Below average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Seal Rock Healthcare during CMS and state inspections, most recent first.
Failure to Document Advance Directive Information: The facility did not document that written information about the right to accept or refuse treatment and to formulate an advance directive, or appoint a surrogate, was provided for multiple residents reviewed. Record review showed missing evidence for several residents, and one resident’s chart lacked both an advance directive and documentation that the topic was ever discussed. The DSS told surveyors she had provided a list to the DON of residents with advance directives, but some records could not be found, and she later stated she had no documentation for these residents.
A CNA misappropriated a resident’s personal credit card and social security card, leading to multiple unauthorized charges at a motel, gas station, and Target. The resident also reported that the CNA took another resident’s debit card and that a third resident lost a necklace and money from a card. The Administrator and consultant stated the thefts were reported to police, and the CNA later was arrested after leaving the state.
An EZ Sit to Stand lift was observed missing both safety pins, and an RN confirmed the issue before the lift was removed from the unit. In a separate observation, an unsecured container of CaviWipes was found on a med cart with no staff in sight; an MTA confirmed the wipes should have been secured because vulnerable and ambulatory residents were on the unit.
The facility failed to ensure that a CNA completed the required yearly Abuse and Neglect and Resident Rights training, and also failed to verify completion of the required 12 hours of annual in-service education. Record review showed no evidence of these trainings for the year reviewed, and the DON confirmed the CNA lacked the required education. A Senior Healthcare Operations worker later confirmed the CNA worked 199.25 hours that year.
Failure to maintain resident room surfaces in good repair. During an environmental tour with the ADM and DOR, surveyors observed duct tape on a floor threshold between a resident room and bathroom, multiple wall gouges from a wheelchair, abrasions behind a lift chair, and a hole in a bathroom wall below a towel rack.
A facility failed to implement isolation and contact precautions for multiple residents with gastroenteritis symptoms, despite provider recommendations and evidence of a norovirus outbreak. Staff were not consistently informed about which residents required precautions, PPE was not made available, and appropriate signage was lacking, resulting in the spread of illness across several units.
Nursing staff did not promptly implement isolation or contact precautions for residents with GI symptoms, and PPE supplies were not made available or used as required. Despite multiple staff and residents exhibiting symptoms and a provider's warning about a potential norovirus outbreak, there was no consistent process for identifying affected residents or ensuring proper infection control measures, leading to the spread of illness throughout the facility.
Administration did not follow infection control protocols or the FNP's recommendations during a norovirus outbreak, resulting in the absence of isolation precautions, PPE, and outbreak management. Surveyors found no signage or enhanced precautions in place, and both staff and residents continued to be affected by GI symptoms across multiple units.
A resident tested positive for RSV, but the facility did not notify the resident's POA of this significant change in condition. The lack of notification was discovered when the resident was later hospitalized for mental status changes, and the hospital informed the POA of the earlier RSV diagnosis. Facility records confirmed there was no documentation of POA notification.
A resident with diabetes had repeated elevated blood glucose readings that exceeded the parameters set by a physician's order, but there was no documented evidence that the provider was notified as required. Interviews with the FNP and an LPN indicated uncertainty about whether notifications occurred, and the administrator confirmed the lack of documentation.
Failure to Document Advance Directive Information
Penalty
Summary
The facility failed to ensure that written information about the right to accept or refuse medical or surgical treatment and to formulate an advance directive, or appoint a surrogate, was provided and documented for 10 of 23 residents reviewed for advance directives. The residents identified were #1, #6, #8, #17, #36, #50, #89, #103, #107, and #110. For each of these residents, record review of the electronic and/or paper medical record lacked evidence that the facility offered, reviewed, or provided the required advance directive information to the resident and/or resident representative. Resident #1 was admitted in January 2026, Resident #6 in May 2015, Resident #8 in February 2024, Resident #17 in January 2026, Resident #36 in February 2026, Resident #89 in September 2017, Resident #103 in March 2026, Resident #107 in March 2026, and Resident #110 in March 2026. Resident #50’s record did not show an advance directive in place and also lacked documentation that advance directives were ever discussed. During the record review on 3/31/26, surveyors requested several advance directives from the Director of Social Services. In interviews on 4/1/26, the Director of Social Services stated she had given a list to the DON of residents who had advance directives, but some could not be found, and later presented a list stating she did not have documentation for advance directives for these residents.
