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Home / Maine / Madison

Maplecrest Rehab & Living Center

174 Main St., Madison, ME 04950 · Somerset County · (207) 696-8225

58 certified beds, about 46 residents a day · For profit - Corporation · Medicare and Medicaid since 1993

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
1 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 205128 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 9, 2025, inspectors cited 13 health deficiencies (the Maine average is 10.8, the national average 9.2).

None of its 41 health citations since October 2022 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.95 hours per resident per day, against 4.34 across Maine and 3.86 nationally. Registered nurses accounted for 0.72 of those hours.

50.9% of nursing staff left within the year CMS measured (Maine average 46.7%).

CMS links it to North Country Associates, an affiliated group of 9 nursing homes.

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.

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 41 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
15D
21E
0F
Potential for minimal harm
0A
5B
0C
July 9, 2025Standard inspection, Complaint inspection · 13 citations
  1. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 18, 2025
    Inspectors wroteBased on observations and interviews, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in a sanitary, orderly, and comfortable environment on 3 of 4 Wings (Lakewood, Embden, [NAME]) and the common area/hallway for 2 of 3 days of survey.1. On 7/7/25 at 9:14 a.m., and on 7/8/25 at 8:11 a.m., observation of room [ROOM NUMBER] to have trash/debris including tissues, a pen, papers, food and a sticky layer of a dried substance under the bed. 2. On 7/8/25 from 2:41 p.m. [...]
  2. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observations, record reviews, interviews and the facility policy, the facility failed to maintain a sanitary environment to help prevent the development and transmission of disease and infection related to respiratory care for 4 of 5 residents reviewed for respiratory care (Resident #45, #151, #29 and #35). In addition, the facility failed to ensure physician orders were followed for 1 of 5 residents receiving oxygen therapy (Resident #10)Oxygen use & Storage Policy last revised on 6/25 states under respiratory care A Sanitary environment must be maintained to prevent the transmission of disease and infection. A. Nasal Cannula's will be discarded and changed every 2 weeks. The respiratory set up bag will be labeled with resident's name and the date the equipment was changed or the date changed can be directly labeled on the cannula with a piece of tape. [...]
  3. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 18, 2025
    Inspectors wroteBased on record review, observation and interviews, the facility failed to adequately store controlled substances in a permanently affixed compartment and double locked for 1 of 1 medication refrigerator reviewed (nurses station), and failed to ensure controlled medications were stored appropriately for 1 of 3 medication carts observed (Embden and [NAME] medication cart), in addition, the facility failed to ensure treatment carts were locked when unattended on 1 of 1 unit ([NAME] Chase [NAME] Unit) for 1 of 3 days of survey.1. During a review of Embden and [NAME] medication cart with Certified Nursing Assistant/Medication Technician (CNA-M) #3 on 7/7/25 at 8:35 a.m., CNA-M #3 confirmed the cart contained controlled medications and proceeded to open the metal box with a lock on the top, using her pinky fingernail, sticking it under the lid and popping the lid open. [...]
  4. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 18, 2025
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for floors and walls for 1 of 3 days of survey (7/7/25) and failed to monitor refrigerator, freezer and the steam table/tray line temperatures for 3 of 4 months reviewed.1. On 7/7/25 from 8:33 a.m. to 9:00 a.m., a surveyor conducted a kitchen tour with the Food Service Director in which the following
  5. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observations, record review and interview, the facility failed to maintain an Infection Control Program designed to help prevent the development and transmission of disease and infection by failing to conduct ongoing surveillance, tracking and educations to prevent the spread of Infections, failed to apply appropriate interventions including Transmission Based Precautions (TBP) and Enhanced Barrier Precautions (EBP), and failed to develop and implement elements of a Legionella Water Management Program. This has the potential to affect all 47 residents. Infection Control: Multidrug-Resistant Organism (MDRO's) policy, last revised 4/18/24 states Enhanced Barrier Precautions (EBP): gowns and gloves are worn during high-contact resident care activity. Examples of high-contact activity are: Preforming ADLS (activity of daily living) - bathing, dressing, transfers and toileting. [...]
  6. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 18, 2025
    Inspectors wroteBased on facility policy, record review, and interview, the facility failed to notify the State Agency after potential abuse concerns were identified, failed to investigate allegations of potential abuse, and failed to ensure that the facility's investigation was sent to the State Agency within 5 business days of the incident for 1 of 4 incidents reviewed for abuseFacility policy titled Abuse, Neglect, Exploitation, Mistreatment and Misappropriation of Resident Property last revised 10/2018 states Any nursing home employee or volunteer who becomes aware of abuse, mistreatment, neglect, exploitation or misappropriation shall immediately report to the Nursing Home Administrator. Under Section E: Investigation, Subsection A. [...]
