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Orono Commons

117 Bennoch Rd, Orono, ME 04473 · Penobscot County · (207) 866-4914

80 certified beds, about 74 residents a day · For profit - Corporation · Medicare and Medicaid since 1969

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 205031 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 7, 2025, inspectors cited 10 health deficiencies (the Maine average is 10.8, the national average 9.2).

Of 48 health citations since March 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $10,358 in the last three years; the largest was $10,358, and the latest is dated May 7, 2025.

Nurses and nurse aides worked 3.54 hours per resident per day, against 4.34 across Maine and 3.86 nationally. Registered nurses accounted for 1.19 of those hours.

56.2% of nursing staff left within the year CMS measured (Maine average 46.7%).

CMS links it to Genesis Healthcare, an affiliated group of 184 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 48 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
19D
19E
2F
Potential for minimal harm
0A
7B
0C
July 15, 2026Complaint inspection · 4 citations
  1. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · deficient, provider has August 25, 2026
    Inspectors wroteBased on review of Payroll Based Journal Report, facility schedules with census, review of timecards, and interviews, the facility failed to ensure sufficient direct care staff were scheduled and on duty to meet the needs of residents that reside in the facility for 1 of 4 quarters reviewed (2nd quarter). This has the potential to affect all residents needing assistance with Activities of Daily Living (ADL's). Review of Payroll Based Journal staffing report revealed the facility triggered for excessively low weekend staffing during the second quarter of 2026 (January 1 - March 31). On 7/1/26 at approximately 12:45 p.m., during an interview with the Administrator and a surveyor, the staffing schedules, census numbers, and time cards were reviewed for the second quarter of 2026. [...]
  2. E
    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, pattern · found on a complaint visit · deficient, provider has August 25, 2026
    Inspectors wroteBased on record reviews and interviews, the facility failed to ensure that residents residing in the facility were free from neglect when residents were denied incontinence care during mealtimes for 4 of 4 residents reviewed/interviewed.
  3. 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 · found on a complaint visit · deficient, provider has August 25, 2026
    Inspectors wroteBased on record reviews and interviews, the facility failed to follow provider orders and ensure a resident's medical choices in accordance with professional standards for a resident who experienced a medical emergency (Resident #69 [R69]). Additionally, the facility failed to complete neurological assessments after an unwitnessed falls for 1 of 4 residents reviewed for falls (Resident #10 [R10]).
  4. 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 · deficient, provider has August 25, 2026
    Inspectors wroteBased on record reviews and interviews, the facility failed to ensure that clinical records contained accurate and complete information in the areas of neurological assessments, transfer forms, resident falls, vital signs, Physician's Orders for Life Sustaining Treatment (POLST) forms, documentation regarding provider ordered medications, documentation for treatments provided, documentation for meal intake, and Bed Hold Notice Forms for 5 of 22 sampled residents (Resident #10 [R10], R69, R4, R24, and R43).
January 13, 2026Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) January 28, 2026
    Inspectors wroteBased on record review and interview, the facility failed to follow physician orders by not checking vital signs prior to administration of blood pressure medications or administered blood pressure medications when they were outside of physician ordered parameters for 4 of 4 blood pressure medications reviewed with parameters for Resident #1.
December 9, 2025Complaint inspection · 3 citations
  1. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 20, 2026
    Inspectors wroteBased on observations, facility policy review, interviews, and record review, the facility failed to follow it's own policy after a new pressure ulcer was observed, for 1 of 1 resident reviewed (Resident #1 [R1]). On 12/1/25, a pressure ulcer was observed on R1's right big toe but a treatment/monitoring was not started until 12/9/25, 8 days later.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 20, 2026
    Inspectors wroteBased on observations and interviews, the facility failed to maintain an infection prevention and control program to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable disease and infections in the area of Enhanced Barrier Precautions (EBP) and linen handling for 1 of 1 day of survey (12/9/25).
  3. B
    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 minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 20, 2026
    Inspectors wroteBased on record review and interviews, the facility failed to ensure that a clinical record contained accurate and complete information for Resident #1 (R1) in the area of level of eating assistance provided for 14 of 24 meals documented between December 1 - 8, 2025.
May 7, 2025Standard inspection, Complaint inspection · 10 citations
  1. G
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 9, 2025
