Inspection Reports for Hampden Woods Manor
60 Carmel Rd S, Hampden, ME 04444, ME, 04444
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Inspection Report
Plan of Correction
Census: 6
Capacity: 8
Deficiencies: 9
Oct 2, 2025
Visit Reason
The inspection was a biennial survey to assess compliance with the Assisted Housing Program Licensing Rule for Residential Care Facilities, identifying deficiencies in licensing, medication administration, facility maintenance, resident care service plans, progress notes, staffing, and other regulatory requirements.
Findings
Multiple deficiencies were found including failure to have signed resident contracts, incomplete medication administration records, lack of routine maintenance, unsecured hazardous materials, missing service plans and progress notes, absence of registered nurse services on a quarterly basis, lack of proof of rabies vaccination for a pet, and inadequate designated smoking area.
Severity Breakdown
Class I: 1
Class III: 1
Deficiencies (9)
| Description | Severity |
|---|---|
| Facility failed to have a signed standard contract in 1 out of 2 resident records reviewed. | — |
| Medication Administration Record (MAR) was not documented to show whether medications were administered or refused in 2 of 2 resident records reviewed. | — |
| Closet door in bathroom/laundry room was broken with a portion missing. | — |
| Hazardous and toxic materials such as cleaning supplies were unsecured in the bathroom/laundry area. | Class I |
| Service plan was not developed and implemented within 30 calendar days of admission for 1 of 2 resident records reviewed. | — |
| Progress note was not completed within 24 hours of admission summarizing resident's basic care needs for 1 of 2 resident records reviewed. | — |
| Facility failed to provide registered nurse services at minimum quarterly basis. | — |
| Facility failed to provide proof of rabies vaccination for a canine present during the survey. | — |
| Facility did not maintain a designated smoking area located at least 20 feet away from entryways, vents, windows, and doorways. | Class III |
Report Facts
Resident records reviewed: 2
Residents with deficiencies: 2
Facility census: 6
Facility total capacity: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ellen Grant | Administrator | Confirmed findings during phone interviews and signed the report |
| Certified Residential Medication Aide (CRMA) | Confirmed findings related to medication administration and hazardous materials during survey |
Inspection Report
Biennial Survey
Census: 6
Capacity: 8
Deficiencies: 9
Oct 2, 2025
Visit Reason
The inspection was a biennial survey conducted to assess compliance with the Maine Assisted Housing Program Licensing Rule for Residential Care Facilities.
Findings
The facility was found non-compliant with multiple licensing requirements including failure to have signed standard contracts for residents, incomplete medication administration records, lack of routine maintenance, unsecured hazardous materials, missing service plans and progress notes, failure to provide required registered nurse services quarterly, lack of proof of rabies vaccination for a pet dog, and inadequate smoking area placement.
Severity Breakdown
Class I: 1
Class III: 1
Deficiencies (9)
| Description | Severity |
|---|---|
| Failed to have a signed standard contract in 1 out of 2 resident records reviewed (Resident #1). | — |
| Medication Administration Record (MAR) was not documented to show whether medications were administered or refused in 2 of 2 resident records reviewed (Residents #1 and #2). | — |
| Closet door in bathroom/laundry room was broken with a portion missing. | — |
| Hazardous and toxic materials were not stored in a locked compartment; cleaning supplies were unsecured in bathroom/laundry area. | Class I |
| Failed to develop and implement a service plan within 30 days of admission for 1 of 2 resident records reviewed (Resident #1). | — |
| Failed to complete a progress note within 24 hours of admission including initial summary of basic care needs for 1 of 2 resident records reviewed (Resident #1). | — |
| Failed to provide registered nurse services at the minimum quarterly basis for the past year. | — |
| Failed to provide evidence of proof of rabies vaccination for a canine present at the facility. | — |
| Smoking area was not maintained at least 20 feet away from entryways, vents, windows, and doorways; smoking receptacles were located directly outside the main entrance door. | Class III |
Report Facts
Resident records reviewed: 2
Residents with MAR documentation issues: 2
Residents without service plan: 1
Residents without progress note within 24 hours: 1
Facility licensed capacity: 8
Facility census: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ellen Grant | Administrator | Confirmed findings during phone interviews on 10/2/2025 |
| Certified Residential Medication Aide (CRMA) | Confirmed findings related to hazardous materials storage, pet vaccination, and smoking area during facility tour |
Inspection Report
Biennial Survey
Census: 7
Capacity: 8
Deficiencies: 7
Oct 24, 2023
Visit Reason
The biennial survey was conducted to assess compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV Residential Care Facilities.
Findings
The facility was found not in substantial compliance with several regulatory requirements including failure to furnish evidence of a bond for resident funds, inadequate diabetes management training for staff, medication orders exceeding 12 months without reorders, incorrect transcription of medication orders, missing annual physical examination records, lack of documented proof of guardianship, and failure to obtain written permission for managing resident personal funds.
Severity Breakdown
Class III: 2
Deficiencies (7)
| Description | Severity |
|---|---|
| Facility failed to furnish evidence of a bond covering resident funds. | — |
| Unlicensed assistive personnel were not trained annually in diabetes management as required. | Class III |
| Medication orders for one resident exceeded 12 months without written reorder. | — |
| Medication administration record contained incorrect transcription of medication order for one resident. | Class III |
| Resident records lacked documentation of last annual physical examination for two residents. | — |
| One resident's record lacked documented proof of guardianship despite having a legal guardian. | — |
| Facility failed to obtain written permission for managing personal funds of one resident. | — |
Report Facts
Census: 7
Total Capacity: 8
Medication orders exceeding 12 months: 4
Residents reviewed: 2
Staff without diabetes training: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ellen Grant | Administrator | Named as owner/administrator confirming findings during survey and exit conference |
| Staff #1 | Staff assigned to manage diabetic residents without documented diabetes training | |
| Staff #2 | Staff assigned to manage diabetic residents without documented diabetes training |
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