Inspection Reports for
Russell Park Rehabilitation & Living Center

158 Russell St, Lewiston, ME 04240, United States, ME, 04240

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15 Reports

2023–2025

Inspection Report — Jul 15, 2025

Follow-Up
Date: Jul 15, 2025

Visit Reason
This follow-up survey was conducted to assess compliance with deficiencies cited at the annual Long Term Care Survey Process for Federal Recertification on 5/21/25.

Findings
The facility was found not in compliance with regulations related to free of accident hazards, respiratory/tracheostomy care and suctioning, and QAPI/QAA improvement activities. Deficiencies involved unsecured hazardous materials, inadequate respiratory care policies, and insufficient quality assurance monitoring.

Deficiencies (3)
F689 - 483.25(d)(1)(2): The facility failed to ensure the resident environment was free of accident hazards by leaving a maintenance cart with hazardous chemicals and metal tools unattended in the hallway accessible to residents.
F695 - 483.25(i): The facility failed to maintain a sanitary environment for respiratory care, including tracheostomy care and suctioning, as evidenced by improper storage and disposal of nebulizer pipes and oxygen equipment, and lack of current physician orders for oxygen use.
F867 - 483.75(c)(d)(e)(g)(2)(i)(ii): The facility failed to establish and implement effective QAPI/QAA improvement activities, including failure of the Quality Assurance Committee to ensure an effective Plan of Correction for identified deficiencies and inadequate monitoring of performance improvement activities.
Report Facts
: Jul 15, 2025 : Aug 1, 2025

Inspection Report — May 21, 2025

Plan of Correction
Date: May 21, 2025

Visit Reason
Recertification Survey and investigation of complaints #ME00047265, #ME00047760, #ME00048554, and #ME00050623.

Findings
This document is the facility's plan of correction for the survey completed on 05/21/2025 addressing deficiencies related to safe/clean/homelike environment, right to be free from chemical restraints, comprehensive care plans, quality of care, free of accident hazards, respiratory/tracheostomy care, nurse aide performance, pharmacy services, labeling and storage of drugs, food procurement, and required in-service training for nurse aides.

Report Facts
: Array : May 21, 2025

Inspection Report — May 20, 2025

Biennial Survey
Date: May 20, 2025

Visit Reason
Federal Recertification Survey and Emergency Preparedness Survey conducted to assess compliance with fire safety and emergency preparedness regulations.

Findings
The facility failed to maintain clear exit corridors free of obstructions, did not conduct timely sprinkler system inspections, had corridor doors that did not resist smoke passage or were held open improperly, failed to conduct fire drills at required times and shifts, and did not perform monthly load testing and inspection of the emergency generator as required.

Deficiencies (5)
K211: Exit corridors were obstructed by wheelchairs, bedside tables, and medication carts, impeding proper egress in case of emergency.
K353: The sprinkler system was not inspected timely; the first quarter 2025 inspection was late and documentation was incomplete.
K363: Corridor doors failed to resist smoke passage and were held open by trash cans, preventing proper door closure.
K712: Fire drills were not conducted at expected and unexpected times on all shifts, and some drills were performed outside required hours.
K918: Monthly load testing and inspection of the emergency generator was not performed or documented for September 2024.
Report Facts
: 205052

Inspection Report — Oct 4, 2024

Follow-Up
Date: Oct 4, 2024

Visit Reason
Follow-up on deficiencies cited during complaint investigations #ME00047666, #ME00047684, #ME00047688, #ME00047669, and #ME00048381 on 8/13/24.

Findings
Russell Park Rehabilitation & Living Center was found to be in compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities.

Report Facts
: 5

Inspection Report — Apr 23, 2024

Follow-Up
Date: Apr 23, 2024

Visit Reason
This was an unannounced on-site follow-up visit to Russell Park Rehabilitation & Living Center to assess compliance after deficiencies cited during a complaint survey on 2/13/24.

