Above average — CMS composite of the measures below.
The next survey window likely opens around February 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 Mainegeneral Rehab & Long Term Care - Glenridge during CMS and state inspections, most recent first.
The facility failed to maintain accurate controlled substance count records and did not ensure that both authorized medication administrators signed the Bound Book at each shift change. Surveyors found missing oncoming and off-going signatures, incomplete entries without time or count status, and instances where an RN signed the off-duty column before the count was actually completed on multiple med carts and units, including Cove, Gardens, and Valley.
Housekeeping and maintenance services were not adequately provided in a laundry room, a common area, and multiple resident rooms on the Cove Unit. Surveyors observed missing cove base, chipped and missing paint exposing sheetrock, dusty fans and vents, stained caulking, torn fall mats, a broken bathroom light, and unlabeled items on a shared toilet, and the ES Mgr and Maintenance Assistant confirmed the findings.
Kitchen sanitation, labeling, and facial hair protection deficiencies. During a kitchen tour, the air conditioning unit, fans, food disposal units, shelving, ceiling vents, grease trap cover, and service door were observed dirty or damaged with chipped paint. A large container of brown powder and a bag of diced product were not labeled and/or dated, and two kitchen workers with facial hair were not wearing facial hair protection. The FSD confirmed the findings.
The facility failed to provide written information about the right to accept or refuse treatment and to formulate an advance directive for two residents reviewed. The clinical record lacked evidence that the residents' representatives were asked or offered the opportunity to complete an advance directive, and the LSW confirmed this during interview with surveyors.
A resident with an amoxicillin allergy received Augmentin after two antibiotic orders were entered for ear pain, even though the physician note indicated cefdinir should be used instead. Pharmacy later questioned the order because of the allergy, and the LPN did not notify the physician that the resident had already received the dose; the DON later confirmed the physician had not been informed.
Care plans were not developed and implemented to reflect the current needs of two residents. One resident with Alzheimer's disease, suicidal ideations, delusional disorder, mood disorder, and bipolar disorder had an active order for quetiapine, but no care plan for antipsychotic use. Another resident with chronic pain and depression had active orders for sertraline, methadone, and PRN oxycodone, but the care plan lacked goals, interventions, and side effect monitoring for pain management and antidepressant use.
Damaged doors and protective coverings created accident hazards in common areas and on the Cove Unit. A small sitting room door had a broken protector sticking out and sharp, and a wooden double door in the lobby had a gouge with missing wood and sharp edges; an LPN and the Administrator both confirmed the observations.
Unclean and improperly stored oxygen tubing was observed for two residents receiving O2. One resident’s tubing was left unbagged on top of the concentrator, while another resident’s unbagged tubing was connected to a portable tank on a wheelchair with the prongs touching the seat cushion and additional tubing tucked under the blankets. Records lacked evidence that tubing was changed weekly or that the concentrator filter was cleaned, despite facility policy requiring weekly cleaning and storage in plastic bags when not in use.
A resident with otitis media and a documented amoxicillin allergy was prescribed two antibiotics, including Augmentin and cefdinir, on the same order date. Augmentin was administered before the order was clarified, even though the resident’s allergy was in the chart and pharmacy later called to verify the order. Interviews with the unit manager, DON, and LPN confirmed the resident received the medication despite the known allergy.
Improperly Maintained Garbage Dumpster: The facility failed to keep 1 of 2 trash dumpsters in sanitary condition when a small garbage/refuse dumpster was observed with one slide door open and the other missing, exposing garbage and refuse. The same condition was observed again the next day, and a laundry staff member confirmed the findings before the surveyor discussed them with the Administrator.
Failure to Provide Written Transfer/Discharge and Bed Hold Notices: The facility did not provide written transfer/discharge notices or bed hold notices to resident representatives for 4 sampled residents transferred to an acute hospital. Records showed the notices were not sent in writing, and the SS Mgr and an LSW confirmed the facility only sent a packet with the resident and notified the Ombudsman.
