Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Durgin Pines during CMS and state inspections, most recent first.
The facility failed to provide residents with written information about their rights to accept or refuse treatment and to formulate an advance directive. This deficiency was identified for five residents whose records lacked evidence of such information being offered. Interviews with staff revealed that it was not standard practice to offer assistance with advance directives unless requested, and there was no routine documentation of offers or refusals.
The facility failed to involve residents and/or their representatives in care plan meetings, as evidenced by interviews and record reviews. Several residents reported not being invited or involved in their care planning process, and medical records lacked evidence of their participation. The Director of Social Services confirmed these findings.
The facility did not comply with its Dietary Dress Code Policy, as observed during a survey. Two male kitchen workers with facial hair were not wearing facial hair protection while preparing food, contrary to the policy requiring beard guards in food prep areas. This was confirmed with the Food Service Director and discussed with the Administrator.
The facility failed to accurately code the MDS for two residents regarding antidepressant use. One resident's MDS did not reflect a depression diagnosis despite being on antidepressants, and a pharmacy review's recommendation for dose reduction was not followed. Another resident's MDS did not indicate the use of Sertraline, despite a physician's order. These discrepancies were confirmed by the Skilled MDS Coordinator.
A resident with impaired lower extremity motion and requiring extensive assistance was left alone during a whirlpool bath, resulting in first-degree burns. The CNA left the resident unattended for about a minute, during which the resident was unable to remove their feet from overly hot water. The facility's bath safety instructions were not adequately followed.
The facility failed to maintain the residents' whirlpool tub in a safe and functional condition. During an observation, a surveyor and the Maintenance Director found that the digital thermometer on the whirlpool tub was not functional, which is essential for monitoring safe water temperatures. This issue was discussed with the Administrator and the DON.
Failure to Provide Information on Advance Directives
Penalty
Summary
The facility failed to ensure that residents and/or their representatives were provided with written information regarding their rights to accept or refuse medical or surgical treatment and to formulate an advance directive. This deficiency was identified for five residents who were reviewed during the survey. The electronic medical records for these residents lacked evidence that the facility had offered or provided the necessary information concerning advance directives. The facility's policy on advance directives, revised in September 2024, clearly states that residents have the right to formulate an advance directive and that staff should document any offers of assistance in the medical record. Interviews with facility staff, including a social worker, revealed that it was not the facility's practice to routinely offer assistance with formulating advance directives unless specifically requested by a resident. The social worker confirmed that if an advance directive was not present in a resident's record, it indicated that the resident did not have one on file. Additionally, the facility's administration, including the Administrator, Director of Nursing, Assistant Director of Nursing, and the Social Worker, acknowledged that they do not routinely document when staff offer to help residents complete an advance directive or when a resident declines to formulate one.
Failure to Involve Residents in Care Plan Meetings
Penalty
Summary
The facility failed to ensure that care plans were reviewed and revised by an interdisciplinary team (IDT) with the participation of residents and/or their representatives. This deficiency was identified for seven out of nine residents reviewed for care planning. Interviews with residents revealed that they were not invited to or did not remember attending care plan meetings. The medical records for these residents lacked evidence of their invitation or participation in the IDT meetings, despite the meetings being documented as having occurred. Specific instances included a resident who stated they were not invited to care plan meetings, and another whose representative attended via phone, but the resident was not invited. Additionally, a resident reported not being involved in care plan meetings since admission, and another was unfamiliar with any care plan meetings. The Director of Social Services confirmed these findings, indicating a systemic issue with the facility's care planning process.
Failure to Enforce Dietary Dress Code Policy
Penalty
Summary
The facility failed to adhere to its Dietary Dress Code Policy during a survey conducted on March 10, 2025. During an initial kitchen tour, it was observed that two male kitchen workers with facial hair were not wearing facial hair protection while preparing food. This observation was confirmed with the Food Service Director. The facility's Dietary Dress Code Policy, updated on October 31, 2023, mandates that all employees must wear a hair net or hat and beard guard, when appropriate, in food preparation areas. This deficiency was discussed with the Administrator by two surveyors later that day.
Inaccurate MDS Coding for Antidepressant Use
Penalty
Summary
The facility failed to ensure accurate coding of the Minimum Data Set (MDS) 3.0 for two residents, leading to discrepancies in the documentation of active diagnoses and high-risk drug classes. For one resident, the clinical record showed orders for Mirtazapine and Sertraline, both antidepressants, yet the MDS indicated no diagnosis of depression while acknowledging the use of antidepressants. Additionally, a pharmacy review recommended a gradual dose reduction of Mirtazapine, which the provider disagreed with, citing potential negative impacts on the resident's function and stability. Another resident's record showed a physician's order for Sertraline, but the MDS failed to reflect the use of this antidepressant. These inaccuracies were confirmed through interviews with the Skilled MDS Coordinator.
Resident Sustains Burns Due to Inadequate Supervision During Whirlpool Bath
Penalty
Summary
The facility failed to ensure a resident was free from an avoidable accident hazard when the resident sustained first-degree burns on their bilateral lower extremities while receiving a whirlpool bath. The incident occurred when the resident, who had impaired range of motion in their lower extremities and required extensive assistance with bathing, was left alone in the whirlpool spa room by CNA #1. The resident complained that the water was too hot but was unable to remove their feet from the water. Upon return, CNA #1 found the resident's feet red and swollen, and the resident was subsequently sent to the emergency room where they were diagnosed with first-degree burns. The facility's investigation revealed that CNA #1 had left the resident alone for approximately one minute to retrieve towels. During this time, the resident was unable to communicate the discomfort effectively. The facility's bath safety instructions clearly state that water temperatures above 110°F can scald individuals and that the water temperature must be constantly monitored. However, the water temperature logs reviewed did not show any temperatures outside acceptable conditions. The incident was discussed with the Administrator and the Director of Nursing by the surveyor.
Failure to Maintain Whirlpool Tub in Safe and Functional Condition
Penalty
Summary
The facility failed to ensure that the residents' whirlpool was maintained according to the manufacturer's recommendations and in good repair. During an observation with the Maintenance Director, a surveyor noted that the digital thermometer on the whirlpool tub in Marions Way Hand Wing was not functional while the hot water was running. This deficiency was observed between 11:20 a.m. and 12:00 p.m. on 4/2/24. The manufacturer's safety instructions clearly state that water temperatures must be constantly monitored using the built-in thermometers to ensure safe bathing levels between 100 to 105 degrees Fahrenheit, and that water above 110 degrees Fahrenheit can scald individuals who may not be able to communicate discomfort or pain. The surveyor and Maintenance Director observed that the digital thermometer, which is essential for monitoring the water temperature, was not working. This failure to maintain the equipment in good repair could potentially lead to unsafe bathing conditions for residents. The issue was discussed with the Administrator and the Director of Nursing at 2:15 p.m. on the same day. The facility did not ensure the whirlpool tub was safe and functional, thereby failing to provide a safe, functional, and comfortable environment for residents who receive whirlpool baths.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 188 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Kittery
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Edgewood Centre (the) | 4.7 mi | ★★★★★ | 0 | 0 |
| Cedar Healthcare Center | 4.8 mi | ★★★★★ | 0 | 0 |
| Saint Ann Rehabilitation And Nursing Center | 6.6 mi | ★★★★★ | 3 | 0 |
| Langdon Place Of Dover | 8.3 mi | ★★★★★ | 0 | 0 |
| Webster At Rye | 8.8 mi | ★★★★★ | 14 | 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.