Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Brewer Center For Health & Rehabilitation, Llc during CMS and state inspections, most recent first.
The facility failed to follow physician orders for medications and treatments for multiple residents. One resident did not receive a scheduled IM antibiotic dose as ordered. Another resident with constipation and diarrhea had PRN Loperamide and scheduled Sennosides administered inconsistently with bowel-related orders, and an ordered oral antibiotic was delayed for many days after it was received from the pharmacy, without documented timely provider follow-up. A resident with complaints of SOB did not receive a PRN nebulizer treatment despite an active order. During a med pass, a CNA-M gave a resident 14 pills to swallow at once, contrary to an order requiring meds to be given whole with water, one at a time, in an upright position.
Food Storage and Plumbing Deficiencies in Kitchen Equipment: The facility failed to store, prepare, and serve food in accordance with professional standards when the ice machine drains were observed without the required air gap and the plate warmer was found soiled with food debris in all three storage chambers. The FSD and Maintenance Director confirmed the ice machine drainage setup, and the FSD stated she was unsure how the plate warmer is cleaned because it does not appear to come apart.
Failure to serve a resident’s meal with dignity. A CNA served lunch to two residents at a table of three, then served another table while one resident remained waiting. The resident called out to staff about a tray that was not theirs, and a staff member later requested a meal tray from the kitchen after confirming the tray in the dining room belonged to someone else. The resident was served 10 minutes after tablemates, and the CNA stated staffing was short that day and the resident’s meal had been sent to the wrong place.
A resident reported that the facility had not discussed the plan of care after recent admission, and the clinical record showed no evidence that a baseline care plan was developed or implemented within 48 hours. A surveyor later confirmed with the RDCO that the baseline care plan had not been completed within the required timeframe.
Bed mattresses did not fit the bed frames for three residents, leaving exposed gaps at the foot of the bed and between the mattress and side rail. One resident reported a foot had gotten caught in the gap more than once, another had a 7-inch gap at the head and side of the bed, and review of bed assessments showed the foot end had not been assessed for possible entrapment.
A resident with a history of stroke and left-sided weakness, including a flaccid left arm, had a care plan for functional mobility that required two staff for all transfers. Despite this, a CNA attempted to transfer the resident alone from a wheelchair to a bed, the transfer failed, and the CNA lowered the resident to the floor. The resident was assessed with no visible injuries, and both the CNA and the Administrator later confirmed that the care plan requiring two-person assistance for transfers was not followed.
Failure to Follow Physician Medication and Treatment Orders
Penalty
Summary
The deficiency involves multiple failures by facility staff to follow physician orders for medications and treatments for several residents. One resident had a physician order dated 4/23/26 for Ceftriaxone Sodium 1 gram IM daily for 5 days for a urinary tract infection. Review of the Treatment Administration Record showed the antibiotic was administered on 4/23, 4/24, 4/26, and 4/27, with no evidence of administration on 4/25. The DON confirmed that the ordered dose on 4/25 was not given. Another resident with ongoing issues of constipation and diarrhea had active orders for Loperamide 2 mg PO PRN after loose stool, with one repeat dose allowed, and Sennosides 8.6 mg, 2 tablets PO twice daily for constipation, to be held for loose stools in the last 24 hours. Review of the bowel elimination history and MAR showed repeated instances where Loperamide was given when there was no bowel movement or when bowel movements were normal, and not given after documented loose/diarrhea stools as ordered. Sennosides was administered within 24 hours of loose stools, contrary to the order to hold it under those circumstances. Additionally, this resident had an antibiotic received from the pharmacy on 3/21/26 with a faxed order on 4/1/26 indicating it should be taken every 8 hours for 7 days following a 3/18/26 office visit; however, the MAR showed the first dose was not given until 4/1/26, 12 days after the antibiotic was received from the pharmacy, and the record lacked evidence of timely follow-up with the urologist regarding the antibiotic and progress note. A further deficiency was identified when a resident with a provider response indicating an existing PRN nebulizer order for shortness of breath had no documented PRN nebulizer treatment administered on the date the nurse requested nebulizer treatments for complaints of shortness of breath, despite the active order. In another case, during a medication pass observation, a CNA-M handed a resident a cup containing 14 pills, which the resident placed in the mouth and swallowed all at once with water. This was inconsistent with a physician order dated 4/9/26 specifying that medications were to be given whole with water, one at a time, with the resident in an upright position. The CNA-M later confirmed that the medications had been given all at once rather than one at a time as ordered.
