Inspection Reports for
Odd Fellows and Rebekahs‘ Home of Maine
85 Caron Lane, Auburn, ME, 04210
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Inspection Report — Feb 17, 2026
Plan of Correction
Date: Feb 17, 2026
Visit Reason
This document is the facility's plan of correction for the nursing home survey completed on 02/18/2026 at Odd Fellows Health Care Center.
Findings
This plan of correction addresses deficiencies cited in the survey completed on 02/18/2026, including issues related to informed consent for psychoactive medications, safe environment, chemical restraints, comprehensive care plans, personal hygiene, nurse staffing information, drug labeling and storage, food safety, infection prevention and control, and infection preventionist qualifications.
Report Facts
: 1E0C0B-H1
: 0115
: Feb 18, 2026
: Array
Inspection Report — Feb 17, 2026
Renewal
Date: Feb 17, 2026
Visit Reason
Recertification survey conducted from 2/17/2026 through 2/18/2026 to assess compliance with 42 CFR 483, Sub-part B requirements for Long Term Care Facilities.
Findings
The facility was found not in substantial compliance with multiple requirements including informed consent for psychoactive medications, safe and clean environment, freedom from chemical restraints, comprehensive care planning, nurse staffing information posting, drug labeling and storage, food safety, infection prevention and control, and designation of an infection preventionist.
Deficiencies (9)
F0552: The facility failed to obtain informed consent for treatment with psychoactive medications for 1 of 5 sampled residents reviewed for psychoactive medication use.
F0584: The facility failed to provide adequate housekeeping and maintenance services to maintain a sanitary, orderly, and comfortable environment on 2 of 2 wings and the laundry room.
F0605: The facility failed to ensure residents' rights to be free from chemical restraints, including lack of evidence of informed consent and failure to meet the 14-day limit on PRN psychotropic drug orders for 1 of 5 residents reviewed.
F0656: The facility failed to develop and implement comprehensive care plans that reflect residents' needs and preferences for 3 sampled residents, including failure to update care plans after transfers and lack of interventions for palliative care and incontinence.
F0732: The facility failed to post current nurse staffing information including facility name, date, and breakdown of licensed and unlicensed nursing staff for 2 of 2 survey days.
F0761: The facility failed to ensure expired medications were removed from the medication cart and medication storage room, and failed to ensure proper labeling and storage of drugs and biologicals.
F0812: The facility failed to maintain food safety requirements including proper temperature logs, labeling and dating of food items, and cleanliness of kitchen equipment and food preparation areas.
F0880: The facility failed to establish and maintain an infection prevention and control program, including failure to implement written policies consistent with nationally recognized guidelines, failure to follow transmission-based precautions, and failure to provide annual review of the program.
F0882: The facility failed to designate a qualified infection preventionist responsible for the infection control program, and failed to provide documentation of required training and role assumption.
Report Facts
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: 2
: 1
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: 2
: 2
: 1
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Inspection Report — Feb 17, 2026
Biennial Survey
Date: Feb 17, 2026
Visit Reason
Federal Recertification Survey for Odd Fellows Health Care Center.
Findings
The facility failed to maintain provision of subsistence needs for staff and patients, failed to have a system to track location of on-duty staff and sheltered patients during emergencies, and failed to ensure means of egress and fire safety systems were properly maintained and inspected.
Deficiencies (7)
E0015: The facility failed to maintain provision of subsistence needs for staff and patients whether they evacuate or shelter in place, including food, water, medical and pharmaceutical supplies, alternate energy sources, emergency lighting, and fire detection systems.
E0018: The facility failed to have a system to track the location of on-duty staff and sheltered patients during and after an emergency, and staff were unable to provide documentation of such a policy or procedure.
K0211: The facility failed to ensure aisles, passageways, corridors, exit discharges, exit locations, and accesses were continuously maintained free of all obstructions to full use in case of emergency; a trash can was obstructing the flow of egress.
K0351: Ceiling tiles were missing in the Assistant Director of Nursing's office and Laundry Room, allowing heat to bypass sprinkler heads and escape into unprotected void spaces, compromising sprinkler system effectiveness.
K0353: The facility failed to ensure required testing or replacement of Quick Response and Dry System sprinkler heads was completed as required by NFPA 25 in 2025.
