Cummings Health Care Facility
5 Crocker Street, Howland, ME 04448 · Penobscot County · (207) 732-4121
34 certified beds, about 31 residents a day · For profit - Corporation · Medicare and Medicaid since 1994
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 205143 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 11, 2025, inspectors cited 8 health deficiencies (the Maine average is 10.8, the national average 9.2).
Of 30 health citations since May 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,824 in the last three years; the largest was $8,824, and the latest is dated March 5, 2024.
Nurses and nurse aides worked 4.10 hours per resident per day, against 4.34 across Maine and 3.86 nationally. Registered nurses accounted for 0.82 of those hours.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
705/23
103/24
1307/24
806/25
107/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 30 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
15D
8E
2F
Potential for minimal harm
0A
4B
0C
July 14, 2026Complaint inspection · 1 citation
- E Provide or get specialized rehabilitative services as required for a resident.
Inspectors wroteBased on interviews and record review, the facility failed to provide specialized rehabilitative services or obtain the required services from an outside resource that is a provider of specialized rehabilitative services for 1 of 1 resident reviewed for rehabilitative services (Resident #9 [R9].
June 11, 2025Standard inspection · 8 citations
- F Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on interviews, the facility failed to ensure the Food Service Supervisor (FSS) met the qualifications of a Certified Food Service Director. This had the potential to affect all the residents (32 residents).
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on record review and interviews related to mandatory submission of staffing information, the facility failed to ensure complete and accurate direct care staffing information based on payroll data was submitted to CMS (Centers for Medicare and Medicaid Services) for fiscal year quarter 2 2025 (January 1 - March 31, 2025). This has the potential to affect all residents (32 Residents).
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations and interviews, the facility failed to promote care for residents in a manner that maintains the resident's dignity and respect during resident observations on 2 of 3 days of survey (6/9/25 and 6/10/25) (Resident #27 [R27], and R12).
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on facility policy review, record review, and interview, the facility failed to ensure that the resident and/or resident representative received assistance/follow up assistance to complete the written information provided concerning the right to accept or refuse medical or surgical treatment and/or formulate an advanced directive, or appoint a surrogate, for 1 of 16 residents reviewed for advanced directives. (Resident #22 [R22]).
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interviews, the facility failed to ensure that a resident's physician was notified of a significant health change/abnormal lab result with a dieticians recommendation for 1 of 1 resident reviewed (Resident #23 [R23]).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record reviews and interviews, the facility failed to follow physician orders for 1 of 16 residents reviewed. (Resident #30 [R30]).
- D Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on record reviews and interviews, the facility failed to ensure the physician reviewed the resident's total program of care, which included signing orders for medications and treatments listed on the Physician Orders in a timely manner for 2 of 6 residents reviewed for unnecessary medications (Residents #14 [R14], and R23).
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on record review and interview, the facility failed to incorporate in a care plan the collaboration and responsibilities shared by the facility and Hospice for 1 of 2 Hospice residents reviewed (Resident #5 [R5]).
July 17, 2024Standard inspection · 13 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and interview, the facility failed to store food in a sanitary manner on 1 of 3 survey days, and the facility failed to keep accurate and complete temperature logs of the walk-in refrigerator, walk-in freezer, and refrigerator/freezer in the kitchen (7/15/24).
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review and interviews, the facility failed to develop a water management program to prevent the growth and spread of legionella and other water-borne pathogens, and the facility failed to develop policy and procedures for enhanced barrier precautions to reduce the transmission of multidrug-resistant organisms.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review, facility policy review, and interview, the facility failed to offer Pneumococcal Vaccinations (Prevnar 20) to 3 of 5 residents reviewed (Resident #10 [R10], R28, and R32).
- E Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on employee file reviews and interviews, the facility failed to ensure that a Certified Nursing Assistant (C.N.A.) received at a minimum 12 hours of annual in-service training that included abuse prevention, resident rights and dementia for 1 of 5 Certified Nursing Assistants (C.N.A.s) reviewed (Certified Nurse Assistant #1 [C.N.A.1]).
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on interview and record review, the facility failed to complete a comprehensive Minimum Data Set 3.0 (MDS 3.0) assessment within 14 days after a resident experienced a significant change of condition, when hospice services were discontinued for 1 of 1 sampled residents (Resident #5 [R5]).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interviews, the facility failed to follow their fall protocol for neurological assessments and failed to follow physician orders for 1 of 1 residents reviewed for hospitalization (Resident #22 [R22]).
