Average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Rumford Community Home during CMS and state inspections, most recent first.
Housekeeping and maintenance services were not adequately provided on the East and West units and in the laundry room. Surveyors observed a gel cushion and wash basin stored on the floor, privacy curtains missing hooks, stained and broken ceiling tiles, chipped paint, dried residue on a dining room wall, resident dressers with worn surfaces, an unlabeled graduated cylinder in a shared bathroom, and multiple uncleanable or damaged surfaces in the whirlpool and laundry areas. The Maintenance Director confirmed the findings.
The facility failed to have the IDT review and revise care plans after each MDS assessment for multiple residents. Surveyors found that some IDT meetings occurred before the MDS was completed, while others had no evidence of an IDT meeting within 7 days of the assessment. The DSSD stated the facility believed it had 14 days and used the ARD rather than the MDS completion date.
Unsafe Chemical Storage in Laundry Room: Surveyors observed the clean side laundry room door ajar and not locked, allowing access to hazardous chemicals including bleach, disinfectant, odor eliminator, wipes, and an unlabeled spray bottle. A laundry aide confirmed the door does not always shut, and the Administrator acknowledged the chemicals were not stored safely to safeguard residents who are confused and ambulate in wheelchairs.
Missing Annual CNA Performance Reviews: The facility failed to ensure annual performance reviews were completed and signed for 3 of 5 CNAs reviewed. The DON confirmed only 3 of the 5 annual reviews were signed, and the Administrator stated the online evaluation process made it difficult to see when reviews were completed; the Administrator also stated supervisors were responsible for ensuring the annual reviews were completed.
Kitchen sanitation and food labeling deficiencies were identified during a kitchen tour. The surveyor observed a dusty/dirty hood system, dried food and liquid residue in a reach-in freezer, trash and food debris on the kitchen floor and under equipment, unlabeled and undated food in the walk-in freezer, a dirty freezer floor with trash, and a rusty grease trap cover. The cook confirmed the findings, and the Administrator was notified.
A resident's uncovered colostomy bag was observed hanging on the side of the bed and visible from the hallway, with brownish/reddish waste inside. The resident said the bag should be covered and would be embarrassed if people could see it, and a CNA confirmed it was visible to passersby.
Failure to notify provider of a resident’s self-harm statement. A cognitively intact resident with MS and major depressive disorder yelled that he/she wanted to kill himself/herself and asked for a gun while in the dining room. The record lacked evidence the nurse notified the provider or management, and interviews showed the LPN, CNA, and DON had differing recollections about when and how the statement was communicated.
Care plan missing suicidal ideation goals and interventions: A resident with MS and major depressive disorder made repeated self-harm statements in the dining room, including saying [he/she] wanted to kill [himself/herself] and asking for "a gun." The care plan addressed general behavior issues and emotional distress, but it did not include goals or interventions specific to suicidal ideation, which the DON confirmed during interview.
Open Dumpster Lid Exposed Trash: Surveyors observed 1 of 2 dumpster lids open, exposing trash in the garbage storage area. The Administrator confirmed the finding during interview.
Failure to Complete Annual IPCP Review: The facility did not complete an annual review of its IPCP. During record review, infection control policies for hand hygiene and standard and transmission-based precautions lacked evidence of being developed, implemented, reviewed, or revised as required. The DON was initially unable to provide the policies and later confirmed that the facility had not conducted an annual review of its IPCP.
A resident with dementia and extensive ADL needs was injured during a transfer when staff failed to open the legs of a mechanical lift as required by policy, causing the lift to tip over and the resident to fall. The resident sustained multiple lacerations and a hematoma to the head but remained alert and without pain complaints after the incident. Staff interviews and documentation confirmed the lift was not used according to safety protocols.
Surveyors identified multiple sanitation and food safety deficiencies, including stained ceiling tiles, unclean floors, a dusty fan, and chipped paint in the kitchen. Several food items in storage were found unlabeled, undated, or improperly sealed. The kitchen ice machine was not plumbed with the required air gap, and dish machine temperature logs showed numerous missing entries, indicating inconsistent monitoring. The Food Service Director confirmed these findings, which were not in accordance with facility policy.
