
: 6.75 inches
: over 0.5 inch
Document — 1DE2E8 H1 POC
Date: 1DE2E8 H1 POC
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10 CMS Surveys
Inspection Report — Dec 16, 2024
Biennial Survey
Date: Dec 16, 2024
Visit Reason
The survey was conducted to assess compliance with nursing home regulations, including treatment adherence, wound care, infection control, and clinical record accuracy.
Findings
The facility failed to ensure proper treatment and monitoring for residents, including failure to follow physician orders, inadequate wound care leading to deterioration and hospitalization, incomplete and inaccurate clinical records, and lapses in infection prevention and control practices.
Deficiencies (5)
F0684: The facility failed to ensure physician orders were followed for treatments for 2 of 20 sampled residents, including lack of constant supervision during meals for Resident #11 and failure to hold insulin for Resident #19 despite low blood sugar.
F0684: The facility failed to monitor the effectiveness of lice treatment for Resident #28, with no evidence of post-treatment checks for 4 days after application.
F0686: The facility failed to provide appropriate pressure ulcer care for Resident #42, resulting in wound deterioration and hospital transfer due to lack of monitoring, inaccurate documentation, and missed dressing changes.
F0842: The facility failed to maintain complete and accurate clinical records for Resident #42 and Resident #19, including incorrect wound assessment documentation and failure to replace oxygen tubing as ordered.
F0880: The facility failed to implement an effective infection prevention and control program, with staff observed not wearing required personal protective equipment when providing care to residents on enhanced barrier precautions.
Report Facts
: 1
: 1
: 4
: 11/30/24
: 15
: 12/8/24
: 12/15/24
Inspection Report — Dec 16, 2024
Biennial Survey
Date: Dec 16, 2024
Visit Reason
The survey was conducted to assess compliance with health and safety regulations, including resident care, medication management, infection control, and facility maintenance.
Findings
The facility was found to have multiple deficiencies including failure to provide advance directives to residents, inadequate notification of provider for resident status changes, poor maintenance and housekeeping, failure to incorporate PASARR recommendations into care plans, delayed baseline care planning, failure to follow physician orders, inadequate pressure ulcer care, nutritional service deficiencies, unsanitary respiratory care, trauma-informed care lapses, medication availability issues, untimely pharmacist follow-up, food safety violations, incomplete medical records, infection control breaches, and failure to offer pneumococcal vaccinations according to CDC guidelines.
Deficiencies (16)
F0578: The facility failed to provide evidence that advance directives were offered or reviewed with residents or their representatives for 7 of 14 residents reviewed.
F0580: The facility failed to notify the provider of a change in status for Resident #11 after an episode of vomiting on 10/11/24.
F0584: The facility failed to maintain the environment in good repair and sanitary conditions, including damaged furniture, chipped paint, and soiled equipment.
F0644: The facility failed to incorporate PASARR Level II recommendations into care plans and provide required behavioral health services for 3 residents.
F0655: The facility failed to develop and implement a baseline care plan within 48 hours that included instructions for proper care for Resident #54.
F0684: The facility failed to follow physician orders for treatments and monitor residents appropriately, including failure to provide constant supervision during meals and failure to hold insulin as ordered.
F0686: The facility failed to provide appropriate pressure ulcer care and monitoring for Resident #42, resulting in wound deterioration and hospital transfer.
F0692: The facility failed to provide recommended nutritional services for Resident #102 on a renal diet after hospital discharge.
F0695: The facility failed to provide oxygen therapy in a sanitary manner for Resident #25, with a dusty oxygen concentrator filter.
F0699: The facility failed to provide trauma-informed care by not implementing interventions to prevent re-traumatization for Resident #15.
F0755: The facility failed to ensure availability of physician ordered medications for Resident #51, resulting in missed doses of IV antibiotics.
F0756: The facility failed to follow up timely on pharmacist recommendations for 4 residents, including medication dose adjustments and daily limits.
F0812: The facility failed to monitor food temperatures to prevent foodborne illness and failed to ensure proper air gap installation on ice machine drain lines.
F0842: The facility failed to maintain complete and accurate clinical records for Resident #42 and failed to ensure timely oxygen tubing changes for Resident #19.
F0880: The facility failed to maintain an effective infection control program, including failure to use personal protective equipment for residents on precautions and during medication administration.
F0883: The facility failed to offer pneumococcal vaccinations according to CDC recommendations for 5 residents reviewed.
Report Facts
: 14
: 7
: 4
: 1
: 6
: 5
Inspection Report — Oct 21, 2024
Complaint Investigation
Date: Oct 21, 2024
Visit Reason
Complaint investigation into failure to notify resident representative of significant condition changes, inadequate incontinence care, insufficient nursing staff, and lack of effective training for contracted nursing staff.