    Inspectors wroteBased on record reviews and interviews, the facility failed to provide pain management in a timely manner for 2 of 2 residents reviewed for pain management (Resident #40 [R40] and R268). Due to this facility's failure, R268 experienced consistent, unrelieved pain resulting in the resident discharging Against Medical Advice (AMA) to seek pain control from an emergency room (ER).
  2. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 9, 2025
    Inspectors wroteBased on Payroll Based Journal staffing (PBJ) report and interview, the facility failed to ensure sufficient direct care staff were scheduled and on duty to meet the needs of residents that reside in the facility for weekends of the first quarter 2025 (October 1 - December 31, 2024).
  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 · found on a complaint visit · Corrected (the home has a date of correction) June 9, 2025
    Inspectors wroteBased on clinical record review and interview, the facility failed to ensure a baseline care plan was developed and implemented within 48 hours, that included the instructions needed to provide minimum healthcare information necessary to properly care for 5 of 10 sampled residents (Resident #40 [R40], R166, R56, R50, and R60).
  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 · found on a complaint visit · Corrected (the home has a date of correction) June 9, 2025
    Inspectors wroteBased on clinical record reviews and interviews, the facility failed to follow physician orders for 4 of 20 residents reviewed. (Resident #40 [R40], R51, and R172).
  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) June 9, 2025
    Inspectors wroteBased on observations, and interviews, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety by not restraining hair with a hair net for 1 of 4 days of survey (5/4/25), ensuring the dishes were sanitized with regular monitoring of the dishwasher for 2 of 4 days of survey (5/4/25 and 5/5/25), not ensuring that plumbing fixtures were properly installed to prevent backflow as required by the Maine State Plumbing Code for 2 of 4 days of survey (5/4/25 and 5/5/25), not maintaining food temperatures to prevent food borne illness prior to serving residents for 1 of 4 days of survey (5/5/25), and not storing dishes in a sanitary manner for 2 of 4 days of survey (5/5/25 and 5/6/25), In addition, the facility failed to ensure that beverages were removed when outdated or failed to include an open date in 2 of 2 unit refrigerators [...]
  6. 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 9, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident's right to formulate an advanced directive regarding code status (cardiopulmonary resuscitation [CPR]) was accurate in the clinical record for (Resident #60 [R60]).
  7. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · 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) June 9, 2025
    Inspectors wroteBased on the facility's policy, Reportable Incident Form review, and interview, the facility failed to notify the State Agencies (Division of Licensing and Certification [DLC]) and Adult Protective Services (APS) timely for an allegation of abuse for 1 of 3 facility reported incidents (9/16/24) reviewed during an annual survey.
  8. 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) June 9, 2025
    Inspectors wroteBased on record review and interview, 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 2 sampled residents reviewed for PASRR (Resident #18 [R18]).
  9. D
    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, isolated · Corrected (the home has a date of correction) June 9, 2025
    Inspectors wroteBased on record review and interviews, the facility failed to provide respiratory care as order by the Provider for 1of 3 residents that use oxygen. Resident #165 [R165])
  10. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 9, 2025
    Inspectors wroteBased on interviews, observations, and two lunch meal test trays, the facility failed to serve hot foods at an appetizing and palpable temperature for 1 of 2 lunch trays tested on [DATE] and 5/6/25.
May 22, 2024Standard inspection, Complaint inspection · 20 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 · found on a complaint visit · Corrected (the home has a date of correction) July 6, 2024
    Inspectors wroteBased on record reviews and interviews the facility failed to respond to residents request for assistance in a manner that maintained or enhanced their dignity by not answering the call bells in a timely manner for 3 of 9 residents interviewed (Resident #18 [R18], R9, R4). In addition, the facility failed to provide morning bathing care for 1 of 1 sampled resident (R9) and facility failed to promote care for residents in a manner that maintains each resident's dignity and respect when staff failed to serve all residents seated at the same table at the same time for meal observations on 1 of 2 units (Homestead).
  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) July 6, 2024
    Inspectors wroteBased on observations and interview, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain an environment free from offensive odors for 2 of 3 days of survey (5/19/24 through 5/21/24) and to maintain the building in good repair and in a sanitary condition for 1 of 1 environmental tour (5/21/24).
  3. 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 · found on a complaint visit · Corrected (the home has a date of correction) July 6, 2024
    Inspectors wroteBased on record reviews and interviews, the facility failed to complete neurological assessments as directed, failed to follow physician orders for obtaining vital signs, referrals, medication administration, and failed to order urgent/stat diagnostic testing timely for 6 of 10 sampled residents (Resident #37 [R37], R24, R68, R168, R26, and R71).