  7. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 18, 2025
    Inspectors wroteBased on record review and interviews, the facility failed to ensure that the State mental health authority for Pre-admission Screening and Resident Review (PASRR) was notified after a resident was newly diagnosed and/or experienced symptoms related to a mental disorder or trauma event to determine if a change in level of service was required for 1 of 1 sampled resident reviewed for PASRR (Resident #14). Review of Resident #14's Minimum Data Set 3.0 (MDS) revealed an Annual Comprehensive Assessment, dated 11/14/24 that indicates an active primary diagnosis of Dementia and an active diagnosis of Post-Traumatic Stress Disorder (PTSD). Resident #14's most recent Quarterly MDS, dated [DATE], also includes an active diagnosis of mood disorder and indicates Resident #14 exhibited Physical behavioral symptoms directed towards others and Verbal behavioral symptoms directed toward others. [...]
  8. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 18, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure that a care plan was developed in the area of respiratory care for 2 of 5 residents reviewed for respiratory needs (#45 and #10) and in the area of accidents for 1 of 1 reviewed for falls (#43).1. Review of Resident #45's medical record stated he/she was admitted on [DATE] with a diagnosis of chronic obstructive pulmonary disease with acute exacerbation and obstructive sleep apnea requiring the use of Continuous positive airway pressure (CPAP) machine and nebulizers. The medical record lacked evidence that a comprehensive care plan had been developed in the area of a respiratory to include the use of the CPAP and nebulizer. On 7/8/25 at 10:12 a.m., during an interview the above was discussed with the Director of Nursing 2. [...]
  9. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 18, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure a care plan was accurately revised for 1 of 2 residents reviewed for intravenous (IV) antibiotic use and transmission-based precautions (Resident #24). On 7/7/25 at 10:16 a.m., a surveyor observed Resident #24 receiving an IV infusion of the antibiotic Vancomycin. Resident #24 stated he/she had an infection of the right leg and was receiving 2 IV antibiotics. A review of Resident #24's clinical record noted a history of MRSA (methicillin resistant Staphylococcus aureus), a multidrug resistant organism, and recurrent lower extremity cellulitis. The record noted Resident #24 had been treated with IV antibiotics in May, 2025. The record noted on 6/25/25, Resident #24 had a PICC (peripherally inserted central catheter) line placed at the local hospital and was started on IV vancomycin and cefepime. [...]
  10. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 18, 2025
    Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure that the resident's environment was free of accident hazards by failing to maintain a clutter-free pathway in the resident's room for 1 of 1 sampled resident reviewed for accidents (Resident #14). On 7/7/25 at 9:02 a.m. and 7/8/25 at 8:33 a.m., a surveyor observed a clear plastic bag containing two siderails, located on the floor next to Resident #14's bed, two wheelchair footrests and multiple pairs of shoes on the floor next to Resident #14's recliner, and a pair of shoes on the floor in front of the recliner. A review of Resident #14's most recent Fall Risk Screen, dated 4/30/25, indicated he/she is at high risk for falls. [...]
  11. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on record review, observations and interviews the facility failed to ensure that two people who are authorized to administer medications signed the Narcotic Bound Book [a logbook used to record medication] Shift Count page indicating that they counted all the controlled substances at the change of shift for multiple shifts on 2 of 3 units observed for medication storage (Embden and [NAME] Control log).1. On 7/7/25 at 8:35 a.m. a review of Embden and [NAME] unit control log with Certified Nursing Assistant/Medication Technician (CNA-M) #3 revealed the following: -control log lacked evidence of oncoming signature during the day shift on 7/4/25 at 06:00, on 6/6/25 at 06:00, on 6/10/25 at 06:00, on 6/27/25 at 06:00, on 6/24/25 at 14:00, and on 6/29/25 at 14:00. [...]
  12. D
    Have a plan that describes the process for conducting QAPI and QAA activities.
    F865 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observations, record reviews, and interviews, the facility's quality assurance committee failed to ensure that the Plan of Correction (PoC) for identified deficiencies from the Recertification Survey, dated 7/9/25, were implemented/effective. The facility remains non-compliant with deficiencies F0695 (Respiratory Care), F0755 (Pharmacy Services/Procedures/ Pharmacist/Records), and F0880 (Infection Prevention & Control) which were recited at the re-visit survey on 9/9/25.
  13. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 18, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident who had elected to receive a Pneumococcal immunization received the immunization, for 1 of 5 resident records reviewed for immunizations (Resident #25)Review of Resident #25's clinical record revealed a signed Immunization Consent Form, dated 7/24/24, indicating Resident #25's legal representative consented to the Pneumococcal immunization. Further review of the clinical record lacked evidence that Resident #25 received or refused the Pneumococcal immunization. On 7/9/25 at 12:52 p.m., during an interview with two surveyors, the Infection Preventionist stated the Director of Nursing handles immunization tracking. On 7/9/25 at 12:57 p.m., two surveyors reviewed the above findings with the Director of Nursing.
