Below 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 October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Pine Point Center during CMS and state inspections, most recent first.
A resident with a history of chronic constipation and right hemicolectomy had no documented BM for 10 days, despite scheduled Miralax and PRN sorbitol orders. The facility did not fully implement the constipation protocol or document provider notification when interventions were ineffective. The resident later transferred to the ED for abdominal pain and constipation and was hospitalized with a 7.9-cm rectal fecal impaction and stercoral colitis requiring disimpaction; the DON acknowledged the lack of documentation that the provider was notified.
Incomplete Clinical Records and Missing MAR/TAR Documentation: A resident with an unwitnessed fall had missing neuro checks despite a provider order for monitoring per protocol. Two other residents had numerous MAR/TAR omissions, including missed documentation for VS, wound care, pain assessments, fluid restriction, skin treatments, behavior monitoring, CHF education, weights, and other ordered interventions. The Market Clinical Advisor confirmed the missing documentation during interview.
A resident’s discharge summary stated that the resident takes brand-name Synthroid, and the family repeatedly reported intolerance to generic levothyroxine and supplied home Synthroid. However, the MAR initially listed generic levothyroxine, pharmacy deliveries of levothyroxine continued, and the record lacked evidence that the discharge order was clarified for about three months. A later TSH was elevated, and the physician then ordered brand-name Synthroid.
The facility failed to follow up on missing TSH lab results for a resident receiving thyroid monitoring. Lab orders included CMP, CBC, and TSH, but the record showed only CMP and CBC results for two separate lab draws. The Marketing Clinical Director stated the lab did not process the TSH even though it was requested, and there was no follow-up to the provider about redrawing the TSH.
Medication and treatment carts were found unlocked and unattended, with accessible medications and supplies, while expired drugs and lab supplies were present in both medication carts and lab rooms. Staff confirmed the presence of expired items and did not consistently secure medication storage areas, leading to deficiencies in medication management and storage practices.
Surveyors identified unsanitary conditions in the kitchen, including dirty floors, walls, equipment, and vents, as well as improper use of hair restraints by dietary staff. Compromised canned goods were also found available for use, contrary to facility protocol.
Staff failed to follow infection control protocols, including hand hygiene during medication administration and meal tray service, and proper doffing of PPE after transmission-based precautions. An LPN administered medications after touching his face without hand hygiene, two CNAs delivered meal trays after resident care without sanitizing hands, and a therapy assistant wore an isolation gown into a dining area before removing it.
The facility did not ensure that care plans were reviewed and revised by an IDT within 7 days of MDS assessments for three residents. In these cases, there was no documentation of timely IDT meetings, and in one instance, a resident's representative was neither present nor notified. The Social Services Director also confirmed the absence of a process for scheduling IDT meetings or notifying residents and their representatives.
The facility did not properly assess or monitor a surgical wound for a resident, failed to follow physician orders for wound care for another resident, and did not obtain a physician order for a wrist brace used by a resident with hemiparesis. These deficiencies were confirmed by clinical staff and through record review.
The facility did not ensure adequate direct care staffing on weekends, as confirmed by staffing reports and the DON. Residents repeatedly expressed concerns about inconsistent staffing ratios, especially on second shift, and long waits for call light responses, with grievances and meeting minutes documenting these ongoing issues.
Unsecured containers of germicidal wipes and toilet bowl cleaner were found in resident bathrooms on one unit, with a registered nurse confirming these chemicals should not be accessible to residents and removing them after discovery. Safety Data Sheets indicated potential health risks if exposed.
A resident with a diagnosis of PTSD was not assessed for trauma triggers, and the care plan did not include interventions to prevent re-traumatization. The facility's records and care planning failed to address the resident's trauma history or identify specific triggers.
A resident reported that meals were not hot upon arrival, and a test tray during a lunch service confirmed that food was served below recommended temperatures. Only two CNAs were available to serve 20 residents, and interruptions for resident care further delayed meal delivery, resulting in cold food being served.
A resident with protein-calorie malnutrition had a physician order for whole milk and full fat ice cream milkshakes, but there was no documentation on the MAR or TAR for several months indicating that the milkshakes were administered or refused. The unit manager confirmed the lack of documentation during a review with a surveyor.
