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Orchard Park Rehab & Living Center

107 Orchard Street, Farmington, ME 04938 · Franklin County · (207) 778-4416

38 certified beds, about 27 residents a day · For profit - Corporation · Medicare and Medicaid since 1994

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 205168 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 22, 2026, inspectors cited 10 health deficiencies (the Maine average is 10.8, the national average 9.2).

None of its 36 health citations since October 2023 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 4.30 hours per resident per day, against 4.34 across Maine and 3.86 nationally. Registered nurses accounted for 0.82 of those hours.

68.3% 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 36 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
13D
18E
2F
Potential for minimal harm
0A
3B
0C
June 25, 2026Complaint inspection · 5 citations
  1. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 4, 2026
    Inspectors wroteBased on record reviews, interviews, and facility policy, the facility failed to ensure that clinical records were complete and contained accurate information for 1 of 3 sampled residents reviewed during a complaint investigation (Resident's #1).
  2. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · 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) August 4, 2026
    Inspectors wroteBased on observations and interviews the facility failed to ensure a resident was treated with dignity and respect for 1 of 3 residents reviewed during a complaint investigation (Resident #3).
  3. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · 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 4, 2026
    Inspectors wroteBased on interviews, record reviews, and facility policy, the facility failed to ensure a baseline care plan was developed and implemented within 48 hours that included the problems, interventions, and initial goals needed to provide minimum healthcare information necessary to properly care for 1 of 3 residents reviewed during a complaint investigation (Resident #1).
  4. 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 4, 2026
    Inspectors wroteBased on record reviews, interviews, and facility policy the facility failed to update/implement goals and interventions for use of foley catheter for 1 of 3 care plans reviewed during a complaint investigation (Resident #3).
  5. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 4, 2026
    Inspectors wroteBased on record review, interviews, and facility policy, the facility failed to monitor side effects of psychotropic medications for 1 of 3 residents reviewed during a complaint investigation (Resident #1).
January 22, 2026Standard inspection, Complaint inspection · 10 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 · found on a complaint visit · Corrected (the home has a date of correction) March 17, 2026
    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 3 Units (Cortland, Northern Spy and [NAME]), the Therapy room, a common area, and the laundry room for 2 of 2 environmental tours (1/20/26 and 1/22/26).
  2. 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) March 17, 2026
    Inspectors wroteBased on record reviews and interviews, the facility failed to ensure a resident's care plan was developed and implemented to reflect the current needs of the resident for 2 of 14 residents reviewed for care planning (Residents #25, #28).
  3. 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) March 17, 2026
    Inspectors wroteBased on observations, 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 the storage of chemicals being properly secured and failed to ensure that a resident toilet was secured to the floor for 2 of 2 observations for 1 of 3 days of survey (1/20/26).
  4. 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) March 17, 2026
    Inspectors wroteBased on facility policy, observations, record reviews, and interviews, the facility failed to maintain a sanitary environment to help prevent the development and transmission of disease and infection related to respiratory care for 3 of 3 residents reviewed for respiratory care (Residents #1, #27, and #8). Findings 1. On 1/20/26 at 9:15 a.m. and on 1/21/26 at 8:55 a.m., observation of Resident #1's oxygen tubing dated 11/19/25 laying on the floor. On 1/21/26 at 9:10 a.m., In an interview and observation with a surveyor, the Director of Nursing (DON) observed and confirmed the above findings. 2. On 1//20/26 at 9:23 a.m. and on 1/21/26 at 8:58 a.m., observation of Resident #27's unlabeled and unbagged nebulizer tubing and mask on his/her bedside table. On 1/21/26 at 9:10 a.m., In an interview with a surveyor, the DON observed and confirmed the above findings. 3. On 1/20/26 at 11:43 a.m. [...]
  5. 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) March 17, 2026
    Inspectors wroteBased on observation and interview, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for a wall air conditioning unit, floors, and shelving. Further, the facility failed to ensure foods were discarded past their use by date, closed/sealed, and/or labeled and dated. In addition, the facility failed to ensure that plumbing fixtures were properly installed for an ice machine to prevent backflow as required by the Maine State Plumbing Code for 1 of 1 tour for 1 of 3 days of survey (1/20/26).
  6. 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) March 17, 2026
    Inspectors wroteBased on employee record reviews, interviews, and the Facility Assessment, the facility failed to develop, implement, and maintain an effective in-service training program by failing to ensure that a Certified Nursing Assistant (CNA) received the required dementia management training for 5 out of 5 randomly sampled CNA files (CNA #1, CNA #2, CNA #3, CNA #4, and CNA #5).
