Inspection Reports for
The Grande At South Portland

25 Country Club Rd, South Portland, ME 04106, United States, ME, 04106

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

30% better than Maine average
Maine average: 5.7 deficiencies/year

Deficiencies per year

8 6 4 2 0
2024
2025

Occupancy

Latest occupancy rate 40% occupied

Based on a March 2025 inspection.

Occupancy rate over time

20% 40% 60% 80% 100% Oct 2024 Mar 2025

Inspection Report

Complaint Investigation
Census: 21 Capacity: 52 Deficiencies: 3 Date: Mar 19, 2025

Visit Reason
A complaint investigation was conducted due to allegations that the facility was out of compliance with regulations governing assisted housing programs, specifically regarding resident rights and care.

Complaint Details
The complaint investigation 2025-AHP-40514 was substantiated with findings that the facility was out of compliance with regulations governing assisted housing programs, specifically regarding resident communication rights and care planning.
Findings
The facility was found non-compliant with regulations related to resident rights to communicate privately, development and implementation of a comprehensive service plan, and maintenance of ongoing progress notes. Specifically, one resident was not assisted with phone calls, lacked a fully developed service plan addressing all needs, and did not have adequate monthly progress notes documenting implementation and significant changes.

Deficiencies (3)
Resident was not assisted with phone calls, violating the right to communicate privately with persons of choice.
Service plan did not address all areas in which the resident needed assistance or describe strategies to meet those needs.
Ongoing progress notes were not maintained at least monthly on implementation of the service plan or significant changes in the resident's life.
Report Facts
Census: 21 Total Capacity: 52 Complaint Investigation Number: 2025-AHP-40514

Employees mentioned
NameTitleContext
Nicole GuenetteAssisted Housing Program ManagerSigned letter regarding complaint investigation and plan of correction
Caitlin MarsanskisAdministratorNamed in relation to findings and interviewed during investigation
Employee #1Interviewed regarding resident care and phone assistance
Employee #3Interviewed regarding resident isolation and medication safety

Inspection Report

Biennial Survey
Census: 20 Capacity: 52 Deficiencies: 5 Date: Oct 29, 2024

Visit Reason
The inspection was a biennial survey to assess compliance with regulations governing the licensing and functioning of a Level IV Residential Care Facility and Infection Prevention and Control.

Findings
The facility was found non-compliant with several regulatory requirements including incomplete records for Schedule II controlled substances, lack of a current diet manual, unsanitary conditions of kitchen equipment, inadequate dishwasher sanitization temperatures and lack of test kits, and absence of proof of rabies vaccination for a facility cat.

Deficiencies (5)
Failed to include prescription number, dosage, frequency, and method of administration in Schedule II controlled substances record for one resident.
Facility failed to ensure there was a current therapeutic diet manual.
Ice machine in memory care unit kitchen was not maintained in a clean and sanitary manner.
Facility chemical sanitizing dishwasher did not reach required rinse-water temperature and lacked an approved test kit to measure sanitizer residual.
Facility failed to provide evidence of current rabies vaccination for a facility cat.
Report Facts
Census: 20 Total Capacity: 52 Dishwasher test cycles: 4 Dishwasher temperature: 120

Employees mentioned
NameTitleContext
Caitlin MarsanskisAdministratorNamed as facility administrator
Wellness DirectorReviewed medication record deficiency at exit meeting
Executive ChefConfirmed lack of current diet manual
Director of MaintenanceConfirmed findings related to ice machine, dishwasher, and rabies vaccination at exit interview

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