Inspection Reports for Country Village Estates
260 Dugal Dr, Madawaska, ME 04756, ME, 04756
Back to Facility ProfileInspection Report Summary
The most recent inspection on May 21, 2025, identified a deficiency related to a staff member not completing required Department-approved certification training within 120 days of hire. Earlier inspections showed mixed results, with prior reports citing issues in medication administration recordkeeping and similar training deficiencies for the same staff member. Complaint investigations included a substantiated complaint about staff training compliance, while another complaint investigation found the facility in substantial compliance. There were no fines, immediate jeopardy findings, or enforcement actions listed in the available reports. The inspection history suggests ongoing challenges with staff training requirements, while other areas such as medication documentation have not been cited recently.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
1.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
74% better than Maine average
Maine average: 5.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Plan of Correction
Capacity: 27
Deficiencies: 1
Date: May 21, 2025
Visit Reason
The inspection was conducted due to a complaint (Complaint: 2025-AHP-40825) regarding staff training and certification compliance at Country Village Estates, a Level IV Residential Care Facility.
Complaint Details
Complaint 2025-AHP-40825 regarding staff training compliance was substantiated by interviews and record review showing Staff #1 had not completed required training within 120 days.
Findings
The facility failed to ensure that Staff #1 completed a Department-approved certification course within 120 days of hire, despite working 32 to 40 hours per week. Training records reviewed on 5/21/2025 showed no evidence of successful completion of the required certification.
Deficiencies (1)
Failure to ensure completion of Department-approved certification training for Staff #1 within 120 days of hire.
Report Facts
Total licensed capacity: 27
Staff training timeframe: 120
Staff work hours per week: 32
Staff work hours per week: 40
Plan of correction completion date: Aug 30, 2025
Inspection Report
Complaint Investigation
Capacity: 27
Deficiencies: 1
Date: May 15, 2025
Visit Reason
The inspection was conducted as a complaint investigation regarding the facility's failure to ensure completion of Department-approved training for a staff member providing direct care services.
Complaint Details
The complaint (2025-AHP-40825) was substantiated by interview and record review showing Staff #1 had not completed required training within 120 days from the date of hire and worked 32 to 40 hours per week.
Findings
The facility was found not in compliance with staffing training requirements, specifically failing to ensure that Staff #1 completed the required certification course within 120 days of hire despite working more than 20 hours per week.
Deficiencies (1)
Failure to ensure completion of a Department approved training for Staff #1 who provided direct care services within 120 days of hiring.
Report Facts
Total Capacity: 27
Staff Work Hours: 32
Staff Work Hours: 40
Training Completion Timeframe: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Louis Dugal | Administrator | Named as facility administrator |
| Residential Care Director | Residential Care Director (RCD) | Confirmed Staff #1 had not completed required training |
Inspection Report
Biennial Survey
Census: 27
Capacity: 27
Deficiencies: 1
Date: Nov 18, 2024
Visit Reason
The visit was a biennial survey to assess compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs for Level IV Residential Care Facilities.
Findings
The facility failed to maintain Medication Administration Records (MARs) documenting whether medications and treatments were administered or refused for 2 of 3 resident records reviewed, with unexplained blanks noted in MARs for multiple dates and medications.
Deficiencies (1)
Failure to maintain Medication Administration Records (MARs) documenting medication administration or refusal for 2 of 3 residents reviewed.
Report Facts
Census: 27
Total Capacity: 27
Unexplained blanks in MAR: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Louis Dugal | Administrator | Named as facility administrator and involved in exit review |
Inspection Report
Complaint Investigation
Capacity: 27
Deficiencies: 0
Date: Mar 19, 2024
Visit Reason
The inspection visit was conducted as a complaint investigation for COUNTRY VILLAGE ESTATES, a PNMI Level IV Residential Care Facility.
Complaint Details
Complaint Investigation 2024-AHP-36485; substantial compliance found.
Findings
COUNTRY VILLAGE ESTATES is in substantial compliance with Part of 10-144, Chapter 113, Regulations Governing the Licensing and Functioning of Assisted Housing Programs: PNMI Level IV Residential Care Facility.
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