Misappropriation of Resident Property by CNA
Penalty
Summary
The facility failed to ensure a resident remained free from misappropriation of property when a CNA took the resident’s personal credit card and social security card on Christmas Eve 2025. Resident #89 reported that there were multiple unauthorized charges on the credit card, including charges at a motel, gas station, and Target, and stated that the credit card company removed the charges after the resident reported them. The resident also stated that the CNA took the debit card of another resident across the hall and that another resident lost a necklace and money from a card. During interviews, the Administrator stated that once Resident #89 reported the credit card charges, he contacted the local police department and initiated an investigation. The Senior Health Care Operations Consultant stated she was notified of the credit card theft on 1/2/26 and reported it to police, and that two other residents later reported credit card losses. The consultant also stated the CNA had worked only three times before leaving the state, and the CNA was later arrested in Mississippi and faced multiple charges.
Unsafe Lift Equipment and Unsecured Chemical Storage
Penalty
Summary
The facility failed to ensure that the resident environment was free from accident hazards when an EZ Sit to Stand Lift outside of a room was observed missing both of its safety pins. During the observation, Registered Nurse #1 confirmed that the lift was missing its safety pins and removed the lift from the unit. The Director of Nursing later confirmed that maintenance had taken the machine off the floor and ordered new pins. The facility also failed to ensure that chemicals were properly secured when an unsecured container of CaviWipes was observed on a medication cart outside of a room with no staff in sight. Medication Technician #1 confirmed that the wipes should have been in a secure location because vulnerable and ambulatory residents were on the unit. The Safety Data Sheet for CaviWipes states that inhalation, skin contact, eye contact, or ingestion may cause irritation or other symptoms.
CNA Training and Annual In-Service Education Deficiency
Penalty
Summary
The facility failed to ensure that CNA #1 completed the mandatory yearly Abuse and Neglect training and Resident Rights training for 2025, and also failed to monitor that the CNA completed the required 12 hours of annual in-service education for that year. CNA #1 was hired in June 2023, and review of the employee in-service/attendance record showed no evidence of Resident Rights training, Abuse and Neglect training, or the required 12 hours of continuing education for 2025. In interview, the DON confirmed that CNA #1 did not have the 12 hours of education, Abuse and Neglect training, or Resident Rights training, and stated that the CNA was a per-diem employee and she was unsure how many hours were worked in 2025. A later interview with the Senior Healthcare Operations worker confirmed that CNA #1 worked 199.25 hours in 2025.
Failure to Maintain Resident Room Surfaces in Good Repair
Penalty
Summary
The facility failed to adequately maintain maintenance services necessary to keep areas in good repair. During an environmental tour on 4/1/26 at 12:40 with the Administrator and Director of Maintenance, surveyors observed a floor threshold between a first-floor resident room and bathroom with duct tape on each side, creating an uncleanable surface. On the second floor, one resident room had multiple small gouges on the wall to the right of the entrance from a wheelchair, and abrasions on the wall behind the resident's lift chair from it rubbing the wall when it rises. Another resident room had a hole in the bathroom wall just below the towel rack.
Failure to Implement Infection Control Precautions During GI Outbreak
Penalty
Summary
The facility failed to identify and implement appropriate isolation and contact precautions for residents exhibiting symptoms of gastroenteritis, including norovirus, across multiple units. Despite clear evidence of a contagious outbreak, there was no posting or signage on resident doors to indicate infection or the need for PPE, and PPE supplies were not made available for staff or visitors. The Family Nurse Practitioner had notified the facility administration, DON, and ADON/IP via email about the outbreak and recommended immediate implementation of precautions, but these recommendations were not followed. Observations confirmed that even after a resident tested positive for norovirus, isolation signage and PPE carts were not present at the resident's room, and staff and visitors continued to enter without appropriate protective measures. Interviews with staff revealed a widespread lack of knowledge regarding which residents were experiencing GI symptoms and which required isolation precautions. Several CNAs, LPNs, and RNs were unaware of current cases or the need for PPE, often relying solely on door signage to indicate precautions, which was not consistently in place. Staff also reported challenges in obtaining PPE carts and signage, and there was confusion about reporting and communication regarding symptomatic residents. Housekeeping staff were similarly uninformed about which rooms required special precautions, and some staff members themselves had recently experienced GI symptoms but returned to work without clear protocols. The facility's infection prevention and control policy required the identification of infections, implementation of appropriate precautions, and staff education, but these measures were not effectively carried out. The outbreak spread to 17 out of 90 residents across six of seven units, with both the DON and ADON/IP out sick during the event. The lack of timely and effective implementation of infection control measures, failure to follow provider recommendations, and insufficient staff communication and education resulted in the continued spread of gastroenteritis symptoms among residents and staff.