The facility failed to provide adequate oral hygiene care for two residents, leading to deficiencies in their daily living activities. One resident was observed with a thick whitish substance on their teeth, indicating a lack of proper care despite their need for assistance. Another resident expressed dissatisfaction with the frequency of oral care and had to remind staff to assist with brushing, highlighting inconsistencies in adhering to care plans.
Surveyors identified sanitation deficiencies in the facility's kitchen, including built-up ice in the walk-in freezer, chipped paint on the grill hood, and dust on the dishwasher exhaust vent. A soiled face cloth was found on a fluid line at the prewash sink, with maintenance unaware of the issue. The Warewash Service Report lacked evidence of a review of the affected areas.
The facility failed to implement effective infection control practices, as staff did not adhere to contact precautions for a resident with ESBL, and there was a lack of proper disinfection practices for equipment contaminated with C. diff. Staff, including the Infection Preventionist, demonstrated inconsistent understanding and application of infection control policies, leading to deficiencies in maintaining a safe environment.
The facility failed to implement its Antibiotic Stewardship Program effectively, lacking protocols and monitoring systems for antibiotic use. The Infection Preventionist did not track culture completions, results, or correct antibiotic usage, nor communicated with medical staff. The facility also failed to track Multi-Drug Resistant Organisms, as confirmed by the DON and Administrator.
A facility failed to refer a resident with bipolar disorder for a PASRR Level II evaluation after their stay exceeded the 30-day Convalescence Categorical exemption. The resident's clinical record lacked evidence of re-evaluation, which was confirmed by the Care Manager Supervisor.
A facility failed to obtain a physician's order with a supporting diagnosis for a resident's indwelling foley catheter and did not specify the catheter and balloon sizes. The resident was unaware of the catheter's purpose, and staff could not provide a medical diagnosis for its use. The resident had multiple diagnoses, including brain cancer and seizures, but records lacked documentation justifying the catheter's necessity.
Incomplete Controlled Substance Shift Count Documentation
Penalty
Summary
The facility failed to establish a system of records for the receipt and disposition of controlled drugs that allowed accurate reconciliation, and it failed to ensure that two authorized medication administrators signed the Shift Count page of the Bound Book to show that controlled substances were counted at each change of shift. During a medication storage observation on the Cove Unit, the Bound Book showed missing signatures for the nurse coming on duty and the nurse going off duty for a controlled substance count documented on the med cart, and another entry on the Long Hall med cart included an undated and untimed notation with the Nurse Going Off Duty signature entered before the count was completed. Similar problems were identified on the Gardens Unit and Valley Unit. On the Gardens Unit Short Hall med cart, the Bound Book contained missing oncoming and off-going signatures for shift counts, multiple entries that lacked the time and/or status of count, and an entry where the Nurse Going Off Duty had already signed and marked the count exact before the count was actually performed. On the Valley Unit medication tech med cart, the Bound Book showed missing signatures and a missing count status for a shift count, and all three Valley Unit shift count books showed that nurses had already signed the Nurse Going Off Duty column before completing the count with the oncoming nurse. The Unit Managers and the DON were informed of these findings during the survey.
Housekeeping and Maintenance Deficiencies in Common Areas and Resident Rooms
Penalty
Summary
The facility failed to adequately provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable environment in the laundry room, a common area, and on the Cove Unit. During an observation of the laundry room, the Environmental Services Manager confirmed that many areas around the room were missing cove base on the walls. During an environmental tour of the common area, the bathroom in the main entrance lobby had chipped and missing paint exposing sheetrock above the baseboard heater, and the baseboard heater itself had chipped and missing paint, creating uncleanable surfaces. On the Cove Unit, multiple resident rooms had maintenance and housekeeping issues observed by the surveyor and confirmed by the Maintenance Assistant. Findings included bathroom door frames and walls with chipped and missing paint creating uncleanable surfaces, visibly dusty floor fans and heating units, a dusty bathroom ceiling vent, privacy curtains missing hooks and hanging in disrepair, caulking around toilets that was visibly stained and dirty, fall mats with ripped or torn edges, a bathroom light that was not working, and an unlabeled bed pan and unlabeled graduated cylinder on the back of a toilet shared by two rooms. The Maintenance Assistant confirmed these findings during the tour.