Findings
Russell Park Rehabilitation & Living Center was found to be in substantial compliance with 42 CFR Part 483, Subpart B - Requirements for Long Term Care Facilities, with no deficiencies cited.

Inspection Report — Mar 12, 2024

Plan of Correction
Date: Mar 12, 2024

Visit Reason
Federal Recertification and Emergency Preparedness Survey conducted on March 12, 2024.

Findings
This document is the facility's plan of correction for the Federal Recertification and Emergency Preparedness Survey dated 03/12/2024. It addresses deficiencies related to fire protection ratings, smoke tight corridor doors, fire drills, and fire-retardant coatings.

Report Facts
: Mar 12, 2024 : Mar 21, 2024 : Mar 22, 2024

Inspection Report — Mar 12, 2024

Date: Mar 12, 2024

Visit Reason
Federal Recertification Survey for Russell Park Rehabilitation & Living Center.

Findings
The facility is not in substantial compliance with the National Fire Protection Association 101 Life Safety Code 2012 Edition, with multiple deficiencies related to fire protection ratings, smoke barrier doors, fire drills, and fire-retardant coatings.

Deficiencies (5)
K362: The facility failed to maintain the required fire protection rating of fixed fire window assemblies per NFPA 101, Life Safety Code, 2012 Edition, Sections 19.3.6.2.7 and 8.3.3, evidenced by combustible signs and non-rated adhesive films on wired glass panels.
K363: The facility failed to maintain smoke tight corridor doors per NFPA 101, Life Safety Code, 2012 Edition, Section 19.3.6.3.13, evidenced by a business office Dutch door lacking latching device and astragal.
K379: The facility failed to maintain the required fire protection rating of smoke barrier door glazing per NFPA 101, Life Safety Code, 2012 Edition, Sections 19.3.7.6, 19.3.7.6.2, and 8.5, evidenced by failure to maintain the 45-minute fire-rated door assembly.
K712: The facility failed to complete required fire drills at expected and unexpected times at least quarterly on each shift per NFPA 101, Life Safety Code, 2012 Edition, Sections 19.7.1.4 through 19.7.1.7, evidenced by missing second shift drills during the 4th quarter of 2023.
K751: The facility failed to treat draperies and curtains with approved fire-retardant coating per NFPA 101, Life Safety Code, 2012 Edition, Sections 19.7.5.1, evidenced by untreated curtains in the Activities Room.
Report Facts
: Mar 12, 2024 : 4th quarter 2023 : 9:15 AM to 12:00 PM

Inspection Report — Nov 27, 2023

Original Licensing
Date: Nov 27, 2023

Visit Reason
Initial licensing survey conducted to assess compliance with the National Fire Protection Association 101 Life Safety Code 2012 Edition.

Findings
The facility was surveyed and found to be in substantial compliance with the National Fire Protection Association 101 Life Safety Code 2012 Edition.

Inspection Report — Oct 24, 2023

Complaint Investigation
Date: Oct 24, 2023

Visit Reason
Complaint Life Safety Code survey conducted on October 24, 2023, to investigate alleged deficiencies.

Findings
The facility was found not in substantial compliance with NFPA 101 Life Safety Code requirements, with multiple deficiencies observed in emergency lighting, hazardous areas, cooking facilities, corridors, building services, and electrical systems.