Failure to Initiate Isolation and Contact Precautions During Norovirus Outbreak
Penalty
Summary
The facility failed to ensure that nursing staff immediately initiated isolation and contact precautions for residents exhibiting symptoms of gastroenteritis, such as diarrhea, vomiting, abdominal pain, and fever. Surveyors observed that there was no signage or posting regarding infection or symptoms on any doors, and no isolation or contact precautions were in place on any of the facility's units. The Administrator acknowledged that several residents and staff, including the DON and ADON/IP, were experiencing GI symptoms, but no immediate action was taken to implement appropriate precautions. Interviews with nursing staff revealed a lack of clarity and consistency in the process for initiating isolation precautions and the use of PPE. Several nurses and aides were aware of residents with GI symptoms but did not ensure that precaution signs or PPE carts were present outside affected residents' rooms. Some staff relied on others to set up PPE, while others cited challenges in finding PPE carts and signage. There was also confusion about which residents required isolation, and some staff did not receive reports on residents needing precautions. A Family Nurse Practitioner had notified facility leadership via email about the potential for a norovirus outbreak and recommended immediate implementation of isolation precautions, use of soap and water for hand hygiene, and enhanced cleaning protocols. Despite this warning and the growing number of symptomatic residents and staff, the facility did not act promptly to contain the outbreak, resulting in the spread of GI symptoms throughout the building and a confirmed case of norovirus.
Failure to Implement Infection Control Measures During Norovirus Outbreak
Penalty
Summary
Administration failed to follow the facility's Infection - Clinical Protocol policy and procedures by not implementing the Family Nurse Practitioner's (FNP) recommendations for isolation and contact precautions for residents exhibiting symptoms of gastroenteritis (GI), such as diarrhea, vomiting, abdominal pain, and/or fever. Despite being notified of a potential norovirus outbreak and receiving explicit instructions from the FNP to initiate isolation, use PPE, and enhance cleaning protocols, the facility did not post signage, restrict activities, or ensure the availability of PPE for affected residents. Surveyors observed that no isolation or contact precautions were in place on any units, and there was no visible communication about the outbreak upon entry to the facility. The FNP had provided a list of 30 residents across all units who had experienced or were experiencing GI symptoms, with the first cases reported several days prior to the survey. The FNP confirmed that she had notified the facility administration, DON, and ADON/IP via email about the outbreak and the need for immediate infection control measures, including stopping group activities and using soap and water for hand hygiene. However, the facility did not implement these recommendations, citing residents' rights as a reason for not restricting activities. Additionally, the facility's infection prevention and control program was not followed, as evidenced by the lack of outbreak management, failure to monitor employee health (with both the DON and ADON/IP out sick with GI symptoms), and absence of enhanced precautions or communication to staff and housekeeping. The facility's own policies required surveillance, reporting, outbreak management, and prevention measures, none of which were adequately executed, resulting in the spread of GI symptoms throughout the facility.
Failure to Notify POA of Significant Change in Condition
Penalty
Summary
The facility failed to notify a resident's Power of Attorney (POA) of a significant change in the resident's medical condition. The resident was tested for Respiratory Syncytial Virus (RSV) and received a positive result, but there was no evidence in the medical record that the POA was informed of this diagnosis. The issue came to light when the resident was later transported to the hospital due to mental status changes, and the hospital, not the facility, notified the POA of the prior RSV diagnosis. Review of the medical record confirmed the absence of documentation regarding POA notification, and this was acknowledged by facility staff during interviews.
Failure to Notify Provider of Elevated Blood Glucose Levels
Penalty
Summary
The facility failed to follow a physician's order for diabetes management for one resident. The resident had an active order for blood glucose monitoring once a week, with instructions to notify the provider if blood sugar levels were below 100 or above 200. Clinical records showed multiple instances where the resident's blood glucose readings were significantly above 200, specifically 285, 311, 298, and 253, but there was no documented evidence that the provider was notified as required. Interviews with the Family Nurse Practitioner and an LPN revealed uncertainty and lack of recall regarding provider notification for these elevated readings. The facility administrator confirmed that the clinical record did not contain evidence of communication with the provider regarding the elevated blood sugar levels.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 211 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Saco
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St Andre Health Care Facility | 1.4 mi | ★★★★★ | 0 | 0 |
| Southridge Rehab & Living Ctr | 2.3 mi | ★★★★★ | 0 | 0 |
| Pine Point Center | 5.5 mi | ★★★★★ | 0 | 0 |
| Maine Veterans Home - Scarborough | 6.7 mi | ★★★★★ | 0 | 0 |
| Piper Shores | 8.1 mi | ★★★★★ | 12 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Seal Rock Healthcare.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.