Inspection Reports for
Kennebunk Center for Health & Rehabilitation
158 Ross Rd, Kennebunk, ME 04043, ME, 04043
Back to Facility Profile12 Reports
Inspection Report — Jul 6, 2026
Complaint Investigation
Date: Jul 6, 2026
Visit Reason
Complaint inspection conducted on July 6, 2026, to assess compliance with emergency preparedness regulations.
Findings
Kennebunk Center for Health & Rehabilitation was found not in substantial compliance with emergency preparedness requirements due to a non-operational cooking equipment exhaust system.
Deficiencies (1)
K0324: Cooking equipment exhaust system was not operational, and no replacement parts were available for the old system, requiring a new motor and parts to be ordered and installed.
Inspection Report — Apr 14, 2026
Date: Apr 14, 2026
Visit Reason
Federal recertification survey for compliance with Long Term Care Facility emergency preparedness and Life Safety Code.
Findings
The facility was found not in substantial compliance with the NFPA 101 Life Safety Code 2012 edition due to locked exit discharge gate without posted code, non-illuminated exit signage in the kitchen, and lack of quick response sprinkler heads in the sprinkler cabinet.
Deficiencies (3)
K0271: Exit discharge through the courtyard had a locked gate without a posted code, obstructing egress and restricting access to the public way.
K0293: The exit sign in the kitchen by the walk-in coolers was not illuminated and did not illuminate when tested.
K0353: The sprinkler cabinet did not contain spare quick response sprinkler heads matching those installed in the facility.
Report Facts
: 5
Inspection Report — Apr 12, 2026
Annual Inspection
Date: Apr 12, 2026
Visit Reason
Annual inspection of Kennebunk Center for Health and Rehabilitation for compliance with federal requirements and investigation of reported incidents and complaints.
Findings
The facility was found not in compliance with multiple federal regulations related to safe environment, comprehensive care planning, quality of care, sufficient staffing, medication management, food safety, resident rights, notification of changes, discharge process, respiratory care, and infection prevention. Deficiencies were identified in housekeeping, care plan development and revision, staff education, medication administration, food storage and preparation, resident bed safety, and documentation of resident condition changes.
Deficiencies (13)
F0584: The facility failed to provide adequate housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable environment in the medication storage room and laundry room for 2 of 4 days of survey.
F0656: The facility failed to develop and implement a comprehensive care plan in the areas of dementia care and fall prevention for multiple residents.
F0657: The facility failed to review and revise care plans by an interdisciplinary team including resident representatives within required timeframes for multiple residents.
F0684: The facility failed to adequately follow physician orders for blood sugar checks and insulin administration for 2 of 3 residents reviewed.
F0725: The facility failed to provide sufficient nursing staff with appropriate competencies and skills to assure resident safety and maintain highest practicable well-being.
F0761: The facility failed to ensure expired lab supplies were removed from supply and treatment carts were locked when unattended.
F0812: The facility failed to maintain a clean and sanitary kitchen environment and ensure foods were properly sealed, labeled, and dated in food preparation and storage areas.
F0909: The facility failed to conduct regular inspection and maintenance of bed frames and mattresses to prevent entrapment hazards for residents.
F0550: The facility failed to provide care to maintain resident dignity by failing to serve all residents seated at the same table during dining observations.
F0580: The facility failed to immediately inform residents and representatives of significant changes in condition and failed to notify the physician timely for 1 of 3 residents reviewed.
F0628: The facility failed to ensure proper documentation and notification during resident transfers and discharges, including timely notification of physician and representatives.
F0695: The facility failed to ensure a resident receiving oxygen therapy was provided care consistent with physician orders and failed to educate staff on oxygen administration risks.
F0868: The facility failed to ensure infection preventionist attended required quarterly quality assurance meetings.
Report Facts
: Array
: Array
: Array
Inspection Report — Apr 2, 2025
Follow-Up
Date: Apr 2, 2025
Visit Reason
Follow-up survey conducted to assess correction of deficiencies cited during complaint survey of 2/25/25.
Findings
Kennebunk Center for Health and Rehabilitation was found to be in compliance with 42 CFR 483, Subpart B-Requirements for Long Term Care Facilities for the complaint survey of 2/25/25.
Inspection Report — Feb 25, 2025
Complaint Investigation
Date: Feb 25, 2025
Visit Reason
Complaint #ME00050460 investigation regarding medication administration and storage practices.
