Citations in Maine
Statistics, citations and compliance trends for long-term care facilities in Maine.
Statistics for Maine (Last 12 Months)
Financial Impact (Last 12 Months)
Latest citations in Maine
The facility failed to follow physician and therapy orders for several residents. A resident received insulin even though the blood sugar was below the hold parameter, another resident was observed with a straw despite a no-straw diet order, and eye drops were administered inconsistently with the order. The facility also did not ensure wound dressing orders were entered when wounds were found, and it lacked evidence of ordered I&O monitoring and weekly weights for another resident.
Kitchen sanitation, food storage, and equipment monitoring failures: Dirt and food debris were observed on kitchen and dish room floors, and the mixer had visible residue. Multiple food items in the reach-in refrigerator were expired, unlabeled, or improperly stored, including staff-owned food. Dish machine wash/rinse temps and sanitizer PPM were not documented for multiple meal periods, and several refrigerator/freezer logs had missing entries. The food prep sink and ice machine air gaps were not plumbed to code and were dirty, the garbage disposal was not working, and a cook was observed preparing food without facial hair protection.
A resident with multiple psychiatric and physical diagnoses rolled out of bed while a CNA was changing bed sheets and was later found to have a fractured left humerus. The CNA said the resident was a one-person assist and rolled over too fast for her to stop, and there was no evidence of safety interventions such as positioning away from the bed edge or using a pillow or device to stabilize the resident during the turn.
Failure to report injury of unknown origin: A resident was found to have a fractured left humerus after an ED visit for abdominal pain/possible constipation, following an earlier fall out of bed that had shown no shoulder injury on x-ray. The DON did not consider the fracture related to the prior fall, did not file an incident report with Licensing, and there was no evidence the injury was reported to Licensing and Certification or APS.
Failure to Investigate Injury of Unknown Origin: A resident later found with a fractured left humerus had previously fallen out of bed, but the DON did not consider the fracture to be related and did not investigate it as an injury of unknown origin. The resident reported the injury occurred while rolling out of bed during personal care, and the facility policy required such injuries to be reported and investigated.
A resident room had a strong urine odor, a stand fan heavily covered in dust, dirty floors, and a disorganized appearance. The room also had large black markings on the wall next to the bed, and the DON confirmed the findings.
Failure to Follow Orders for Medications, Diet, Wound Care, and Monitoring
Penalty
Summary
The facility failed to follow physician orders for multiple residents and failed to enter or carry out wound treatment orders as documented in the clinical record. For one resident, an order directed Humalog Mix insulin with breakfast and supper but to hold it if blood sugar was less than 100; the resident’s blood sugar was 88, yet the insulin was still administered. For another resident, speech therapy changed the diet order to soft and bite sized with nectar/mildly thick liquids and no straws, but a straw was observed in the resident’s drink and confirmed during an interview with RN1. For a third resident, lubricant eye drops were observed being given in a manner that did not match the order, including administration to both eyes when the order specified 2 drops to the left eye only. The facility also failed to ensure wound treatment orders were entered and followed for a resident with two wounds. Nursing notes showed dressings were found on the resident’s right upper arm and left forearm before treatment orders were documented, and staff noted that dressing change orders would be entered later. In addition, the facility did not complete ordered intake and output monitoring or weekly weights for another resident whose active orders included both interventions. During interviews, staff were unable to locate documentation of oral intake between meals, stated output was not measured for incontinent residents, and confirmed that the clinical record lacked evidence that I&O monitoring and weekly weights were completed as ordered.