December 11, 2024Complaint inspection · 2 citations
  1. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 7, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure that a resident's choice in the area of bathing was followed for 1 of 3 sampled residents [Resident #1 (R1)].
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 7, 2025
    Inspectors wroteBased on record review, and interviews, the facility failed to ensure a care plan was updated in order to meet the physical needs of a resident for 1 of 2 residents reviewed during a complaint investigation [Resident #1 (R1)].
October 28, 2024Complaint inspection · 1 citation
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on interviews, record reviews, and facility policy, the facility failed to ensure care plans were updated/implemented for 2 of 3 residents reviewed during a complaint investigation.
April 19, 2024Standard inspection · 17 citations
  1. E
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on facility policy, record review, and interviews the facility failed to provide residents/representatives written information concerning the right to accept or refuse medical or surgical treatment and/or formulate an advance directive for 6 of 6 residents reviewed for advanced directives (Resident's #7, #23, #27, #39, #304 and #306).
  2. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on observations and interviews, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in good repair and in a sanitary condition for the 3 of 4 units (Lakewood, [NAME] Chase [NAME] and [NAME]), a common area and the Laundry room for 1 of 1 facility tours (4/18/24).
  3. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on record reviews, interviews, and facility policy the facility failed to update/implement goals and interventions in the areas of enteral feeding (Resident #37), and mobility (Resident #41) for 2 of 14 care plans reviewed.
  4. E
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on interviews, record review and facility policy, the facility failed to provide residents with a continuous resident centered activities program for 3 of 4 residents reviewed for activity participation. (Resident's #12, #16, and #47).
  5. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on observation, interviews, and a review of Safety Data Sheets (SDS), the facility failed to ensure that the resident's environment was free of accident hazards relating to electric wall heating units for 3 of 3 observations and failed to ensure that that a chemical was properly secured for 1 of 4 days of survey. (4/16/24)
  6. E
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on record reviews and interviews, the facility failed to complete performance reviews at least once every twelve months for 3 of 3 Certified Nursing Assistants selected for review (Certified Nursing Assistant's (CNA) (CNA's #7, #8 and #9).
  7. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on observation, interview's, and record review, the facility failed to reconcile the narcotic book during shift change on 1 of 3 units (Emden Unit).,failed to monitor and record refrigerator temperatures containing biological's and vaccines in medicaion room (long term care medication room).
  8. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on observations, interviews and the facility's current Cleaning Dishes/Dish Machine policy, Dish Machine Temperature and Sanitizer Log Form policy, Food Storage Procedure, Sink/Bucket Sanitizer logs, Daily High-emp Ware Wash Checklist logs and Freezer and Refrigerator Temperatures Form logs, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for a ceiling air handling unit, ceiling tiles, ceiling lights, ceiling vents, and wall mounted fans. In addition, the facility failed to ensure products in the reach-in refrigerator and the dry storage room (including a chest freezer) were labeled and/or dated for 1 of 1 kitchen tours. [...]
  9. E
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on Certified Nurse's Aide (CNA) employee education record reviews and interview, the facility failed to monitor and ensure that a CNA attended the required 12 hours of annual in-service education, for 3 of 3 randomly selected CNA's employed greater than 1 year. (#7, #8, and #9).
  10. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on observation, interviews, record review, and facility policy, the facility failed to assess a resident for self-administration of medications (Resident #20). Review of facility policy Self-Administration of Medications dated 11/28/16 states .Facility . should assess and determine, . whether Self-Administration of medications is safe and clinically appropriate, based on the resident's functionality and health condition .To ensure safe and appropriate Self-Administration, Facility should educate residents to ensure that a resident is able to; State the name, dose, strength, frequency, and purpose for use of his/her medications; Understand the possible side effects of his/her medications and that he/she should notify Facility staff if he/she experiences any such side effects; correctly administer .his/her medications . [...]