- D Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on monthly schedule reviews and interviews, the facility failed to use the services of a Registered Nurse (RN) for at least 8 consecutive hours a day, 7 days a week for 6 days of 2 months reviewed for staffing (January and February 2024).
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on review of Employee Job Performance Evaluations and interview, the facility failed to complete an annual performance evaluation at least every 12 months, for 2 of 5 sampled Certified Nursing Assistants (C.N.A.) employed greater than 1 year (Certified Nurse Assistant #2 [C.N.A.2] and Certified Nurse Assistant-Medications [C.N.A.-M]).
- D Dispose of garbage and refuse properly.
Inspectors wroteBased on observation and interview, the facility failed to maintain a garbage storage area in a sanitary condition to prevent the harborage and feeding of pests for one trash dumpster for 1 of 3 days of survey (7/17/24).
- D Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on record review, facility policy review, Centers for Disease Control and Prevention (CDC) recommendations, and interview, the facility failed to offer the updated 2023-2024 Coronavirus (COVID-19) vaccine for 1 of 5 residents reviewed (Resident #28 [R28]).
- B Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure quarterly statements were provided to the Resident or Resident representative for 1 of 1 Resident with a trust account (Resident #8 [R8]). In addition, the facility failed to ensure quarterly statements were provided to all Residents or Resident representatives with trust accounts.
- B Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on observations and interview, the facility failed to post, in a place readily accessible to residents, family members, and legal representatives, the results of the most recent survey of the facility in 2 of 2 survey folders (located in the dining room and entrance foyer).
- B Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure that the Annual Minimum Data Set (MDS) 3.0 was coded accurately on two annual MDS assessments to indicate that a resident had a State Level II Preadmission Screening and Resident Review (PASRR) for 1 of 1 sampled residents reviewed for PASRR (Resident #21 [R21]).
March 5, 2024Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and interviews, the facility failed to provide necessary assistance to prevent accidents by failing to ensure that a two-person mechanical lift assist was provided during transfer for 1 of 1 resident (Resident#1 [R1]) reviewed for an incident with injury. This fall resulted in R1 falling during an improper transfer from bed to shower chair and R1 sustaining a fractured left arm and left ankle.
May 11, 2023Standard inspection · 7 citations
- E Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on record review and interview, the facility failed to inform a resident or their representative, of a treatment that would be held due to unavailability for 1 of 1 resident reviewed. (Resident #12).
- E Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interview the facility failed to notify a Practitioner and an Oncologist of resident changes in medications not being received due to unavailability for 1 of 1 resident reviewed (Resident #12)
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review, review of the facility's Infection Prevention and Control Policy (IPCP) and interviews, the facility failed to conduct an annual overall review of the facility's Infection Prevention and Control Policy for 1 of 1 IPCP review. In addition, the facility failed to follow it's cleaning policy for a resident diagnosed with Clostridium difficile (C-diff) (a bacterium that causes an infection in the large intestines) for 1 of 1 resident reviewed with C-diff (Resident #32).
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observations and interview, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in good repair and in a sanitary condition for 2 of 2 Units. (A-Unit and B-Unit) for 1 of 1 environmental tours. In addition, the facility failed to maintain a sanitary and clean nebulizer machine for 1 of 1 resident nebulizer machines observed (Resident #5). On 5/11/23 at 9:45 a.m., a surveyor did an environmental tour with the facility Administrator in which the following were observed: A-Unit room [ROOM NUMBER]: Bed-1's resident fan that blows on the resident's bed is heavily soiled with clumps of dust. room [ROOM NUMBER]: To the left of Bed-1, the floor is stained with a rust colored substance. The tiles under the sink are separated creating an uncleanable surface. room [ROOM NUMBER]: [...]
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record reviews, and interviews the facility failed to ensure that physician orders were followed for 1 of 5 resident's (Resident #15) observed during medication administration, and 1 of 5 resident's reviewed for unnecessary medications (Resident #32). 1. On 5/8/23 at 6:21 p.m., during a medication administration observation for Resident #15, who had an order for Metoprolol 50 milligrams (mg) twice a day with directions to hold if pulse is below 60. The Certified Nursing Assistant Medication aide (CNA-M) prepared his/her medications for administration. The CNA-M went into the resident's room and administered the Metoprolol 50 mg without taking Resident #15's pulse. The surveyor questioned the CNA-M about not taking the pulse before administering the Metoprolol and he stated that the order had been discontinued. [...]
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to label whipped topping with a thaw date on 1 of 4 days of survey (5/9/23), in addition the facility failed to label and date food in the resident's refrigerator located in the kitchenette on 1 of 4 days of survey (5/9/23).
