Below average — CMS composite of the measures below.
A standard survey is most likely before around October 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 River Ridge Center during CMS and state inspections, most recent first.
A deficiency was cited due to the facility not ensuring an area was free from accident hazards and failing to provide adequate supervision to prevent accidents. The report highlights insufficient safety measures and lack of proper oversight, but does not specify individual residents or staff involved.
Surveyors found that the facility did not maintain safe hot water temperatures, with logs and direct observations showing consistently excessive readings across all resident units. Despite repeated documentation of the issue and reports to management, no effective monitoring or corrective actions were implemented, and the Administrator confirmed she had not been overseeing the situation. This failure had the potential to affect all residents.
Surveyors found that expired medications, including Heparin lock flush syringes and a vial of Insulin Lispro prescribed to a discharged resident, were not removed from medication storage areas in two units. Additionally, a vial of PPD was available for use past the recommended 30-day period. These findings were confirmed by the unit nurse manager and Market Clinical Advisor.
Three residents did not consistently receive meals that matched their documented food preferences and dietary restrictions. One resident was repeatedly served pork despite a clear dislike, another was not provided real eggs or alternative preparations as requested, and a third received meals containing multiple disliked foods. Communication breakdowns and incomplete documentation contributed to these failures.
The facility did not ensure its QAPI committee addressed a known safety concern about elevated water temperatures in resident-accessible areas. Although the Safety Committee had previously noted the issue, there was no documentation of follow-up actions or escalation to QAPI, and the Administrator confirmed the committee was not addressing water temperature concerns. Surveyors found water temperatures above 124°F in several areas.
Surveyors identified that staff across three units were not knowledgeable about Enhanced Barrier Precautions (EBP), as multiple staff members could not explain EBP protocols or recall receiving training, despite EBP signage being present on resident room doors. The Infection Preventionist confirmed education was verbal and lacked documentation.
A deficiency was cited for not providing a safe, clean, comfortable, and homelike environment, including failure to ensure that treatment and supports for daily living were delivered safely to residents.
The facility did not ensure adequate direct care staffing on multiple weekends, as evidenced by PBJ reports and staffing schedules, resulting in insufficient staff to meet resident needs on several weekend days in two consecutive quarters. This was confirmed by a Market Clinical Advisor during a review of staffing records.
A resident with Type 2 Diabetes Mellitus and a history of insulin use had all insulin discontinued by physician order, but the care plan was not updated to reflect this change. The care plan continued to indicate insulin dependence, and there was no documentation that the resident received education or information about the change in diabetes management.
Surveyors found that after unwitnessed falls, several residents did not have complete or available neurological assessment logs as required by facility policy. In some cases, logs were missing entirely, while in others, documentation was incomplete for the required monitoring period. The facility could not confirm that the assessments were performed or provide the missing records.
A resident experienced a fall from an elevated bed after being left unsupervised by a CNA, resulting in significant injury and subsequent death. The facility did not submit an initial report of the incident to authorities within the required timeframe, only submitting a final report nearly two days later, in violation of its own policy.
A resident who required extensive assistance for ADLs was left unattended in a raised bed, resulting in a fall and injury, despite a care plan intervention to use a low bed. Environmental hazards were also identified, including unsecured storage and electrical rooms and areas with jagged, splintered wood.
The facility failed to ensure proper food storage and labeling, with expired and unlabeled items found in the kitchen. Additionally, food temperatures were not consistently maintained within safe parameters, as documented in the Service Line Checklist. These issues were confirmed during a survey and interview with the Healthcare Services Group District Manager.
Failure to Maintain Safe Environment and Adequate Supervision
Penalty
Summary
A deficiency was identified in the facility's failure to ensure that an area was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment did not meet safety standards, and supervision was insufficient to prevent potential or actual accidents. Specific actions or omissions by staff or management that led to the deficiency are not detailed in the report, nor are any particular residents or their medical histories mentioned.
Failure to Control Hot Water Temperatures Creates Accident Hazard
Penalty
Summary
The facility failed to administer its operations in a manner that ensured the resident environment was free from accident hazards, specifically by not maintaining hot water temperatures at safe levels. Review of hot water temperature logs from late October through mid-July revealed repeated and consistent recordings of excessively high hot water temperatures, with some readings as high as 137 degrees Fahrenheit. Comments on the logs over several months indicated ongoing issues with the hot water system, including notes about faulty equipment, inability to regulate temperatures, and reports made to management. Despite these documented concerns, there was no evidence that a process was in place to monitor or correct the high temperatures, nor that effective interventions were implemented. Observations by surveyors and the Maintenance Supervisor confirmed hot water temperatures above 120 degrees Fahrenheit on all resident units. The Safety Committee meeting minutes acknowledged the unsafe temperatures but did not document any follow-up actions or plans to address the issue. In interviews, the Administrator confirmed awareness of the problem but stated she had not been monitoring the hot water temperatures. The deficiency was found to have the potential to affect all 57 residents in the facility, as excessively hot water temperatures were present throughout all resident areas.
