Average — CMS composite of the measures below.
The next survey window likely opens around December 2026
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 Cove's Edge Inc during CMS and state inspections, most recent first.
Care plans did not reflect current resident needs for two residents. One resident with a cardiac pacemaker had no care plan goals or interventions for the pacemaker despite orders and MDS documentation, and another resident with COPD, CHF, and chronic edema had a care plan that did not include daily Tubigrips use or match the resident’s actual routine of sleeping in a recliner and receiving staff help with compression garments.
Kitchen sanitation and food labeling deficiencies were observed during two tours. The walk-in freezer had built up ice, food and packages were scattered on the floor, and there were open unlabeled and undated food items. The stand-up mixer and storage containers had dried food and debris, and a pan of sliced deli meat in the cooler had an expired used-by date label.
Infection control failed when staff did not consistently use or post correct TBP and EBP signage and PPE instructions. On the Periwinkle and Hummingbird units, a resident room had an incorrect Contact sign, other rooms had PPE bags without visible EBP or TBP signs, and staff could not clearly identify which resident required precautions. The DON and RN stated staff relied on the TAR or an outdated resident list, and one resident with a suprapubic catheter reported that some staff wore PPE during direct care and some did not.
A CNA was observed transporting a resident in a shower chair through a hallway and past the front entrance with the resident's bottom exposed and a foley catheter visible. Although a sheet was over the resident's lap, the bottom was hanging out from under the commode seat, and the CNA stated the sheet must have moved.
A resident’s record showed an MDS admission assessment, but there was no evidence that an IDT meeting was held within 7 days afterward to review and revise the care plan. During an interview, the DON and an RN reviewed the EMR and confirmed that the required IDT meeting had not been held following the assessment.
Medication administration and treatment orders were not followed for two residents. An RN crushed and gave meds by memory without checking the chart or TAR, and another resident with HF and chronic edema was observed wearing Tubigrips daily even though the active physician orders did not include an order for the compression garments.
Respiratory equipment was not handled or documented according to orders. A resident on continuous O2 had unbagged, undated NC tubing stored with the prongs touching a wheelchair, floor, and concentrator, and staff placed the cannula back in use after it had contacted the floor while the O2 flow was set outside the ordered range. Another resident’s nebulizer tubing and mouthpiece were stored on the bed and lacked evidence of daily disinfection and proper storage. A third resident’s O2 equipment remained in place after O2 was discontinued, and another resident wore O2 without a current provider order or documentation of O2 amount and sat monitoring.
Incomplete and inaccurate clinical record for a resident with a left hip fracture and surgical repair. The chart still contained active orders for elevating the affected extremity, using an incentive spirometer, and reporting persistent drainage even though staff stated the resident no longer had a surgical wound, the left leg was no longer being elevated, and the incentive spirometer was no longer being used.
The facility failed to ensure a safe environment by having patient lifts on two units missing safety clips, as observed by surveyors. The issue was reported to nursing staff and discussed with the Senior Facilities Manager.
The facility failed to monitor and store medications at appropriate temperatures in the medication refrigerator. A surveyor and an RN reviewed temperature logs from July to October 2024, finding missing readings and out-of-range temperatures for each month. The facility's policy requires regular monitoring and maintenance of medication storage conditions within specified temperature ranges, which was not adhered to. This was confirmed with the DON.
A resident admitted for rehabilitation did not receive PT or OT services due to the facility's failure to conduct a timely evaluation. Despite a physician's order for therapy evaluation, the resident had not been seen by therapy staff as they were awaiting an evaluation. The facility had staffing issues in the Therapy Department after losing a contract with the previous therapy provider.
Two residents reported missing personal clothing items, which were not properly labeled or documented by the facility. The Environmental Services Supervisor and laundry staff failed to follow the established process for locating missing items, and the Director of Nursing confirmed a lack of documentation and follow-through. Facility policy required labeling and recording personal belongings, which was not adhered to.