- B Post nurse staffing information every day.
Inspectors wroteBased on observations and interview, the facility failed to post the current daily nurse staffing information that includes the facility name, and a breakdown of the number of hours of registered and unlicensed nursing staff responsible for direct resident care for 3 of 4 survey days, and the facility failed to keep a copy of the posted daily nurse staffing information for 18 months. (5/8/23, 5/9/23, and 5/10/23)
Fire safety inspections
9 fire safety citations on file: 4 on June 11, 2025, 5 on May 11, 2023.
Every fire safety citation9 citations
- D Address subsistence needs for staff and patients.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Have proper medical gas storage and administration areas.
- F Inspect, test, and maintain automatic sprinkler systems.
- D Provide properly protected cooking facilities.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Meet requirements for the use of electrical equipment.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 5, 2024 | Fine | $8,824 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Maine | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.10 | 4.34 | 3.86 |
| Registered nurses | 0.82 | 1.05 | 0.69 |
| All nursing staff on weekends | 3.81 | 3.92 | 3.42 |
| Nurse aides | 2.87 | ||
| Licensed practical nurses | 0.41 | ||
| Nursing staff turnover (share who left in a year) | not reported | 46.7% | 45.8% |
| Registered nurse turnover | not reported | 40.2% | 42.9% |
| Administrators who left | not reported |
CMS expects 4.12 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.22 on weekdays and 3.81 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.87 in April to June 2025 to 4.10 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.10 | 0.82 | 4.22 | 3.81 | 0.0% | 0 of 90 | 31 |
| Oct to Dec 2025 | 3.83 | 1.00 | 3.91 | 3.64 | 0.0% | 0 of 92 | 32 |
| Jul to Sep 2025 | 3.85 | 1.03 | 3.98 | 3.53 | 0.0% | 0 of 92 | 30 |
| Apr to Jun 2025 | 3.87 | 0.96 | 3.97 | 3.62 | 0.0% | 0 of 91 | 32 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Maine, Jan to Mar 2026 | 4.35 | 1.06 | 4.52 | 3.95 | 9.2% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Maine | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 25.8 | 24.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.1 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.5 | 2.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.5 | 4.1 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 26.2 | 25.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.8 | 4.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.8 | 20.2 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.0 | 1.8 |
Owners and operators
Legal business name: CUMMINGS HEALTH CARE FACILITY INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Goslin, David | 5% or greater direct ownership interest | Individual | 11/01/2013 | |
| Goslin, Melinda | 5% or greater direct ownership interest | Individual | 11/01/2013 | |
| Goslin, David | 5% or greater mortgage interest | Individual | 11/01/2013 | |
| Goslin, Melinda | 5% or greater mortgage interest | Individual | 11/01/2013 | |
| Goslin, Addison | W-2 managing employee | Individual | 12/27/2016 | |
| Goslin, David | W-2 managing employee | Individual | 02/05/2008 | |
| Goslin, Melinda | W-2 managing employee | Individual | 02/05/2008 | |
| Goslin, Addison | Corporate officer | Individual | 12/27/2016 | |
| Goslin, David | Corporate officer | Individual | 02/05/2008 | |
| Goslin, Melinda | Corporate officer | Individual | 02/05/2008 | |
| Goslin, Addison | Operational/managerial control | Individual | 11/07/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on June 11, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on July 14, 2026: "Provide or get specialized rehabilitative services as required for a resident."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 5 problems in this area, most recently on June 11, 2025: "Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on June 11, 2025: "Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.81 hours per resident per day, below the Maine average of 3.92.
Other nursing homes nearby
- Orono Commons Orono, 24.9 mi · 1 of 5 stars · 48 citations
Maine contacts for a concern about a nursing home
These are the official offices in Maine. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Maine DHHS Division of Licensing and Certification, Nursing Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Maine Long-Term Care Ombudsman Program, (800) 499-0229. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Maine DLC Licensed Provider Search, where Maine publishes its own records on licensed homes.
Common questions
- What is Cummings Health Care Facility's Medicare star rating?
- CMS rates Cummings Health Care Facility 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Cummings Health Care Facility get at its last inspection?
- 8 health deficiencies at the standard inspection on June 11, 2025. The Maine average is 10.8.
- Has Cummings Health Care Facility been fined?
- Yes. CMS lists 1 fine totaling $8,824 in the last three years.
- Does Cummings Health Care Facility accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Cummings Health Care Facility?
- CMS lists 11 owners and managers. Legal business name: CUMMINGS HEALTH CARE FACILITY INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.