Deficiencies (8)
K291: Emergency lighting of at least 1 1/2-hour duration is not maintained as the long-term care facility failed to maintain emergency lighting per NFPA 101, Life Safety Code, 2012 Edition, Sections 19.2.9.1.
K321: Hazardous areas enclosure requirements are not met as the facility failed to maintain fire barriers and automatic fire extinguishing systems per NFPA 101, Life Safety Code, 2012 Edition, Sections 19.3.2.1.
K324: Cooking facilities are deficient as the wheeled gas-fired stove/oven and griddle were not provided with an approved method to ensure appliances return to approved design location after maintenance and cleaning, violating NFPA standards.
K361: Corridors open to corridor spaces are not maintained properly as hazardous areas are open to the corridor, violating NFPA 101, Life Safety Code, 2012 Edition, Sections 19.3.2.1.5.
K500: Building services deficiencies include improper installation of clothes dryer vent exceeding maximum length and flexible ductwork attached improperly, violating NFPA 91 and related standards.
K914: Electrical systems maintenance and testing are deficient as the facility failed to maintain testing and maintenance of hospital-grade receptacles and electrical systems per NFPA 99 standards.
K918: Essential electric system deficiencies include missed weekly and monthly generator testing and lack of documentation, violating NFPA 99 and NFPA 110 requirements.
K919: Electrical equipment deficiencies include failure to test and maintain multiple outlet connections in patient rooms and removal of non-hospital grade multi-plug connections, violating NFPA 99 standards.
Report Facts
: 8.5 : 7.87 : 10 : 4

Inspection Report — Jun 27, 2023

Complaint Investigation
Date: Jun 27, 2023

Visit Reason
Investigation of complaint #ME00043942.

Findings
Russell Park Rehabilitation & Living Center was found to be in substantial compliance with 42 CFR 483, Sub-part B-Requirements for Long Term Care Facilities.

Inspection Report — XL8R21 SOD

Date: XL8R21 SOD

Visit Reason
State Inspection conducted on October 24, 2023, found the facility not in substantial compliance.

Findings
The facility was found not to be in substantial compliance with the National Fire Protection Association 101 Life Safety Code 2012 Edition as referenced on 42 CFR 483.90 (a-d) physical environment.

Deficiencies (8)
K 291: Emergency lighting of at least 1-1/2-hour duration is not provided automatically in the generator room.
K 321: Hazardous areas are not maintained to prevent fire hazards, including failure to maintain fire barriers and automatic fire extinguishing systems as required.
K 324: Cooking facilities failed to properly install and maintain equipment protected by the kitchen hood extinguishing system.
K 361: Corridors open to hazardous areas are not maintained to prevent fire hazards, including storage of hospital beds and furniture blocking exits.
K 500: Clothes dryer vent in the D Wing was installed improperly, violating NFPA 91 standards.
K 914: Electrical systems maintenance and testing in patient rooms were not maintained as required by NFPA 101.
K 918: Essential electric system maintenance and testing failed to meet NFPA 101 requirements, including generator testing and documentation.
K 919: Electrical equipment testing and maintenance failed to meet NFPA 101 requirements, including multiple outlet connections not tested or documented.
Report Facts
: XL8R21 : 205052 : Oct 24, 2023 : Oct 24, 2023

Inspection Report — GU5311 POC

Plan of Correction
Date: GU5311 POC

Visit Reason
This document is the facility's plan of correction for a complaint investigation dated August 13, 2024.

Findings
This plan of correction addresses the complaint investigation of August 13, 2024, covering issues related to reasonable accommodations, bowel/bladder care, psychotropic medication use, resident records, and infection prevention.

Report Facts
: ME000438381, ME00047684, ME47688, ME47666, ME00047669 : September 18, 2024

Document — VD7J H3 SOD

Date: VD7J H3 SOD

Report


Report


7 CMS Surveys

Inspection Report — May 21, 2025

Date: May 21, 2025

Visit Reason
Not stated in the document header; this is a CMS-2567 nursing home deficiency report.

Findings
The facility failed to maintain a safe, clean, and homelike environment, implement care plans for residents with indwelling urinary catheters, and complete annual performance evaluations for CNAs.

Deficiencies (3)
F 0584: The facility failed to maintain maintenance and housekeeping services necessary to keep the environment in good repair and sanitary condition, including stained caulking, chipped paint, damaged doors, and dirty equipment.
F 0656: The facility failed to implement care plans for residents with indwelling urinary catheters by not consistently monitoring and documenting urinary output as required.
F 0730: The facility failed to complete annual performance evaluations for five Certified Nursing Assistants employed more than one year.
Report Facts
case_number: 150 case_number: 35 employee_count: 5

Inspection Report — May 19, 2025

Biennial Survey
Date: May 19, 2025

Visit Reason
The survey was conducted to assess compliance with federal regulations governing nursing home care.

