Above average — CMS composite of the measures below.
The next survey window likely opens 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 Piper Shores during CMS and state inspections, most recent first.
Improper Storage of Bed Pans and Commode Buckets: Surveyors observed multiple rooms with bed pans, sitz baths, commode buckets, and an emesis basin stored on the floor under sinks, on a toilet tank, or inside unbagged buckets with personal hygiene items. The DON stated these items should be stored in a plastic bag, closet, or 3-drawer plastic bin, and not on the floor without a bag or in something.
Failure to maintain sanitary respiratory equipment for two residents receiving O2 therapy. One resident had multiple nasal cannulas in the room, including unlabeled tubing on a wheelchair and oxygen cylinder caddy, and the resident stated the tubing on the face had not been changed as labeled. Another resident was observed with O2 tubing dated weeks earlier, while the charge nurse said tubing was believed to be changed weekly. Records showed weekly tubing changes were ordered, but documentation was incomplete and did not match the observations or the facility policy.
Food storage and dishwashing monitoring were deficient when a FND and CFM found unlabeled, undated, open, and expired leftovers still available in the walk-in refrigerator and freezer, including items dated beyond the facility’s 3-day limit. Review of high-temp dishwasher logs also showed repeated final rinse temps below 180°F in both kitchens, and the FND stated he had never documented wash cycle temps.
An opened multi-dose bottle of Lorazepam Intensol was found in the med room with no open date, even though the manufacturer said to discard it 90 days after opening. The RN placed the bottle back in the refrigerator for use, and later stated the controlled substance log showed it had been opened earlier.
A resident’s record was not complete or accurately reflective of CNA-provided ADL care. Review of CNA ADL documentation showed missing entries for scheduled daily toileting, transfers, and locomotion, with inconsistent completion of the required task list in the resident record. The finding was discussed with the DON.
The facility failed to ensure all staff maintained current CPR certification, as required by policy. Interviews revealed that the facility does not track CPR certification for staff, including RNs, LPNs, and CNAs. Documentation showed only a portion of staff had current certifications. The DON was also not CPR certified. This deficiency was confirmed with the DON and Staff Development Coordinator, indicating a gap between policy and practice.
The facility failed to manage and store medications properly, with expired medications found in storage, a refrigerator not maintained within the required temperature range, and an unattended, unlocked medication cart accessible to unauthorized persons. These deficiencies were observed during a survey, highlighting lapses in medication management protocols.
The facility did not provide the SNFABN Form 10055, which includes appeal rights and payment liability, at least two days before the last covered day of Medicare Part A services for two residents. Notices were given a day after services ended. The social worker was unaware of the 48-hour notice requirement.
The facility did not maintain a sanitary and comfortable environment in two units. The DON confirmed that the exhaust fans in the Personal Care rooms of Prouts Neck Walkway and [NAME] Beach Walkway were coated with dust. Additionally, the shower room in Prouts Neck Walkway had stained tiles and discolored tape at the base of the shower.
A medication error rate of 6.9% was identified when a CNA incorrectly dispensed medications for a resident, providing Senna 8.6 mg and chewable Aspirin 81 mg instead of the prescribed Senna Plus and delayed-release Aspirin. The error was noted by a surveyor and confirmed by the CNA.
The facility's kitchen was found to be unsanitary, with air intake vents covered in dirt and debris, and the exhaust hood over the stove coated in grease. These conditions were confirmed by the Food and Nutrition Director.
The facility failed to ensure CNAs received the required 12 hours of annual in-service education and dementia care training. Two CNAs, employed for over a year, did not meet the training requirements. One CNA completed only 1 hour and the other 2.25 hours of the required 12 hours, with both lacking dementia training for 2023. These findings were confirmed with the Director of Human Resources.
A facility failed to transmit a quarterly MDS to the State database within the required 14 days for a resident. The MDS was completed but not submitted by the deadline. The MDS Coordinator was unaware of the delay until informed by a surveyor and stated she would submit it immediately.
Improper Storage of Bed Pans and Commode Buckets
Penalty
Summary
The facility failed to adequately provide housekeeping services necessary to maintain a sanitary and comfortable environment on 2 wings, Prout's Neck and [NAME] Beach, over 3 days of survey. Surveyors observed multiple rooms with bed pans, sitz baths, commode buckets, emesis basins, and personal hygiene items stored improperly, including on the floor under sinks, on top of a toilet tank, and in buckets without being bagged or placed in the closet or a plastic storage bin. In one room, a commode bucket under the sink contained a bed pan; in another, a commode bucket on the floor under the sink held 2 bed pans, an emesis basin, and personal hygiene items stored in the bed pans. During interview, the DON stated that bed pans and commode buckets should be stored in a plastic bag, in the closet, or in a 3-drawer plastic bin, and never on the floor without a bag or in something.