Kitchen sanitation, labeling, and facial hair protection deficiencies
Penalty
Summary
The facility failed to ensure the kitchen was maintained in a clean and sanitary manner during an initial kitchen tour completed with the Food Service Director. In the dish room, the wall mounted air conditioning unit had heavy dust and dirt on the top air intake grill, the wall fan was dusty and dirty, and food disposal unit #1 had dried food particles and dried liquid residue on it. Food disposal unit #2 near a shelving unit also had dried food particles and dried liquid residue, and it was rusty on the body and legs. The shelving unit next to that disposal unit was dirty and had dried liquid residue on it, and three ceiling vents over food preparation areas were dusty and dirty. Additional observations included a grease trap cover with chipped and missing paint that created an uncleanable surface, a wall fan that was dusty and dirty, and a service entrance/exit door with chipped and missing paint creating an uncleanable surface. The surveyor also observed a large plastic container of a brown powder substance that was not labeled or dated, a large bag of diced product in the walk-in refrigerator that was not labeled, and two kitchen workers with facial hair who were not wearing facial hair protection. The Food Service Director confirmed these findings during interview.
Failure to Offer Advance Directive Information
Penalty
Summary
The facility failed to provide residents or their representatives with written information about the right to accept or refuse medical or surgical treatment and to formulate an advance directive for 2 of 10 residents reviewed for advance directives. Resident 72, admitted in 2023, had no evidence in the clinical record that the resident's representative was asked or offered the opportunity to formulate an advance directive. Resident 12, admitted in 2024, also had no evidence in the clinical record that the resident's representative was asked or offered the opportunity to formulate an advance directive. During an interview with 4 surveyors on 3/24/26 at 2:45 p.m., the LSW confirmed that the clinical record did not include evidence that the residents' representatives were asked or offered the opportunity to formulate an advance directive.
Failure to Notify Physician After Allergy-Related Antibiotic Error
Penalty
Summary
The facility failed to notify the physician when Resident #40 received Augmentin despite a known amoxicillin allergy. Resident #40 was admitted with diagnoses including otitis media, and a physician progress note documented that because of the amoxicillin allergy, cefdinir would be used for ear pain. However, physician orders were entered for both Augmentin and cefdinir, and the Medication Administration Record showed that Augmentin was administered during the afternoon medication pass before it was discontinued later that day. A nursing progress note stated that the resident had been seen by the PCP for left ear pain and that two antibiotic orders were placed, with the initial dose of Augmentin given because cefdinir was not available in Pyxis. The note also stated that pharmacy later called to verify the Augmentin order because of the resident’s amoxicillin allergy, and that the resident was not showing signs or symptoms of an allergic reaction. During interview, the LPN stated she did not notify the physician after learning the resident had received Augmentin, and the DON later confirmed that the physician had not been notified of the dose given.
Care Plans Not Developed for Psychotropic Use and Pain Management
Penalty
Summary
The facility failed to ensure that comprehensive care plans were developed and implemented to reflect the current needs of 2 of 27 residents reviewed for care planning. Facility policy stated that psychopharmacological medication use care plans must be developed or updated as appropriate, including goals of therapy and evaluation of progress toward goals, and the facility assessment identified medication administration and polypharmacy management as part of resident care needs. Resident #9 was admitted in August 2025 with diagnoses including Alzheimer's disease, suicidal ideations, delusional disorders, adjustment disorder with mixed anxiety and depressed mood, unspecified mood disorder, and bipolar disorder. The clinical record showed an active order for quetiapine 25 mg daily for bipolar disorder, but the resident's current care plan was not developed and initiated for the use of an antipsychotic medication. Resident #40 had diagnoses including chronic pain and adjustment disorder with mixed anxiety and depressed mood, with active orders for sertraline 50 mg daily for depression, methadone 2.5 mg daily for chronic pain, oxycodone 5 mg PRN twice daily for chronic pain, and renew narcotics every 30 days. The care plan lacked evidence of goals and interventions for chronic pain and for the antidepressant, including side effect monitoring. The DON and Gardens Unit Manager reviewed Resident #40's care plan and confirmed it had not been developed and implemented for chronic pain or for the antidepressant.