Findings
The facility failed to notify a resident's representative timely of significant condition changes, did not provide timely incontinence care to multiple residents, lacked sufficient nursing staff to meet resident needs, and failed to ensure contracted Clipboard App nursing staff completed required trainings prior to providing care.
Deficiencies (4)
F0580: The facility failed to ensure that a resident's representative was notified immediately of a significant change in the resident's medical condition for 1 of 2 residents reviewed.
F0684: The facility failed to provide timely incontinence care for 4 of 7 residents during a complaint investigation, resulting in skin impairment risks and resident distress.
F0725: The facility failed to ensure sufficient nursing staff were scheduled and on duty to meet the needs of residents, leading to delayed responses to call bells and unmet care needs.
F0940: The facility failed to implement and maintain an effective training program for contracted nursing staff using the Clipboard App, lacking evidence of required dementia care, resident rights, and abuse/neglect training prior to providing care.
Report Facts
: 1
: 4
: 4
: 1
Inspection Report — Jun 12, 2024
Date: Jun 12, 2024
Visit Reason
Not applicable for nursing home CMS-2567 form
Findings
The facility failed to maintain resident dignity by attempting nail care against resident preference and disclosing a private conversation. The facility also failed to follow physician orders for dental referrals and delayed dental services for six months for one resident.
Deficiencies (3)
F0550: The facility failed to honor the resident's right to dignity and respect by attempting nail care against the resident's preference and disclosing a private conversation.
F0684: The facility failed to ensure physician orders were followed for dental referrals, resulting in no dental appointments scheduled for the resident.
F0790: The facility failed to provide routine and emergency dental care, delaying dental services for six months for a resident with chipped and broken teeth.
Report Facts
: 6
Inspection Report — Oct 24, 2023
Biennial Survey
Date: Oct 24, 2023
Visit Reason
The survey was conducted to assess compliance with federal nursing home regulations, including resident rights, care planning, medication management, infection control, and staff training.
Findings
The facility was found to have multiple deficiencies including failure to honor resident bathing preferences, maintain confidentiality of protected health information, update PASRR screening, implement complete care plans for PTSD, follow physician orders for referrals and fall monitoring, provide appropriate pressure ulcer care, supervise weight loss, complete annual staff evaluations and dementia training, ensure availability of physician-ordered medications, respond to pharmacist recommendations, maintain kitchen cleanliness, submit accurate staffing data to CMS, and maintain an effective infection prevention and control program.
Deficiencies (16)
F0561: The facility failed to ensure that a resident's choice in bathing was honored, with no evidence that showers were provided as scheduled.
F0583: The facility failed to maintain confidentiality of protected health information by leaving printed emails with resident COVID and C-diff status visible and accessible.
F0645: The facility failed to update PASRR screening to include current diagnoses of anxiety and depression for a resident.
F0656: The facility failed to review and update care plan interventions addressing PTSD triggers and behaviors for a resident.
F0684: The facility failed to follow physician orders for specialist referrals and fall monitoring protocols including vital signs and neuro checks.
F0686: The facility failed to provide appropriate pressure ulcer care by not using the prescribed Lotrisone cream during dressing changes.
F0710: The facility failed to ensure physician supervision and evaluation of significant weight loss for a resident.
F0730: The facility failed to complete annual performance evaluations for multiple licensed nursing staff.
F0755: The facility failed to ensure availability of physician-ordered medications, specifically Artificial Tears, for residents.
F0756: The facility failed to respond timely to consultant pharmacist recommendations regarding medication diagnoses for residents.
F0812: The facility failed to maintain kitchen cleanliness, including soiled floors, dirty ceiling tiles, torn floor mats, and use of dented canned goods.
F0842: The facility failed to maintain accurate clinical records, including transcription errors in medication orders for pressure ulcer treatment.
F0851: The facility failed to submit complete and accurate direct care staffing information to CMS for fiscal year quarter 3 (April 1 - June 30, 2023).
F0880: The facility failed to ensure the Infection Prevention and Control Program was reviewed annually.
F0882: The facility failed to ensure the Infection Preventionist had completed specialized training prior to starting the position.
F0947: The facility failed to implement and maintain an effective training program including dementia care training for licensed nursing staff.
Report Facts
: 14.58
: 12.99
: 4
: 9
: 4
: 1
: 2
: 1
: 1
: 1
: 1
: 1
Inspection Report — Aug 16, 2023
Date: Aug 16, 2023
Visit Reason
The facility failed to ensure that physician orders were followed for one of three residents reviewed who were transferred to the hospital.
Findings
The facility did not administer the prescribed antibiotic Cefdinir to Resident #1 for four days after the physician's order, resulting in a delay of treatment for a urinary tract infection.
Deficiencies (1)
F0684: The facility failed to provide appropriate treatment and care according to physician orders, as Resident #1 did not receive the ordered antibiotic Cefdinir for four days after the order date.