Findings
The facility was found to have multiple deficiencies including failure to maintain a sanitary environment, inadequate medication management, incomplete care plan implementation, lack of proper staff training and evaluations, and failure to ensure resident safety in smoking assessments.

Deficiencies (13)
F0584: The facility failed to adequately maintain maintenance and housekeeping services necessary to maintain the facility in good repair and sanitary condition.
F0605: The facility failed to provide evidence of documentation to justify the continued use of psychotropic medications and failed to ensure PRN psychotropic medication met the required 14-day limit for 2 of 6 residents reviewed.
F0656: The facility failed to implement a resident's care plan in the area of indwelling urinary catheters for 2 of 2 residents reviewed.
F0684: The facility failed to follow physician orders for 1 of 25 residents reviewed, resulting in administration of incorrect insulin dosage.
F0689: The facility failed to ensure smoking assessments were completed for 2 of 2 residents reviewed for smoking safety.
F0695: The facility failed to maintain a sanitary environment to help prevent the development and transmission of disease and infection related to respiratory care for 5 of 5 residents reviewed.
F0730: The facility failed to complete annual performance evaluations for 5 of 5 Certified Nursing Assistants reviewed with employment greater than 1 year.
F0755: The facility failed to establish a system of records of receipt and disposition of all controlled drugs in sufficient detail and failed to ensure that two authorized persons signed the Shift Count page for controlled substances on multiple medication carts.
F0761: The facility failed to adequately date and properly dispose of open biologicals according to manufacturer specifications in 1 of 3 medication carts observed.
F0812: The facility failed to ensure the kitchen was maintained in a clean and sanitary manner and failed to ensure staff wore proper beard restraints.
F0814: The facility failed to maintain the garbage storage area in a sanitary condition to prevent the harborage and feeding of pests.
F0867: The facility's Quality Assurance Committee failed to ensure that the Plan of Correction for identified deficiencies was effective, as the same deficiency was cited again during a follow-up survey.
F0947: The facility failed to monitor and ensure that Certified Nursing Assistants received the required 12 hours of annual in-service education training including Dementia, Resident Rights, and Abuse/Neglect training for 5 of 5 CNAs employed greater than 1 year.
Report Facts
: : : : :

Inspection Report — Aug 13, 2024

Complaint Investigation
Date: Aug 13, 2024

Visit Reason
Complaint investigation regarding failure to maintain call bells within reach, incomplete clinical records, inappropriate psychotropic medication orders, and inadequate infection prevention and control for residents with catheters.

Findings
The facility failed to ensure call bells were accessible to residents, maintain complete clinical records including repositioning documentation, ensure psychotropic medication orders included appropriate diagnoses, and implement infection control precautions for residents with indwelling catheters diagnosed with ESBL infections.

Deficiencies (3)
F 0558: Reasonably accommodate the needs and preferences of each resident. The facility failed to maintain call bells within reach for 2 of 3 residents observed.
F 0842: Safeguard resident-identifiable information and maintain complete medical records. The facility failed to ensure Resident #3 was repositioned every 2 hours as ordered and psychotropic medication orders for Resident #2 lacked appropriate diagnoses.
F 0880: Provide and implement an infection prevention and control program. The facility failed to place residents with indwelling catheters and ESBL infections on appropriate contact or enhanced barrier precautions.
Report Facts
: 2 : 3 : 1 : 1

Inspection Report — Mar 14, 2024

Date: Mar 14, 2024

Visit Reason
Not applicable for nursing home CMS-2567 form

Findings
This CMS-2567 form documents multiple deficiencies at Russell Park Rehabilitation & Living Center related to resident care, including bathing, neglect, care planning, treatment, pain management, and clinical record accuracy.