The facility did not complete regular inspections or measurements of bed frames, mattresses, and bed rails to identify possible entrapment areas for all beds. Both the Administrator and the Director of Ancillary Services confirmed that these safety checks had not been performed or documented since early last year.
Two residents did not have their bathing preferences accommodated as documented in their care plans and schedules. One resident, with moderate cognitive impairment, was not consistently offered or documented as refusing scheduled showers or bed baths. Another cognitively intact resident, who valued choosing bathing options, reported not being offered showers as scheduled and instead received bed baths, with records lacking evidence of offers or refusals. Staff and DON interviews confirmed these findings.
Surveyors identified multiple deficiencies in facility maintenance and housekeeping, including uncleanable surfaces on a laundry cart, dirty ceiling lights, chipped and damaged doors and heaters, stained bathroom fixtures, and a dirty laundry room. These issues were confirmed by the Administrator and the Director of Ancillary Services during environmental tours.
A resident's oxygen tubing and nasal cannula were repeatedly found improperly stored—on personal belongings, on top of the concentrator, and on the floor—without being bagged. Staff confirmed the equipment was not stored according to sanitary practices, and the facility lacked a written policy for respiratory equipment storage.
A review of CNA education records revealed that five CNAs did not receive the required 12 hours of annual in-service training, including mandatory topics such as Resident Rights, Dementia care, QAPI, and Infection Control. The Administrator confirmed the deficiency during an interview.
A container of Oxivir Tb Wipes, a chemical disinfectant, was found unsecured in an open conference room accessible to confused and vulnerable residents who ambulate or use wheelchairs. The facility administrator confirmed the wipes were left accessible to residents.
A resident with Bipolar Disorder and Major Depressive Disorder was administered Venlafaxine ER 225 mg daily for several months without evidence of a gradual dose reduction (GDR) attempt or documentation of a clinical contraindication, despite a pharmacy recommendation to do so.
The facility did not complete an annual review of its Infection Prevention and Control Program, as several key policies lacked evidence of recent review or revision, and the Administrator confirmed the annual review had not occurred.
The facility did not have a qualified staff member designated as the Infection Preventionist responsible for the infection prevention and control program after the previous IP became the DON. Although a new acting IP and ADON was hired, this individual had not completed the required infection control training, leaving the facility without a qualified IP as required by policy.
A resident did not receive the influenza vaccine as required by facility policy after initially refusing it, and staff failed to follow up in a timely manner, resulting in a delayed administration. The DON acknowledged losing track of the resident's vaccination status.
A resident's COVID-19 vaccination was not administered and documented according to facility policy after initial refusal and planned re-approach by staff, resulting in a lapse in timely immunization and recordkeeping.
Two residents were admitted without timely and complete baseline care plans. One resident with a Foley catheter was not identified for Enhanced Barrier Precautions, and their care plan lacked necessary problems, goals, and interventions. Another resident under hospice care with multiple complex needs did not have goals or interventions documented for key areas such as pain, falls, oxygen use, and nutrition. The DON confirmed these omissions.
The facility did not complete required documentation or monitoring after an unwitnessed fall for a resident, including omitting a fall risk assessment and neurological checks. Additionally, physician orders were not followed for two residents: one received oxygen at an incorrect flow rate, and another experienced a significant delay in ordered lab work.
Housekeeping and Maintenance Deficiencies in Resident Areas and Laundry Room
Penalty
Summary
The facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in a sanitary, orderly, and comfortable environment on the East and West units and in the laundry room. During observations, a specialized gel cushion was stored on the floor by a window, and a wash basin was observed on the bathroom floor in a resident room; a CNA confirmed both findings. During an environmental tour with the Maintenance Director, multiple areas of disrepair and uncleanable surfaces were observed, including privacy curtains missing hooks and hanging down, stained and broken ceiling tiles, chipped or missing paint, dried liquid residue on a dining room wall, wash basins and a clean brief on a closet floor, resident dressers with worn or missing surface finish exposing untreated wood, and an unlabeled graduated cylinder in a shared bathroom. Additional findings were observed in the whirlpool room and laundry room. The whirlpool room had two broken ceiling tiles. In the laundry room, the cement floor behind the washing machines had chipped or missing paint and was covered with lint and trash, a laundry cart had untreated wood supporting the bin, and an approximately five-foot by five-foot section of wall to the left of the washing machines was missing sheetrock and exposed untreated wooden wall studs. The Maintenance Director confirmed the observed conditions during the tour.