K0363: Corridor doors did not resist the passage of smoke as required by NFPA 101 Life Safety Code; a patient room door had a gap greater than 1/8 inch with visible light at the upper latch side corner.
K0761: The facility failed to conduct and document annual inspections of fire doors as required by NFPA 101 and NFPA 80; maintenance records showed no inspections had been done since the last survey and none in 2025.
Report Facts
: Jan 30, 2026
: Feb 17, 2026
Inspection Report — Jun 30, 2025
Biennial Survey
Date: Jun 30, 2025
Visit Reason
The survey was conducted as a Federal Revisit Survey to assess compliance with health and safety regulations including emergency preparedness and life safety codes.
Findings
The facility was found not in substantial compliance with multiple regulatory requirements including emergency preparedness planning, fire safety, and electrical system maintenance. Deficiencies included lack of documented emergency drills, inadequate fire barrier construction, missing fire door hardware, improper storage of soiled linen containers, and unsafe use of power strips and extension cords.
Deficiencies (10)
483.73(a)(3): The facility failed to maintain an emergency preparedness plan addressing resident population, services provided in emergencies, and continuity of operations including delegations of authority and succession plans.
483.73(b)(1): The facility failed to develop and implement emergency preparedness policies and procedures addressing subsistence needs for staff and patients, including food, water, medical supplies, alternate energy sources, emergency lighting, fire detection, and waste disposal.
483.73(d)(2): The facility failed to conduct required emergency preparedness exercises and drills at least twice per year, including full-scale or functional exercises and unannounced staff drills.
483.73(e): The facility failed to implement emergency and standby power systems based on the emergency plan, including maintaining an onsite fuel source plan to keep emergency power operational during emergencies.
NFPA 101 19.1.3.3: The facility failed to ensure that the wall separating nursing and residential care sides was a listed 2-hour fire barrier assembly with proper documentation and continuous construction from floor to roof deck.
NFPA 101 19.7.1.4-19.7.1.7: The facility failed to conduct fire drills at expected and unexpected times under varying conditions at least quarterly on each shift, and staff did not actively participate in actual fire emergency simulations.
NFPA 101 19.7.5.7.1: Soiled linen and trash containers were improperly stored in corridors instead of in protected rooms, violating capacity and location requirements.
NFPA 80 5.2.4.2 and 6.3.1.7: The double leaf 90-minute fire doors separating nursing care from residential care had unsecured and missing screws in door hardware, potentially impairing door function.
NFPA 110 8.4.1 and 8.4.2: The facility failed to maintain documentation that the emergency generator was tested monthly under load at not less than 30% of nameplate rating, only showing load testing without temperature conditions.
NFPA 70 400.8 and NFPA 1 11.1.7.6: Power strips and extension cords were used improperly; a power strip was found plugged into a multi-use outlet adapter, which is not allowed as a substitute for fixed wiring.
Report Facts
: 12
: 30
: 4
: 32
: 0.5
Inspection Report — May 28, 2025
Complaint Investigation
Date: May 28, 2025
Visit Reason
Investigation of facility reported incident #ME00051582.
Findings
The facility was found to be in substantial compliance with 42 CFR Part 483, Subpart B - Requirements for Long Term Care Facilities. No deficiencies were cited.
Report Facts
: ME00051582
Inspection Report — May 21, 2025
Follow-Up
Date: May 21, 2025
Visit Reason
On-site follow-up revisit for the 3/20/25 annual Long Term Care Survey Process.
Findings
Odd Fellows Health Care Center 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 — Mar 18, 2025
Biennial Survey
Date: Mar 18, 2025
Visit Reason
Federal Recertification Survey conducted on 3/18/25 to assess compliance with applicable regulations and standards.
Findings
The facility was found not in substantial compliance with multiple regulatory requirements including emergency preparedness, fire safety, and facility maintenance. Deficiencies were observed in emergency planning, communication, training, fire safety barriers, emergency power systems, fire drills, and hazardous materials storage.
Deficiencies (29)
E007: The facility failed to maintain an emergency preparedness plan addressing resident population, services in emergencies, and continuity of operations including delegations of authority and succession plans.
E015: The facility failed to maintain policies addressing subsistence needs for staff and patients during emergencies, including food, water, medical supplies, alternate energy sources, emergency lighting, fire detection, and waste disposal.