  7. 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) March 17, 2026
    Inspectors wroteBased on record review and interview, 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 after each Minimum Data Set (MDS) assessment for 1 of 14 residents reviewed for care planning (Resident #28).
  8. B
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on record reviews and interviews, the facility failed to issue a written transfer/discharge notice and a bed hold notice to include cost of care to the legal representative for 2 of 4 sampled residents reviewed for transfer to an acute care hospital (Residents #4, #28).
  9. B
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on observation and interview, the facility failed to post nurse staffing information on a daily basis for 1 of 3 days of survey (1/20/26).
  10. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on observation and interview, the facility failed to insure all single resident rooms measured at least 100 square feet for 2 of 6 single resident rooms (#116 and #118).
August 26, 2025Complaint inspection · 3 citations
  1. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 30, 2025
    Inspectors wroteBased on record review, interview and review of the facility's internal investigation, the facility failed to ensure that 1 of 1 resident reviewed for dignity was provided care in a manner that maintained and respected his/her dignity. (Resident #1) The Division of Licensing and Certification received the facility reported incident regarding Resident #1 related to mistreatment on 8/4/25. Review of the facilities 5-day follow-up investigation dated 8/7/25 indicated that 8/4/25, Resident #1 was observed seated in a wheelchair wearing johnny pants that had been applied backwards, with the ties positioned in the back and secured in a double knot. The resident was also seated on a sheet that had been tied in front of him/her around the waist and secured in a double knot. [...]
  2. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · 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) September 30, 2025
    Inspectors wroteBased on record review, interviews and review of the facility's Abuse, Neglect, Exploitation, Mistreatment and Misappropriation of Resident Property policy, the facility failed to ensure that 1 of 1 resident reviewed was free from abuse when the resident was found with a sheet double knotted in front of her waist and a pair of johnny pants applied backwards with the ties double knotted behind him/her. (Resident #1) The Division of Licensing and Certification received the facility reported incident regarding Resident #1 related to mistreatment on 8/4/25. The facilities policy, Abuse, Neglect, Exploitation, Mistreatment and Misappropriation of Resident Property indicates: It is the policy of this facility that each resident will be free from abuse. [...]
  3. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · 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) September 30, 2025
    Inspectors wroteBased on record review, interview, facility's internal investigation and Restraint Policy, the facility failed to ensure that 1 of 1 resident was free from the use of restraints. (Resident #1 The Division of Licensing and Certification received the facility reported incident regarding Resident #1 related to mistreatment on 8/4/25. Review of the facilities 5-day follow-up investigation dated 8/7/25 indicated that 8/4/25, Resident #1 was observed seated in a wheelchair wearing johnny pants that had been applied backwards, with the ties positioned in the back and secured in a double knot. The resident was also seated on a sheet that had been tied in front of him/her around the waist and secured in a double knot. The facilities restraint use policy indicates: [...]
December 11, 2024Standard inspection · 13 citations
  1. F
    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.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 17, 2025
    Inspectors wroteBased on review of the facility's Infection Control Immunizations - Influenza, Pneumococcal, COVID and Employee Immunization/Vaccination Requirements policy and procedures and interviews the facility failed to develop and implement policy and procedure to ensure all staff were provided education regarding the benefits and potential risks associated with COVID-19 vaccine or information on obtaining COVID-19 vaccine. This has the potential to effect all employees.
  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) January 17, 2025
    Inspectors wroteBased on observations and interviews, the facility failed to adequately maintain maintenance and housekeeping services necessary to maintain the facility in good repair and sanitary conditions for 3 of 3 units (Northern Spy, Cortland and [NAME]) and the laundry room for 1 of 1 environmental tour (12/11/24).
  3. E
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 17, 2025
    Inspectors wrote2. Resident #80 was admitted on [DATE] with diagnoses to include sleep apnea. Review of Resident #80's clinical record revealed active order dated 11/30/24 for CPAP (Continuous Positive Airway Pressure) 2 Times Daily 11/30/2024. If refuses CPAP, may use PRN order for oxygen at 2 LPM (Liters Per Minute) via nasal cannula. Oxygen - see notes PRN. If refuses CPAP use 2 LPM oxygen via nasal cannula during night time sleep hours. Review of Resident #80's baseline care plan, initiated 11/22/24, lacked evidence that goals and interventions were put into place for his/her respiratory needs. On 12/10/24 at 10:12 a.m., in an interview, the Quality Improvement Specialist confirmed that the baseline care plan lacked evidence that goals and interventions were put into place for his/her respiratory needs. 3. Resident #23 was admitted on [DATE] with diagnosis of dementia with behavioral disturbance. [...]
