2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Mount Joseph at Waterville is a continuing care community in Waterville, Maine, providing nursing care, hospice services, palliative care, and independent living options. Operating for more than four decades, the community has 111 beds and is owned by BSD ME 26 LLC under the leadership of Administrator Diane Sinclair. Medicare, Medicaid, and private pay are accepted, offering multiple payment options for families.
Clinical support is available around the clock, with nursing staff and an on-staff physician helping address residents’ medical needs. A post-sub-acute care program serves individuals recovering after a hospital stay, while long-term nursing and palliative care support those with ongoing health needs. Residents stay an average of 163 days, reflecting a mix of short-term rehabilitation and longer-term care. Nursing services average about five hours per resident each day across registered nurses, licensed practical nurses, and nurse aides.
Health inspections have most frequently focused on resident rights, quality of care, quality of life, administration, pharmacy services, and infection prevention practices. Families considering the community may wish to discuss how these areas are monitored and managed.
Older adults have access to amenities such as a café, beauty salon, gardens, and walking paths, along with daily enrichment activities that encourage engagement. Freshly prepared meals are served each day with alternative menu options available, and pastoral care services provide spiritual support for those who choose to participate.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 5th out of 30 homes in Maine for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 53m per day | ▼ 16% State avg: 1h 3m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 26m per day | ▼ 8% State avg: 28m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 12m per day | ▲ 14% State avg: 2h 49m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 14m per day | ▲ 7% State avg: 3h 59m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 21% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 33m per day | ▼ 25% State avg: 45m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Key information about the people who lead and staff this community.
State average 5
Last Health inspection on Aug 2025
State average 28.5
State average 5.88
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 49 citations resulted from standard inspections; 5 of 49 resulted from complaint investigations; and 32 of 49 came from combined inspections (standard and complaint).
900% worse than State averageState average: 0.3
150% worse than State averageState average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
25% fewer staff per resident than Maine average
12% better than Maine average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 15 RN Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursAssists with medical care and medications.
All 8 LPN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursHelps with daily care and mobility.
74 total: 72 full-time employees and 2 contractors.
74
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
361 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 72 | 2 | 74 | 23,563 | 92 | 100% | 9.2 |
| Medication Aide/Technician | 12 | 0 | 12 | 5,631 | 92 | 100% | 11.4 |
| Registered Nurse | 15 | 0 | 15 | 5,274 | 92 | 100% | 9.5 |
| Licensed Practical Nurse | 8 | 0 | 8 | 3,457 | 92 | 100% | 10 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 2,335 | 64 | 70% | 8.3 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,348 | 64 | 70% | 7.7 |
| Other Dietary Services Staff | 4 | 0 | 4 | 864 | 67 | 73% | 7.6 |
| Physical Therapy Assistant | 3 | 0 | 3 | 662 | 76 | 83% | 6.7 |
| Dietitian | 1 | 0 | 1 | 520 | 66 | 72% | 7.9 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 510 | 51 | 55% | 10 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 493 | 68 | 74% | 5.4 |
| Occupational Therapy Aide | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Speech Language Pathologist | 1 | 0 | 1 | 472 | 63 | 68% | 7.5 |
| Respiratory Therapist | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 424 | 53 | 58% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 328 | 65 | 71% | 4.9 |
| Dental Services Staff | 3 | 0 | 3 | 219 | 38 | 41% | 5 |
Includes penalties issued in 2024
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)
241% higher than Maine averageMaine average: $24K
18% fewer fines than Maine averageMaine average: 1.2
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Sep 17, 2024 · $83K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 17, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.5
16% worse than Maine averageMaine average: 14.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
32.0
10% worse than Maine averageMaine average: 29.1
Percent of long-stay residents whose need for help with daily activities has increased
34.2%
32% worse than Maine averageMaine average: 26.0%
Percent of long-stay residents whose ability to move independently worsened
30.6%
In line with Maine averageMaine average: 31.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.3%
5% worse than Maine averageMaine average: 29.8%
Percent of long-stay residents experiencing one or more falls with major injury
5.5%
23% worse than Maine averageMaine average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
3.5%
21% better than Maine averageMaine average: 4.5%
Percent of long-stay residents with a urinary tract infection
3.9%
39% worse than Maine averageMaine average: 2.8%
Percent of long-stay residents who lose too much weight
8.7%
58% worse than Maine averageMaine average: 5.5%
Percent of long-stay residents who have depressive symptoms
3.9%
63% better than Maine averageMaine average: 10.5%
Percent of long-stay residents who received an antipsychotic medication
23.0%
16% worse than Maine averageMaine average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.6%
7% worse than Maine averageMaine average: 90.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.4%
5% worse than Maine averageMaine average: 95.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
41.9%
41% worse than Maine averageMaine average: 70.8%
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
75% worse than Maine averageMaine average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
66.2%
11% worse than Maine averageMaine average: 74.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
39% of new residents, usually for short-term rehab.
