Total health inspections
4
California average 12.5
Last Health inspection on May 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Orono Commons
Senior Living in Fremont
CMS overall rating
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.
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.
Orono Commons
Senior Living in Fremont
CMS overall rating
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.
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.
A member of the Genesis Healthcare Center, Orono Commons is the home for residents who seek to relax and recover. Specializing in short-term rehabilitation and long-term care, the multi-awarded community provides professional and compassionate service for its residents. Orono Commons cultivates the holistic needs of its residents in a home-like setting.
The services are multidisciplinary for both skilled nursing and rehabilitation– focusing on post-surgical care, on-site therapy (physical, occupational, speech), strength conditioning, mobility improvement; colostomy care, dementia care, pain management, wound care; and medical professionals are on-call– medical directors, nurse practitioners, and physicians.
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 38th out of 42 homes in California.
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.
This home is ranked 38th out of 42 homes in California.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.
3h 12m per day
vs California avg
-24%
Standout metric
Physical Therapist is +100% above state avg
| Staff type | Hours / day | 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.
| 1h 24m per day | ▲ 33% State avg: 1h 3m per day · National avg: 41m 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.
| 2h 3m per day | ▼ 28% State avg: 2h 51m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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.
| 3h 10m per day | ▼ 19% State avg: 3h 55m per day · National avg: 3h 26m 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.
| 8m per day | ▲ 100% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 56m per day | ▲ 27% State avg: 44m per day · National avg: 29m per day |
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
90
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
94.2%
Avg. Length of Stay
96 days
Occupancy rate
94.2%
Avg. Length of Stay
96 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
46% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
47% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
8% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$13.9M
Profit
$957.5K
Privately-owned community
Operated by a business corporation.
Home revenue
$13.9M
Profit
$957.5K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.0M
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.
$7.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$12.9M
Walk Score: 11 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
Health Inspection History
Inspections
Total health citations
40
California average 50.2
Citations per inspection
10
California average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
23 of 40 citations resulted from standard inspections; 2 of 40 resulted from complaint investigations; and 15 of 40 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than California averageCalifornia average: 0.4
Serious Health citations
1
1
In line with California averageCalifornia average: 1
0 critical citations
1 serious citation
33 moderate citations
6 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 07, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 07, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
May 07, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
May 07, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
May 07, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
May 07, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
May 07, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
May 07, 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 Nursing Homes around Orono The information below is reported by the Maine Department of Health and Human Services, Division of Licensing and Certification.
Filter by care type
| Orono Commons |
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).
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. | Orono | 90 | No | 11 | 0 | 0 | - | 94.2% | - | - | - |
| Dirigo Pines – Orono |
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).
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.
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.
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.
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. | Orono | 50 | No | 1 | 2 | 0 | 9 | - | - | - | - |
| Common Destiny Care Home |
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. | Fremont (Northgate) | 6 | No | 61 | 5 | 9 | 14 | 83.3% | - | Common Destiny, Llc | - |
| Genesis Healthcare |
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. | Fremont | - | No | 83 | 0 | 0 | - | - | - | - | - |
| Priya Living City 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. | Fremont (Sundale) | - | No | 72 | 0 | 0 | - | - | - | - | - |
Financial Assistance for
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Places of interest near Orono Commons
0.8 miles from city center
Estimated distance in miles from Orono's city center to Orono Commons's address, calculated via Google Maps.