Findings
The facility failed to ensure proper self-administration of medications and safe storage of drugs and disinfectants, resulting in unsafe medication practices and accident hazards.
Deficiencies (4)
F554: The facility failed to ensure proper self-administration of medications for 4 of 5 residents, with medications stored improperly and lacking provider orders for creams and treatments.
F689: The facility failed to maintain a safe environment free of accident hazards by improperly storing a disinfectant spray accessible to residents.
F761: The facility failed to properly label and store drugs and biologicals, and failed to ensure medications were stored properly on 2 of 4 units observed.
F842: The facility failed to maintain complete and accurate medical records for 1 of 5 residents reviewed, including documentation of treatments and medication administration.
Report Facts
: ME00050460
: Mar 18, 2025
Inspection Report — Nov 7, 2024
Follow-Up
Date: Nov 7, 2024
Visit Reason
This was an unannounced on-site visit conducted to follow up on deficiencies cited during a complaint survey dated 9/3/24.
Findings
Kennebunk Center for Health and Rehabilitation was determined to be in compliance with 42 CFR 483, Subpart B-Requirements for Long Term Care Facilities.
Report Facts
: ME00048567
Inspection Report — May 13, 2024
Complaint Investigation
Date: May 13, 2024
Visit Reason
Investigation of complaint #ME00047285.
Findings
The facility was found to be in substantial compliance with 42 CFR 483, Sub-part B-Requirements for Long Term Care Facilities. No deficiencies were cited.
Report Facts
: ME00047285
Inspection Report — Dec 12, 2023
Follow-Up
Date: Dec 12, 2023
Visit Reason
Follow-up revisit for the 10/19/2023 annual Long Term Care Survey Process.
Findings
The facility was found to be in substantial compliance with 42 CFR 483, subpart B-Requirements for Long Term Care Facilities. No deficiencies were cited.
Inspection Report — Oct 19, 2023
Annual Inspection
Date: Oct 19, 2023
Visit Reason
This survey was conducted for the annual Long Term Care Survey Process and investigating complaints.
Findings
The facility was found not in substantial compliance with 42 CFR 483, Sub-part B Requirements for Long Term Care Facilities. Deficiencies were identified in areas including notification of Medicare Part A service discontinuation, safe environment maintenance, permitting residents to return to the facility, comprehensive care plan revisions, discharge planning process, quality of care related to weights and physician orders, and respiratory/tracheostomy care.
Deficiencies (8)
F582: The facility failed to ensure the Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNFABN) was provided to residents whose Medicare Part A services were discontinued.
F584: The facility failed to adequately provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, comfortable interior, including issues with wheelchair armrests, wall damage, vent fans, and lighting levels.
F626: The facility failed to establish and follow a written policy permitting residents to return to the facility after hospitalization or therapeutic leave, including failure to permit a resident's return after hospital discharge.
F657: The facility failed to revise comprehensive care plans to reflect current needs for residents, including failure to update care plans for transmission-based precautions, oxygen needs, and therapy requirements.
F660: The facility failed to develop and implement an effective discharge planning process that focuses on residents' discharge goals and preparation, including failure to document referrals and timely evaluations.
F684: The facility failed to ensure residents' weights were obtained per policy and procedures, and failed to document weights and weight policy compliance for sampled residents.
F695: The facility failed to provide respiratory care and tracheostomy care consistent with professional standards, including failure to provide respiratory services as directed by physician orders for oxygen use and monitoring.
F806: The facility failed to provide food that accommodates resident allergies, preferences, and intolerances, including failure to provide requested snacks and appropriate food choices for residents.
Report Facts
: 1
: 4
: 2
Inspection Report — Oct 17, 2023
Plan of Correction
Date: Oct 17, 2023
Visit Reason
The facility was surveyed for Life Safety Code and Emergency Preparedness compliance on October 17, 2023.
Findings
This document is the facility's plan of correction for the Life Safety Code and Emergency Preparedness survey conducted on 2023-10-17, addressing deficiencies related to fire sprinkler system maintenance, fire door inspections, and emergency preparedness policies.
Report Facts
: 8JML21
: 205095
: HF8073H
: Oct 17, 2023
Employees mentioned
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Inspection Report — IV0H11 POC
Date: IV0H11 POC
Visit Reason
This is a CMS-2567 federal nursing home recertification survey report with complaint investigations.
Findings
The facility was found not in substantial compliance with multiple federal requirements including resident self-determination, advance directives, safe environment, ADL care, quality of care, respiratory care, sufficient nursing staff, food safety, and drug labeling and storage. Multiple residents' rights and care plans were not adequately followed or documented.