40% of new residents, often for short stays.
21% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
93Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Mount Joseph at Waterville from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #5 / 30Payroll — State benchmarkedThis home is ranked 5th out of 30 homes in Maine for payroll. Shows total annual staff payroll benchmarked to the Maine average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Maine that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #1 / 30Payroll % — State benchmarkedThis home is ranked 1st out of 30 homes in Maine for payroll %. Shows payroll as a percentage of revenue versus the Maine average. Well-run Maine facilities typically land around 59–65% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Maine that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (40% of admissions), and a typical private pay stay runs around 6 - 7 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.4 miles from city center
Estimated distance in miles from Waterville's city center to Mount Joseph at Waterville's address, calculated via Google Maps.
— 1.23 miles to nearest hospital (Maine General Health)
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Info below is compiled from CMS reports & the ME Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Maine Veterans’ Homes – Scarborough | NH AL MC RESC RC SNF | Scarborough (Oak Hill) | 120
Facility
120
ME AVG
20
Rank
#5 / 356 |
92.5%
Facility
92.5%
ME AVG
87.2
Rank
#130 / 240 | +6% | 5.63
Facility
5.63
ME AVG
4.50
Rank
#2 / 30 | +25% | +25% | $0
Facility
$0
ME AVG
$26.4k
Rank
#1 / 30 | 9
Facility
9
ME AVG
28.5
Rank
#2 / 30 | 3.0
Facility
3.0
ME AVG
5.9
Rank
#1 / 30 | - | 111 | - |
41
Facility
41
ME AVG
31
Rank
#146 / 422 | Maureen Carland | $86.7MFiscal year ending 06/2024
Facility
$86.7MFiscal year ending 06/2024
ME AVG
$16.9M
Rank
#1 / 30 | $10.9MFiscal year ending 06/2024
Facility
$10.9MFiscal year ending 06/2024
ME AVG
$4.7M
Rank
#10 / 30 | 12.5%Fiscal year ending 06/2024
Facility
12.5%Fiscal year ending 06/2024
ME AVG
37.8%
Rank
#30 / 30 | 205127 | ||||
| Mount Joseph at Waterville | NH HOS IL PC SNF | Waterville (Highwood Street) | 111
Facility
111
ME AVG
20
Rank
#7 / 356 |
89.4%
Facility
89.4%
ME AVG
87.2
Rank
#150 / 240 | +3% | 5.01
Facility
5.01
ME AVG
4.50
Rank
#5 / 30 | -29% | +11% | $83.0k
Facility
$83.0k
ME AVG
$26.4k
Rank
#30 / 30 | 49
Facility
49
ME AVG
28.5
Rank
#27 / 30 | 12.3
Facility
12.3
ME AVG
5.9
Rank
#30 / 30 | 4 | 99 | A+ |
36
Facility
36
ME AVG
31
Rank
#167 / 422 | Bsd Me 26 LLC | $15.0MFiscal year ending 12/2023
Facility
$15.0MFiscal year ending 12/2023
ME AVG
$16.9M
Rank
#15 / 30 | $6.2MFiscal year ending 12/2023
Facility
$6.2MFiscal year ending 12/2023
ME AVG
$4.7M
Rank
#5 / 30 | 41.4%Fiscal year ending 12/2023
Facility
41.4%Fiscal year ending 12/2023
ME AVG
37.8%
Rank
#1 / 30 | 205120 |
Mount Joseph at Waterville is in the Highwood Street neighborhood of Waterville.
Mount Joseph at Waterville has a walk score of 36. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Mount Joseph at Waterville's occupancy is 86.1%.
Mount Joseph at Waterville has been operating for approximately 42 years, based on available licensing and registration records.
No, Mount Joseph at Waterville has a no-pet policy.
Mount Joseph at Waterville is registered as a for-profit in ME.
Yes — there are 21 photos of Mount Joseph at Waterville in the photo gallery on this page.
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