  11. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to follow a resident's schedule for bathing and to ensure that a resident has a choice about his/her care in the area of bathing for 1 of 1 resident (Resident #11). On 4/17/24 at approximately 10:00 a.m. ,during an interview with a surveyor, Resident #11 voiced his/her frustration that he/she has not been receiving his/her showers on a weekly basis. Further, Resident #11 stated he/she prefers a whirlpool twice a week because it helps make his/her joints feel better and helps with his/her chronic pain. On 4/17/24, a surveyor reviewed the facility's Whirlpool & Shower List which indicates the resident is scheduled to have a shower and/or whirlpool on Wednesday during the day shift. In a review of the resident's electronic bath record from 3/1/24 through 4/17/24 indicates that resident had a shower on 3/27/24 and 4/10/24. [...]
  12. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure the resident representative was notified of an injury of unknown origin and failed to follow its own Notification of Changes policy and procedure for 1 of 1 sampled resident reviewed for injury of unknow origin (Resident #9).
  13. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on record review, observations and interviews the facility failed to maintain an Infection Control Program designed to help prevent cross contamination and/or development of infection by maintaining a safe and sanitary environment related linen handling, urinary collection devices for 3 of 3 days of survey on 2 of 3 units ([NAME] and Lakewood).
  14. B
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    F576 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on interview, the facility failed to ensure that mail was delivered to all residents on 1 of 6 days, Monday through Saturday. (Saturday)
  15. B
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on record review and interview, the facility failed to notify the resident, family and/or the resident's representative in writing of the transfers/discharge to an acute care hospital for 2 of 3 residents sampled for hospitalizations (Residents #8 and #11).
  16. B
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on record review and interview, the facility failed to issue a bed hold notice which included the daily bed hold cost, to a resident, known family member or legal representative for 2 of 3 sampled residents who had been transferred to the hospital (Residents #8 and #11).
  17. B
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on record review and interview, the facility failed to complete a Minimum Data Sets (MDS) with in 14 days of Assessment Reference Date (ARD) and failed to transmit the MDS electronically to the State MDS database within 14 days of completion for 7 of 7 residents reviewed for resident assessments. (#6, #8, #13, #25, #35, #44 and #318)
October 19, 2022Standard inspection · 8 citations
  1. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 2, 2022
    Inspectors wroteBased on observations and interview, the facility failed to have all residents sharing a table in the dining room eat at the same time. Meals were delivered between 12:24 p.m and 1:11 pm to residents sharing the same table. This has the potential to effect all the residents sitting in the dining room.
  2. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 2, 2022
    Inspectors wroteBased on observations and interviews, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in good repair and in a sanitary condition on 2 of 4 Units (Lakewood and [NAME]) for 3 of 3 days of survey.
  3. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 2, 2022
    Inspectors wroteBased on interviews and record review, the facility failed to review and revise the care plan by an interdisciplinary team (IDT), that included, to the extent possible, participation of the resident and/or his/her representative to review and revise the care plan after each assessment for 5 of 13 sampled residents (#2, #3, #4, #28, #30).
  4. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 2, 2022
    Inspectors wroteBased on observation and interviews, the facility failed to ensure expired medications were removed from the supply available for use in 1 of 1 medication rooms and 2 out of 3 medication carts observed.
  5. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 2, 2022
    Inspectors wroteBased on interviews, Resident Council Meeting Minutes, observations and lunch meal test tray, the facility failed to serve hot foods hot for 1 of 1 lunch meals tested for appetizing temperatures. (Residents #38, #9, #30)
  6. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 2, 2022
    Inspectors wroteBased on observations and interviews, the facility failed to assure the kitchen was maintained in a clean and sanity manner for an ice machine, ceiling tiles, and a fan, 1 of 1 kitchen tours.
  7. E
    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
    F943 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 2, 2022
    Inspectors wroteBased on interview and record review, the facility failed to implement and maintain an effective training program which includes, at a minimum, training on abuse, neglect, exploitation and misappropriation of resident property and dementia management by failing to ensure that 4 of 5 Certified Nursing Assistants (CNAs) reviewed for in-service training completed the required training (#1, #2, #3 and #5).
  8. B
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) December 2, 2022
    Inspectors wroteBased on an interview and review of the facility's Quality Assurance and Performance Improvement (QAPI), the facility failed to present evidence that a quarterly meeting was held for 2 of 4 quarters (January 2022 and July 2022) and failed to ensure that the required members attended 1 of 2 quarters provided (April 2022).

