Above average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Mid Coast Senior Health Center during CMS and state inspections, most recent first.
Kitchen sanitation, food storage, and dish machine temperature failures: During a kitchen tour, a dishwasher with facial hair was observed without a hair restraint and dried flour residue was seen on the industrial mixer. Multiple food items in the cooler were expired, unlabeled, open without dates, or moldy, including dressings, fruit, sour cream, hummus, ham, cantaloupes, potato salad, and pita bread. Dish machine logs also showed repeated wash and rinse/sanitizing temperatures below required ranges, and the FSD confirmed the readings were not consistently meeting standards.
Improper Use of Wheelchair Seatbelt as a Physical Restraint: A resident with dementia and severe cognitive impairment was observed in a wheelchair with the brakes engaged and a seatbelt on, straining against it and unable to demonstrate how to unlatch the belt or unlock the brakes. Staff said the seatbelt had been used because the resident walked constantly and needed rest, but the EMR lacked documentation of the restraint, the medical reason for use, required assessments, monitoring, or care plan interventions, and OT confirmed the assessment of the resident’s ability to remove the belt had not been completed.
Unsecured Hazardous Chemicals Accessible to Residents: Surveyors found multiple cleaning chemicals with high hazard classifications stored in unlocked cabinets and an unlocked linen closet on the Mere Point Unit. Accessible products included Syntec Ready to Use GC2030, Syntec Ready to Use Might Bowl 66, and LYSOL toilet bowl cleaner. The Administrator acknowledged that residents on the unit had cognitive deficits and were mobile, and that the chemicals should be secured.
The facility failed to update care plans for two residents, leading to deficiencies in addressing their medical needs. One resident's care plan lacked goals and interventions for multiple diagnoses, while another resident's care plan did not include management of edema despite documented interventions. These issues were confirmed by facility staff.
The facility's kitchen was found to be unsanitary, with issues such as a missing dish machine temperature log, food on the dry storage room floor, and dirty mixers. Freezer #7 contained unlabeled and undated items, and the ice scoop was improperly stored in the ice bin. These observations indicate lapses in cleanliness and food storage protocols.
Surveyors identified a deficiency in the facility's Infection Control Program due to improper storage of urinary collection devices. Uncovered commode buckets were observed on the floors of resident bathrooms on two units, with one instance involving a bed pan stored inside. Additionally, a urinal drainage bag was found hanging over a hand railing. These issues were confirmed with the Director of Operations.
The facility failed to maintain a sanitary and comfortable environment in two units. Observations included dead bugs in a light fixture, missing threshold and baseboard trim, and issues with sinks such as dripping, plugging, and leaking.
The facility failed to provide a written notice of transfer or discharge to a resident and their representative, and did not notify the Ombudsman for two residents transferred to a hospital. One resident with chronic kidney disease and another with acute respiratory failure were transferred without proper notifications. These deficiencies were confirmed by the DON.
A facility failed to provide a bed hold notice, including the daily cost of care, to a resident or their representative upon transfer to a hospital. The facility's policy requires such notice, detailing bed-hold rights and payment policies, to be given prior to and upon transfer. A resident with stage 3 chronic kidney disease was transferred to a hospital, but no written notice was found in their clinical record. The DON confirmed this deficiency.
The facility failed to implement baseline care plans within 48 hours for several new admissions, including residents with complex medical conditions such as COVID-19, atrial flutter, coronary artery bypass graft, hip prosthetic joint infection, acute respiratory failure, and chronic kidney disease. This deficiency was noted in the absence of documented care plans addressing the immediate health and safety needs of these residents.
The facility did not provide the NOMNC and SNFABN forms in a timely manner to two residents whose Medicare Part A services were discontinued. One resident's NOMNC was signed only one day before the end of services, and both residents' records lacked evidence of receiving the SNFABN, which includes appeal rights and liability of payment. This was confirmed by the Director of Quality and Compliance.
Kitchen sanitation, food storage, and dish machine temperature failures
Penalty
Summary
The facility failed to follow its policies for kitchen sanitation and food storage during a kitchen tour with the Food Service Director. A male dishwasher with facial hair was observed without a hair restraint, and dried flour residue was seen on the underside of the industrial mixer head. The facility’s Food and Nutrition Services Policy - Food Storage requires food to be labeled, dated, and stored to prevent spoilage and contamination, but multiple items in the refrigerator and walk-in cooler were found expired, outdated, improperly stored, open without dates, or moldy, including salad dressing, strawberries, mustard dressing, maraschino cherries, sour cream, lobster base, orange juice in a container with a hole, hummus, ham roast, cantaloupes, potato salad, and pita bread with visible mold inside the packaging. The facility also failed to ensure the dishwashing machine maintained required temperatures for effective cleaning and sanitizing. Review of the Dish Machine Temperature Logs from January 2025 through July 2025 showed multiple dates and periods when the wash cycle did not reach the minimum of 165 F and the final rinse/sanitizing cycle did not reach the minimum of 180 F. On 8/6/25, the Food Service Director confirmed that dish machine temperatures were not consistently meeting required ranges and acknowledged the out-of-range readings documented in the logs.
