Above average — CMS composite of the measures below.
The next survey window likely opens around April 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 Westgate Center For Rehab & Alzheimers Care during CMS and state inspections, most recent first.
Failure to maintain a clean, odor-free environment on the Acadia Unit. Surveyors repeatedly observed a strong, foul urine odor lingering throughout the locked dementia/Alzheimer's unit over multiple days. The RN-Charge Nurse acknowledged the unit has a strong odor and said windows are opened when possible, housekeeping cleans daily, and air freshener sprays are used; the DON was informed of the findings.
Care Plans Not Updated for Code Status, Insulin, UTI/Sepsis, and Constipation: The facility failed to keep care plans current for two residents. One resident’s care plan remained Full Code despite DNR orders, did not address ordered insulin regimens, and still reflected UTI/sepsis-related needs without evidence of ongoing interventions. Another resident’s care plan was not revised after two hospitalizations for constipation treatment. The DON confirmed the care plans were not updated to reflect these current conditions and treatments.
A resident received duplicate doses of senna because a second senna-s order remained on the MAR alongside the existing senna order. The resident’s signed order called for Senna 8.6 mg, 2 tablets BID for constipation, but the MAR showed both senna and senna-s being administered twice daily for weeks. During interview, the ADNS could not explain why senna-s was listed, and review of the orders and MAR confirmed the duplicate dosing.
A facility failed to ensure an attending provider signed the medication Order Review History Report during a required recertification visit for one resident reviewed for unnecessary meds. The provider progress note was completed on the visit date, but the physician block orders were not signed until the next day, and the facility could not show they were signed on the day of the visit. The surveyor confirmed the finding with the DON and the Regional Director of Clinical Operations.
A resident’s record contained inaccurate hospice documentation. The chart showed the resident had been discharged from hospice, but multiple provider notes later stated the resident was on hospice level care and receiving weekly hospice visits, even though the record lacked evidence of active hospice services. The DON confirmed the notes were not accurate.
A certified nursing assistant did not receive a required annual performance evaluation within the mandated 12-month period, with the evaluation being completed over eight months late. This delay was confirmed by facility leadership.
Failure to Maintain a Clean, Odor-Free Environment on the Acadia Unit
Penalty
Summary
The facility failed to adequately provide housekeeping services necessary to maintain an environment free from offensive odors on the locked Acadia Unit. During observations over 3 days, a strong, foul urine odor was noted upon entering the unit multiple times and was described as lingering throughout the unit. On 5/13/26, the Acadia Unit RN-Charge Nurse acknowledged that the unit does have a strong odor and stated that windows are opened when possible, housekeeping cleans daily, and air freshener sprays are used. The DON was also informed of the findings during an interview on 5/13/26.
Care Plans Not Updated for Code Status, Insulin, UTI/Sepsis, and Constipation
Penalty
Summary
The facility failed to ensure that care plans were updated and implemented for 2 residents reviewed during the survey. For Resident #3, the clinical record showed multiple provider orders changing code status to DNR, but the care plan continued to list the resident as Full Code. The record also showed orders for NovoLOG sliding scale insulin, NovoLOG 7 units before meals, and Insulin Glargine 32 units daily, but the care plan did not address the resident’s insulin orders, including goals and interventions for monitoring and management. In addition, the care plan still included a focus for a urinary tract infection with sepsis and dependence on staff for some physical needs, while the record lacked evidence that the resident was receiving interventions for a UTI or sepsis after the noted date. For Resident #9, the clinical record showed two hospitalizations for constipation treatment, but the care plan was not revised to include constipation treatment. During interview, the DON confirmed that Resident #3’s care plan was not updated with current end-of-life goals, urinary status, or insulin-related goals and interventions, and confirmed that Resident #9’s constipation was not addressed on the care plan and was not revised after the second hospitalization.
Duplicate Senna Orders Resulted in Unnecessary Medication Administration
Penalty
Summary
The facility failed to ensure a resident’s drug regimen was free from unnecessary drugs when a duplicate senna order remained on the electronic MAR for Resident #10. The resident’s signed physician order dated 4/23/26 directed Senna 8.6 mg, 2 tablets by mouth twice daily for constipation, hold for loose stools. Review of the MAR showed that a second order was entered on 3/26/26, and from that date forward the resident received both Senna 8.6 mg, 2 tablets at 8:00 p.m. and senna docusate sodium (senna-s) 8.6-50 mg, 2 tablets at 8:00 p.m. The resident continued receiving both medications twice daily from 3/27/26 through 5/13/26. During interview, the ADNS was unable to identify why senna-s was on the MAR, and review of the signed physician orders and MARs confirmed the duplicate dosing.
Provider Did Not Sign Physician Block Orders During Required Visit
Penalty
Summary
The facility failed to ensure the attending provider signed the medication Order Review History Report (physician block orders) during a required regulatory visit for one sampled resident, R40, who was reviewed for unnecessary medications. Record review showed the required visit was completed on 4/30/26, and a provider progress note was entered that same day, but the physician block orders were not signed until 5/1/26. The facility was unable to provide evidence that the physician block orders were signed on the day of the required recertification visit. On 5/13/26 at approximately 1:35 p.m., the surveyor discussed and confirmed this finding with the DON and the Regional Director of Clinical Operations.
Inaccurate hospice documentation in resident record
Penalty
Summary
The facility failed to ensure that one resident’s clinical record contained accurate, complete, and readily accessible information regarding hospice services. On 5/11/26, R45’s record was reviewed and showed a health status note on 3/26/26 indicating the resident was discharged from hospice services. However, multiple later provider notes stated that R45 was “now on hospice level care” and was seen for weekly hospice visits, including notes dated 4/1/26, 4/8/26, 4/15/26, 4/30/26, and 5/7/26. The clinical record lacked evidence that R45 was receiving hospice services at the time of those visits. During an interview on 5/13/26, the DON stated that R45 had been discharged from hospice services and confirmed the provider notes were not accurate. The surveyor confirmed at that time that R45’s clinical record contained inaccurate documentation regarding hospice services.
Late Completion of Annual Performance Evaluation for CNA
Penalty
Summary
The facility failed to complete an annual performance evaluation for one certified nursing assistant within the required 12-month period. The performance evaluation for this staff member was completed 8 months and 20 days after the due date. This was confirmed through a review of the employee's records and an interview with the Assistant Director of Nursing, who acknowledged the delay in conducting the evaluation. No additional information about the staff member's medical history or condition at the time of the deficiency was provided in the report.
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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 Bangor
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bangor Nursing & Rehabilitation Center | 0.4 mi | ★★★★★ | 24 | 0 |
| Ross Manor | 1.3 mi | ★★★★★ | 0 | 0 |
| Stillwater Health Care | 2 mi | ★★★★★ | 12 | 0 |
| Eastside Center For Health & Rehabilitation, Llc | 2.7 mi | ★★★★★ | 16 | 0 |
| Brewer Center For Health & Rehabilitation, Llc | 2.9 mi | ★★★★★ | 7 | 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.