Failure to Hold Timely IDT Care Plan Reviews After MDS Assessments
Penalty
Summary
The facility failed to review and revise residents’ care plans by an interdisciplinary team (IDT) meeting after each MDS 3.0 assessment, including participation of the resident and resident representative, for 7 of 14 residents reviewed. Surveyors found that for several residents, the IDT meeting occurred before the MDS assessment was completed, while for others there was no evidence of an IDT meeting within 7 days of the MDS assessment. Examples included Resident #6, Resident #29, Resident #7, and Resident #1, whose IDT meetings were held prior to completion of the quarterly MDS assessments, and Resident #1 also had a later quarterly MDS with an IDT meeting that was not within 7 days of the assessment. Additional record review showed that Resident #5, Resident #15, and Resident #27 had quarterly and annual MDS assessments documented, but the records lacked evidence of an IDT meeting within 7 days of those assessments. During interviews on 4/22/25, the Director of Social Services stated the facility had 14 days to hold the IDT meeting, and surveyors reviewed the federal regulation with her regarding the timing. The Director of Social Services later presented an email from the administrator stating that the initial IDT needed to be done within 7 days of completion of the MDS, but she stated the facility went by the ARD rather than the completion date and confirmed the findings with surveyors.
Unsafe Chemical Storage in Laundry Room
Penalty
Summary
The facility failed to ensure that the resident environment was free of accident hazards related to the storage of chemicals. On 4/22/26 at 10:41 a.m., two surveyors observed the clean side laundry room door ajar and not shut and locked. When they entered the room, they found numerous hazardous chemicals that would have been accessible to residents who ambulate and roam in wheelchairs, including one gallon of Pure Bright Bleach, one 32-ounce spray bottle of Micro Kill Concentrated Disinfectant, Cleaner, and Deodorizer, two 1.8 lb tubs of Diversey Oxivir TB Wipes, one 8-ounce spray bottle of Medline Simply Fresh Odor Eliminator, and one unlabeled spray bottle containing clear liquid. During the observation, a laundry aide confirmed that the door does not always shut when leaving the room. Later that morning, the Administrator acknowledged that the chemicals in laundry were not stored safely and appropriately to safeguard residents who are confused and ambulate and move about in wheelchairs. The Administrator also stated that the door should be shut and locked at all times.
Missing Annual CNA Performance Reviews
Penalty
Summary
The facility failed to ensure annual performance reviews were completed at least once every 12 months for 3 of 5 Certified Nursing Assistants reviewed. Staff #2, hired 11/1/16, had no evidence in the personnel file that an annual performance evaluation was reviewed and signed in 2024 or 2025. Staff #4, hired 6/20/22, also had no evidence of a performance evaluation reviewed and signed in 2024 or 2025. Staff #5, hired 12/10/97, likewise had no evidence of a performance evaluation reviewed and signed in 2024 or 2025. During interviews, the DON confirmed that only 3 of the 5 annual reviews were signed by staff, and the Administrator stated the facility was changing the process because the evaluations were completed online and they could not see when they were completed. In a follow-up interview, the Administrator stated it was the supervisor's responsibility to ensure the annual reviews were completed.
Kitchen sanitation and food labeling deficiencies
Penalty
Summary
The facility failed to ensure the kitchen was maintained in a clean and sanitary manner and failed to ensure foods were labeled and dated in the walk-in freezer. During an initial kitchen tour with a cook, the surveyor observed the cook stove hood system was dusty and dirty, the small reach-in standing freezer had dried food particles and dried liquid residue on the shelving and door shelving, and there was trash and food debris around the kitchen floor, under equipment, and under shelving. The large walk-in freezer contained nine packages of rolls and a tray of hamburger patties that were not labeled and dated, and the floor was visibly dirty with trash on it. The dish room grease trap cover was rusty around the top edges, creating an uncleanable surface. The cook confirmed the findings during interview, and the Administrator was informed.