Kitchen sanitation, food storage, and equipment monitoring failures
Penalty
Summary
The kitchen was observed to be maintained in an unclean and unsanitary condition. During a kitchen tour, dirt and debris were seen on the dish room floor around the edges, and dirt and food debris were also observed on the kitchen floor around the edges and under equipment and shelves. The base of the standing mixer shaft had a visible brown and orange residue, and the Sous Chef acknowledged the residue and stated it should be cleaned after each use. Food storage practices were not followed in the reach-in refrigerator. Multiple food items were observed expired, outdated, open without dates, or otherwise improperly labeled, including several base pastes, salad dressings, shredded cheese, and tortillas. A foil-wrapped item labeled with a staff member's name was also found in the back of the refrigerator and was identified as two beef kabobs with sliced onions on wooden skewers. The Sous Chef removed the expired, unlabeled, and staff-owned items and acknowledged that staff were not to store personal food in refrigerators used for resident food per facility policy. The facility also lacked required documentation and maintenance oversight for food service equipment and storage units. Dish machine wash and rinse temperatures and sanitizer PPM were not documented for multiple meal periods in April 2026, and temperature logs for the walk-in freezer, stock room freezer, produce walk-in refrigerator, ice cream freezer, Windsor 1 and 2 units, two named unit refrigerator/freezers, and Cottage #2 unit refrigerator/freezer had multiple missing entries. In addition, the food preparation sink and ice machine air gaps were observed not to be plumbed in accordance with code requirements and were dirty, the garbage disposal was not operational and leaked onto the floor if used, and a cook was observed preparing food without wearing required facial hair protection.
Failure to Prevent Resident from Rolling Out of Bed During Care
Penalty
Summary
The facility failed to ensure a resident’s safety during care when a CNA was changing the resident’s bed sheets and asked the resident to roll over onto the left side. The resident, who had diagnoses including bipolar disorder, PTSD, anxiety, left above-the-knee amputation, altered mental state, arthritis, memory loss, and inability to care for self, rolled out of bed onto the floor before the CNA could stop the movement. The CNA stated the resident was a one-person assist and could roll over independently, and she did not remember whether a handrail was present on the side the resident rolled toward or whether a pillow was placed between the resident and the edge of the bed. The resident was taken to the ED after the fall out of bed, where the resident reported rolling over during sheet changing and landing on the left side. An x-ray at that visit showed no injury to the left shoulder. About 20 days later, the resident returned to the ED with complaints of pain all over, especially the left shoulder, and reported falling out of bed 2 or 3 weeks earlier. An x-ray at that visit revealed a fractured left humerus, and a physician progress note later documented that the resident had fallen from bed, landed on the left side, and had a displaced left humerus fracture identified by x-ray.
Failure to Report Injury of Unknown Origin
Penalty
Summary
The facility failed to report an injury of unknown origin after a fractured left humerus was identified for one resident. Record review showed the resident had a fall out of bed on 4/25/26, when a CNA stated the resident rolled out of bed while bed sheets were being changed. The ED record from that visit documented a fall out of bed and an x-ray that showed no injury to the left shoulder. On 5/15/26, the resident returned to the ED for abdominal pain and possible constipation, and during that visit complained of left shoulder pain. An x-ray then revealed a fractured left humerus. During interview, the resident stated he/she had fallen out of bed a few weeks earlier while rolling over for care and now had a fractured left shoulder. The DON stated she did not believe the fracture was related to the earlier fall, thought something else may have happened while the resident was out with friends or in the parking lot, and confirmed she did not file an incident report for an injury of unknown origin with Licensing. There was no evidence in the clinical record that the injury of unknown origin was reported to Licensing and Certification or Adult Protective Services.
Failure to Investigate Injury of Unknown Origin
Penalty
Summary
The facility failed to complete an investigation into an injury of unknown origin for a resident who was later found to have a fractured left humerus. The resident had previously fallen out of bed while a CNA was changing the bed sheets, and an ED visit at that time showed no injury to the left shoulder. About a month later, the resident returned to the ED for abdominal pain and constipation, complained of left shoulder pain during that visit, and an x-ray revealed the left humerus fracture. The resident told the surveyor that the injury occurred when they rolled out of bed while getting personal care. The DON stated she did not believe the fractured left humerus found during the later ED visit was related to the earlier fall out of bed and said the resident went out frequently, so something else could have caused the fracture. The DON confirmed she did not consider the fracture an injury of unknown origin and did not conduct an investigation into the potential cause of the fractured left humerus. The facility abuse policy stated that injuries of unknown origin should be immediately reported to the Administrator and investigated by the DON or Social Service Director, with a copy of the report sent to DHS Licensing and Certification.