Deficiencies (10)
F561: The facility failed to ensure a resident's right to make choices about clothing was respected, resulting in a resident's tooth being broken during sweater removal.
F578: The facility failed to provide or review advance directives with residents or their representatives, lacking written information for 11 of 14 residents reviewed.
F584: The facility failed to maintain a safe, clean, comfortable, and homelike environment, with multiple observations of unsanitary conditions in shared bathrooms and laundry areas.
F677: The facility failed to provide adequate activities of daily living care for 6 of 6 residents reviewed and failed to follow the care plan for oral hygiene for 1 resident.
F684: The facility failed to adequately evaluate a resident after an unwitnessed fall and complete neurological assessments as per facility policy for 1 of 2 residents reviewed for falls.
F695: The facility failed to ensure respiratory care including tracheostomy and suctioning was provided according to professional standards for 2 of 3 residents reviewed and failed to follow physician orders for 1 resident.
F725: The facility failed to provide sufficient nursing staff with appropriate competencies and skills to assure resident safety and well-being.
F761: The facility failed to maintain proper labeling, storage, and removal of expired medications and failed to maintain adequate pharmaceutical services.
F812: The facility failed to ensure food safety by not monitoring food temperatures, not ensuring plumbing fixtures prevented backflow, and not maintaining proper hygiene standards for food handlers.
F847: The facility failed to ensure residents or their representatives signed binding arbitration agreements as required and failed to properly explain the agreements to residents and families.
Report Facts
: Array
: 9
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: 2
: 6
: 3
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Document — JJLM11 SOD
Date: JJLM11 SOD
8 CMS Surveys
Inspection Report — Feb 25, 2025
Date: Feb 25, 2025
Inspection Report — Jan 16, 2025
Date: Jan 16, 2025
Visit Reason
The document reports on deficiencies related to resident rights, neurological monitoring after falls, and arbitration agreements.
Findings
The facility failed to respect a resident's choice regarding clothing removal, did not adequately perform neurological monitoring after falls for one resident, and failed to clearly communicate binding arbitration agreements to residents or their representatives.
Deficiencies (3)
F 0561: The facility failed to ensure a resident's choice to keep a sweater on was respected, resulting in a broken tooth during forced removal.
F 0684: The facility failed to adequately evaluate and document neurological assessments after multiple unwitnessed falls for a resident, with incomplete monitoring and documentation.
F 0847: The facility failed to ensure that the terms and conditions of binding arbitration agreements were clearly communicated to residents or their representatives and not required as a condition of admission for five residents.
Report Facts
: 1
: 1
: 5
Inspection Report — Jan 13, 2025
Biennial Survey
Date: Jan 13, 2025
Visit Reason
The survey was conducted to assess compliance with licensing regulations including resident rights, care, environment, staffing, medication management, food safety, and arbitration agreements.
Findings
The facility was found deficient in multiple areas including failure to respect resident rights, inadequate advance directive documentation, poor housekeeping and maintenance, insufficient assistance with activities of daily living, inadequate neurological monitoring after falls, improper respiratory care, insufficient staffing, outdated medications, unsanitary kitchen conditions, and failure to properly inform residents about binding arbitration agreements.
Deficiencies (10)
F0561: The facility failed to ensure a resident's choice regarding clothing was respected, resulting in a resident's tooth breaking during forced removal of a sweater.
F0578: The facility failed to provide evidence that advance directives were offered, reviewed, or documented for 11 of 14 residents reviewed.
F0584: The facility failed to maintain a safe, clean, comfortable, and homelike environment, with multiple sanitation and maintenance issues observed in bathrooms, laundry, and other areas.
F0677: The facility failed to provide adequate assistance with activities of daily living for 6 residents and failed to follow the care plan for oral hygiene for 1 resident.
F0684: The facility failed to adequately evaluate a resident after an unwitnessed fall and did not complete neurological assessments as per facility policy.
F0695: The facility failed to maintain a sanitary environment for respiratory care and failed to follow physician orders for nebulizer equipment maintenance.
F0725: The facility failed to ensure sufficient nursing staff were scheduled and on duty to meet resident needs, particularly on weekends.
F0761: The facility failed to remove outdated medications from medication carts, including an expired Ondansetron HCL card.
F0812: The facility failed to maintain kitchen cleanliness, failed to ensure food safety practices including proper hair restraints and hand hygiene among kitchen staff, and failed to monitor food temperatures prior to serving.
