Deficiencies (last 4 years)
Deficiencies (over 4 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
30% better than Maine average
Maine average: 5.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jul 1, 2025
Visit Reason
The inspection was conducted following a facility reported incident alleging verbal abuse of a resident by two CNAs.
Complaint Details
The complaint was substantiated based on the facility reported incident and follow-up investigation confirming verbal abuse by two CNAs. The CNAs were terminated and corrective actions were verified by the surveyor.
Findings
The facility failed to ensure that one of six sampled residents was free from verbal abuse by two CNAs who admitted to making inappropriate and abusive statements. The CNAs were terminated and the facility implemented corrective actions including staff education on abuse prevention.
Deficiencies (1)
F 0600: The facility failed to protect a resident from verbal abuse by two CNAs who admitted to making inappropriate and abusive statements to the resident.
Report Facts
Residents affected: 1
Sample size: 6
Inspection Report
Routine
Deficiencies: 9
Date: Mar 29, 2023
Visit Reason
Routine state inspection survey conducted to assess compliance with regulatory requirements related to resident care, environment, infection control, medication management, staffing, and food safety.
Findings
The facility was found deficient in multiple areas including inadequate housekeeping and maintenance, failure to notify residents of transfers and bed hold policies, incomplete care plan reviews, environmental hazards, lack of posted nurse staffing information, improper medication storage and labeling, unsanitary kitchen conditions with improper food labeling and temperature monitoring, and failure to implement infection control precautions for residents colonized with multidrug-resistant organisms.
Deficiencies (9)
F 0584: The facility failed to maintain a safe, clean, and homelike environment with multiple housekeeping and maintenance issues observed on three units including commode buckets on floors, chipped laminate, gouged walls, and rusty heating units.
F 0623: The facility failed to provide timely written notification to a resident and/or representative regarding hospital transfers for 1 of 3 sampled residents.
F 0625: The facility failed to issue a bed hold notice including daily bed hold cost to a resident or representative for 1 of 3 sampled residents transferred to hospital.
F 0657: The facility failed to review and revise care plans by an interdisciplinary team after assessments for 2 of 28 sampled residents.
F 0689: The facility failed to ensure the resident environment was free from accident hazards including a patient lift missing safety clips, a hallway bumper guard with exposed sharp edges, and unsafe decorative string lights in a resident room.
F 0732: The facility failed to post daily nurse staffing information for 3 of 3 survey days as required.
F 0761: The facility failed to properly label and dispose of open biologicals and allowed an unlocked unattended medication cart accessible to residents and unauthorized persons.
F 0812: The facility failed to maintain kitchen cleanliness and sanitation, failed to label and date food products properly, and failed to monitor refrigerator, freezer, and dishwasher temperatures consistently.
F 0880: The facility failed to implement infection control contact precautions for two residents colonized with ESBL multidrug-resistant organisms, resulting in lack of posted precautions and unavailable PPE at resident rooms.
Report Facts
Residents sampled for hospitalizations: 3
Residents sampled for care plan review: 28
Survey days without posted nurse staffing information: 3
Open biologicals with improper labeling: 3
Missing temperature log dates: 7
Residents with ESBL colonization: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Social Worker Conditional | Confirmed findings related to transfer notification, bed hold notice, and care plan deficiencies | |
| Maintenance Director | Confirmed environmental housekeeping and maintenance deficiencies | |
| Nurse Manager | Confirmed accident hazard findings and medication cart security issues | |
| Director of Nursing | Confirmed staffing posting deficiencies and infection control findings | |
| Registered Nurse Manager | Confirmed medication labeling and storage deficiencies | |
| Food Service Director | Confirmed kitchen sanitation and food safety deficiencies | |
| Certified Medication Technician (CNA-M) | Observed medication pass and lack of infection control awareness | |
| Certified Nurses Aid (CNA) | Interviewed regarding infection control precautions and resident care | |
| Licensed Practical Nurse (LPN) | Interviewed regarding infection control precautions and resident care | |
| Administrator | Confirmed kitchen sanitation and staffing posting deficiencies |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Mar 12, 2020
Visit Reason
The inspection was conducted to investigate complaints regarding medication storage, dental services provision, and clinical record documentation at the nursing home.
Complaint Details
The visit was complaint-related, investigating issues with medication storage, dental service provision, and clinical record documentation. The findings confirmed the complaints were substantiated.
Findings
The facility failed to store insulin medications securely in a locked compartment, did not ensure dental services were provided as ordered for one resident, and lacked documentation for pressure ulcer care on specified dates for another resident.
Deficiencies (3)
F 0761: The facility failed to adequately store insulin pens in a locked compartment of the treatment administration cart on 1 of 4 survey days and on 1 of 3 units.
F 0791: The facility failed to ensure dental services were scheduled and provided as ordered for 1 of 33 residents, with documentation lacking for the ordered dental visit.
F 0842: The facility failed to maintain clinical record documentation for pressure ulcer care on 3/1/20 and 3/4/20 for 1 of 33 residents.
Report Facts
Residents selected for further investigation: 33
Residents affected: 1
Residents affected: 1
Days medication storage was inadequate: 1
Units with medication storage issue: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding medication storage and dental service documentation | |
| Administrator | Interviewed regarding medication storage and dental service documentation | |
| Wound Nurse | Interviewed regarding clinical record documentation for pressure ulcer care | |
| RN/Nurse Manager | Interviewed regarding clinical record documentation for pressure ulcer care |
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Apr 10, 2019
Visit Reason
The inspection was conducted as a standard annual survey to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in completing PASARR screening for mental disorders for one resident, failing to revise a care plan related to pressure ulcers for another resident, and inadequately storing controlled substances in medication storage rooms.
Deficiencies (3)
F 0645 PASARR screening for Mental disorders or Intellectual Disabilities was not completed for 1 of 2 sampled residents reviewed for PASARR (#47).
F 0657 The facility failed to revise a care plan related to pressure ulcers to meet 1 of 17 sampled residents' needs (Resident #9).
F 0761 The facility failed to adequately store controlled substances in a separately locked, permanently affixed compartment in 3 observations of medication storage rooms.
Report Facts
Residents sampled for PASARR review: 2
Residents sampled for care plan revision: 17
Observations of medication storage rooms: 3
Medication bottle size: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Interviewed regarding PASARR screening deficiency | |
| Social Worker | Interviewed regarding PASARR screening deficiency | |
| Minimum Data Set (MDS) Coordinator | Interviewed regarding care plan revision deficiency | |
| Director of Nursing (DON) | Interviewed regarding care plan revision deficiency | |
| Director of Clinical Operations | Interviewed regarding care plan revision deficiency | |
| Registered Nurse (RN), Unit Manager | Observed and confirmed medication storage deficiencies | |
| Certified Nursing Assistant - Medications (CNA-M) | Observed medication storage deficiency |
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