Expired Medications Not Removed from Storage
Penalty
Summary
Surveyors observed that the facility failed to remove expired medications from the supply available for use in two of three medication storage rooms reviewed. In the Kennebunk River Unit, two prepackaged syringes of Heparin lock flush with expiration dates of 4/30/25 were found in the emergency intravenous medication and supply stock, and a vial of Insulin Lispro prescribed to a resident who had been discharged on 4/16/25 was still stored in the medication refrigerator. The unit nurse manager confirmed these findings at the time of observation. In the Mousam River Unit, a vial of PPD labeled with an opened date of 6/1/25 remained available for resident use beyond the recommended 30-day period, as confirmed by the Market Clinical Advisor during the observation. These observations indicate that expired and potentially unusable medications were not properly removed from medication storage areas, making them accessible for use.
Failure to Accommodate Resident Food Preferences and Dietary Restrictions
Penalty
Summary
The facility failed to ensure that residents' food preferences and dietary restrictions were consistently honored, as evidenced by multiple incidents involving three residents. One resident, who had previously communicated a dislike for pork to the dietician, was repeatedly served pork products such as ham and bacon. Despite staff notifying the kitchen and requesting substitutions, the resident continued to receive meals containing pork, and the dietary slip on the food tray did not accurately reflect the resident's preferences. Communication barriers between kitchen staff and dietary management contributed to the ongoing issue, as changes or preferences were not reliably updated on meal tickets. Another resident expressed dissatisfaction with the use of egg substitutes instead of real eggs and reported that requests for eggs prepared differently were ignored. The Food Service Director and Regional Director of Food Services confirmed that only egg substitutes were used due to cost considerations, but stated that special requests could be accommodated if made. However, the resident's requests were not fulfilled, indicating a lack of follow-through on stated accommodations. A third resident, who had documented dislikes for several foods including wheat, tuna, and chicken, was served meals containing these items on multiple occasions. The resident had to request alternative meals, which sometimes still included disliked foods. Review of the resident's food preference form showed that their dislikes were not fully reflected on the meal slips. Staff interviews revealed inconsistent processes for communicating food preferences to the kitchen, with some staff unable to locate the necessary forms or relying on verbal communication, which was not always effective.
Failure to Address Elevated Water Temperatures Through QAPI
Penalty
Summary
The facility failed to ensure that its QAPI committee systematically identified and addressed a known safety concern regarding elevated water temperatures in resident-accessible areas. Although the Safety Committee had previously documented water temperature issues in its February 2025 meeting minutes, there was no documentation of required actions or evidence that the issue was escalated to or addressed by the QAPI committee. During interviews, the Administrator confirmed that the QAPI committee's focus areas did not include water temperature concerns, and was unable to provide any records showing QAPI involvement in addressing the issue. Surveyors measured water temperatures exceeding 124°F in multiple resident areas, confirming the ongoing concern.
Staff Lacked Knowledge of Enhanced Barrier Precautions (EBP)
Penalty
Summary
Surveyors found that the facility failed to ensure staff were educated and knowledgeable about Enhanced Barrier Precautions (EBP) across all three units surveyed. Observations revealed EBP precaution signage on multiple resident room doors, but when staff members, including CNAs and an Environmental Services Worker, were questioned about EBP, they were unable to explain what EBP was, when to use it, or what PPE was required. Several staff members stated they did not recall receiving any training on EBP, despite having worked at the facility for several months to over a year. Interviews with the Infection Preventionist confirmed that staff education on EBP was conducted verbally, but there was no documentation to demonstrate staff understanding or knowledge of EBP protocols. The lack of staff awareness and training was observed in all three units, with staff unable to identify or implement appropriate infection control measures as outlined in the facility's own policy for Enhanced Barrier Precautions.
Failure to Ensure Safe and Homelike Environment
Penalty
Summary
A deficiency was identified regarding the failure to honor the resident's right to a safe, clean, comfortable, and homelike environment. The report notes that residents did not consistently receive treatment and supports for daily living in a manner that ensured their safety and comfort. Specific details about the actions or inactions leading to this deficiency, as well as information about the residents involved or their medical conditions at the time, are not provided in the report.
Insufficient Weekend Staffing Documented by PBJ Reports
Penalty
Summary
The facility failed to provide sufficient direct care staff to meet the needs of all residents on weekends during the first and second quarters of 2025. Payroll Based Journal (PBJ) reports and weekend staffing schedules revealed that there were 8 weekend days in the first quarter and 2 weekend days in the second quarter where the number of direct care staff was insufficient. The Center for Medicare & Medicaid Services (CMS) PBJ report indicated that the facility triggered for low weekend staffing during these periods. During an interview and review of the staffing records, the Market Clinical Advisor confirmed that the facility did not ensure enough staff were on duty to meet resident needs on weekends, as reflected in the PBJ reports.
