Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Biennial Survey
Census: 56
Capacity: 58
Deficiencies: 2
Oct 30, 2025
Visit Reason
The biennial survey was conducted to assess compliance with the Assisted Housing Program Licensing Rule and Residential Care Facilities regulations.
Findings
The facility was found non-compliant due to deficiencies in medication/treatment administration records, specifically missing documentation for medication administration and failure to record medication errors in incident reports for one resident.
Severity Breakdown
Class III: 1
Class II: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Medication Administration Record (MAR) lacked documentation of whether a medication was administered or refused for Resident #4. | Class III |
| Failure to record a medication error of omission incident report for an unexplained blank entry on Resident #4's MAR. | Class II |
Report Facts
Residents reviewed: 6
Unexplained blank entries: 1
Date completed: Nov 6, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Renee Hanscom | Executive Director | Administrator and person responsible for plan of correction |
Inspection Report
Biennial Survey
Census: 56
Capacity: 58
Deficiencies: 2
Oct 30, 2025
Visit Reason
The visit was a biennial survey to assess compliance with the Assisted Housing Program Licensing Rule for Residential Care Facilities.
Findings
The facility was found not in compliance due to deficiencies in medication administration records (MAR), specifically a missing documentation entry for a medication administered to one resident, and failure to record a medication error incident report for this omission.
Severity Breakdown
Class III: 1
Class II: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Medication Administration Record (MAR) lacked documentation of whether a medication was administered or refused for one resident, with one unexplained blank for Morphine Sulfate oral tablet 15 mg scheduled daily at 2200. | Class III |
| Failure to record a medication error of omission incident report for the unexplained blank entry on the resident's MAR. | Class II |
Report Facts
Residents reviewed: 6
Unexplained blank entries: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Renee Hanscom | Administrator | Confirmed findings at exit interview |
Inspection Report
Census: 52
Capacity: 58
Deficiencies: 0
Jul 29, 2025
Visit Reason
The inspection was conducted as a case investigation for regulatory compliance of Woodlands Assisted Living of Waterville, a Level IV PNMI Residential Care Facility.
Findings
The facility was found to be in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV PNMI Residential Care Facilities and Infection Prevention and Control.
Inspection Report
Complaint Investigation
Capacity: 58
Deficiencies: 0
Feb 7, 2025
Visit Reason
The inspection was conducted as a complaint investigation for Woodlands Assisted Living of Waterville under complaint numbers 2024-AHP-39803 and 2024-AHP-39785.
Findings
Woodlands Memory Care of Waterville, a Level IV PNMI Residential Care Facility, is in substantial compliance with the regulations governing assisted housing programs and infection prevention and control.
Complaint Details
Complaint investigation for two complaint cases (2024-AHP-39803 and 2024-AHP-39785) with findings indicating substantial compliance.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Olivia Labrecque | Administrator | Named as the facility administrator in the complaint investigation report. |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 58
Deficiencies: 0
Nov 18, 2024
Visit Reason
The inspection was conducted as a complaint investigation for multiple complaint cases numbered 2024-AHP-38507, 2024-AHP-38969, 2024-AHP-39182, and 2024-AHP-39203.
Findings
Woodlands Assisted Living of Waterville was found to be in substantial compliance with the regulations governing Level IV PNMI Residential Care Facilities and Infection Prevention and Control.
Complaint Details
The visit was complaint-related involving four complaint investigations as listed in the report.
Inspection Report
Census: 56
Capacity: 58
Deficiencies: 0
Sep 18, 2024
Visit Reason
This document is a statement of deficiencies and plan of correction for Woodlands Assisted Living of Waterville, related to a case investigation completed on 2024-09-18.
Findings
Woodlands Assisted Living of Waterville is in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV PNMI Residential Care Facilities and Infection Prevention and Control.
Inspection Report
Complaint Investigation
Census: 52
Capacity: 58
Deficiencies: 0
May 6, 2024
Visit Reason
The inspection was conducted as a complaint investigation covering multiple complaint investigations numbered 2024-AHP-36958, 2024-AHP-36984, 2024-AHP-37096, 2024-AHP-37114, and 2024-AHP-37115.
Findings
Woodlands Assisted Living of Waterville, a Level IV PNMI Residential Care Facility, is in substantial compliance with the regulations governing the licensing and functioning of assisted housing programs and infection prevention and control.
Complaint Details
The document references multiple complaint investigations but does not provide substantiation status or specific complaint details.
Inspection Report
Capacity: 58
Deficiencies: 0
Jan 10, 2024
Visit Reason
This document is a statement of deficiencies and plan of correction related to case investigations 2023-AHP-35531 and 2023-AHP-35757 for Woodlands Assisted Living of Waterville.
Findings
Woodlands Assisted Living of Waterville, a Level IV PNMI Residential Care Facility, is in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV PNMI Residential Care Facilities, Part of 10-144, Chapter 113.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Olivia LaBrecque | Administrator | Named as administrator of the facility in the report |
Inspection Report
Capacity: 58
Deficiencies: 0
Sep 5, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction related to case investigations 2023-AHP-34088, 2023-AHP-34095, and 2023-AHP-34122 for Woodlands Assisted Living of Waterville.