A resident sustained an injury to the left ankle while being assisted by an unidentified CNA, resulting in pain, bruising, and swelling. The facility's investigation was limited to interviews with the resident, a family member, and an OT student, with no evidence of staff interviews or thorough documentation in the risk management portal, as required by policy.
The facility did not document that advance directive information was offered or reviewed with four residents or their representatives upon admission. Both electronic and paper medical records lacked evidence that the required written information or discussions about advance directives took place.
The facility's Oak Hill Unit bathrooms were found to be unsanitary, with wax and dirt buildup and a strong urine odor. The Housekeeping Manager cited loose floor tiles as a reason for not using cleaning machines, while the Maintenance Supervisor stated that floors should be cleaned regardless, with repairs to follow if necessary. These issues were confirmed by surveyors and the Administrator.
Failure to Follow Constipation Standing Orders and Notify Provider
Penalty
Summary
The facility failed to ensure physician standing orders for constipation, including physician notification, were implemented for a resident with a history of right hemicolectomy and chronic constipation. The resident had no documented bowel movement for 10 days, while the June 2026 MAR showed daily scheduled Miralax and PRN sorbitol ordered for constipation. The physician’s standing orders dated 1/2/26 directed staff to follow the constipation protocol: prune juice after 3 shifts without a bowel movement, sorbitol if no results after 24 hours, bisacodyl suppository if no results after the sorbitol, and provider notification if the suppository was ineffective or if sorbitol was given more than 2 times per month. The clinical record lacked evidence that the resident was assessed after the prolonged absence of bowel movements, that the constipation protocol was fully carried out, or that the physician was notified when the interventions were ineffective. The resident later transferred to the ED for abdominal pain and constipation and was admitted to the hospital, where records showed a 7.9-centimeter rectal fecal impaction with findings consistent with stercoral colitis requiring disimpaction. During interview, the DON acknowledged the physician should have been notified when constipation interventions were ineffective and confirmed the facility could not provide documentation that notification occurred.
Incomplete Clinical Records and Missing MAR/TAR Documentation
Penalty
Summary
The facility failed to ensure that clinical records were complete and accurate for one resident reviewed for falls and for three residents reviewed for MAR/TAR documentation. For the resident with a fall history, the record showed an unwitnessed fall and a telehealth provider instruction to monitor per facility protocol with neurological checks, but the Neurological Evaluation Flow Sheet was missing four neurological evaluations. The facility policy required neurological evaluations after an unwitnessed fall, including checks every 15 minutes for two hours, then every 30 minutes for two hours, then every 60 minutes for four hours, and then every 8 hours until at least 72 hours had elapsed. For one resident, the MAR/TAR lacked documentation for multiple ordered interventions and treatments, including vital signs, wound monitoring, wound treatment for coccyx MASD, Tubi grip application, swallowing monitoring during med pass, non-pharmacological pain interventions, and wound treatment with Aquacel Ag and Coflex zinc lite. The record also lacked evidence that several other ordered tasks were completed, including monitoring of pain, air mattress checks, head-of-bed assessment, fluid restriction documentation, application of petroleum and Micatin cream, monitoring for antidepressant side effects, monitoring of cellulitis and socially withdrawn behaviors, CHF education, weights, wound monitoring, wound treatments, and wrapping of the lower left leg. For the other resident, the MAR/TAR also lacked documentation for multiple ordered care tasks, including petroleum application to the feet and toes, pain assessment, air mattress checks, head-of-bed assessment for shortness of breath, fluid restriction documentation, acknowledgment of a topical pain relief order, Micatin cream application, monitoring for antidepressant side effects, wound monitoring and wound treatment for cellulitis, groin, perineal area, and other wounds, monitoring of socially withdrawn behaviors, non-pharmacological pain interventions, CHF education, vital signs, weights, and wrapping of the lower left leg. During interviews on 6/2/26, the Market Clinical Advisor confirmed the missing neurological evaluations and the MAR omissions.