Failure to Protect Resident Dignity by Leaving Colostomy Bag Visible
Penalty
Summary
The facility failed to maintain a resident's dignity by allowing an uncovered colostomy bag to hang on the side of the bed and remain visible from the hallway. During observation, the bag contained brownish/reddish waste and could be seen by passersby. The resident stated that the bag should be covered and said he/she would be embarrassed if people could see it from the hallway. A CNA later confirmed that the colostomy bag containing brownish/reddish waste was visible to people in the hallway.
Failure to Notify Provider of Resident Self-Harm Statement
Penalty
Summary
The facility failed to notify a provider when a resident verbalized a desire to self-harm. Resident #16, who was admitted in 2019 and had diagnoses including multiple sclerosis and major depressive disorder, had an MDS showing a BIMS of 14 out of 15, indicating cognitive intactness. On 4/14/26 at 8:06 a.m., a behavior note documented that the resident was in the dining room, talking very loudly on the phone, yelling that he/she wanted to kill himself/herself and did not want to be in the facility anymore. When the cook asked if anything else was needed before leaving the dining room, the resident responded, “a gun.” The note also stated that the resident continued to say he/she wanted to kill himself/herself after the nurse left the dining room. The clinical record lacked evidence that the nurse notified the provider or management of the resident’s statement. During interview, the LPN stated the resident was angry while speaking on the phone, said he/she wanted to kill himself/herself, was removed from the situation, and was de-escalated in the TV room; the LPN also stated the resident did not have a plan and the statement was short-lived. The LPN said she notified SW and the DON in morning meeting but did not document it. The CNA stated she was made aware of the statement when she arrived for report at 2:00 p.m. and that staff were made aware so they could check on the resident regularly. The DON stated she remembered the day but did not recall the nurse stating the resident wanted to harm himself/herself.
Care Plan Missing Suicidal Ideation Goals and Interventions
Penalty
Summary
The facility failed to update the care plan for a resident with multiple sclerosis and major depressive disorder to include goals and interventions related to suicidal ideation. Review of the clinical record showed a behavior note documenting that the resident was in the dining room, talking loudly on the phone, and yelling that [he/she] wanted to kill [himself/herself] and did not want to be in the facility anymore. When asked if [he/she] needed anything else, the resident responded, "a gun." A CNA reported that after the nurse left the dining room, the resident continued to say [he/she] wanted to kill [himself/herself]. The resident’s care plan, reviewed after the event, addressed behavior problems such as occasional meal refusals, verbal outbursts, emotional distress related to disease process, and interventions including calming approaches, diversion, removal from the situation, and monitoring for sad or angry affect with notification of the MD for changes in behavior. However, the care plan did not contain goals or interventions specific to suicidal ideation. During interview, the DON stated the resident had made self-harm statements in the past but had not done so for a while, and confirmed the care plan did not include goals and interventions for suicidal ideation.
Open Dumpster Lid Exposed Trash
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 1 of 2 days of survey. On 4/21/26 at 8:30 a.m., three surveyors observed the top right lid of 1 of 2 dumpsters open, exposing trash. At 8:35 a.m., the Administrator confirmed the finding during interview.
Failure to Complete Annual IPCP Review
Penalty
Summary
The facility failed to conduct an annual review of its Infection Prevention and Control Program (IPCP). During record review on 4/22/26, the facility’s infection control policies did not show evidence that written policies and procedures had been developed and implemented for hand hygiene and for standard and transmission-based precautions. When the surveyor asked the DON about the concern at 12:40 p.m., the DON was unable to provide the policies and stated she was not sure whether the facility had them. At 1:33 p.m., the DON provided policies for Hand Hygiene, Standard Precautions Used for All Patients, Droplet Precautions, and Precautions to Prevent Infection, and review of those policies showed that some were dated 2017 or 2023 and lacked evidence of annual review or revision, while one policy had last been reviewed in 6/2024. During a follow-up interview at 1:56 p.m., the DON confirmed that the facility had not conducted an annual review of its IPCP.