Fire safety inspections

20 fire safety citations on file: 12 on July 9, 2025, 4 on April 19, 2024, 4 on October 19, 2022.

Every fire safety citation20 citations
  1. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · July 9, 2025 · Corrected (the home has a date of correction)
  2. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 9, 2025 · Corrected (the home has a date of correction)
  3. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · July 9, 2025 · Corrected (the home has a date of correction)
  4. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · July 9, 2025 · Corrected (the home has a date of correction)
  5. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 9, 2025 · Corrected (the home has a date of correction)
  6. D
    Establish emergency prep training and testing.
    E 36 · July 9, 2025 · Corrected (the home has a date of correction)
  7. D
    Have properly located and lighted "Exit" signs.
    K 293 · July 9, 2025 · Corrected (the home has a date of correction)
  8. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 9, 2025 · Corrected (the home has a date of correction)
  9. D
    Install corridor and hallway doors that block smoke.
    K 363 · July 9, 2025 · Corrected (the home has a date of correction)
  10. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 9, 2025 · Corrected (the home has a date of correction)
  11. D
    Ensure proper usage of power strips and extension cords.
    K 920 · July 9, 2025 · Corrected (the home has a date of correction)
  12. D
    Have proper medical gas storage and administration areas.
    K 923 · July 9, 2025 · Corrected (the home has a date of correction)
  13. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · April 19, 2024 · Corrected (the home has a date of correction)
  14. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · April 19, 2024 · Corrected (the home has a date of correction)
  15. D
    Have properly located and lighted "Exit" signs.
    K 293 · April 19, 2024 · Corrected (the home has a date of correction)
  16. D
    Install corridor and hallway doors that block smoke.
    K 363 · April 19, 2024 · Corrected (the home has a date of correction)
  17. D
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · October 19, 2022 · Corrected (the home has a date of correction)
  18. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · October 19, 2022 · Corrected (the home has a date of correction)
  19. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 19, 2022 · Corrected (the home has a date of correction)
  20. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · October 19, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMaineUnited States
All nursing staff (RN, LPN and aides)3.954.343.86
Registered nurses0.721.050.69
All nursing staff on weekends3.623.923.42
Nurse aides2.81
Licensed practical nurses0.43
Nursing staff turnover (share who left in a year)50.9%46.7%45.8%
Registered nurse turnover63.6%40.2%42.9%
Administrators who left0