Housekeeping Failures in Resident Room
Penalty
Summary
The facility failed to adequately provide housekeeping services necessary to maintain a sanitary, orderly, and comfortable environment in 1 of 1 observed days. In room [ROOM NUMBER], the surveyor observed a strong urine smell, a stand fan heavily covered in dust, dirty floors, and a disorganized room. The room was later observed to have large black markings on the wall next to the bed. During an interview, the DON confirmed these findings.
Find your facility
Search by name to see its inspection history, citations and penalties — and how to prepare for the next survey.
Get alerted when Immediate Jeopardy citations hit in Maine — free
You're all set
Compliance trends in Maine
Data through Jun 2026Comparisons below measure the most recent period Jul 2025 – Jun 2026 against the prior period Jul 2024 – Jun 2025 (two equal 12-month windows). The most recent 1 months are excluded because CMS is still publishing them.
Top tags by month · last 24 months
dashed = still reportingMonthly citation counts for the 5 most-cited tags. The dashed tail is the 1-month reporting lag.
Frequency movers
Biggest change in how often each tag is cited, as a rate per 100 inspections (so it isn't skewed by survey volume): Jul 2025 – Jun 2026 vs the prior period Jul 2024 – Jun 2025. Only tags with at least 20 citations in both periods are shown.
Severity movers
Tags whose average scope/severity shifted the most: Jul 2025 – Jun 2026 vs the prior period Jul 2024 – Jun 2025. The number is the average severity on the A–L scale (A=0…L=11); the letter is the band it falls in. A rise means the same tag is being cited at a more serious level — note the average can move enough to rank here while staying within the same letter. Same 20-citation minimum applies.
Care domain movers
Citations grouped into CFR care domains — F-tags by their §483 regulatory section (CMS State Operations Manual, Appendix PP) — measured as a rate per 100 inspections: Jul 2025 – Jun 2026 vs the prior period Jul 2024 – Jun 2025. Share is the domain's portion of citations this period; avg severity is the mean scope/severity letter and immediate jeopardy the percentage cited at J–L, both over the current period. Domains with at least 20 citations in both periods are shown; the sparkline tracks the last 12 months (left = oldest).
Immediate jeopardies · this period
Citations at the most serious scope/severity — J–L, immediate jeopardy, residents placed at risk of serious harm or death — over Jul 2025 – Jun 2026 vs the prior period Jul 2024 – Jun 2025. "Surveys with an IJ" counts distinct health inspections that had at least one.
Survey activity · by month
faded/dashed = still reportingCitations each month split into complaint-driven (unscheduled, triggered by grievances) vs standard surveys — bars, left axis — with the number of inspections as a line on the right axis. Rising inspections signal more scrutiny; a rising complaint share means more off-cycle surveys. The most recent 1 months are still being reported.
Deficiency-free survey rate
Share of health surveys that found zero deficiencies — the odds of a clean survey. Jul 2025 – Jun 2026 vs the prior period Jul 2024 – Jun 2025; the most recent 1 months are still being reported (dashed).
Penalties · by month
faded = still reportingTotal civil money penalty dollars imposed on the state's facilities each month — how hard the state is enforcing. The most recent 1 months are still being reported, and penalties often lag citations by several months.
Emerging tags
Tags that weren't established last period but surged — an early warning, distinct from movers (which track already-common tags). Criteria: fewer than 20 citations in the prior period, but at least 10 this period and 2.5× their prior volume. The sparkline shows monthly counts over the last 12 months (left = oldest).
Trusted data from CMS and state health departments
Every citation, penalty and Plan of Correction is sourced from public CMS records (latest release October 8, 2026) and official state health department websites — never guesswork.
In your survey window? See what surveyors are citing.
The Survey-Prep Report maps your facility's risk from 12 months of CMS and state citation data — what's being cited around you and what to check first. $129 one-time.
