Inspection Reports for
MaineGeneral Rehabilitation & Long Term Care – Gray Birch
ME, 04330
Back to Facility Profile17 Reports
Inspection Report — Mar 10, 2026
Follow-Up
Date: Mar 10, 2026
Visit Reason
An unannounced on-site visit was conducted to follow up on the annual recertification survey deficiencies cited on 1/14/26.
Findings
Maine General Rehab and Long-Term Care - Gray Birch was found to be in substantial compliance with 42 CFR Part 483, Subpart B - Requirements for Long Term Care Facilities.
Inspection Report — Feb 6, 2026
Re-Inspection
Date: Feb 6, 2026
Visit Reason
Federal Recertification Revisit Survey to assess compliance with emergency preparedness and life safety codes.
Findings
The facility was found to be in substantial compliance with emergency preparedness regulations. However, it failed to maintain the oxygen cylinder storage room with the required one-hour fire resistive rating on three of four walls, with multiple unsealed penetrations compromising fire safety.
Deficiencies (1)
K0923: The oxygen cylinder storage room exceeded 3000 cubic feet of non-flammable gas and lacked a minimum one-hour fire resistive rating on three of four walls, with multiple penetrations not properly firestopped, compromising fire safety.
Report Facts
: Jan 31, 2026
Inspection Report — Jan 13, 2026
Biennial Survey
Date: Jan 13, 2026
Visit Reason
Federal Recertification Survey for Maine General Rehab & Long Term Care at Gray Birch.
Findings
Two deficiencies were identified: the horizontal exit doors between the Pines Wing and Birches Wing did not latch properly, and the Cylinder and Container Storage room walls lacked the required 1-hour fire resistive rating with multiple unsealed penetrations.
Deficiencies (2)
K0226: Horizontal exits. The doors in the 2-hour rated horizontal exit separating the Pines Wing and Birches Wing closed but the hardware on the right leaf did not positively latch at the top and bottom allowing the door to bounce open when closing.
K0923: Gas Equipment - Cylinder and Container Storage. The storage room with greater than 3000 cubic feet of non-flammable gas had walls that were not fire lapped and had multiple penetrations that were not firestopped, failing to meet the minimum 1-hour fire resistive rating.
Report Facts
: Jan 16, 2026
: Jan 31, 2026
Inspection Report — Dec 31, 2024
Complaint Investigation
Date: Dec 31, 2024
Visit Reason
Complaint investigation ME#00050005 was conducted on-site.
Findings
MaineGeneral Rehabilitation and Long Term Care - Graybirch was found to be in compliance with 42 CFR Part 483, Subpart B- Requirements for Long Term Care Facilities.
Inspection Report — Oct 1, 2024
Follow-Up
Date: Oct 1, 2024
Visit Reason
Follow-up on the annual recertification survey deficiencies cited on 8/7/24.
Findings
The facility was found to be in substantial compliance with 42 CFR Part 483, Subpart B - Requirements for Long Term Care Facilities.
Inspection Report — Aug 5, 2024
Follow-Up
Date: Aug 5, 2024
Visit Reason
Off-site desk review revisit conducted to follow up on previous survey dated 5/22/24 and investigate reported incidents and complaints.
Findings
No regulatory deficiencies were identified as a result of the 8/5/24 revisit desk review; the facility was found to be in compliance with Medicare and Medicaid Federal Conditions of Participation requirements.
Report Facts
: ME00045319
: ME00045209
: ME00044977
: ME00046488
: ME00047404
Inspection Report — Aug 5, 2024
Annual Inspection
Date: Aug 5, 2024
Visit Reason
The survey was conducted for the annual Long Term Care Survey Process for Federal Recertification and to investigate facility reported incidents #ME00047958, #ME00047999, and #ME00048064.
Findings
The facility was found not in substantial compliance with multiple regulatory requirements including resident dignity during meals, privacy breaches, inaccurate assessments, incomplete care plans, failure to follow physician orders, respiratory care deficiencies, dialysis monitoring gaps, food safety violations, infection control lapses, and immunization protocol failures.
Deficiencies (12)
F 550: The facility failed to promote care to residents in a manner that maintains each resident's dignity during 2 of 3 meals observed, as residents were not served simultaneously at the same table.
F 583: The facility failed to ensure confidentiality of protected resident health information by displaying sensitive information on monitors visible to others and failed to protect privacy during a depression interview conducted in a public hallway.
F 641: The facility failed to ensure accurate coding of Minimum Data Set (MDS) assessments for discharge and PASARR status for two residents.
F 644: The facility failed to notify the State mental health authority for PASARR re-evaluation after a resident was newly diagnosed with PTSD and related symptoms.
F 656: The facility failed to develop and implement comprehensive care plans addressing physical needs for respiratory conditions and PTSD for two residents.
F 657: The facility failed to timely update a care plan for a resident using a continuous glucose monitoring device.
F 684: The facility failed to follow physician orders for wound care and insulin administration, resulting in improper wound cleansing and incorrect insulin dosing.
F 695: The facility failed to provide sanitary respiratory care, including improper storage of oxygen tubing, heavily soiled oxygen concentrator filters, and empty oxygen tanks in use.
F 698: The facility failed to ensure clinical orders and documentation for monitoring a dialysis catheter site and emergency instructions for a resident receiving dialysis.
F 812: The facility failed to maintain food safety standards by storing food and dishes in an unsanitary manner, maintaining dirty kitchen floors, and having plumbing fixtures improperly installed to prevent backflow.
