Inspection Reports for The Landing at Saco Bay

ME, 04072

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Inspection Report Summary

The most recent inspection on May 30, 2025, identified deficiencies related to a resident not receiving multiple medications as ordered for 19 days due to erroneous discontinuation in the electronic health system. Earlier inspections were mostly clean, with prior reports from 2024 showing substantial compliance except for a repeated medication administration issue noted in April 2024 and again in May 2025. The main deficiency involved medication management errors that affected resident care, specifically the discontinuation of medication orders leading to adverse effects for one resident. The complaint investigation was substantiated, confirming the medication errors and their impact, but no fines or enforcement actions were listed in the available reports. The repeated nature of this issue suggests a need for continued attention to medication administration processes.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 1 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

82% better than Maine average
Maine average: 5.7 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025

Census

Latest occupancy rate 87% occupied

Based on a September 2024 inspection.

Census over time

40 45 50 55 60 Aug 2024 Sep 2024

Inspection Report

Complaint Investigation
Capacity: 54 Deficiencies: 1 Date: May 30, 2025

Visit Reason
The inspection was conducted as a complaint investigation regarding medication administration errors at The Landing at Saco Bay, a PNMI Level IV Residential Care Facility.

Complaint Details
The complaint investigation confirmed that Resident #1 was not administered multiple medications from 4/30/2025 through 5/18/2025 due to Wellness Nurse #1 discontinuing the medications in error. The deficiency was substantiated and is a repeat from a prior deficiency dated 4/16/2024.
Findings
One resident (Resident #1) did not receive multiple medications as ordered for 19 days due to medications being discontinued in error by Wellness Nurse #1 in the facility's electronic health system. This resulted in increased anxiety, agitation, and a fall for the resident. This is a repeat deficiency from a prior statement dated 4/16/2024.

Deficiencies (1)
Resident #1 did not receive multiple medications as ordered for 19 days due to erroneous discontinuation in the electronic health system.
Report Facts
Total Capacity: 54 Days medications not administered: 19 Date of incident report: May 18, 2025 Date of telephone interview: May 27, 2025

Employees mentioned
NameTitleContext
Jessica PoulinAdministratorInterviewed and confirmed medication error
Residential Care DirectorInterviewed and confirmed medication error
Wellness Nurse #1Discontinued medications in error

Inspection Report

Plan of Correction
Capacity: 54 Deficiencies: 1 Date: May 18, 2025

Visit Reason
The document is a Plan of Correction responding to a complaint investigation regarding a resident not receiving medications as ordered.

Complaint Details
Complaint investigation found that Resident #1 was not administered multiple medications for 19 days due to medication orders being discontinued in error. The complaint was substantiated based on interviews and record review.
Findings
An incident report dated 5/18/2025 found that a resident did not receive medications for 19 days due to discontinued orders. The facility investigated and completed all reports. Errors in medication order processing and administration were identified and addressed.

Deficiencies (1)
Resident did not receive medications as ordered for 19 days due to medication orders being discontinued in error.
Report Facts
Total Capacity: 54 Days medications not administered: 19

Inspection Report

Complaint Investigation
Census: 47 Capacity: 54 Deficiencies: 0 Date: Sep 17, 2024

Visit Reason
The inspection visit was conducted as a complaint investigation for The Landing at Saco Bay, a PNMI Level IV Residential Care Facility.

Findings
The facility was found to be in substantial compliance with Part of 10-144, Chapter 113, Regulations Governing the Licensing and Functioning of Assisted Housing Programs: PNMI Level IV Residential Care Facility.

Inspection Report

Plan of Correction
Census: 47 Capacity: 54 Deficiencies: 0 Date: Aug 14, 2024

Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for The Landing at Saco Bay, a Level IV PNMI Residential Care Facility, related to regulatory licensing and certification oversight.

Findings
The facility is in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: PNMI Level IV Residential Care Facilities, Part of 10-144, Chapter 113.

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