Failure to Maintain Sanitary Respiratory Equipment
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 residents receiving oxygen therapy. Resident #12 was observed receiving oxygen via nasal cannula with tubing labeled 11/28, while additional unlabeled tubing was found wrapped on the wheelchair handle and on an oxygen cylinder caddy in the room. The resident stated the cylinder was kept for use if the electricity went out and that it had last been used about 2 months earlier. The medical record lacked evidence of weekly oxygen tubing changes. Later the same day, the tubing on the resident’s face was relabeled 12/3-12/10, but the resident stated this was not the tubing being worn and said staff did not change it that frequently. The DON, AIT, and surveyor observed the tubing and discussed the lack of documentation for the change. Resident #10 was observed wearing oxygen via nasal cannula with a nearby concentrator set at 2 lpm and tubing dated 11/28. When asked how often oxygen tubing was changed, the charge nurse stated it was believed to be weekly and said it would be changed. The clinical record showed an order for continuous oxygen at 2 lpm and a treatment administration record entry to change portable oxygen tubing weekly on the evening shift, with 12/9/25 signed as the last change in December and no additional documentation for tubing changes in November 2025. The facility policy required oxygen tubing and cannula changes weekly and as needed if soiled or contaminated.
Food Storage and Dishwasher Temperature Monitoring Deficiencies
Penalty
Summary
The facility failed to ensure food products in the walk-in refrigerator and freezer were properly labeled, dated, covered, and removed when expired during two kitchen observations. On 12/8/25, surveyors observed a container of cut veggies dated 12/1, a container of cold mayonnaise-type salad without a label and dated 12/2, an open and undated package with 2 hot dogs, a container of sliced mushrooms dated 12/4, and a container of cooked bacon bits dated 11/24 in the walk-in refrigerator. The freezer also contained an open bag of noodles and an open bag of egg rolls. The Food and Nutritional Director stated the dates reflected when leftovers were placed in the refrigerator and confirmed the out-of-date, unlabeled, and open food products. On 12/9/25, surveyors again observed the cooked bacon bits dated 11/24, the cold mayonnaise salad with no label dated 12/2, and the cut-up veggies dated 12/1 still available for use in the walk-in refrigerator. The Certified Food Manager confirmed these items should have been discarded within 3 days. Review of the facility’s leftover food policy stated leftovers must be covered, wrapped, or placed in sealed, food-safe containers and labeled with the food name, date and time of preparation or service, and use-by/discard date, with refrigerated leftovers used within 3 days unless frozen. In addition, review of October, November, and December 2025 high-temp dishwasher final rinse logs showed multiple documented final rinse temperatures below 180 degrees in both the [NAME] Kitchen and Health Center Kitchen, and the Food and Nutritional Director stated he had never documented the wash cycle temperatures.
Undated Opened Controlled Medication Found in Medication Room
Penalty
Summary
Drugs and biologicals were not adequately labeled and stored according to accepted professional principles because an opened 30 mL multi-dose bottle of Lorazepam Intensol Oral Concentrate 2 mg/mL was found in the medication room with no open date, despite manufacturer directions to discard the bottle 90 days after opening. During the observation, the RN placed the undated bottle back into the refrigerator for use. Later, the RN stated the medication had been pulled from the refrigerator and then presented the controlled substance log, which showed the bottle had been opened on 8/6/25. The findings were confirmed with the RN during interview.
Incomplete CNA ADL Documentation
Penalty
Summary
The facility failed to ensure the resident record was complete and accurately reflected CNA-provided care for 1 of 1 resident reviewed, Resident #11. Review of CNA ADL documentation for Resident #11 for November and December 2025 showed missing documentation for scheduled daily toileting, transfers, and locomotion. Missing entries were identified on 16 of 30 days in November and 4 of 9 days in December 2025. The CNA task list indicated these cares were required daily, but the documentation was not completed consistently in the resident record. On 12/15/25 at 10:34 a.m., the finding was discussed with the DON.
Deficiency in Staff CPR Certification Compliance
Penalty
Summary
The facility failed to ensure that all staff maintained current training in cardiopulmonary resuscitation (CPR) for healthcare providers, as required by their policy. During interviews, the Staff Development Coordinator admitted that the facility does not track or ensure that staff, including Licensed Nurses and Certified Nursing Assistants (CNAs), have active CPR certification. Documentation provided by the facility showed that only a portion of the staff, including 10 of 17 Registered Nurses (RNs), 2 of 7 Licensed Practical Nurses (LPNs), and 9 of 44 CNAs, had current CPR certifications. Additionally, the Director of Nursing (DON) himself was not CPR certified, as he stated he was not working on the floor. The facility's policy on CPR, revised on a specified date, mandates that staff maintain current CPR certification through a provider who evaluates proper technique via in-person demonstration of skills. Despite this policy, the facility's job description for a Charge Nurse only lists CPR certification as desired, not required. The deficiency was confirmed with the Director of Nursing and the Staff Development Coordinator, highlighting a gap between the facility's policy and its implementation, which could potentially impact the care of residents, including one resident identified as Full Code who might require CPR.