CMS expects 3.40 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 4.09 on weekdays and 3.62 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 31.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.09 in April to June 2025 to 3.95 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.950.724.093.62 31.3%1 of 9046
Oct to Dec 20254.240.824.383.89 25.1%0 of 9243
Jul to Sep 20254.190.784.373.75 23.1%0 of 9244
Apr to Jun 20254.090.694.313.55 20.2%0 of 9146
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Maine, Jan to Mar 20264.351.064.523.959.2%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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Maine

JobMedianMiddle halfEmployed
Maine, all employers
CNAs (nursing assistants)$22.63$21.25 to $24.138,540
LPNs and LVNs$35.19$30.54 to $37.22760
Registered nurses$41.82$38.41 to $48.7816,540
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

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For Maplecrest Rehab & Living Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMaineUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
30.124.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.51.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.62.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.74.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
28.525.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.74.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
22.220.215.4

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Maplecrest Rehab & Living Center's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 51.5% · Maine: 16 better, 2 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 17 eligible stays.

Potentially preventable readmissions

10.3% this home

No different from the national rate

US median of homes 10.7% · Maine: 1 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 31 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Maine: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 15 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Maine55.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 12 residents counted.

Falls with major injury

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Maine0.6% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 12 residents counted.

New or worsened pressure ulcers

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Maine3.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 12 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Maine97.2% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 7 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: NORTH COUNTRY ASSOCIATES, INC. CMS links this home to North Country Associates, a group of 9 nursing homes averaging 2.6 stars overall.

NameRoleTypeShareSince
Orestis, John5% or greater direct ownership interestIndividual100%01/01/1986
Bento, RandiW-2 managing employeeIndividual01/01/2018
Cyr, GlenW-2 managing employeeIndividual01/01/2008
Richards, MaryW-2 managing employeeIndividual06/01/2000
Cyr, GlenCorporate directorIndividual05/01/1998
Orestis, JohnCorporate officerIndividual01/01/1986
Richards, MaryCorporate officerIndividual01/01/2012

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.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 12 problems in this area, most recently on July 9, 2025: "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."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on July 9, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on July 9, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on July 9, 2025: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.62 hours per resident per day, below the Maine average of 3.92.

Other nursing homes nearby

Maine contacts for a concern about a nursing home

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Common questions

What is Maplecrest Rehab & Living Center's Medicare star rating?
CMS rates Maplecrest Rehab & Living Center 1 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Maplecrest Rehab & Living Center get at its last inspection?
13 health deficiencies at the standard inspection on July 9, 2025. The Maine average is 10.8.
Has Maplecrest Rehab & Living Center been fined?
CMS lists no fines in the last three years.
Does Maplecrest Rehab & Living Center 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 Maplecrest Rehab & Living Center?
CMS lists 7 owners and managers, and links the home to North Country Associates. Legal business name: NORTH COUNTRY ASSOCIATES, INC.

Sources

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