Resident Injury Due to Improper Mechanical Lift Use During Transfer
Penalty
Summary
A deficiency occurred when staff failed to properly transfer a resident who required total assistance with a mechanical lift due to dementia and extensive ADL self-care deficits. During a transfer from bed to a Broda chair using a mechanical (hoyer) lift, the staff did not open the legs of the lift as required by facility policy, resulting in the lift tipping over sideways while the resident was in the sling. The resident fell to the floor, sustaining a laceration to the bridge of the nose, an 8x7 cm hematoma with a 0.5 cm laceration on the left side of the head, and a 0.5 cm laceration on the back of the head. The resident was alert, able to answer questions, and did not complain of pain or discomfort following the incident. Interviews with staff confirmed that the hoyer lift was operated with the legs in the closed position during the transfer, and the attempt to open the legs while the resident was suspended caused the lift to become unbalanced and fall. Facility policy required that the base legs of the lift be locked in the maximum open position for stability and resident safety during all transfers. Documentation and staff statements consistently indicated that this policy was not followed at the time of the incident, directly leading to the resident's injuries.
Deficiencies in Kitchen Sanitation, Food Labeling, and Dish Machine Monitoring
Penalty
Summary
Surveyors observed multiple deficiencies in the facility's kitchen, including three stained ceiling tiles above a food preparation area, trash and food debris on the floor under equipment and around the edges, and a dusty wall-mounted fan with a baseboard heater that had chipped or missing paint, creating an uncleanable surface. Additionally, several food items in the kitchen, walk-in refrigerator, and walk-in freezer were found unlabeled and undated, such as a plastic container of cereal, a large bin of flour, a pie crust wrap, a container of peeled eggs that was not securely sealed, and various packages of meatballs, stuffed shells, chicken patties, and pancakes. The kitchen ice machine was not plumbed in accordance with code requirements, lacking the proper air gap to prevent contamination, which was confirmed to be in violation of state and federal regulations. Review of the Dish Machine Temperature Logs revealed numerous missing entries for breakfast, lunch, and dinner across several months, indicating that dish machine temperatures were not consistently monitored or documented as required by facility policy. The Food Service Director confirmed these findings, acknowledging the lapses in monitoring and documentation. The facility's policies require all food to be covered, labeled, and dated, and for dish machine temperatures to be recorded at each meal to ensure proper sanitization, but these procedures were not followed.
Failure to Perform Regular Bed Safety Inspections
Penalty
Summary
The facility failed to conduct regular inspections of all bed frames, mattresses, and bed rails as part of a maintenance program to identify possible areas of entrapment for all 32 beds. During the survey, the Administrator confirmed that documentation of bed gap and side rail gap measurements had not been completed since February 2023. The Director of Ancillary Services also verified that these regular inspections and measurements had not been performed since that time. This lapse in routine safety checks was identified through review of documentation and staff interviews.
Failure to Accommodate Resident Bathing Preferences
Penalty
Summary
The facility failed to ensure that the bathing preferences of two residents were accommodated as outlined in their care plans and documented preferences. One resident, who was moderately cognitively impaired, was care planned to receive assistance with bathing twice daily and as needed, with instructions to re-approach if care was refused. However, clinical records lacked evidence that this resident was offered or refused a shower or bed bath on multiple scheduled days. Staff interviews confirmed that the resident primarily received bed baths and occasionally refused care, but documentation did not reflect offers or refusals on the specified dates. Another resident, who was cognitively intact and had expressed that choosing bathing options was very important, was scheduled to receive a shower on a specific day each week. Despite this, the resident reported that staff did not offer a shower and instead provided a bed bath, even when the resident wanted a shower. Review of records showed that the resident received a shower on only one documented occasion, with no evidence of being offered or refusing a shower or bed bath on numerous other scheduled days. Staff interviews confirmed the resident's dependence on assistance for bathing and the use of a Hoyer lift for transfers. The DON confirmed that staff are expected to follow the bathing schedule and resident preferences as documented.