Damaged Doors Created Accident Hazards
Penalty
Summary
The facility failed to ensure that the resident environment was free of accident hazards by allowing damaged doors and protective coverings to remain in place. On the Cove Unit, a small sitting room door had a broken door protector covering that was sticking out and sharp, and an LPN confirmed the finding during observation. In the lobby area leading to the units, the left wooden double door had a gouge with a chunk missing, exposing untreated wood and sharp edges, and the Administrator confirmed this observation. These conditions were identified during surveyor observations and interviews as hazardous and unsafe.
Unclean and Improperly Stored Oxygen Tubing
Penalty
Summary
The facility failed to maintain a sanitary environment to help prevent the development and transmission of disease and infection related to respiratory care for 2 of 2 residents reviewed for respiratory care. Facility policy stated that nasal cannula tubing should be detached and discarded once per week and that the concentrator particle filter should be removed and cleaned weekly. However, surveyors observed unbagged oxygen tubing connected to a concentrator next to one resident’s bed, and the tubing was stored on top of the concentrator rather than in a plastic drawstring bag when not in use. For another resident, surveyors observed unbagged nasal cannula tubing dated 3/24/26 connected to a portable oxygen tank on the back of a wheelchair, with the prongs in direct contact with the wheelchair seat cushion. Additional oxygen tubing was connected to the resident’s concentrator next to the bed, and the unbagged tubing was tucked under the blankets. The resident’s record showed an order for oxygen at 2 L/min via nasal cannula as needed and an order to change oxygen tubing weekly when in use, but the March 20206 Treatment Administration Record lacked evidence that the tubing was being changed or that the concentrator particle filter was being cleaned. RN #1 stated that oxygen tubing is stored in a plastic bag when not in use and is dated and labeled when changed, but she was not sure how often it was changed. The DON stated that oxygen tubing is changed weekly and stored in plastic bags when not in use.
Medication Error Involving Antibiotic Given Despite Documented Allergy
Penalty
Summary
A resident admitted with diagnoses including otitis media was prescribed and administered an antibiotic to which the resident had a known amoxicillin allergy. A physician progress note documented that the resident had left ear pain, had a fever over the weekend, and that because of the amoxicillin allergy, cefdinir 300 mg twice daily for 10 days would be used for otitis media. However, two antibiotic orders were entered for the same start date: Augmentin 875 mg/125 mg twice daily for 10 days and cefdinir 300 mg twice daily for 10 days. The Medication Administration Record showed that Augmentin was given during the afternoon medication pass and then discontinued later that day, while cefdinir was administered starting that night. A nursing progress note stated that two antibiotic orders were placed, cefdinir was not available in Pyxis, and Augmentin was given as the initial dose before pharmacy called to verify the order because of the resident’s amoxicillin allergy. Interviews with the unit manager, DON, and LPN confirmed that the resident received Augmentin despite the documented allergy and that the order had not been clarified before administration.
Improperly Maintained Garbage Dumpster
Penalty
Summary
The facility failed to maintain a garbage storage area in a sanitary condition to prevent the harborage and feeding of pests for 1 of 2 trash dumpsters over 2 of 4 days of survey. On 3/23/26 at 8:15 a.m., a surveyor observed the small garbage/refuse dumpster with the left-side slide door open and the right-side slide door missing, exposing garbage and refuse. On 3/24/26 at 8:07 a.m., the surveyor and a laundry staff member again observed the same small garbage/refuse dumpster with the left-side slide door open and the right-side slide door missing, exposing garbage and refuse. The laundry staff member confirmed the findings, and the surveyor discussed the two observations with the Administrator at 8:10 a.m. on 3/24/2026.