Medication Management and Storage Deficiencies
Penalty
Summary
The facility failed to ensure proper management and storage of medications, as observed during a survey. Expired over-the-counter medications were found in the medication storage room, including unopened bottles of Healthstar Aspirin and Gericare Aspirin and Multivitamins, all past their expiration dates. Additionally, the medication room refrigerator, which stored insulin, immunizations, and controlled liquid medications, was not maintained within the acceptable temperature range of 36 - 46 degrees Fahrenheit for 15 out of 39 days. The temperature log showed multiple instances of temperatures recorded below 36 degrees Fahrenheit, with no documented corrective actions taken. Furthermore, on one of the survey days, a medication cart was found unlocked and unattended in a hallway, allowing potential access to medications by residents and unauthorized persons. A surveyor observed the cart unattended for seven minutes, during which time it was possible to open drawers containing both over-the-counter and prescription medications labeled for residents. The Certified Nursing Assistant - Med Tech acknowledged the oversight when questioned by the surveyor, confirming that the cart should have been locked.
Failure to Provide Timely SNFABN Notices
Penalty
Summary
The facility failed to provide the Skilled Nursing Facility Advance Beneficiary Notices (SNFABN) Form 10055, which includes appeal rights and liability of payment, at least two days prior to the last covered day of Medicare Part A services for two residents. One resident's SNFABN indicated that their last day of skilled services was on September 8, 2024, but they were not given the notice until September 9, 2024, a day after services ended. Similarly, another resident's SNFABN showed their last day of skilled services was on July 1, 2024, but they received the notice on July 2, 2024, also a day after services ended. During an interview on September 9, 2024, the facility's social worker admitted to being unaware that the SNFABN notices should be provided to residents or their representatives 48 hours before the termination of services. This oversight affected two out of three residents whose Medicare Part A services were discontinued while they remained in the facility.
Facility Fails to Maintain Sanitary Environment in Two Units
Penalty
Summary
The facility failed to maintain a sanitary and comfortable environment in two observed units, Prouts Neck Walkway and [NAME] Beach Walkway. During a tour, the Director of Nursing confirmed that the exhaust fan in the Personal Care room of Prouts Neck Walkway was coated with dust. Additionally, the shower room had orange/brown color-stained tiles from the shower rail to the floor, and the base of the shower had what appeared to be white tape with corners lifting up and areas of discolored black and orange colors. Similarly, in the [NAME] Beach Walkway, the Personal Care room's exhaust fan was also coated with dust. These observations indicate a failure to provide necessary maintenance services to ensure a clean and comfortable environment for residents.
Medication Error Rate Exceeds 5%
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, with a reported error rate of 6.9%. During an observation, a Certified Nursing Assistant (CNA) was seen preparing medications for a resident, which included Senna Plus and Aspirin. The CNA incorrectly dispensed one tablet of Senna 8.6 mg and a chewable Aspirin 81 mg instead of the prescribed Senna Plus and delayed-release Aspirin. This error was identified when a surveyor intervened and questioned the dosage of the medications dispensed. The CNA confirmed the mistake upon reviewing the medications in the medicine cup. The incident was later discussed with the Director of Nursing.
Kitchen Sanitation Deficiency
Penalty
Summary
The facility failed to maintain the kitchen in a clean and sanitary manner, as observed by a surveyor. During an inspection of the main kitchen on the third floor, it was noted that two main air intake vents were covered with a moderate to heavy amount of dirt and debris. Additionally, one-half of the over-the-stove exhaust hood was covered with a heavy amount of a grease-like substance. These observations were confirmed with the Food and Nutrition Director.
Deficiency in CNA Training Compliance
Penalty
Summary
The facility failed to ensure that Certified Nursing Assistants (CNAs) received the required 12 hours of annual in-service education training and mandatory yearly training in dementia care. This deficiency was identified during a review of employee education records for two CNAs who had been employed for over a year. CNA #3, hired on May 7, 2021, had completed only 1 of the 12 required hours of continuing education and lacked evidence of dementia training for the year 2023. Similarly, CNA #4, hired on June 19, 2017, had completed only 2.25 of the 12 required hours and also lacked evidence of dementia training for 2023. These findings were confirmed with the Director of Human Resources on September 11, 2024.
Failure to Timely Transmit MDS to State Database
Penalty
Summary
The facility failed to transmit a quarterly Minimum Data Set (MDS) electronically to the State MDS database within the required 14 days of completion for a resident. The quarterly MDS for the resident was completed on July 15, 2024, but as of September 10, 2024, it had not been submitted to the State MDS database. During an interview on September 10, 2024, the MDS Coordinator acknowledged the oversight and stated that she would submit the MDS that day, indicating she was unaware of the delay until questioned by the surveyor.
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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 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 | 4.3 mi | ★★★★★ | 0 | 0 |
| Pine Point Center | 4.5 mi | ★★★★★ | 0 | 0 |
| Pinnacle Health & Rehab At South Portland | 5.1 mi | ★★★★★ | 36 | 0 |
| Springbrook Center | 8 mi | ★★★★★ | 3 | 0 |
| Barron Center | 8 mi | ★★★★★ | 34 | 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.