Total health inspections
5
Maine average 5
Last Health inspection on Feb 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Assisted Living Home
Montello Manor
Montello Manor has provided quality services in Lewiston for over 50 years. With an emphasis on skilled nursing and rehabilitation services, a balanced lifestyle of comfort and calmness is met with full support. Residents of the community are encouraged to have a strong sense of freedom with no shame of being able to receive additional assistance.
Montello’s lifestyle is easy and worry-free, offering short-term care, hospital-to-home services, and therapies. Their amenities and services include laundry, transportation, healthy and savory chef-prepared meals, social activities, and fitness activities.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
81
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
81%
Residents per day (avg)
36
Occupancy rate
81%
Residents per day (avg)
36
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
16% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
52% of new residents, often for short stays.
Typical stay
1 - 2 years
Medicaid
31% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$9.3M
Operating loss
-$657.4K
Privately-owned community
Operated by a business corporation.
Home revenue
$9,279,612.00
Operating loss
$-657,380.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.9M
Walk Score: 33 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Care Services
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
Programs & Activities
Specific Programs
Montello Manor, Montello Commons, Montello Heights, The Gardens
Types of Care at Montello Manor
Respite Care
Hospice Care
Nursing Home
Memory Care
Health Inspection History
Inspections
Total health citations
38
Maine average 28.5
Citations per inspection
7.6
Maine average 5.88
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
25 of 38 citations resulted from standard inspections; 2 of 38 resulted from complaint investigations; and 11 of 38 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
233% worse than Maine averageMaine average: 0.3
Serious Health citations
0
0
100% better than Maine averageMaine average: 0.4
1 critical citation
0 serious citations
34 moderate citations
3 minor citations
Citations history (last 3 years)
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Feb 20, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Feb 20, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Feb 20, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Feb 20, 2025
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Feb 20, 2025
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Feb 20, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 20, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 20, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Lewiston The information below is reported by the Maine Department of Health and Human Services, Division of Licensing and Certification.
Marshwood Center
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Lewiston
108
Yes
21
Private Rooms / Semi-Private Rooms
Montello Manor
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Lewiston
81
No
33
-
Montello Heights Retirement Community
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Lewiston
80
Yes
23
Studio / 1 Bed / 2 Bed
Freeport Nursing and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Freeport (Freeport)
-
No
53
-
Places of interest near Montello Manor
2.7 miles from city center — 1.29 miles to nearest hospital (St. Mary's Center for Hyperbaric and Wound Care)
540 College St, Lewiston, ME 04240
Calculate Travel Distance to Montello Manor
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
93
Employees
76
Contractors
17
Staff to resident ratio
2.51:1
31% better than Maine averageMaine average ratio: 1.92:1
Avg staff/day
26
Average shift
6.9 hours
15% worse than Maine averageMaine average: 8.1 hours
Total staff hours (quarter)
16,319
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
45
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
4.9%
801 contractor hours this quarter
Physical Therapy Assistant: 6
Physical Therapy Aide: 3
Respiratory Therapy Technician: 2
Medical Director: 2
Occupational Therapy Aide: 1
Qualified Social Worker: 1
Speech Language Pathologist: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 45 | 0 | 45 | 8,461 | 91 | 100% | 6.8 |
| Licensed Practical Nurse | 9 | 0 | 9 | 2,341 | 91 | 100% | 6.9 |
| Registered Nurse | 9 | 0 | 9 | 1,372 | 88 | 97% | 7.6 |
| Dietitian | 2 | 0 | 2 | 958 | 91 | 100% | 6.8 |
| Medication Aide/Technician | 3 | 0 | 3 | 958 | 89 | 98% | 7.7 |
| Mental Health Service Worker | 4 | 0 | 4 | 560 | 67 | 74% | 7.8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 456 | 60 | 66% | 7.6 |
| Administrator | 2 | 0 | 2 | 449 | 60 | 66% | 7.5 |
| Nurse Practitioner | 2 | 0 | 2 | 418 | 56 | 62% | 7.5 |
| Physical Therapy Assistant | 0 | 6 | 6 | 117 | 38 | 42% | 2.8 |
| Physical Therapy Aide | 0 | 3 | 3 | 99 | 21 | 23% | 4.3 |
| Speech Language Pathologist | 0 | 1 | 1 | 58 | 19 | 21% | 3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 7 | 8% | 3.4 |
| Medical Director | 0 | 2 | 2 | 19 | 10 | 11% | 1.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 18 | 9 | 10% | 2 |
| Qualified Social Worker | 0 | 1 | 1 | 10 | 7 | 8% | 1.5 |
45 Certified Nursing Assistant
% of Days
100%
9 Licensed Practical Nurse
% of Days
100%
9 Registered Nurse
% of Days
97%
2 Dietitian
% of Days
100%
3 Medication Aide/Technician
% of Days
98%
4 Mental Health Service Worker
% of Days
74%
2 Respiratory Therapy Technician
% of Days
66%
2 Administrator
% of Days
66%
2 Nurse Practitioner
% of Days
62%
6 Physical Therapy Assistant
% of Days
42%
3 Physical Therapy Aide
% of Days
23%
1 Speech Language Pathologist
% of Days
21%
1 Occupational Therapy Assistant
% of Days
8%
2 Medical Director
% of Days
11%
1 Occupational Therapy Aide
% of Days
10%
1 Qualified Social Worker
% of Days
8%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
37 residents
Residents by payment source
Medicaid
30 residents (81.1%)
Private pay or other
7 residents (18.9%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.7
10% worse than Maine averageMaine average: 14.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
32.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
32.8
13% worse than Maine averageMaine average: 29.1
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
27.0%
Percent of long-stay residents whose need for help with daily activities has increased
27.0%
In line with Maine averageMaine average: 26.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
38.0%
Percent of long-stay residents whose ability to move independently worsened
38.0%
21% worse than Maine averageMaine average: 31.4%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.5%
12% worse than Maine averageMaine average: 29.8%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
8.7%
Percent of long-stay residents experiencing one or more falls with major injury
8.7%
97% worse than Maine averageMaine average: 4.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.9%
Percent of long-stay high risk residents with pressure ulcers
2.9%
36% better than Maine averageMaine average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.2%
Percent of long-stay residents with a urinary tract infection
2.2%
21% better than Maine averageMaine average: 2.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.9%
Percent of long-stay residents who lose too much weight
1.9%
66% better than Maine averageMaine average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
6.6%
Percent of long-stay residents who have depressive symptoms
6.6%
37% better than Maine averageMaine average: 10.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
5.3%
Percent of long-stay residents who received an antipsychotic medication
5.3%
73% better than Maine averageMaine average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.2%
In line with Maine averageMaine average: 90.1%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.2%
In line with Maine averageMaine average: 95.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
59.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
59.1%
17% worse than Maine averageMaine average: 70.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$15K
40% lower than Maine averageMaine average: $24K
Number of fines
1
18% fewer fines than Maine averageMaine average: 1.2
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Maine averageMaine average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$15K
Maine average
$24K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 12, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 12, 2023
$15K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Montello Manor based on CMS SNF Cost Reports.
Occupancy Rate
81.0%
↑ 5.0pp vs 2022
Net Income
-$657,380
↓ ~$797K vs 2022
Total Payroll
$4,582,721
↑ ~$421K vs 2022
Profit Margin
-7.4%
↓ 9.2pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Maine Seniors
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