  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) July 6, 2024
    Inspectors wroteBased on observations, record review, and interviews, the facility failed to follow its own policy for oxygen use and humidification, failed to ensure physician orders were followed for oxygen administration, failed to ensure that oxygen tubing was changed weekly, and failed to ensure that respiratory equipment was maintained in a clean manner for 4 of 4 days of survey (5/19/24-5/22/24) for Resident #168 (R168).
  5. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 6, 2024
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure sufficient direct care staff were scheduled and on duty to meet the needs of all 73 residents that reside on the Homestead and Riverview units. This has the potential to affect all residents that need assistance with Activities of Daily Living (ADL).
  6. E
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    F802 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 6, 2024
    Inspectors wroteBased on observations and interviews the facility failed to provide adequate dietary staff to ensure the dietary needs of residents were met timely for 3 of 4 days of survey (5/19/24, 5/20/24, and 5/21/24).
  7. 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 · found on a complaint visit · Corrected (the home has a date of correction) July 6, 2024
    Inspectors wroteBased on interviews and observations, the facility failed to serve hot foods hot and cold food cold on 1 of 4 days of survey (5/21/24).
  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 · found on a complaint visit · Corrected (the home has a date of correction) July 31, 2024
    Inspectors wroteBased on observations, and interviews, the facility failed to monitor food temperatures to prevent food borne illness prior to serving residents for 1 of 4 days of survey (5/19/24), failed to store, prepare, and serve food in accordance with professional standards for food service safety by not storing food in a sanitary manner for 2 of 4 days of survey (5/19/24, and 5/20/24) and failed to ensure that plumbing fixtures were properly installed to prevent backflow as required by the Maine State Plumbing Code on 4 of 4 days of survey (5/19/24, 5/20/24, 5/21/24, and 5/22/24). This has the potential to effect all residents in the facility.
  9. 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 · Corrected (the home has a date of correction) July 6, 2024
    Inspectors wroteBased on observation and interviews, the facility failed to ensure that a resident's preference for a second serving of the main meal choice for lunch was available on 5/21/24, for 1 of 1 residents (Resident #37 [R37]) reviewed for weight loss and received an appetite stimulant.
  10. 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 · Corrected (the home has a date of correction) July 6, 2024
    Inspectors wroteBased on record review and interview, the facility failed to develop a care plan for the area Post Traumatic Stress Syndrome (PTSD) for 1 of 1 sampled resident with a diagnosis of PTSD (Resident #18 [R18]).
  11. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 6, 2024
    Inspectors wroteBased on record reviews, observation, and interviews, the facility failed to ensure that weekly pressure ulcer assessment documentation, used to monitor the healing progress of the wounds, were completed, failed to follow physician orders in obtaining a wound clinic referral, and failed to follow a care plan for 3 of 4 residents reviewed with pressure ulcers (Resident #15 [R15], R68, and R31).
  12. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 6, 2024
    Inspectors wroteBased on record review and interview, the facility failed to identify a resident's current diagnosis of Post-Traumatic Stress Disorder (PTSD)/trauma to determine what trigger(s) might cause re-traumatization for 1 of 1 sampled resident reviewed with a current diagnosis of PTSD (Resident #18 [R18]).
  13. D
    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
    F711 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 6, 2024
    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 (block orders) in a timely manner for 1 of 8 sampled residents (Residents #15 [R15]).
  14. D
    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, isolated · Corrected (the home has a date of correction) July 6, 2024
    Inspectors wroteBased on observations and interviews, the facility failed to ensure opened insulin was labeled with an open date in 1 of 2 treatment carts (Homestead unit) and failed to remove expired medications from the supply available for use in 2 of 2 medication storage rooms (Homestead and Riverview units)
  15. D
    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, isolated · Corrected (the home has a date of correction) July 6, 2024
    Inspectors wroteBased on employee file reviews and interview, the facility failed to implement and maintain an effective training program which includes, at a minimum, training on abuse for 1 of 4 Certified Nursing Assistants (CNA) reviewed (CNA3).
  16. 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) July 6, 2024
    Inspectors wroteBased on record reviews and interviews, the facility failed to notify the resident and/or resident representative in writing for the reason of a transfer/discharge from the facility, for 2 of 3 sampled residents reviewed for hospitalization (Resident #37 [R37], and R24). In addition, the facility failed to notify the Ombudsman of transfer/discharges since January 2024.