Failure to Maintain Clean, Sanitary, and Well-Repaired Environment
Penalty
Summary
Surveyors observed multiple deficiencies in the facility's maintenance and housekeeping services across both the East and West units, as well as in common areas such as the conference room and laundry room. Specifically, a laundry cart in use had untreated wood, which was confirmed by the Administrator to be an uncleanable surface. During an environmental tour, four ceiling lights in the conference room were found to contain dirt and debris. Numerous resident room entrance doors and baseboard heaters in both units exhibited chipped, gouged, or missing paint, and some heaters were broken or hanging down, all of which created uncleanable surfaces. Additional findings included stained caulking and toilet seats in resident bathrooms, a large spackled area on a wall, and a dirty, stained laundry room floor and ceiling. The Director of Ancillary Services confirmed these findings during the tour. The report does not mention any specific residents by name or medical history, nor does it describe the condition of residents at the time of the deficiency. The focus of the findings is on the physical environment and the failure to maintain cleanable, sanitary, and well-repaired surfaces throughout the facility.
Failure to Maintain Sanitary Storage of Respiratory Equipment
Penalty
Summary
Surveyors observed that the facility failed to maintain respiratory equipment in a sanitary manner for a resident requiring oxygen therapy. On multiple occasions, the resident's oxygen concentrator tubing and nasal cannula were found improperly stored: once on top of the resident's bureau among personal belongings, another time on top of the oxygen concentrator, and later lying on the floor next to the bed. In each instance, the equipment was not bagged as required for sanitary storage. The resident reported only using oxygen at night, with the equipment stored during the day in these unsanitary conditions. Interviews with facility staff, including the Administrator and an LPN, confirmed that the oxygen tubing and nasal cannula were not stored in accordance with expected sanitary practices. The Administrator acknowledged that the equipment should be bagged and not left on surfaces or the floor. When asked, the facility was unable to produce a specific policy or procedure regarding the storage of oxygen or respiratory equipment in resident rooms, and the regional clinical director confirmed that while the practice is to use respiratory bags, there was no formal written policy available.
Failure to Provide Required Annual CNA In-Service Training
Penalty
Summary
The facility failed to ensure that Certified Nursing Assistants (CNAs) received the required 12 hours of annual in-service education and training, as evidenced by a review of employee education records for five randomly selected CNAs who had been employed for more than one year. The records showed that none of the five CNAs had completed the mandated training hours for the year, with missing topics including Resident Rights, Dementia care, Quality Assurance and Performance Improvement Program (QAPI), and Infection Control. This deficiency was confirmed by the Administrator during an interview, who acknowledged that the required education and in-service training had not been provided to these staff members in the specified year.
Unsecured Chemical Disinfectant Accessible to Residents
Penalty
Summary
A container of Oxivir Tb Wipes, a disinfectant cleaner with virucidal, bactericidal, fungicidal, and tuberculocidal properties, was observed unsecured in an open conference room. The room was accessible to confused and vulnerable residents who ambulate independently or use wheelchairs. The Safety Data Sheet for the product indicates the need for caution in case of eye contact or ingestion. The facility administrator confirmed that the wipes were left unsecured and accessible to residents during the surveyor's observation. No information was provided regarding any specific incidents of resident exposure or harm at the time of the deficiency.
Lack of Gradual Dose Reduction or Justification for Antidepressant Use
Penalty
Summary
The facility failed to provide evidence of an attempted gradual dose reduction (GDR) or documentation of a clinical contraindication for the continued use of an antidepressant medication in one resident. The resident, who has diagnoses of Bipolar Disorder and Major Depressive Disorder, had been receiving Venlafaxine Extended Release 225 mg daily since June 2024. A pharmacy report in November 2024 recommended considering a GDR or documenting a contraindication, but the clinical record did not show that a GDR was attempted or that a contraindication was documented between November 2024 and February 2025. This finding was confirmed during an interview with the Administrator.
Failure to Conduct Annual Review of Infection Prevention and Control Program
Penalty
Summary
The facility failed to conduct an annual review of its Infection Prevention and Control Program (IPCP) as required. During a review of the IPCP policies and procedures, a surveyor observed that several policies, including the Infection Control/Exposure Control Plan Review Policy, Immunizations - Influenza and Pneumococcal Policy, and COVID-19 Vaccine Policy, either lacked dates indicating a recent review or had not been updated since 2018 or 2023. The Administrator confirmed that the IPCP policies and procedures had not been reviewed on an annual basis.