Improper Use of Wheelchair Seatbelt as a Physical Restraint
Penalty
Summary
The facility failed to ensure a resident’s right to be free from physical restraint when Resident #22 was observed in a wheelchair with the brakes engaged and wearing a seatbelt. The resident, who had an MDS documenting dementia and a BIMS score of 02 indicating severe cognitive impairment, was seen straining against the seatbelt, attempting to stand, and repeatedly gesturing and saying, “I want to go there.” When asked whether the seatbelt could be unlatched or the wheelchair brakes unlocked, the resident did not demonstrate understanding or ability to do so, and surveyors determined the resident was being restrained by the seatbelt and brakes. The facility’s policy titled Physical Restraints/Side Rails required an RN assessment, provider involvement, an order, supporting clinical documentation, individualized care planning, and monitoring. However, the resident’s EMR did not show nursing documentation that the seatbelt was in use, when it was applied, or the medical reason for its use. The record also did not show completion of the required steps in the restraint policy, and the care plan did not include a focus, goal, or intervention for the seatbelt. Facility staff stated the resident had been using the seatbelt because he/she walked constantly and was thought to need rest, and that OT had placed the seatbelt on the wheelchair. RN #1 and the Director of Quality and Compliance initially stated the resident could independently remove the seatbelt, but they were unable to get the resident to demonstrate this and later acknowledged the resident was unable to cognitively manage the seatbelt and brakes at that time and was restrained. OT #1 confirmed the seatbelt had been applied, and an assessment to determine whether the resident could physically and cognitively unlatch and latch the seatbelt had not yet been completed.
Unsecured Hazardous Chemicals Accessible to Residents
Penalty
Summary
The facility failed to ensure that the resident environment remained free from hazards related to chemicals for 3 of 3 survey days. Review of Safety Data Sheets showed that several cleaning products had high hazard classifications, including Serious Eye Damage/Eye Irritation Category 1, Skin Corrosion/Irritation Category 1A, Skin Sensitization Category 1, Acute Toxicity (oral) Category 4, and Corrosive to Metals Category 1. These products included Syntec Ready to Use GC2030, Syntec Ready to Use Might Bowl 66, and Professional LYSOL toilet bowl cleaner - Complete clean power. On the Mere Point Unit, surveyors observed an unlocked cupboard in the spa room containing a spray bottle of Syntec Ready to Use GC2030, and an unlocked cupboard in the shower room containing spray bottles of Syntec Ready to Use GC2030 and Syntec Ready to Use Might Bowl 66. The Administrator confirmed that residents on the unit had cognitive deficits and were mobile, and stated the chemicals should be secured. Later observations found the spa room cabinet still unlocked with GC2030 accessible, the shower room cabinet unlocked with GC2030 and Might Bowl 66 accessible, and an unlocked linen closet with a bottle of Lysol Toilet Bowl Cleaner on the top shelf accessible to ambulatory residents. An open door to the spa room was also observed with an unlocked cabinet containing GC2030 accessible.
Care Plan Deficiencies for Two Residents
Penalty
Summary
The facility failed to update and implement comprehensive care plans for two residents, leading to deficiencies in meeting their care needs. Resident #12, who has multiple diagnoses including chronic kidney disease, congestive heart failure, diabetes mellitus II, and atrial fibrillation, had a care plan that lacked goals and interventions for these conditions. Despite having several medical orders in place, the care plan was not updated to reflect these needs, as confirmed by the Director of Nursing during a review. Similarly, Resident #29, who is on hospice care, had an issue with edema that was not included in the care plan. The resident's representative mentioned that physical therapy might not be covered, and the charge nurse confirmed that although there was documentation of interventions to manage the edema, such as elevating the resident's legs, these were not reflected in the care plan. This oversight was acknowledged during an interview with the charge nurse.
Kitchen Sanitation and Food Storage Deficiencies
Penalty
Summary
The facility failed to maintain the kitchen in a clean and sanitary manner, as observed during a survey. Key issues included the absence of a temperature log for the dish machine, with staff acknowledging the requirement but unable to locate it. The dry storage room was found to have food items such as peanut butter packets, crackers, and an energy bar on the floor, indicating poor storage practices. Additionally, the large floor-mounted mixer had dried food stuck on it, and the small countertop mixer had dried food and debris on its side and stand, with staff unable to recall when it was last used. The floor-mounted fan was observed to have a light to moderate covering of dirt-like debris, with long strands of dust blowing in the air. Further deficiencies were noted in the storage of food items in Freezer #7, which contained unlabeled and undated packages, including frozen French fries, an open bag of hash browns, and two packages of log-shaped food. During breakfast observation in the Mere Point Unit Kitchen, the ice scoop was found stored in the ice bin of the freezer compartment, which was confirmed by a kitchen staff member as incorrect practice. These observations highlight lapses in maintaining cleanliness and proper food storage protocols within the facility's kitchen operations.