Failure to Provide Written Transfer/Discharge and Bed Hold Notices
Penalty
Summary
The facility failed to ensure that written transfer/discharge notices and bed hold notices were provided to the resident and/or the resident's legal representative for 4 of 4 sampled residents who were transferred or discharged to an acute care facility. Resident #5's clinical record showed transfer to an acute hospital, but there was no evidence that a written transfer/discharge notice or bed hold notice was issued to the resident's representative. Resident #56's record similarly showed transfer to an acute hospital without evidence of a written transfer/discharge notice or bed hold notice being provided to the resident's representative. Resident #86 was transferred to an acute care hospital and later admitted on 2/21/26; although the record contained a Notice of Transfer or Discharge/Bed Hold Policy dated 2/21/26, there was no evidence that the notice was provided in writing to the resident's representative. Resident #17's record also showed transfer to an acute hospital without evidence that the facility issued a written transfer/discharge notice or bed hold notice to the resident's representative. During interviews on 3/25/26, the Social Service Manager confirmed the facility does not send transfer/discharge notices and bed hold notices in writing to resident representatives, and an LSW stated that a packet with the notices goes with the resident and the Ombudsman is notified, but the notices are not sent in writing to the resident representatives.
Deficiency in Oral Hygiene Care for Residents
Penalty
Summary
The facility failed to provide adequate oral hygiene care for two residents, leading to deficiencies in their daily living activities. Resident #40 was observed multiple times with a thick whitish substance coating their teeth at the gum line, indicating a lack of proper oral care. Despite the resident's moderate cognitive impairment and need for assistance as documented in their care plan, staff did not consistently provide the necessary support. The resident's care plan indicated a requirement for limited to extensive assistance with personal hygiene, yet observations and interviews revealed inconsistencies in the care provided. Similarly, Resident #10, who is also moderately impaired and dependent on staff for oral hygiene, expressed dissatisfaction with the frequency of oral care. The resident reported having to remind staff to assist with brushing their teeth, and documentation showed gaps in oral care being completed after meals. The CNA responsible for Resident #10 acknowledged forgetting to assist with oral hygiene, despite the resident's expressed need and care plan requirements for extensive assistance. These findings highlight a failure to adhere to the care plans and provide necessary assistance for activities of daily living, specifically in the area of oral hygiene.
Kitchen Sanitation Deficiencies Observed
Penalty
Summary
The facility failed to maintain the kitchen in a clean and sanitary manner during two separate kitchen tours. On the first tour, surveyors observed built-up ice on the fans and ceiling of the walk-in freezer, as well as chipped and peeling paint on the hood frame above the grill. These observations were confirmed with the Food Service Supervisor (FSD) and the Food Service Manager (FSM), who acknowledged that the walk-in freezer had been recently serviced for the ice build-up. During a subsequent tour, surveyors noted a thick layer of dust on the dishwasher hood exhaust vent and a visibly soiled face cloth wrapped around a fluid line at the prewash sink. The FSD mentioned that maintenance was aware of the issue and had ordered a part, but was unsure of how long the condition had persisted. The maintenance staff later removed the face cloth, stating there was no leak, and indicated they had not been notified of any issues. The FSM provided a Warewash Service Report from the servicing company, which lacked evidence of a review of the prewash sink and rinse line, suggesting the face cloth was placed after the service date.
Inadequate Infection Control Practices
Penalty
Summary
The facility failed to maintain and implement an effective infection control program, as evidenced by multiple observations and interviews during the survey. On two separate days, staff did not adhere to the required contact precautions for a resident with Extended-Spectrum Beta-Lactamase (ESBL) in the urine. Despite a contact precaution sign and a PPE cart outside the resident's room, housekeeping staff and CNAs were observed entering the room wearing only gloves, contrary to the facility's policy that required both gloves and gowns. The Cove Unit Nurse Manager and the Administrator provided conflicting information about the necessity of wearing gowns, indicating a lack of consistent understanding and implementation of the infection control policy. Additionally, the facility demonstrated a lack of proper disinfection practices for shared medical equipment, particularly concerning Clostridioides difficile (C. diff) contamination. Interviews with various staff members, including CNAs and nurses, revealed a lack of awareness and training on the appropriate disinfectants to use. The Infection Preventionist, who had been in the role for four years, admitted to not providing education on infection control practices and incorrectly identified the use of Super Sani Cloth Germicidal Wipes, which are ineffective against C. diff, as the appropriate disinfectant. This indicates a significant gap in the facility's infection control education and practices.