Failure to Designate Qualified Infection Preventionist
Penalty
Summary
The facility failed to designate a qualified staff member to serve as the Infection Preventionist (IP) responsible for the Infection Prevention and Control Program (IPCP) since the previous IP transitioned to the DON position. Although a new acting IP and ADON was hired in January 2024, this individual had not completed the required infection control training for the IP role as of the time of the survey. The facility's policy requires the IP to have specific qualifications, including professional training, relevant experience or certification, part-time employment at the facility, completion of specialized infection prevention and control training, and active participation in the quality assessment and assurance committee. Interviews with the DON and Administrator confirmed that the facility had not had a designated and qualified IP since December 2022.
Failure to Implement Influenza Vaccination Policy
Penalty
Summary
The facility failed to implement its policy regarding influenza vaccination for one of five residents whose immunization records were reviewed. According to the facility's Infection Prevention & Control Policy, all residents are to be offered influenza immunization each fall, with education provided to the resident or their responsible party. For the resident in question, the clinical record showed no evidence that the influenza vaccine was administered as required. The DON confirmed that consent for the vaccine was obtained from the resident's POA in October, but the resident initially refused, and staff intended to reapproach. However, the DON lost track of the vaccination status, resulting in a delay in administration.
Failure to Timely Administer and Document COVID-19 Vaccination per Policy
Penalty
Summary
The facility failed to follow its Infection Prevention & Control Policy regarding COVID-19 immunization for one resident. According to the policy, all eligible residents should be offered the COVID-19 vaccine and provided with education, with proper documentation of immunization status. For one resident, although consent for the COVID-19 vaccine was obtained from the Power of Attorney in October 2024 and the resident initially refused, staff planned to reapproach the resident but did not follow up in a timely manner. As a result, there was no evidence in the resident's clinical record that the COVID-19 vaccine was administered as directed by facility policy until a later date.
Failure to Develop and Implement Timely Baseline Care Plans
Penalty
Summary
The facility failed to develop and implement baseline care plans within 48 hours of admission for two residents, as required by policy. For one resident with a Foley catheter, the baseline care plan did not include problems, goals, or interventions related to Enhanced Barrier Precautions (EBP), despite the resident having an active order for Foley care. The resident was not identified as needing EBP, and there was no EBP signage or personal protective equipment (PPE) available at the resident's room. The Director of Nursing confirmed that the resident had been missed for EBP and that the baseline care plan lacked the necessary information. Another resident admitted under hospice care with multiple diagnoses, including heart failure, chronic respiratory failure, and a history of falls, had several active orders for pain management, skin care, fall prevention, oxygen therapy, and diuretic use. The baseline care plan for this resident did not include goals and interventions for hospice care, activities of daily living, pain, anxiety, diuretic use, impaired skin integrity, falls, oxygen use, or nutrition. The Director of Nursing confirmed the absence of these required elements in the care plan.
Failure to Document Post-Fall Monitoring and Follow Physician Orders
Penalty
Summary
The facility failed to document and monitor a resident after an unwitnessed fall. Specifically, after a resident sustained an unwitnessed fall, there was no evidence in the clinical record that a fall risk assessment or a Post Fall Observation Tool was completed, nor were neurological checks initiated as required by facility policy. The Director of Nursing confirmed that the necessary documentation and monitoring were not performed following the incident. Additionally, the facility did not follow physician orders for two residents. One resident had a physician order for continuous oxygen at 2L/min to maintain oxygen saturation above 88%, but was observed receiving oxygen at a flow rate of 2.5L/min, with the concentrator out of reach and adjustments made only by staff. Another resident had a physician order for specific bloodwork to be drawn on a certain date, but the labs were not completed until nearly a month later. These findings were confirmed through record review and staff interviews.
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Illustrative
What surveyors actually found near you
We read the 73 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
A prioritized, do-first checklist
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Illustrative
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Nursing homes near Rumford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pinnacle Health & Rehab Canton | 13.2 mi | ★★★★★ | 23 | 0 |
| Maine Veterans Home - So Paris | 18.9 mi | ★★★★★ | 5 | 0 |
| Sandy River Center | 20.7 mi | ★★★★★ | 2 | 0 |
| Market Square Health Care Center, Llc | 20.9 mi | ★★★★★ | 23 | 0 |
| Norway Center For Health & Rehabilitation, Llc | 22.1 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 October 2026) and official state health department websites.