Care plans did not reflect current resident needs
Penalty
Summary
The facility failed to ensure that care plans were developed to reflect the current needs of 2 of 16 residents reviewed. Resident #3 was admitted in January 2025 with diagnoses including complete heart block and the presence of a cardiac pacemaker. The resident’s quarterly MDS dated 10/19/25 indicated a cardiac pacemaker, and physician orders included a start date of 7/31/25 for a St. [NAME] pacemaker. However, the care plan revised on 11/3/25 did not include goals or interventions for the pacemaker. During an interview on 1/7/2025, RN #5 reviewed the care plan and confirmed that it had not been developed or implemented in the area of the pacemaker. Resident #35 was admitted in November 2025 with diagnoses including COPD, heart failure, and chronic lower extremity edema. Observations and interviews showed the resident seated in a recliner, sleeping in the recliner, and wearing Tubigrips daily on both lower legs, with staff assisting with application each morning and removal before bed. The clinical record included a progress note stating the resident chooses to sleep in the recliner, but the care plan addressed ADL self-care deficit, side/enabler rail use, bed mobility, and a pressure relieving device on the bed, and did not include the resident’s daily use of Tubigrips. During interview, RN #5 confirmed that the bed mobility and side/enabler rail interventions did not reflect the resident’s current care needs and stated that the Tubigrips should have been included on the care plan.
Kitchen sanitation and food labeling deficiencies
Penalty
Summary
The facility failed to maintain the kitchen in a clean and sanitary manner and failed to ensure foods were labeled and dated in the reach-in refrigerator during two kitchen tours. During the 1/5/26 observation with the Dietician and Food Service Director, the walk-in freezer ceiling had built up ice in front of the fans, the floor contained scattered food and bagged food/packages including French fries, a frozen yogurt/ice cream single-serve cup, and several packages of an unknown food product, and there was an open unlabeled and undated bag of waffles and a bag of personal pizzas. The stand-up mixer had dried food and debris on the mixing arm, protective cage, and shield, and the 3-bin plastic storage containers for flour, panko, and sugar had food and debris particles covering the containers and lids. The Cook's cooler also contained a pan of sliced deli meat, roast beef, with an orange sticker label showing a used-by date of 1/4/26. On the follow-up observation on 1/6/26 with the Food Service Director, the walk-in freezer still had built up ice in front of the fans and under the shelving unit in the right back corner. The Food Service Director stated, "I didn't realize it was that harsh. We will probably be hitting it by the end of the week."
Infection Control Program Failed to Ensure Proper TBP and EBP Posting
Penalty
Summary
The facility failed to maintain an infection control program designed to prevent the development and transmission of disease and infection by not applying appropriate Transmission Based Precautions (TBP) and Enhanced Barrier Precautions (EBP). On the Periwinkle Unit, a Contact Precautions sign and PPE bag were hanging on the front of Resident #6’s door, but CNA-M #7 stated Resident #6 was not on precautions and could not identify the roommate’s precautions, while the surveyor observed the CNA sanitize hands, don a mask and gloves, and state he/she was wearing a mask because Resident #6 was coughing. Later, the DON stated neither Resident #6 nor the roommate was on Contact precautions and that the Contact sign had been placed in error; the DON also stated the roommate was on EBP and that the PPE and an EBP sign should have been placed on the back of the door. Additional observations on both the Periwinkle and Hummingbird units found rooms with PPE bags but no visible EBP or TBP signage instructing staff on what to wear or identifying which resident required the PPE. RN #3 stated staff knew who was on EBP or TBP by looking at the TAR. In another room, a resident with a suprapubic catheter stated that some staff wore PPE when providing direct care and some did not. The DON later stated EBP rooms should have Contact precaution signs, but no EBP signage was posted, and a Droplet Precautions sign was observed on a room where neither resident was on droplet precautions. The DON said there was a list at the station, but it could not be found on the Hummingbird unit until CNA #2 located an undated resident list that included nonpharmacological interventions, daily weights, and EBP status; CNA #2 stated she did not know how old the list was and noted that one resident on it had been discharged a while ago.
Resident Transported With Bottom Exposed During Shower Chair Transfer
Penalty
Summary
The facility failed to provide care for a resident in a dignified manner when a CNA was observed transporting Resident #3 in a shower chair through the facility hallway and past the front entrance to the shower room with the resident's bottom exposed. The resident had a sheet over the lap, but the bottom was visible and hanging out from under the commode seat, and the foley catheter was also exposed. When the surveyor intervened during the transport, the CNA stated the sheet must have been moved from the resident's lap. The observation was later discussed with the DON.