F0847: The facility failed to clearly communicate the terms and conditions of binding arbitration agreements to residents or their representatives and required signing as a condition of admission for 5 residents reviewed.
Report Facts
: 11
: 6
: 1
: 2
: 0
: 1
: 0
: 5
Inspection Report — Sep 3, 2024
Date: Sep 3, 2024
Visit Reason
Survey to assess compliance with pharmaceutical services and controlled substances storage and documentation.
Findings
The facility failed to ensure proper documentation of controlled substance shift counts and failed to provide separately locked compartments for controlled drugs, resulting in minimal harm or potential for actual harm to residents.
Deficiencies (2)
F0755: The facility failed to ensure that two authorized staff signed the Narcotic Bound Book Shift Count page for multiple shifts between 8/14/24 and 9/3/24, with missing signatures and incomplete documentation.
F0761: The facility failed to provide a separately locked, permanently affixed compartment for storage of controlled drugs in the locked medication room refrigerator.
Report Facts
: 42
: 56
: 4
Inspection Report — Oct 19, 2023
Date: Oct 19, 2023
Findings
This document is a CMS-2567 federal nursing home survey report for Kennebunk Center for Health & Rehabilitation, LLC, dated 10/19/2023. It cites multiple deficiencies related to resident care, discharge planning, respiratory care, weight monitoring, and food preferences.
Deficiencies (8)
F0582: The facility failed to provide the Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage to 1 of 2 residents whose Medicare Part A services were discontinued.
F0584: The facility failed to maintain the building in good repair and sanitary condition on 2 of 4 units, including cracked wheelchair arm and gouged walls.
F0626: The facility failed to permit a resident's return after hospitalization due to transportation issues and complexity of care.
F0657: The facility failed to revise care plans to reflect current needs for transmission-based precautions, oxygen therapy, and transfer assistance for multiple residents.
F0660: The facility failed to develop and implement safe discharge plans focusing on resident goals and effective transition of care for 5 of 6 sampled residents.
F0684: The facility failed to follow physician orders and its own policy to document daily or weekly weights for 4 residents, including failure to verify significant weight changes.
F0695: The facility failed to provide respiratory care as ordered, including oxygen use and monitoring for 2 residents.
F0806: The facility failed to provide food accommodating resident preferences and allergies, including lack of ice cream and preferred snacks for 2 of 3 residents.
Report Facts
: 1
: 2
: 6
: 4
: 2
: 3
Inspection Report — Oct 18, 2023
Complaint Investigation
Date: Oct 18, 2023
Visit Reason
Complaint investigation regarding failure to permit a resident's return after hospitalization and failure to develop and implement safe discharge plans for multiple residents.
Findings
The facility failed to permit a resident's return after hospitalization due to transportation issues and failed to develop and implement safe discharge plans focusing on residents' goals and effective transition of care for 5 out of 6 sampled residents discharged from the facility.
Deficiencies (2)
F 0626: The facility failed to permit a resident's return to the nursing home after hospitalization due to inability to provide transportation for out-of-state medical appointments.
F 0660: The facility failed to develop and implement a safe discharge plan that focused on residents' discharge goals, preparation, and effective transition of care for 5 out of 6 sampled residents discharged from the facility.
Report Facts
: 1
: 5
Inspection Report — Apr 26, 2023
Date: Apr 26, 2023
Inspection Report — Nov 17, 2021
Biennial Survey
Date: Nov 17, 2021
Visit Reason
The survey was conducted as a biennial survey to assess compliance with federal nursing home regulations.
Findings
The facility was found to have multiple deficiencies including failure to honor resident choice in bathing, unsafe oxygen tank transport, lack of gradual dose reductions for psychotropic medications, unsanitary kitchen conditions, and inadequate nurse aide training.
Deficiencies (5)
F 0561: The facility failed to ensure a resident's choice in bathing was followed, with documentation showing missed showers on multiple dates.
F 0689: The facility failed to ensure safe transport of portable oxygen tanks, with an LPN observed carrying a tank improperly.
F 0758: The facility failed to show evidence of gradual dose reductions or justification for continued use of psychotropic medications for certain residents.
F 0812: The facility failed to maintain the kitchen in a clean and sanitary manner, with dust on air conditioning units and peeling plaster on the ceiling.
F 0947: The facility failed to ensure nurse aides attended required annual in-service education on dementia care and abuse prevention.
Report Facts
: 10
: 5
: 3
: 4
: 3
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