Failure to Clarify Brand-Name Thyroid Medication Order
Penalty
Summary
The facility failed to clarify hospital discharge orders and provide the ordered brand-name levothyroxine for a resident. The hospital discharge summary stated that the resident was to continue levothyroxine 112 mcg by mouth and noted that the patient takes the brand name Synthroid. The resident’s family told the facility repeatedly since admission that the resident could not tolerate generic levothyroxine and that the resident’s husband had delivered brand-name Synthroid from home for that reason. Despite this, the MAR for January listed levothyroxine sodium 112 mcg, and pharmacy shipping records showed levothyroxine 112 mcg was delivered to the facility on multiple occasions. The MAR for February and March later listed Synthroid 112 mcg with instructions to use home supply until pharmacy supply arrived. A later lab report showed a TSH level of 26.6, and the physician then documented and ordered brand-name Synthroid. The medical record lacked evidence that the facility clarified the discharge summary order indicating the patient takes brand-name Synthroid for approximately three months.
Failure to Follow Up on Missing TSH Lab Results
Penalty
Summary
The facility failed to follow up on ordered laboratory testing when results were missing for thyroid monitoring for one resident whose record was reviewed. The resident had orders for a CMP, CBC with diff, and TSH on 3/10/26, and the record showed results for the CMP and CBC with diff but no evidence of a TSH result. A second order for a CMP, CBC w/o diff, and TSH on 4/5/26 also showed results for the CMP and CBC with diff, but again no evidence of a TSH result. During an interview on 6/2/26 at 1:36 p.m., the Marketing Clinical Director stated the labs were drawn in March and April, but the lab did not process them for TSH even though it was requested, and confirmed there was no follow-up to the provider regarding the TSH labs being redrawn.
Failure to Secure Medications and Remove Expired Drugs and Lab Supplies
Penalty
Summary
The facility failed to properly secure medications and remove expired drugs and lab supplies from areas accessible for use. On multiple occasions, treatment and medication carts were observed unlocked and unattended on the Short Stay unit, with medications and supplies such as insulin pens, pen needles, lancets, fish oil, and guaifenesin accessible while residents and staff were present. Staff members, including a Certified Nurses Aid and a Registered Nurse, did not address the unsecured carts until prompted by the surveyor. Additionally, expired medications were found in medication carts, and expired lab supplies, including various types of vacutainers and butterfly needles, were available for use in both the Short Stay and Long Term units. These expired items were confirmed by nursing staff and the Director of Nursing during the survey. The observations revealed that expired medications and lab supplies remained in circulation, with staff confirming their presence and availability for use. The facility's process allowed for expired items to accumulate, and staff were not consistently ensuring that medication and treatment carts were locked when unattended. The surveyor's findings were confirmed through interviews with staff, who acknowledged the presence of expired supplies and the lapses in securing medication storage areas.
Sanitation and Food Safety Deficiencies in Kitchen
Penalty
Summary
Surveyors observed multiple sanitation and food safety deficiencies in the facility's kitchen. The kitchen floor, walls, dishwasher, and vents were found to be dirty, with food debris, trash, and dust present throughout the area, including under equipment and shelving. Two dietary aides were seen preparing food without proper hair restraints, only applying them after being prompted by surveyors. Additionally, three large cans of peaches with denting along the seal were available for use, despite facility protocol requiring damaged cans to be set aside and not used. These findings were confirmed during the initial kitchen tour and discussed with the Food Service District Manager.
Infection Control Lapses in Hand Hygiene and PPE Use
Penalty
Summary
The facility failed to maintain an effective Infection Control Program as evidenced by multiple observed lapses in hand hygiene and improper use of personal protective equipment (PPE) by staff during medication administration, meal tray service, and while exiting transmission-based precaution areas. On one occasion, an LPN was observed rubbing his eyes and nose multiple times at the nurse's station and again while preparing and administering medications to a resident, all without performing hand hygiene. The LPN acknowledged that he should have performed hand hygiene, especially given his condition that causes frequent eye rubbing. During a lunch meal pass, two CNAs were observed turning and boosting a resident in bed, then exiting the room and immediately handling and delivering meal trays to other residents without performing hand hygiene. Both CNAs confirmed they should have performed hand hygiene after providing care and before handling food trays. Additionally, a Physical Therapy Assistant was seen exiting a unit wearing an isolation gown, walking through common areas, and only removing the gown in the dining room after being reminded, despite having just left a room where transmission-based precautions had been lifted. The staff member admitted to forgetting to remove the gown before leaving the resident's room.