Report Facts
: 7
: 300
: 10
Inspection Report — Mar 29, 2023
Biennial Survey
Date: Mar 29, 2023
Visit Reason
The survey was conducted to assess compliance with resident care plans, nutritional needs, staffing adequacy, and clinical record accuracy.
Findings
The facility failed to follow care plan interventions for nutrition and treatment for residents #1 and #2, inadequately documented meal intakes and weights, left meals unattended leading to missed nutrition, and did not ensure sufficient nursing staff to meet resident needs. Clinical records were incomplete and inaccurate regarding meal intake and weight monitoring.
Deficiencies (5)
F0656: The facility failed to follow interventions outlined in the care plans for nutrition for 2 of 3 residents, including significant unreported weight loss and missed meal offerings.
F0684: The facility failed to provide appropriate treatment and care according to orders and resident preferences for 1 of 3 residents, including leaving meals unattended and not waking the resident to eat.
F0692: The facility failed to provide enough food and fluids to maintain a resident's health, including inadequate monitoring of nutritional status and missed meal offerings for 1 of 3 residents.
F0725: The facility failed to ensure sufficient nursing staff were scheduled and on duty to meet the needs of residents, contributing to falls and unmet care needs.
F0842: The facility failed to maintain complete and accurate clinical records for 2 of 3 residents, including missing meal intake documentation and unreliable weight records.
Report Facts
: 55.2
: 23
: 20
: 13
: 7
Inspection Report — Mar 29, 2023
Biennial Survey
Date: Mar 29, 2023
Visit Reason
The survey was conducted as a biennial survey to assess compliance with care planning, nutritional care, staffing, and medical record documentation requirements.
Findings
The facility failed to ensure adequate nutritional care and monitoring for residents #1 and #2, including significant unmonitored weight loss and inadequate meal offering documentation. Staffing levels were insufficient to meet resident needs, contributing to falls and unmet care needs. Clinical records lacked complete and accurate documentation of meal intakes and weights.
Deficiencies (5)
F0656: The facility failed to develop and implement a complete care plan that meets all resident needs, evidenced by failure to follow nutritional interventions for residents #1 and #2, including unreported significant weight loss and inconsistent meal offering documentation.
F0684: The facility failed to provide appropriate treatment and care according to orders and resident preferences for resident #2, demonstrated by leaving meals unattended and uncovered for extended periods and failure to notify the resident of meal delivery.
F0692: The facility failed to provide enough food and fluids to maintain resident #1's health, as shown by significant unmonitored weight loss, inconsistent weight measurements, and lack of follow-up on nutritional status.
F0725: The facility failed to provide enough nursing staff every day to meet the needs of every resident, resulting in increased falls and inadequate response to resident needs, as reported by residents and staff.
F0842: The facility failed to safeguard resident-identifiable information and maintain complete and accurate medical records for residents #1 and #2, including incomplete documentation of meal intakes and weights, and failure to notify medical providers of significant weight loss.
Report Facts
: 55.2
: 151.6
: 96.4
Inspection Report — Mar 21, 2023
Date: Mar 21, 2023
Visit Reason
No visit type found in the first three lines of the header.
Findings
The document is a CMS-2567 form for Bangor Nursing & Rehabilitation Center with deficiencies related to resident abuse and failure to provide timely care.
Deficiencies (2)
F0600: The facility failed to protect a resident from verbal abuse causing temporary embarrassment and emotional distress.
F0677: The facility failed to provide timely toileting and mobility assistance to residents, causing discomfort and incontinence.
Report Facts
: Few
: Some
Inspection Report — Aug 3, 2022
Date: Aug 3, 2022
Visit Reason
Multiple deficiencies related to resident care, medication administration, discharge planning, and kitchen sanitation were identified during the survey.
Findings
The facility failed to maintain a clean and sanitary environment, develop appropriate discharge plans, administer ordered medications, complete required assessments for psychotropic medications, and maintain kitchen equipment at proper sanitation standards.
Deficiencies (5)
F0584: The facility failed to maintain resident walls, radiator, curtains, blinds, and bathroom in a clean and sanitary manner as observed during an environmental tour on 8/3/22.
F0660: The facility failed to develop a discharge plan focused on the resident's discharge goals and effective transition of care for Resident #45 as of 8/3/22.
F0684: The facility failed to administer a physician-ordered medication, Amitiza, for 5 days to Resident #26 despite the medication being available, as of 8/1/22.
F0758: The facility failed to complete an Abnormal Involuntary Movement Scale (AIMS) assessment upon initiation of antipsychotic medication for Resident #8 as of 8/3/22.
F0812: The facility failed to ensure the kitchen hood vent was maintained in a clean and sanitary manner and the dishwasher reached minimum temperatures on multiple days during the survey period.
Report Facts
: 52
: 108.9
: 120
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