Inspection Reports for Forest Avenue Home
5 Forest Avenue, Ellsworth, ME 04605, ME, 04605
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Inspection Report
Complaint Investigation
Census: 4
Capacity: 4
Deficiencies: 2
Feb 12, 2025
Visit Reason
The inspection was conducted following a complaint investigation triggered by video evidence of alleged physical abuse and neglect of a resident at Forest Avenue Home.
Findings
The facility failed to ensure residents were free from physical abuse and was found to have staff verbally abusing and physically mistreating Resident #1, as evidenced by video footage and interviews. The staff member involved was terminated, and retraining was mandated for all agency staff.
Complaint Details
The complaint was substantiated based on video evidence showing physical abuse and verbal mistreatment of Resident #1 by CRMA #1. The staff member was terminated on 10/20/2025. The incident was reported to State Adult Protective Services and local police, who completed their investigation.
Severity Breakdown
Class II: 1
Class IV: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Right to freedom from abuse, neglect or exploitation. Facility failed to ensure residents were free from physical abuse. | Class II |
| Right to privacy and consideration. Facility failed to ensure Resident #1 was treated with dignity and respect while receiving personal care. | Class IV |
Report Facts
Census: 4
Total Capacity: 4
Dates of retraining: Retraining conducted between 1/28/2025 and 2/5/2025
Termination date: Staff member terminated on 10/20/2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alicia Holdsworth | Administrator | Administrator of Forest Avenue Home, named on the report |
| Unnamed Adult Services Director | Adult Services Director | Completed investigation and confirmed findings |
| Unnamed HR Director | HR Director | Completed investigation and oversaw staff retraining |
Inspection Report
Biennial Survey
Census: 4
Capacity: 4
Deficiencies: 0
Jun 6, 2023
Visit Reason
An on-site biennial survey inspection was conducted to assess compliance with regulations governing the licensing and functioning of Level III Residential Care Facilities.
Findings
Forest Avenue Home was found to be in substantial compliance with the applicable regulations for Level III Residential Care Facilities.
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