Failure to Timely Review and Revise Care Plans by IDT After MDS Assessments
Penalty
Summary
The facility failed to review and revise care plans by an interdisciplinary team (IDT) within 7 days following each Minimum Data Set (MDS) assessment for three residents. For one resident, the medical record showed multiple MDS assessments, including a Significant Change MDS and several Quarterly MDSs, without evidence of IDT meetings being held within the required timeframe; the last documented IDT meeting was several months prior. Another resident's record also lacked evidence of timely IDT meetings after MDS assessments, and although an IDT meeting was held after admission, the resident's family representative was not present, nor was there documentation that the representative was invited or provided a copy of the care plan. For a third resident, the record similarly lacked evidence of an IDT meeting within 7 days of a Quarterly MDS assessment, and the Social Services Director confirmed there was no established process for scheduling IDT meetings or notifying residents and their representatives in advance.
Failure to Assess, Monitor, and Follow Physician Orders for Wound and Positioning Care
Penalty
Summary
The facility failed to provide appropriate assessment, monitoring, and care for residents with wounds and positioning needs. One resident with a surgical wound following a left intertrochanteric femur fracture did not have evidence in the medical record of an initial nursing assessment, ongoing monitoring, or assessments of the surgical site throughout their stay. This lack of documentation and monitoring was confirmed by the Market Clinical Advisor. Another resident with an open wound on the right forearm had a physician order for topical Mupirocin and for the wound to be covered with a bandage, but was observed on two occasions with the wound uncovered. Nursing staff confirmed that the wound should be covered and that the resident does not typically refuse or remove dressings. Additionally, a resident with hemiparesis was observed using a left wrist brace as part of their care plan, but there was no physician order for the brace in the clinical record. The Director of Rehabilitation and Occupational Therapist confirmed that a physician order should be present for the brace.
Failure to Provide Sufficient Weekend Staffing
Penalty
Summary
The facility failed to ensure sufficient direct care staff were scheduled and on duty to meet the needs of residents during weekends in the first quarter of the reporting period. Review of the Payroll Based Journal staffing report indicated that the facility triggered for low weekend staffing, and the DON confirmed that staffing levels were inadequate to meet resident needs on weekends. This deficiency was identified through both record review and direct confirmation by facility leadership. Additional evidence of insufficient staffing was found in Resident Council meeting minutes, which documented ongoing concerns about inconsistent staffing ratios, particularly on the second shift, and long wait times for call light responses. Residents reported that there was often only one aide per unit on the second shift, leading to delays in assistance. Grievances filed by the Resident Council further corroborated these concerns, specifically noting repeated issues with untimely responses to call lights.
Unsecured Chemical Storage in Resident Bathrooms
Penalty
Summary
The facility failed to ensure that the resident environment was free from accident hazards due to improper storage of chemicals on Pleasant Hill House. On two separate occasions, unsecured containers of Micro-Kill One Germicidal Alcohol Wipes and a bottle of toilet bowl cleaner were found in resident bathrooms. These chemicals were accessible to residents, and their presence was confirmed by a registered nurse, who acknowledged that such items should not be stored in resident bathrooms and subsequently removed them. The Safety Data Sheets (SDS) for both Micro-Kill One Germicidal Alcohol Wipes and 3M Bathroom Disinfectant Cleaner Ready-to-Use indicate that exposure to these chemicals can result in the need for medical attention if inhaled, ingested, or if they come into contact with skin or eyes. The observations were made during the survey, and the findings were discussed with facility leadership during the exit conference.
Failure to Assess and Care Plan for PTSD Triggers
Penalty
Summary
The facility failed to identify and assess a resident's history of Post-Traumatic Stress Disorder (PTSD) to determine specific triggers that could lead to re-traumatization. Record review showed that the resident, admitted in 2018 and diagnosed with PTSD, did not have an assessment or care plan documentation addressing potential trauma triggers or interventions to prevent re-traumatization. The care plan and assessments lacked evidence of any evaluation or planning related to the resident's trauma history and associated needs.