Findings
Woodlands Assisted Living of Waterville, a Level IV PNMI Residential Care Facility, is in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV PNMI Residential Care Facilities, Part of 10-144, Chapter 113.
Inspection Report
Complaint Investigation
Capacity: 58
Deficiencies: 1
Sep 5, 2023
Visit Reason
The inspection was conducted following receipt of two Resident Incident/Accident Reports regarding a medication transcription and administration error involving Morphine at the facility.
Findings
The facility failed to use safe and acceptable procedures when receiving, documenting, and administering medication to a resident, resulting in an incorrect transcription and administration of Morphine dosage. This is a repeat deficiency from a prior inspection dated 7/14/2023.
Complaint Details
The complaint investigation was triggered by two incident reports received on 8/29/2023 concerning medication errors dated 1/24/2023 and 8/20/2023. The investigation confirmed the transcription error and incorrect administration of Morphine to Resident #1. Interviews with the Administrator and Program Coordinator confirmed these findings.
Deficiencies (1)
| Description |
|---|
| Failure to use safe and acceptable procedures when receiving, documenting, and administering medication to a resident, specifically involving incorrect transcription and administration of Morphine dosage. |
Report Facts
Total Capacity: 58
Incident Report Dates: 2
Medication Dosage: 5
Medication Dosage: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Olivia LaBrecque | Acting Administrator | Confirmed findings related to medication error during interviews |
Inspection Report
Capacity: 58
Deficiencies: 0
Aug 14, 2023
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for Woodlands Assisted Living of Waterville, related to licensing and certification compliance.
Findings
Woodlands Assisted Living of Waterville is in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV PNMI Residential Care Facilities.
Inspection Report
Capacity: 58
Deficiencies: 0
Aug 11, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction for Woodlands Assisted Living of Waterville, a Level IV PNMI Residential Care Facility, related to regulatory licensing and certification oversight.
Findings
Woodlands Assisted Living of Waterville is in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV PNMI Residential Care Facilities, Part of 10-144, Chapter 113.
Inspection Report
Capacity: 58
Deficiencies: 0
May 4, 2023
Visit Reason
This document is a statement of deficiencies and plan of correction for Woodlands Assisted Living of Waterville, a Level IV PNMI Residential Care Facility, related to licensing and certification oversight.
Findings
Woodlands Assisted Living of Waterville is in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV PNMI Residential Care Facilities, Part of 10-144, Chapter 113.
Inspection Report
Capacity: 58
Deficiencies: 0
Mar 15, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction for Woodlands Assisted Living of Waterville, related to regulatory oversight of a Level IV PNMI Residential Care Facility.
Findings
Woodlands Assisted Living of Waterville is in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV PNMI Residential Care Facilities, Part of 10-144, Chapter 113.
Inspection Report
Capacity: 58
Deficiencies: 0
Mar 13, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction for Woodlands Assisted Living of Waterville, related to licensing and certification compliance for a Level IV PNMI Residential Care Facility.
Findings
Woodlands Assisted Living of Waterville is in substantial compliance with the regulations governing the licensing and functioning of Level IV PNMI Residential Care Facilities.
Inspection Report
Capacity: 58
Deficiencies: 1
Mar 8, 2023
Visit Reason
The inspection was conducted to investigate compliance with regulations governing assisted housing programs, specifically regarding medical and health care standards for residents.
Findings
The facility failed to promptly access appropriate services for a resident whose pain medication order had no refills and whose medication inventory had expired, resulting in the resident being transferred to the emergency department. The resident missed multiple doses of prescribed Oxycontin, leading to emergency care due to chest pains and anxiety.
Deficiencies (1)
| Description |
|---|
| Failure to promptly coordinate and assist in accessing appropriate services for a resident whose pain medication order had no refills and expired inventory, resulting in emergency department transfer. |
Report Facts
Total Capacity: 58
Medication Inventory Count: 0
Medication Inventory Count: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kendall Bailey | Acting Administrator | Confirmed findings at time of survey and exit interview |
| Palliative Care Nurse Practitioner | Interviewed regarding Resident #1's medication and condition |
Inspection Report
Capacity: 58
Deficiencies: 0
Mar 6, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction related to case investigations 2023-AHP-32639 and 2023-AHP-32634 for Woodlands Assisted Living of Waterville.
Findings
Woodlands Assisted Living of Waterville, a Level IV PNMI Residential Care Facility, is in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV PNMI Residential Care Facilities, Part of 10-144, Chapter 113.
Inspection Report
Census: 55
Capacity: 58
Deficiencies: 0
Jan 10, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction related to a case investigation for Woodlands Assisted Living of Waterville.
Findings
Woodlands Assisted Living of Waterville is in substantial compliance with the regulations governing Level IV PNMI Residential Care Facilities.
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