Failure to Hold Required IDT Care Plan Review After MDS Assessment
Penalty
Summary
The facility failed to review and revise the care plan by an interdisciplinary team, including resident and/or representative participation to the extent possible, after an MDS assessment for Resident #35. The resident’s clinical record showed an MDS admission assessment completed on 11/25/25, but the record lacked evidence that an IDT meeting was held within 7 days after that assessment. During an interview on 1/7/26, the DON and RN #5 discussed the finding, and RN #5 stated that she documents IDT meeting notes in the resident’s EMR. RN #5 then reviewed Resident #35’s EMR and confirmed that an IDT meeting was not held following the assessment.
Medication Administration and Treatment Orders Not Followed
Penalty
Summary
The facility failed to ensure that residents received treatment and care in accordance with professional standards of practice in the area of medication administration and treatments for 2 of 19 sampled residents. For one resident, an RN pushed the medication cart to the room, removed medications, and crushed them without first verifying the medications against the resident's chart. When questioned by the surveyor, the RN stated she gave the medications by memory and that the order was on the resident's TAR, but she still did not review the TAR before administering the medications. For another resident admitted with heart failure and chronic lower extremity edema, the resident stated he/she needed staff help applying compression socks each day because of balance problems. The resident was observed seated with Tubigrips on both lower legs, and the resident, CNA, and nursing staff all stated that the resident wore the compression garments daily and that staff assisted with applying them each morning and removing them at bedtime. However, a review of the resident's active physician orders did not show an order for the Tubigrips.
Respiratory equipment was not handled or documented according to orders
Penalty
Summary
Safe and appropriate respiratory care was not maintained for residents receiving oxygen and nebulizer therapy. For Resident #24, surveyors observed unbagged, undated nasal cannula tubing attached to a portable oxygen tank in the wheelchair pocket, with the prongs touching the wheelchair surface. The resident stated he/she used oxygen continuously and used the portable tank often when leaving the room. Nursing staff stated the portable oxygen was applied when the resident transferred to the wheelchair, but the tubing was later observed draped behind the concentrator with the nasal cannula touching the floor while the concentrator was off. RN #3 then picked up the tubing and placed the cannula in the resident’s nose after it had been in contact with the floor, and the oxygen flow was observed set at 2.5 L/min even though the order was for 1-2 L/min. Resident #35’s nebulizer tubing and mouthpiece were observed stored on top of the resident’s bed, with the mouthpiece in direct contact with papers and later with bed linens. The resident had an active order for ipratropium-albuterol inhalation solution and a separate order to disinfect the nebulizer daily, rinse it, air dry it, and store it in a clean container, but the January 2026 MAR/TAR lacked evidence that the nebulizer was disinfected and stored according to the order. RN #6 stated the mouthpiece should not be stored on the bed and that after use it should be cleaned, air dried, and stored on a surface, but she was not sure exactly how it should be stored. Resident #41’s oxygen concentrator and portable tank were observed with unbagged, undated nasal cannula tubing coiled so the prongs touched the concentrator and the tank surface. The resident stated he/she no longer used the concentrator but sometimes used the tank. The record showed the last documented oxygen use was 11/19/25, and the MAR/TAR showed an oxygen monitoring order that had been discontinued on 12/9/25. For Resident #6, the record showed continuous oxygen use during observation, but the chart lacked a current provider order for oxygen use, and there was no documentation of the amount of oxygen in use or regular oxygen saturation monitoring. The DON acknowledged the lack of a current order and the absence of documentation.
Incomplete and Inaccurate Resident Clinical Record
Penalty
Summary
The facility failed to ensure that the clinical record for one resident was complete and contained accurate information related to positioning and mobility. The resident was admitted in January 2025 with diagnoses including a left hip fracture and left hip surgical repair. The record showed active physician orders for elevating the affected extremity to prevent swelling, using an incentive spirometer 10 times every hour while awake, and calling for persistent or worsening drainage. The baseline care plan initiated on 1/17/25 addressed the left hip surgical incision related to the left femur fracture and gamma nail surgery, and a revised care plan later showed the focus, goal, and interventions were resolved on 7/2/25. During interviews, the DON stated the order for persistent drainage should have been discontinued because the resident no longer had a surgical wound, and RN #6 stated the resident’s left leg was no longer being elevated and the incentive spirometer was no longer being used, making the orders no longer accurate. RN #5 stated the nurse should have asked the provider to discontinue the orders.