E023: The facility failed to maintain a system of medical documentation that preserves client information, protects confidentiality, and secures availability of records for emergency preparedness.
E025: The facility failed to develop and implement emergency preparedness policies for arrangements with other facilities to receive patients in case of operational limitations or cessation.
E029: The facility failed to develop and maintain an emergency preparedness communication plan including names and contact information for staff, service providers, physicians, other facilities, volunteers, and emergency preparedness staff.
E030: The facility failed to develop and maintain an emergency preparedness communication plan including primary and alternate means for communicating with staff and emergency management agencies.
E033: The facility failed to develop and maintain an emergency preparedness communication plan including methods for sharing patient information, releasing patient information during evacuation, and providing information about patient condition and location.
E034: The facility failed to develop and maintain an emergency preparedness communication plan including means of providing information about facility occupancy, needs, and ability to provide assistance to authorities.
E036: The facility failed to develop and maintain an emergency preparedness training and testing program based on the emergency plan, risk assessment, policies, and communication plan, reviewed and updated at least annually.
E039: The facility failed to conduct emergency preparedness exercises at least twice per year including unannounced staff drills, and failed to maintain documentation of drills and exercises as required.
E041: The facility failed to implement emergency and standby power systems based on the emergency plan including maintaining onsite fuel source, inspection, testing, and maintenance per applicable codes.
K131: The facility failed to provide documentation that the wall separating nursing and residential care sides is a listed 2-hour fire barrier assembly with licensed design professional oversight.
K133: The facility failed to ensure that the 2-hour fire barrier separating occupancies is continuous from floor to roof deck and that the construction type is consistent with code requirements.
K211: The facility failed to maintain means of egress free of obstructions and failed to ensure exit doors had proper locking arrangements accessible to staff and occupants.
K222: The facility failed to ensure that doors in required means of egress met latching and locking requirements including special clinical or security locking arrangements.
K291: The facility failed to conduct required 90-minute emergency lighting tests and maintain documentation of such testing.
K321: The facility failed to maintain fire resistive rating of hazardous areas including boiler room penetrations not sealed with rated firestop systems.
K353: The facility failed to maintain sprinkler system including dust-loaded sprinkler heads in laundry folding room, potentially impairing sprinkler function.
K541: The facility failed to ensure laundry chute doors were fire rated and sealed, had holes compromising enclosure, and lacked adequate sprinkler coverage inside the chute.
K700: The facility failed to ensure dumpsters and containers were stored at least 10 feet from combustible walls, openings, or roof eave lines.
K712: The facility failed to conduct fire drills at expected and unexpected times on all shifts with active participation and simulation of emergency conditions.
K751: The facility failed to ensure draperies, curtains, and loosely hanging fabrics were flame retardant and compliant with NFPA 101 requirements.
K754: The facility failed to ensure soiled linen receptacles were stored in a room and not in corridors, exceeding allowed capacity limits.
K761: The facility failed to ensure fire doors were maintained with proper gaps, secured hardware, and intact fasteners to operate as designed.
K911: The facility failed to ensure electrical wiring was secure and properly terminated, with exposed wiring above suspended ceilings.
K914: The facility failed to maintain documentation of testing of hospital-grade receptacles in patient bed locations at required intervals.
K918: The facility failed to maintain essential electric system generator testing per NFPA 110 including monthly tests under load conditions.
K920: The facility failed to ensure power strips and extension cords were used only as permitted and not as substitutes for fixed wiring.
K923: The facility failed to ensure oxygen tanks were stored separated from combustibles by required distances and not in excess quantities.
Report Facts
: 13
: 3
: 3
: 0.5
Inspection Report — Dec 16, 2024
Complaint Investigation
Date: Dec 16, 2024
Visit Reason
An unannounced on-site visit was conducted to investigate complaint #ME00049784.
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.
Report Facts
: ME00049784
Document — 1E0C0B H2 SOD
Date: 1E0C0B H2 SOD
Inspection Report — MIY3 L3 SOD
Date: MIY3 L3 SOD
Visit Reason
Federal Revisit Survey for Life Safety Code compliance.
Findings
The facility was surveyed to the National Fire Protection Association 101 Life Safety Code 2012 Edition and found to be in substantial compliance with no deficiencies cited.
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