Failure to Implement Antibiotic Stewardship Program
Penalty
Summary
The facility failed to implement its Antibiotic Stewardship Program (ASP) effectively, as evidenced by the lack of antibiotic use protocols and a system to monitor antibiotic use. The facility's policy on infection control, last revised on May 24, mandates tracking and trending of infection control rates and antibiotic use, assessing appropriate and safe use of antibiotics, and ensuring evidence-based practices. However, the Infection Preventionist did not track whether cultures were completed, what the culture results indicated, or if the correct antibiotics were used. Additionally, there was no communication with medical doctors and pharmacists regarding antibiotic usage, and the Infection Preventionist did not cohort residents or track which residents were on precautions and why. Interviews with the Clinical Nursing Supervisor/Infection Preventionist and the Director of Nursing revealed that the facility was not tracking the use of Multi-Drug Resistant Organisms as per the facility's antibiotic stewardship policy. The Infection Preventionist's monthly log for antibiotics lacked evidence of monitoring antibiotic use, infection trends, organism clusters, and types of antibiotics used. The Director of Nursing confirmed the absence of tracking for Multi-Drug Resistant Organisms, and the Administrator Director was informed of these deficiencies during an interview.
Failure to Conduct PASRR Level II Evaluation for Resident
Penalty
Summary
The facility failed to ensure that a resident with a specialized mental health diagnosis, whose stay extended beyond the expected 30 days, was referred for a Pre-Admission Screening & Resident Review Level II (PASRR) evaluation and determination. The resident, who was readmitted to the facility with a diagnosis of bipolar disorder, had a PASRR Level I assessment indicating a Convalescence Categorical exemption, which is a time-limited 30-day exemption. However, the resident's clinical record did not show evidence of a re-evaluation for a PASRR Level II determination after the convalescent period ended. This deficiency was confirmed by the Care Manager Supervisor during an interview.
Lack of Physician Order and Diagnosis for Foley Catheter
Penalty
Summary
The facility failed to obtain a physician's order with a supporting diagnosis for the use of an indwelling foley catheter for a resident. Additionally, the physician order for the foley catheter did not include the size of the catheter and the size of the catheter balloon. During an interview, the resident expressed unawareness of the reason for having the catheter, stating that they did not have one at home and wished it could be removed. Interviews with the nursing staff revealed uncertainty about the medical diagnosis justifying the catheter's use, with explanations provided that were not supported by a documented medical diagnosis. The resident was admitted with multiple diagnoses, including malignant neoplasm of the brain, unspecified convulsions, and seizure disorder, among others. The admission records indicated catheter care orders but lacked evidence of a diagnosis or provider notes acknowledging the necessity of the indwelling foley catheter. The Administrative Director confirmed the absence of documentation related to the catheter's medical justification, highlighting a deficiency in the facility's documentation and communication processes regarding the resident's care plan.
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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 Augusta
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Augusta Center For Health & Rehabilitation, Llc | 0.6 mi | ★★★★★ | 12 | 0 |
| Mainegeneral Rehab & Long Term Care - Gray Birch | 1.8 mi | ★★★★★ | 9 | 0 |
| Maine Veterans Home - Augusta | 3.8 mi | ★★★★★ | 12 | 0 |
| Lakewood A Continuing Care Center | 17.3 mi | ★★★★★ | 24 | 0 |
| Oak Grove Center | 17.8 mi | ★★★★★ | 1 | 0 |
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