Food Storage and Plumbing Deficiencies in Kitchen Equipment
Penalty
Summary
The facility failed to store, prepare, and serve food in accordance with professional standards for food service safety by not storing dishes and food in a sanitary manner. During the initial kitchen tour, the surveyor, Food Service Director (FSD), and Maintenance Director observed the ice machine with 3 draining pipelines, including one drain pipeline that extended several inches into the receiving vessel and another that was less than 1 inch from the receiving vessel. This was identified as being in violation of the Maine State Plumbing Code air-gap separation requirement. The interior of the plate warmer machine was also observed to be soiled with food debris in all three storage chambers. The FSD stated she was unsure how the machine is cleaned because it does not appear to come apart. On a later observation, the surveyor and FSD again confirmed that 1 of the 3 drains for the ice machine in the kitchen did not have the minimum 1-inch air gap to prevent backflow of water, and the surveyor and Maintenance Director also confirmed that the ice machine drain on A-unit did not have the minimum 1-inch air gap.
Failure to Serve a Resident’s Meal With Dignity
Penalty
Summary
The facility failed to promote care to residents in a manner that maintains each resident’s dignity during dining services on Unit A. On 4/27/26 at 12:50 p.m., a CNA served lunch to two residents at a table of three, leaving Resident #98 unserved. At 12:54 p.m., the CNA served another table of three while Resident #98 was still waiting for a meal. Resident #98 called out to staff, asking if a tray was theirs and gesturing toward a meal tray at the other end of the room. At 12:58 p.m., a staff member stopped assisting another resident to eat and requested a meal tray from the kitchen for Resident #98 after determining the tray in the dining room did not belong to that resident. Resident #98 was served at 1:00 p.m., 10 minutes after the tablemates were served. During interview, the CNA stated there were usually four staff in the dining room, but only three were present that day and two were needed to help residents with feeding assistance; the CNA also stated Resident #98 was listed to eat in the room, so the meal went to the wrong place.
Baseline Care Plan Not Developed Within 48 Hours of Admission
Penalty
Summary
The facility failed to ensure that a baseline care plan was developed and implemented within 48 hours of admission for one resident, R122, and that it included the instructions needed to provide the minimum healthcare information necessary to properly care for the resident. During an interview on 4/27/26 at 11:42 a.m., R122 stated that he/she had been admitted recently and that the facility had not discussed the plan of care, adding that it would likely be done that day or the next. Review of R122's clinical record showed no evidence that a baseline care plan had been developed or implemented within 48 hours of admission. On 4/29/26 at 11:51 a.m., during an interview with the Regional Director of Clinical Operations, a surveyor confirmed that R122's baseline care plan was not developed within 48 hours of admission.
Bed Mattresses Did Not Fit Bed Frames, Creating Entrapment Gaps
Penalty
Summary
The facility failed to ensure that bed mattresses were compatible with bed frames and that areas of possible entrapment were identified for three residents. One resident was observed lying in bed with the bed frame larger than the mattress, leaving several inches exposed at the foot of the bed; the resident stated that a foot had gotten caught in the gap more than once over the past several months when attempting to get up to the bathroom at night. During a later observation with the Maintenance Director, the mattress was confirmed to leave a 5-inch gap at the foot of the bed. A second resident was observed with a 7-inch gap between the mattress and the side rail at the head of the bed, and the resident stated the mattress and bed frame had been used for the past month and that the resident had not rolled off the exposed bedframe and could independently reposition in bed. A third resident was observed with the bed frame larger than the mattress, leaving several inches exposed at the foot of the bed. Later observations with the Maintenance Director confirmed a 5-inch gap at the foot of the bed. Review of the bed assessments showed no evidence that the foot end of the beds had been assessed for the potential entrapment of body parts.
Failure to Follow Two-Person Transfer Care Plan
Penalty
Summary
A deficiency occurred when a resident’s care plan for transfer assistance was not followed, resulting in a failed transfer. The resident had a history of stroke within the past year with left-sided involvement, including a flaccid left arm that the resident was unable to move. The resident’s care plan, initiated for a deficit in functional mobility, specified that two staff members were required for all transfers. On 2/10/26, documentation showed that a CNA attempted to transfer the resident from a wheelchair to the bed without a second staff member, contrary to the care plan. During this one-person transfer, the transfer failed and the CNA lowered the resident to the floor. The charge nurse assessed the resident and documented no visible injuries. In the facility’s investigation and in the CNA’s written statement, the CNA acknowledged not following the care plan requiring two staff for transfers, and the Administrator confirmed in an interview that the care plan was not followed.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Brewer
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Maine Veterans Home - Bangor | 2.5 mi | ★★★★★ | 11 | 0 |
| Eastside Center For Health & Rehabilitation, Llc | 2.8 mi | ★★★★★ | 16 | 0 |
| Bangor Nursing & Rehabilitation Center | 2.8 mi | ★★★★★ | 24 | 0 |
| Stillwater Health Care | 2.8 mi | ★★★★★ | 12 | 0 |
| Westgate Center For Rehab & Alzheimers Care | 2.9 mi | ★★★★★ | 5 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.