— 3.1 miles to nearest hospital (PCHC - Helen Hunt Health Center)
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
130
Employees
107
Contractors
23
Staff to resident ratio
1.73:1
1733233% better than California averageCalifornia average ratio: 0.00:1
Avg staff/day
40
Average shift
8.1 hours
5% better than California averageCalifornia average: 7.7 hours
Total staff hours (quarter)
29,569
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
24
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
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.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
53
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
11.5%
3,408 contractor hours this quarter
Certified Nursing Assistant: 10
Licensed Practical Nurse: 8
Occupational Therapy Assistant: 2
Registered Nurse: 1
Medical Director: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 43 | 10 | 53 | 10,993 | 91 | 100% | 8 |
| Registered Nurse | 23 | 1 | 24 | 6,823 | 91 | 100% | 8.7 |
| Medication Aide/Technician | 6 | 0 | 6 | 2,560 | 91 | 100% | 9.9 |
| Licensed Practical Nurse | 1 | 8 | 9 | 1,341 | 80 | 88% | 9.1 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,248 | 86 | 95% | 8.1 |
| Physical Therapy Assistant | 5 | 0 | 5 | 1,239 | 89 | 98% | 8 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 977 | 65 | 71% | 7.5 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 906 | 71 | 78% | 7.5 |
| Mental Health Service Worker | 2 | 0 | 2 | 699 | 61 | 67% | 8.4 |
| Other Social Services Staff | 1 | 0 | 1 | 607 | 70 | 77% | 8.7 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 484 | 59 | 65% | 8.2 |
| Speech Language Pathologist | 1 | 0 | 1 | 433 | 50 | 55% | 8.7 |
| Qualified Social Worker | 4 | 0 | 4 | 267 | 48 | 53% | 5.1 |
| Nurse Aide in Training | 7 | 0 | 7 | 243 | 16 | 18% | 8.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 128 | 21 | 23% | 6.1 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 62 | 39 | 43% | 1.5 |
| Medical Director | 0 | 1 | 1 | 45 | 11 | 12% | 4.1 |
53 Certified Nursing Assistant
% of Days
100%
24 Registered Nurse
% of Days
100%
6 Medication Aide/Technician
% of Days
100%
9 Licensed Practical Nurse
% of Days
88%
4 Other Dietary Services Staff
% of Days
95%
5 Physical Therapy Assistant
% of Days
98%
4 Clinical Nurse Specialist
% of Days
71%
3 Respiratory Therapy Technician
% of Days
78%
2 Mental Health Service Worker
% of Days
67%
1 Other Social Services Staff
% of Days
77%
1 Administrator
% of Days
70%
2 Nurse Practitioner
% of Days
65%
1 Speech Language Pathologist
% of Days
55%
4 Qualified Social Worker
% of Days
53%
7 Nurse Aide in Training
% of Days
18%
1 Occupational Therapy Aide
% of Days
23%
2 Occupational Therapy Assistant
% of Days
43%
1 Medical Director
% of Days
12%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
75
Medicare
10
13.3% of residents
Medicaid
42
56% of residents
Private pay or other
23
30.7% of residents
Programs & Services
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
16.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.7
18% worse than California averageCalifornia average: 14.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.5
In line with California averageCalifornia 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
29.9%
Percent of long-stay residents whose need for help with daily activities has increased
29.9%
15% worse than California averageCalifornia average: 26.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
30.5%
Percent of long-stay residents whose ability to move independently worsened
30.5%
In line with California averageCalifornia 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
28.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.1%
6% better than California averageCalifornia average: 29.8%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than California averageCalifornia average: 4.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
12.0%
Percent of long-stay high risk residents with pressure ulcers
12.0%
168% worse than California averageCalifornia average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.3%
Percent of long-stay residents with a urinary tract infection
3.3%
19% worse than California averageCalifornia average: 2.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
11.1%
Percent of long-stay residents who lose too much weight
11.1%
102% worse than California averageCalifornia average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
10.1%
Percent of long-stay residents who have depressive symptoms
10.1%
In line with California averageCalifornia average: 10.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
23.6%
Percent of long-stay residents who received an antipsychotic medication
23.6%
19% worse than California averageCalifornia average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
53.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
53.4%
41% worse than California averageCalifornia average: 90.1%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
In line with California averageCalifornia average: 95.5%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.61
Number of hospitalizations per 1,000 long-stay resident days.
1.61
16% worse than California averageCalifornia average: 1.39
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.76
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.76
63% better than California averageCalifornia average: 2.08
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
20.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
20.0%
72% worse than California averageCalifornia average: 70.8%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
24% worse than California averageCalifornia average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
23.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
23.8%
68% worse than California averageCalifornia average: 74.5%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.6%
10% worse than California averageCalifornia average: 20.5%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
6.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.5%
58% better than California averageCalifornia average: 15.6%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
55% worse than California averageCalifornia average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
57.1%
Percentage of residents at or above expected ability to care for themselves at discharge.
57.1%
6% better than California averageCalifornia average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
56.1%
Rate of successful return to home or community from a skilled nursing facility.
56.1%
11% better than California averageCalifornia average: 50.6%
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
$10K
57% lower than California averageCalifornia average: $24K
Number of fines
1
18% fewer fines than California averageCalifornia 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 California averageCalifornia average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$10K
California 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.
May 7, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 7, 2025
$10K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Orono Commons based on CMS SNF Cost Reports.
Occupancy Rate
94.2%
↓ 1.2pp vs 2022
Net Income
$957.5K
↑ ~$1.3M vs 2022
Total Payroll
$7.1M
↑ ~$56.2K vs 2022
Profit Margin
7.2%
↑ 9.7pp vs 2022
Loading trend charts...
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