  4. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 20, 2025
    Inspectors wroteBased on facility policy, record review and interviews, the facility failed to adequately monitor a resident after an unwitnessed fall for 1 of 2 residents reviewed for falls (#5).
  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) January 17, 2025
    Inspectors wroteBased on observations, 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 the storage of chemicals being properly secured for 2 of 3 days of survey (12/9/24 and 12/11/24).
  6. 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) January 17, 2025
    Inspectors wroteBased on observations, record reviews, and interviews, policy review, the facility failed to provide a sanitary environment to help prevent the development and transmission of disease and infection related to respiratory care for 2 of 3 residents reviewed for respiratory care (Resident's #14, and #180). In addition, the facility failed to follow provider orders for 2 of 3 residents reviewed for respiratory care. (Resident 's #80 & #180)
  7. 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) January 17, 2025
    Inspectors wroteBased on observation and interview the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for the hood system, 2 wall air conditioning units, a floor fan, a grease trap cover and the ceiling grid hangers for 1 of 1 tour. On 12/9/24 from 9:05 a.m. to 9:35 a.m., an initial kitchen tour was completed with the Food Service Director in which the following
  8. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 17, 2025
    Inspectors wroteBased on facility policy, record reviews, and interviews, the facility failed to implement its Antibiotic Stewardship Program (ASP) that includes antibiotic use protocols and a system to monitor antibiotic use. This has the potential to affect all residents receiving an antibiotic.
  9. 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) February 20, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure that a medical provider and the resident's representative were notified timely of a significant change and/or incident for 1 of 3 residents reviewed for falls (Resident #1).
  10. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 17, 2025
    Inspectors wroteBased on observation, interview and family interview, the facility failed to provide dental care and dress a resident in clean clothes for 2 of 2 residents sampled for activities of daily living (ADL) (Resident's #7 & # 10).
  11. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 20, 2025
    Inspectors wroteBased on medical record review and interview the facility failed to ensure that a resident's drug regimen was free from unnecessary drugs by administering doses of Insulin outside of the physician order parameters and failed to follow the care plan in the area of nutrition for 1 of 5 reviewed for unnecessary medications (#5).
  12. D
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 20, 2025
    Inspectors wroteBased on record review and interviews, the facility's Quality Assurance Committee failed to ensure that the Plan of Correction for identified deficiencies from the Annual Long Term Care Survey Process for Federal Recertification dated 12/11/24, were effective. The Federal citations F684, and F757 were cited again during the re-visit to the annual Long Term Care Recertification Survey, dated 2/5/25.
  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) January 17, 2025
    Inspectors wroteBased on observation and interview the facility failed to ensure food was served under sanitary conditions during 1 of 3 units observed during lunch meal (Cortland Unit).
October 12, 2023Standard inspection · 5 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 26, 2023
    Inspectors wroteBased on interviews, and record review, the facility failed to assess and have measures in place to monitor and prevent the growth of Legionella and other opportunistic waterborne pathogens in the facility resulting in the potential for harm to all residents in the facility.
  2. E
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 26, 2023
    Inspectors wroteBased on observations and interviews, the facility failed to ensure that a call bell was accessible to 3 of 26 sampled residents observed for 1 of 3 days of survey (Residents #8, 5, and 18).
  3. 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) November 26, 2023
    Inspectors wroteBased on observations and interview, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in a sanitary, orderly, and comfortable interior for the laundry rooms, the basement floors, the ice machine, doors and door frames, ceiling tiles, privacy curtains and patient lifts for 1 of 1 environmental tours.
  4. 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) November 26, 2023
    Inspectors wroteBased on observations, interviews, and review of Safety Data Sheets (SDS), the facility failed to ensure that the residents environment was free from the potential risk of accident relating to a patient lift and missing safety clips. In addition, the facility failed to ensure that a chemical was properly secured for 3 of 3 observations for 1 of 3 days of survey (10/10/23)
  5. 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) November 26, 2023
    Inspectors wroteBased on observations and interview, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for ceiling lights, ceiling tiles, ceiling vents, the hood exhaust system, wall mounted air conditioning units, the food mixer, shelving, the walk-in cooling unit, the walk-in freezer and the ice machine for 1 of 3 days of survey. (10/10/23)