Deficiencies (5)
F 0558: The facility failed to ensure that Resident #148's bathing preferences were followed, with only one shower provided during the stay from 3/7/23 through 3/31/23.
F 0600: The facility neglected to identify and complete an assessment of a change in condition for Resident #298, resulting in delayed response to sepsis and hospital admission.
F 0656: The facility failed to implement a care plan for grooming for Resident #30, evidenced by observed poor oral hygiene with thick yellow substance on teeth.
F 0684: The facility failed to obtain and monitor weights as per policy for Residents #7, #15, and #30, failed to provide daily mouth care for Resident #30, and failed to monitor pain for Resident #35 receiving hospice services.
F 0842: The facility failed to ensure accurate clinical record documentation for Residents #5 and #148, including missing ADL care documentation and inaccurate wound measurement records.
Report Facts
: : :

Inspection Report — Mar 14, 2024

Date: Mar 14, 2024

Inspection Report — Feb 13, 2024

Date: Feb 13, 2024

Visit Reason
The facility was surveyed for compliance with respiratory care and infection prevention and control programs.

Findings
The facility failed to provide safe and appropriate respiratory care and a sanitary environment to prevent disease transmission, with issues observed in oxygen equipment maintenance and storage, and unsanitary conditions in shared bathrooms and resident rooms.

Deficiencies (2)
F 0695: The facility failed to assure respiratory care policies and procedures were developed according to professional standards, with oxygen concentrators and nebulizer equipment improperly maintained and stored.
F 0880: The facility failed to provide a sanitary environment to prevent infection transmission, with pillows, bed pans, urinals, and commode buckets improperly stored on floors in resident rooms and shared bathrooms.
Report Facts
: 205052

Inspection Report — Jun 27, 2022

Biennial Survey
Date: Jun 27, 2022

Visit Reason
The survey was conducted to assess compliance with nursing home regulations including resident care, medication administration, infection control, and safety.

Findings
The facility failed to provide adequate care in multiple areas including nail care, care planning for smoking and elopement risks, enteral feeding procedures, respiratory care, diet order adherence, medication administration, controlled substance storage, infection prevention practices, and timely COVID-19 notifications.

Deficiencies (9)
F0550: The facility failed to maintain resident dignity and respect by not performing nail care for Resident #30 on 2 of 4 survey days and failing to ensure Resident #36 was appropriately covered when exposed in bed.
F0657: The facility failed to develop and revise a comprehensive care plan reflecting Resident #30's smoking and elopement risks, and failed to document observations and family education related to smoking safety.
F0693: The facility failed to provide appropriate treatment and follow care plans for enteral feeding for Residents #32 and #36, including failure to flush gastrostomy tubes as ordered and check tube placement prior to feeding and medication administration.
F0695: The facility failed to provide safe and appropriate respiratory care by not labeling oxygen tubing with the date last changed and lacking documentation of tubing changes for Resident #25.
F0710: The facility failed to ensure Resident #30's medical care was supervised by a physician when the resident refused a pureed diet and was provided a regular diet without physician notification or a waiver.
F0759: The facility had a medication error rate of 11.43%, including crushing and mixing medications without orders and administering incorrect doses of Bupropion via gastrostomy tube.
F0761: The facility failed to adequately store controlled substances in a double locked, permanently affixed compartment and failed to date opened biologicals according to manufacturer specifications.
F0880: The facility failed to ensure staff followed infection prevention policies and CDC recommendations for mask use and COVID-19 screening, with multiple staff observed wearing masks improperly and failure to ensure all staff screened for COVID-19 symptoms prior to shifts.
F0885: The facility failed to notify residents, their representatives, and staff in a timely manner following a staff member's positive COVID-19 test on 6/27/22, with multiple staff and residents unaware of the positive case.
Report Facts
: 11.43 : 4 : 35

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