Failure to Serve Meals at Safe and Appetizing Temperatures
Penalty
Summary
The facility failed to ensure that food was served at an appetizing and palatable temperature for one of two meals observed. During a lunch meal service, only two CNAs were available to serve trays to 20 residents, and their responsibilities were interrupted by the need to assist residents with boosting, turning, and toileting. As a result, the last meal tray was served 31 minutes after the first, and a test tray revealed that the BBQ pulled pork sandwich was at 121.7°F and the seasoned potato wedges were at 85°F, both below recommended serving temperatures. A resident expressed concerns about food not being hot when it arrived, and a CNA confirmed that limited staffing often led to cold food being served.
Incomplete Clinical Record Documentation for Nutrition Orders
Penalty
Summary
The facility failed to ensure that clinical records for a resident with protein-calorie malnutrition were complete and accurately documented. An active physician order was present for the resident to receive 8oz whole milk and full fat ice cream milkshakes three times daily with meals and at bedtime. However, physician progress notes indicated that the order for milkshakes could not be found on the Medication Administration Record (MAR) or Treatment Administration Record (TAR), and this issue persisted over multiple months. Review of the resident's MAR and TAR for January, February, and March showed no documentation that the milkshakes were given or refused. The unit manager confirmed the absence of this documentation during a record review with the surveyor.
Failure to Thoroughly Investigate Injury of Unknown Origin
Penalty
Summary
The facility failed to thoroughly investigate an injury of unknown origin for one resident. The resident sustained an injury to the left ankle while an unidentified CNA was assisting with putting on the resident's shoe. Medical records included a provider note documenting an evaluation and subsequent X-ray, which showed soft tissue swelling but no fracture. However, there was no nursing documentation regarding the occurrence of the injury or any monitoring of the resident's left foot following the incident. The facility's investigation consisted only of interviews with the resident, a family member, and a note from an OT student, who documented the resident's report of pain, bruising, and swelling. The OT student also recorded the resident's account that the injury occurred when an aide twisted the leg while putting on shoes. The investigation lacked evidence of interviews or observations involving staff who worked with the resident at the time of the incident. Additionally, there was no thorough documentation in the risk management portal as required by facility policy, and no evidence that witness statements were collected.
Failure to Provide Advance Directive Information to Residents
Penalty
Summary
The facility failed to provide evidence that advance directives were offered, reviewed, or that written information regarding the right to formulate an advance directive was given to residents and/or their representatives. This deficiency was identified for four residents who were admitted between December 2024 and February 2025. For each of these residents, a review of both electronic and paper medical records did not show documentation that the facility had fulfilled its obligation to inform or discuss advance directives with the residents or their representatives. Specifically, the records for these residents lacked any indication that the facility had provided the required information or engaged in the necessary discussions about advance directives at the time of admission. These findings were confirmed during interviews and record reviews, and the absence of documentation was discussed with the Market Clinical Advisor on two separate occasions.
Unsanitary Conditions in Oak Hill Unit Bathrooms
Penalty
Summary
The facility failed to maintain a clean and sanitary environment in the Oak Hill Unit, as observed by surveyors. A complaint was received by the Department of Licensing regarding the unclean state and urine-like odor in the bathrooms of this unit. During an interview, the Housekeeping Manager acknowledged issues with loose floor tiles, which prevented the use of a scrubber and buffing machine. A tour confirmed the presence of wax and dirt buildup on the bathroom floors, with bathrooms #2, #3, and #7 having extensive wax buildup and a strong urine odor in one bathroom. The Maintenance Supervisor indicated that the floors had been worked on previously and should be cleaned as needed, with repairs to follow if damage occurred. These findings were confirmed with the Administrator.
What surveyors are citing around you — mapped
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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 174 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
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Scarborough
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Maine Veterans Home - Scarborough | 1.2 mi | ★★★★★ | 0 | 0 |
| Piper Shores | 4.5 mi | ★★★★★ | 12 | 0 |
| Seal Rock Healthcare | 5.5 mi | ★★★★★ | 20 | 0 |
| St Andre Health Care Facility | 6.7 mi | ★★★★★ | 0 | 0 |
| Springbrook Center | 6.8 mi | ★★★★★ | 3 | 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 October 2026) and official state health department websites.