Fire safety inspections

17 fire safety citations on file: 5 on January 22, 2026, 7 on December 11, 2024, 5 on October 12, 2023.

Every fire safety citation17 citations
  1. D
    Install a two-hour-resistant firewall separation.
    K 133 · January 22, 2026 · Corrected (the home has a date of correction)
  2. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · January 22, 2026 · Corrected (the home has a date of correction)
  3. D
    Construct fire resistant interior walls.
    K 331 · January 22, 2026 · Corrected (the home has a date of correction)
  4. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 22, 2026 · Corrected (the home has a date of correction)
  5. D
    Install corridor and hallway doors that block smoke.
    K 363 · January 22, 2026 · Corrected (the home has a date of correction)
  6. F
    Conduct testing and exercise requirements.
    E 39 · December 11, 2024 · Corrected (the home has a date of correction)
  7. F
    Install corridor and hallway doors that block smoke.
    K 363 · December 11, 2024 · Corrected (the home has a date of correction)
  8. F
    Have simulated fire drills held at unexpected times.
    K 712 · December 11, 2024 · Corrected (the home has a date of correction)
  9. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · December 11, 2024 · Corrected (the home has a date of correction)
  10. 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 · December 11, 2024 · Corrected (the home has a date of correction)
  11. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 11, 2024 · Corrected (the home has a date of correction)
  12. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · December 11, 2024 · Corrected (the home has a date of correction)
  13. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · October 12, 2023 · Corrected (the home has a date of correction)
  14. D
    Have exits that are accessible at all times.
    K 271 · October 12, 2023 · Corrected (the home has a date of correction)
  15. 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 12, 2023 · Corrected (the home has a date of correction)
  16. D
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · October 12, 2023 · Corrected (the home has a date of correction)
  17. D
    Have proper medical gas storage and administration areas.
    K 923 · October 12, 2023 · 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)4.304.343.86
Registered nurses0.821.050.69
All nursing staff on weekends3.803.923.42
Nurse aides2.65
Licensed practical nurses0.83
Nursing staff turnover (share who left in a year)68.3%46.7%45.8%
Registered nurse turnover50.0%40.2%42.9%
Administrators who left1

CMS expects 3.74 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 4.50 on weekdays and 3.80 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 74.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.31 in April to June 2025 to 4.30 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.300.824.503.80 74.3%0 of 9027
Oct to Dec 20254.110.954.263.73 76.4%0 of 9229
Jul to Sep 20254.171.144.353.74 63.3%0 of 9228
Apr to Jun 20254.311.214.473.91 62.0%0 of 9129
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.

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.

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
27.024.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.81.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.12.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.04.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.51.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
33.225.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.04.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
24.320.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
11.420.823.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
24.916.112.0

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
Cyr, GlenW-2 managing employeeIndividual01/01/2008
Cyr, GlenCorporate officerIndividual10/27/2022

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 8 problems in this area, most recently on June 25, 2026: "Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on January 22, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on June 25, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on December 11, 2024: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.80 hours per resident per day, below the Maine average of 3.92.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Orchard Park Rehab & Living Center's Medicare star rating?
CMS rates Orchard Park Rehab & Living Center 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Orchard Park Rehab & Living Center get at its last inspection?
10 health deficiencies at the standard inspection on January 22, 2026. The Maine average is 10.8.
Has Orchard Park Rehab & Living Center been fined?
CMS lists no fines in the last three years.
Does Orchard Park 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 Orchard Park Rehab & Living Center?
CMS lists 3 owners and managers, and links the home to North Country Associates. Legal business name: NORTH COUNTRY ASSOCIATES, INC.

Sources

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