F 880: The facility failed to maintain an infection prevention and control program to prevent disease transmission during wound care, as evidenced by improper hand hygiene and contamination during dressing changes.
F 883: The facility failed to ensure residents were offered pneumococcal vaccinations according to CDC recommendations and failed to document education and immunization status properly for two residents.
Report Facts
: ME00047958
: ME00047999
: ME00048064
: 2
: 3
: 330
: 531
: 411
: 421
: 418
Inspection Report — Aug 5, 2024
Date: Aug 5, 2024
Visit Reason
Federal Recertification Survey of MaineGeneral Rehab and Long Term Care - Gray Birch.
Findings
The facility failed to maintain all exterior exit discharge paths clear of obstructions and an adequate walking surface in 2 of 6 smoke compartments. The facility also failed to provide exit access serving certain areas with special locking arrangements that were not accessible at all times. Additionally, the facility failed to maintain the smoke and fire resistance in 1 hazardous area.
Deficiencies (3)
K211: The facility failed to maintain all exterior exit discharge paths to the public way clear of obstructions and an adequate walking surface in 2 of 6 smoke compartments.
K222: The facility failed to provide exit access serving the Birches wing, dining room, and stairwell with special locking arrangements that were not accessible at all times by staff, contrary to LSC Section 19.2.2.2.4 and related sections.
K321: The facility failed to maintain the smoke and fire resistance in 1 hazardous area in 1 of 6 smoke compartments per NFPA 101, Life Safety Code, 2012 Edition.
Report Facts
: 23500
: 30
Inspection Report — May 21, 2024
Complaint Investigation
Date: May 21, 2024
Visit Reason
Investigation of facility reported incidents #ME00045319, #ME00045209 and complaints #ME00044977, #ME00046488, and #ME00047404.
Findings
The facility failed to provide an environment free of abuse and neglect for 1 of 2 residents reviewed for facility reported investigations. Additionally, the facility failed to update and implement goals and interventions for 2 of 5 care plans reviewed, failed to ensure residents were free from unnecessary psychotropic medication for 2 of 2 residents reviewed, failed to maintain complete and accurate clinical records for 2 of 5 residents, and failed to adequately assess and provide timely psychiatric services for 1 of 1 resident reviewed for accidents.
Deficiencies (5)
§483.12(a)(1): The facility failed to provide an environment free of abuse and neglect for 1 of 2 residents reviewed, as evidenced by failure to assess and provide care after a fall and verbal abuse by staff.
§483.21(b)(1)(3): The facility failed to update and implement goals and interventions for 2 of 5 care plans reviewed, including psychotropic medication and discharge planning.
§483.25(d)(1)(2): The facility failed to ensure adequate supervision and psychiatric services to prevent accidents for 1 of 1 resident reviewed.
§483.45(d)(1)-(6): The facility failed to ensure residents were free from unnecessary psychotropic medication for 2 of 2 residents reviewed.
§483.20(f)(5), 483.70(i)(1)-(5): The facility failed to maintain complete and accurate clinical records for 2 of 5 residents reviewed.
Report Facts
: 2
: 5
: 2
: 1
: 5
Inspection Report — Sep 26, 2023
Complaint Investigation
Date: Sep 26, 2023
Visit Reason
Investigation of complaint #ME00044980 at Maine General Rehabilitation and Long Term Care - Gray Birch.
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 — Aug 24, 2023
Complaint Investigation
Date: Aug 24, 2023
Visit Reason
Investigation of complaint #ME00044614 at Maine General Rehab and Long Term Care - Gray Birch.
Findings
The facility was found to be in compliance with 42 CFR Part 483, Subpart B-Requirements for Long Term Care Facilities. No deficiencies were cited.
Inspection Report — Jul 26, 2023
Follow-Up
Date: Jul 26, 2023
Visit Reason
Follow-up on the annual recertification survey deficiencies cited on 5/24/2023.
Findings
Maine General Rehab and Long-Term Care - Gray Birch was found to be in substantial compliance with 42 CFR Part 483, Subpart B - Requirements for Long Term Care Facilities.
Inspection Report — HHMI21 SOD
Date: HHMI21 SOD
Visit Reason
Federal Recertification Survey
Findings
The facility was found not in substantial compliance with the National Fire Protection Association 101 Life Safety Code 2012 Edition, specifically regarding means of egress, exit discharge paths, and hazardous areas.
Deficiencies (3)
K211: The facility failed to maintain all exterior exit discharge paths to the public way clear of obstructions and an adequate walking surface in 2 of the 6 smoke compartments per NFPA 101, Life Safety Code.
K222: The facility failed to provide exit access serving the Birches wing, dining room, and stairwell with special locking arrangements that are readily accessible at all times, in violation of NFPA 101 sections 18.2.2.2.4 and related subsections.
K321: The facility failed to maintain the smoke and fire resistance in hazardous areas in 1 of 6 smoke compartments per NFPA 101, Life Safety Code, 2012 Edition, Sections 19.3.2.1 and 7.2.1.8, as evidenced by the storage room door to the food storage room rubbing on the frame preventing it from self-closing and positively latching.
Report Facts
: Aug 5, 2024
: 11:30 AM to 2:30 PM
Document — HHMI22 SOD
Date: HHMI22 SOD
Report
Report
Report
Viewing
Loading inspection reports...