Patient Lift Safety Deficiency
Penalty
Summary
The facility failed to maintain a resident environment free from accident hazards due to issues with patient lifts on two units, Periwinkle and Hummingbird, during a survey. On the morning of the survey, two Easy Way Smart patient lifts were observed to be missing one of the safety clips on an arm, posing a potential safety risk. These observations were made by surveyors during a tour of the units and were reported to the nursing staff shortly thereafter. The missing safety clips were later discussed with the Senior Facilities Manager.
Medication Storage Temperature Monitoring Deficiency
Penalty
Summary
The facility failed to ensure that medications were monitored and stored at appropriate temperatures in the medication refrigerator. During an observation on October 21, 2024, a surveyor, along with a Registered Nurse (RN), reviewed the medication refrigerator temperature logs from July 2024 through October 2024. It was found that the temperatures were not being monitored properly, with missing temperature readings and documented out-of-range temperatures for each month. Specifically, July 2024 had out-of-range temperatures for all 30 days, August 2024 was missing readings for 5 days and had out-of-range temperatures for all 31 days, September 2024 was missing readings for 3 days and had out-of-range temperatures for all 30 days, and October 2024 was missing readings for 5 days and had out-of-range temperatures for all 21 days reviewed. The facility's policy and procedure for Storage of Medications, dated May 1, 2018, requires that medication storage conditions be monitored regularly and corrective action taken if problems are identified. It also states that all medications should be maintained within temperature ranges noted in the United States Pharmacopeia, specifically refrigerated between 36°F to 46°F, and that a temperature log should be maintained in the storage area to record temperatures at least once a day. This information was confirmed with the Director of Nursing during an interview on October 21, 2024.
Failure to Provide Timely Rehabilitative Services
Penalty
Summary
The facility failed to provide specialized rehabilitative services or obtain the required services from an outside resource for a resident who was admitted for rehabilitation. The resident, admitted on an unspecified date, had a physician's order dated 10/7/24 for Physical Therapy (PT) and Occupational Therapy (OT) evaluation. However, as of 10/21/24, the resident had not received any therapy services. Interviews with PT/OT staff revealed that they were unable to provide therapy because the resident was still awaiting an evaluation. The Admissions Coordinator confirmed that the facility was waiting for an available staff member to complete the evaluation. The Administrator acknowledged that the facility had lost its contract with the previous therapy company and was experiencing staffing difficulties in the Therapy Department, resulting in the resident waiting since 10/7/24 for a therapy evaluation.
Failure to Label and Secure Residents' Personal Belongings
Penalty
Summary
The facility failed to properly label and secure residents' personal belongings, leading to missing items for two residents. Resident #15 reported missing five nightshirts and had informed multiple staff members, but no action was taken to address the issue. The Environmental Services Supervisor acknowledged the loss of only two nightshirts and described a process for locating missing items that was not fully executed. The resident's medical record lacked documentation of personal possessions, and the facility's policy required all personal clothing to be identified with the resident's name. Resident #34 also reported missing personal clothing, specifically a blue 'sleep T' with horizontal stripes. The laundry staff maintained a log of missing items, but it lacked essential details such as the resident's name and the date of the report. The Director of Nursing confirmed the absence of proper documentation and follow-through, as evidenced by a blank inventory sheet found in the resident's room. The facility's policy required marking residents' clothes upon entry and maintaining a list of clothing in the resident's record, which was not adhered to in these cases.
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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 Damariscotta
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Gregory Wing Of St Andrews Village | 12.2 mi | ★★★★★ | 19 | 0 |
| Winship Green Center For Health & Rehab, Llc | 15.6 mi | ★★★★★ | 4 | 0 |
| Breakwater Commons | 21.6 mi | ★★★★★ | 22 | 0 |
| Augusta Center For Health & Rehabilitation, Llc | 22.5 mi | ★★★★★ | 12 | 0 |
| Mainegeneral Rehab & Long Term Care - Glenridge | 22.5 mi | ★★★★★ | 13 | 0 |
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