Infection Control Deficiency Due to Improper Storage of Urinary Devices
Penalty
Summary
The facility failed to maintain an effective Infection Control Program, as evidenced by observations and interviews conducted over three days on two units. On the 100 Unit, surveyors observed uncovered commode buckets on the floor in resident bathrooms, with one instance including a bed pan stored inside. Similar observations were made on the 200 Unit, where uncovered commode buckets were found on the bathroom floors. Additionally, a urinal drainage bag containing approximately 250 ccs of yellow liquid was observed hanging over a hand railing in one of the bathrooms. These findings were confirmed with the Director of Operations during a facility tour.
Facility Fails to Maintain Sanitary and Comfortable Environment
Penalty
Summary
The facility failed to maintain a sanitary and comfortable environment in two of the three units observed, specifically the 100 and 200 units. During a facility tour, the Director of Operations confirmed several deficiencies. In the 100 Unit, one room had dead bugs and debris in the light fixture, another room was missing the threshold at the entrance, and a third room had a missing section of baseboard trim. In the 200 Unit, one room had a sink that was dripping and plugged, causing water to pool, while another room had a sink with a steady leak.
Failure to Notify of Transfer or Discharge
Penalty
Summary
The facility failed to provide a written Notice of Transfer or Discharge to a resident and/or their representative for one of the residents reviewed for hospitalization. Specifically, Resident #28, who was admitted with stage 3 chronic kidney disease, was transferred to an acute care hospital for evaluation and subsequent admission. The clinical record for Resident #28 lacked evidence of a written notice of transfer/discharge being provided to the resident or their representative. Additionally, there was no evidence that the facility notified the Office of the State Long-Term Care Ombudsman about this transfer. Furthermore, the facility did not notify the Office of the State Long-Term Care Ombudsman regarding the hospital transfer of another resident, Resident #2. This resident was admitted with acute respiratory failure with hypoxia, chronic systolic heart failure, and atrial fibrillation, and was transferred to an acute care hospital where they were admitted. The clinical record for Resident #2 also lacked evidence of notification to the Ombudsman. These findings were confirmed during an interview with the Director of Nursing.
Failure to Provide Bed Hold Notice
Penalty
Summary
The facility failed to issue a bed hold notice that included the daily cost of care to a resident, their known family member, or legal representative. This deficiency was identified for one of six sampled residents who had been transferred to the hospital. The facility's policy on Resident Bed Hold for hospitalizations, which is undated, requires that written information be provided to residents and/or their representatives prior to and upon transfer. This information should detail the rights and limitations regarding bed-holds, the reserve bed payment policy as per the state plan, and the facility's per diem rate for holding a bed. Resident #28, who was admitted with diagnoses including stage 3 chronic kidney disease, was transferred to an acute care hospital for evaluation and admission. A review of the resident's clinical record showed no evidence that a written bed hold notice was provided. The Director of Nursing confirmed these findings during an interview.
Failure to Implement Baseline Care Plans for New Admissions
Penalty
Summary
The facility failed to develop and implement a baseline care plan within 48 hours of admission for four residents, which is necessary to address their immediate health and safety needs. Resident #190 was admitted with a diagnosis of COVID-19, atrial flutter requiring anticoagulant medication, and had undergone a coronary artery bypass graft with epicardial pacing wires. The discharge instructions included specific care requirements for the pacing wires and incision, but the clinical record lacked evidence of a baseline care plan to address these needs. Similarly, Resident #196 was admitted with a left hip prosthetic joint infection requiring intravenous antibiotics via a peripherally inserted central catheter line, yet no baseline care plan was documented. Resident #2, admitted with acute respiratory failure, type 2 diabetes, chronic systolic heart failure, atrial fibrillation, and malnutrition, also lacked a baseline care plan. Lastly, Resident #28, with chronic kidney disease, benign prostatic hyperplasia, and a history of urinary tract infections, did not have a baseline care plan documented within the required timeframe. These omissions were discussed with the Registered Nurse Admission Coordinator and the Director of Nursing.
Failure to Provide Timely Medicare Coverage Notices
Penalty
Summary
The facility failed to provide the Notice of Medicare Provider Non-Coverage (NOMNC) form at least two days prior to the end of skilled services for a resident whose Medicare Part A services were discontinued. Specifically, the NOMNC for a resident indicated that services would end on January 25, 2024, but was signed by the resident's guardian only one day prior, on January 24, 2024. Additionally, the facility did not provide the Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) form, which includes appeal rights and liability of payment, at least two days before the last covered day for two residents whose Medicare Part A services were discontinued and who remained in the facility. The medical records for these residents lacked evidence of the SNFABN being provided when their Medicare A coverage ended. This was confirmed during an interview with the Director of Quality and Compliance.
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 217 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — 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 Brunswick
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Horizons Living And Rehab Center | 0.1 mi | ★★★★★ | 0 | 0 |
| Winship Green Center For Health & Rehab, Llc | 8.4 mi | ★★★★★ | 4 | 0 |
| Hawthorne House | 9.2 mi | ★★★★★ | 1 | 0 |
| Coastal Manor | 12.6 mi | ★★★★★ | 36 | 0 |
| Brentwood Center For Health & Rehabilitation, Llc | 13.1 mi | ★★★★★ | 23 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Mid Coast Senior Health Center.
100% money-back within 48 hours.
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.