  17. 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) July 6, 2024
    Inspectors wroteBased on record review and interview, the facility failed to notify the resident and/or the resident's representative in writing of a bed hold notice after a transfer/admission to an acute care hospital for 3 of 4 sampled residents reviewed that were sent to the hospital (Resident #37 [R37], R24, and R71).
  18. B
    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 minimal harm, pattern · Corrected (the home has a date of correction) July 31, 2024
    Inspectors wroteBased on record reviews and interview, the facility failed to provide the resident and/or their representative with a summary of the baseline care plan for 4 of 5 residents reviewed for baseline care plans (Resident #37 [R37], R168, R63, and R270).
  19. B
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) July 6, 2024
    Inspectors wroteBased on review of annual evaluations and interview, the facility failed to complete an annual performance evaluation for nurse aides at least every 12 months for 2 of 4 sampled Certified Nurse Assistants (CNA) employed greater than a year (CNA1, and CNA2).
  20. 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) July 6, 2024
    Inspectors wroteBased on observations and interview, the facility failed to post the nurse staffing information in a prominent place, readily accessible and visible to all residents, for 3 of 4 days of survey (5/19/24, 5/20/24, 5/21/24).
March 28, 2024Complaint inspection · 2 citations
  1. 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on facility policy review, facility reportable incident review and investigation with written statements, and interview, the facility failed to protect a resident from physical and mental abuse (intimidation) when a Certified Nursing Assistant (CNA) grabbed Resident (R)4's foot/ankle when R4 attempted to kick CNA1 a second time, after making contact the first time. CNA1 held R4's foot/leg against the bed to stop R4 from kicking, only letting go after R4 said he/she wouldn't kick CNA1 again. The action of CNA1 grabbing R4's foot/ankle resulted in right ankle swelling, bruising, and mild pain to R4.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on facility policy review, facility's Reportable Incident Form, facility investigation, and interview, the facility failed to report an allegation of Abuse to Adult Protective Services (APS) and law enforcement for 1 of 1 investigated allegations of Abuse (7/11/23).
March 1, 2023Standard 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) April 11, 2023
    Inspectors wroteBased on observations and interviews the facility failed to promote care for residents in a manner that maintains each resident's dignity and respect when staff failed to serve all residents seated at the same table at the same time for 2 of 6 meals observed (2/26/32 Lunch, 2/27/23 Breakfast)
  2. E
    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, pattern · Corrected (the home has a date of correction) April 11, 2023
    Inspectors wroteBased on observations and interviews, the facility failed to ensure that residents were allowed to choose their preferences for beverages throughout the day for 2 of 4 days of survey (2/26/23 and 2/27/23)
  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) April 11, 2023
    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 2 unites (Riverside and Homestead) for 1 of 1 Environmental Tour. In addition, the facility failed to create a homelike dining experience for residents dining in the dining room and the bar area by serving their lunch and breakfast meals on a tray for 2 of 6 meals observed on the Homestead unit.
  4. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 11, 2023
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure sufficient direct care staff were scheduled and on duty to meet the needs of residents that reside on the Riverview and Homestead Units. This has the potential to affect all residents needing assistance with Activities of Daily Living (ADL)'s.
  5. D
    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, isolated · Corrected (the home has a date of correction) April 11, 2023
    Inspectors wroteBased on record reviews, observations, and interviews, the facility failed to follow a written physician's order for heart rate parameters prior to administering a medication for 1 of 6 residents observed during medication administration (Resident #10).
  6. D
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 11, 2023
    Inspectors wroteBased on staff interviews and observations the facility failed to offer snacks to all residents on 1 of 2 units (Homestead Unit)
  7. D
    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, isolated · Corrected (the home has a date of correction) April 11, 2023
    Inspectors wroteBased on record reviews and interview the facility failed to ensure that clinical records were complete and contained accurate information for 1 of 3 sampled residents reviewed for Treatment Administration (Resident's #43).
  8. B
    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 minimal harm, pattern · Corrected (the home has a date of correction) April 11, 2023
    Inspectors wroteBased on record reviews and interviews, the facility failed to update/implement goals and interventions in the area of behaviors when a resident was observed wandering into rooms and pushing other resdients in wheelchairs without their consent for 1 of 3 residents reviewed for care plans (Resident #27).