Failure to Update Care Plan After Discontinuation of Insulin
Penalty
Summary
The facility failed to revise the care plan to reflect a resident's current diabetes management status after a significant change in treatment. A resident with a diagnosis of Type 2 Diabetes Mellitus and a history of long-term insulin use was admitted with orders for both long-acting and rapid-acting insulin. On a later date, all insulin orders were discontinued by the physician. Despite a care plan meeting attended by the resident and the discontinuation of insulin, the care plan was not updated to reflect this change, and there was no documentation that the resident received education or information regarding the rationale for stopping insulin. The care plan continued to list the resident as insulin dependent and did not address the new approach to diabetes management.
Incomplete Neurological Assessment Documentation After Unwitnessed Falls
Penalty
Summary
The facility failed to maintain complete and accurate medical records for five residents who experienced unwitnessed falls. According to the facility's own policies, any resident who sustains an unwitnessed fall or a head injury is to receive neurological assessments at specific intervals for at least 72 hours following the incident. Upon review, surveyors found that for several residents, either the neurological assessment logs were missing entirely or, when present, were incomplete for the required 72-hour period. Progress notes did not provide explanations for the missing or incomplete assessments. Specifically, two residents had no neurological assessment logs available for their unwitnessed falls, while three residents had logs that were incomplete for the required monitoring period. The facility was unable to produce the missing documentation or confirm that the required neurological assessments were performed as per policy. These findings were confirmed during an interview with the Corporate Representative, who acknowledged the absence of the necessary records.
Failure to Timely Report Suspected Neglect and Injury After Resident Fall
Penalty
Summary
The facility failed to report a fall with suspected negligence and significant injury within the required time frame for one resident. According to the facility's own policy, allegations involving neglect or mistreatment that result in serious bodily injury must be reported to state and local authorities within two hours. In this case, a resident fell from an elevated bed after being left unsupervised by a CNA. The incident occurred late in the evening, and the resident subsequently experienced increased pain, prompting an x-ray order for suspected fractures. The resident died the following morning. Despite the serious nature of the incident, the facility did not submit an initial report to the Department of Licensing and Certification as required. Instead, a final report was submitted nearly two days after the fall, and there was no evidence of an initial, timely notification. The deficiency was confirmed through interviews, record reviews, and policy examination, which showed the facility did not adhere to its own reporting requirements following the incident.
Failure to Prevent Accidents and Maintain a Hazard-Free Environment
Penalty
Summary
A resident who was dependent on staff for nearly all activities of daily living, including bed mobility, was left unattended in a raised bed by a CNA who exited the room to retrieve linens. During this time, the resident fell between the bed and the wall, resulting in lower back and left leg pain, and a provider subsequently ordered an x-ray due to suspected fracture. The resident's care plan had identified a risk for falls and included an intervention to utilize a low bed, which was not followed at the time of the incident. Additionally, environmental hazards were observed in two separate unit hallways. One closet in a corridor was found with a missing doorknob and jagged, splintered wooden edges. In another unit, an unlocked storage room containing electrical panels and a locked biohazard cabinet was accessible, as well as an unlocked electrical room with a non-functional keypad lock and jagged, splintered wood beneath the keypad. These conditions were confirmed by the surveyor with facility leadership.
Deficiencies in Food Storage and Temperature Control
Penalty
Summary
The facility failed to ensure proper food storage and labeling practices in the kitchen, as observed during a survey. Foods in the dry storage room, walk-in refrigerator, and freezer were not labeled or dated, and some were expired. The dry storage room had dirt, debris, and food particles on the floor, with shelves that had peeling paint. Several food items, including buns, bread, and tortillas, were past their use-by dates. Additionally, opened and unsecured food items were found, such as a box of rice, bags of cereal, and a bucket of icing. In the walk-in refrigerator, containers of egg salad, tuna salad, apple pie filling, and potato salad were not labeled or dated. The walk-in freezer contained uncovered pies and uncovered hamburger patties. The cook was observed preparing food without a hair net, which was only applied after being prompted by the surveyor. The facility also failed to maintain appropriate food temperatures as per the Service Line Checklist. Documentation revealed that for several days, food temperatures were outside the required parameters for Time/Temperature Control for Safety (TCS) foods, or there was a lack of documentation altogether. This issue was confirmed during an interview with the Healthcare Services Group District Manager. The facility's policies on food storage and preparation were not adhered to, leading to these deficiencies in food safety and handling practices.
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What surveyors actually found near you
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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.
Illustrative
A prioritized, do-first checklist
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Kennebunk
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Kennebunk Center For Health & Rehabilitation, Llc | 0.7 mi | ★★★★★ | 15 | 0 |
| Southridge Rehab & Living Ctr | 8.2 mi | ★★★★★ | 0 | 0 |
| St Andre Health Care Facility | 9 mi | ★★★★★ | 0 | 0 |
| Seal Rock Healthcare | 9.7 mi | ★★★★★ | 20 | 0 |
| Pinnacle Health & Rehab At Sanford | 10.9 mi | ★★★★★ | 0 | 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.