Fire safety inspections

9 fire safety citations on file: 2 on May 7, 2025, 4 on May 22, 2024, 3 on March 1, 2023.

Every fire safety citation9 citations
  1. D
    Use approved construction type or materials.
    K 161 · May 7, 2025 · Corrected (the home has a date of correction)
  2. D
    Have properly sized and located compartments to protect residents from smoke.
    K 371 · May 7, 2025 · Corrected (the home has a date of correction)
  3. E
    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
    K 111 · May 22, 2024 · Corrected (the home has a date of correction)
  4. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · May 22, 2024 · Corrected (the home has a date of correction)
  5. D
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · May 22, 2024 · Corrected (the home has a date of correction)
  6. C
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 22, 2024 · Corrected (the home has a date of correction)
  7. 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 · March 1, 2023 · Corrected (the home has a date of correction)
  8. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 1, 2023 · Corrected (the home has a date of correction)
  9. D
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · March 1, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
May 7, 2025Fine $10,358

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.

MeasureThis homeMaineUnited States
All nursing staff (RN, LPN and aides)3.544.343.86
Registered nurses1.191.050.69
All nursing staff on weekends3.333.923.42
Nurse aides2.20
Licensed practical nurses0.15
Nursing staff turnover (share who left in a year)56.2%46.7%45.8%
Registered nurse turnover46.2%40.2%42.9%
Administrators who left0

CMS expects 3.82 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 3.63 on weekdays and 3.33 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 20.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.65 in April to June 2025 to 3.54 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.541.193.633.33 20.5%0 of 9074
Oct to Dec 20253.571.303.663.33 18.5%0 of 9272
Jul to Sep 20253.601.403.773.17 11.4%0 of 9273
Apr to Jun 20253.651.293.793.31 13.5%0 of 9170
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.

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
30.824.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
6.92.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.04.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.91.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
26.825.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
10.84.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
29.620.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
19.220.823.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.816.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.31.41.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.42.01.8

Owners and operators

Legal business name: ORONO OPERATIONS, LLC. CMS links this home to Genesis Healthcare, a group of 184 nursing homes averaging 2.3 stars overall.

NameRoleTypeShareSince
Genesis Healthcare of Maine LLC5% or greater direct ownership interestOrganization100%10/02/2012
Fc-Gen Operations Investment LLC5% or greater indirect ownership interestOrganization03/01/2015
Gen Operations I LLC5% or greater indirect ownership interestOrganization04/01/2011
Gen Operations II LLC5% or greater indirect ownership interestOrganization04/01/2011
Genesis Healthcare Inc5% or greater indirect ownership interestOrganization02/02/2015
Genesis Healthcare LLC5% or greater indirect ownership interestOrganization02/02/2015
Genesis Holdings LLC5% or greater indirect ownership interestOrganization02/02/2015
Ghc Holdings LLC5% or greater indirect ownership interestOrganization12/31/2010
Sun Healthcare Group Inc5% or greater indirect ownership interestOrganization11/15/2022
Whitman, Arnold5% or greater indirect ownership interestIndividual11/15/2022
Berg, MichaelCorporate officerIndividual12/01/2012
Bridgeford, LauraCorporate officerIndividual06/01/2024
Mendelson, AviCorporate officerIndividual06/01/2024
Pazara, ChelseaOperational/managerial controlIndividual03/01/2024
Yntema, LaurieOperational/managerial controlIndividual03/01/2024
Pazara, ChelseaAdp of the SNFIndividual02/26/2025
Yntema, LaurieAdp of the SNFIndividual02/26/2025

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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on July 15, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on May 7, 2025: "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."
  3. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 8 problems in this area, most recently on July 15, 2026: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on July 15, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.33 hours per resident per day, below the Maine average of 3.92.

Other nursing homes nearby

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Common questions

What is Orono Commons's Medicare star rating?
CMS rates Orono Commons 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Orono Commons get at its last inspection?
10 health deficiencies at the standard inspection on May 7, 2025. The Maine average is 10.8.
Has Orono Commons been fined?
Yes. CMS lists 1 fine totaling $10,358 in the last three years.
Does Orono Commons 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 Orono Commons?
CMS lists 17 owners and managers, and links the home to Genesis Healthcare. Legal business name: ORONO OPERATIONS, LLC.

Sources

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