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Pinnacle Health & Rehab at Sanford

1142 Main St., Sanford, ME 04073 · York County · (207) 324-2273

86 certified beds, about 64 residents a day · For profit - Corporation · Medicare and Medicaid since 1993

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 205082 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 12, 2025, inspectors cited 4 health deficiencies (the Maine average is 10.8, the national average 9.2).

None of its 12 health citations since March 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 3.98 hours per resident per day, against 4.34 across Maine and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.

41.9% of nursing staff left within the year CMS measured (Maine average 46.7%).

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 12 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
4E
0F
Potential for minimal harm
0A
3B
0C
February 12, 2025Standard inspection · 4 citations
  1. 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 25, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a person-centered comprehensive care plan was developed in the area of Activities of Daily Living (ADL's) to meet the preferences and goals which included interventions for assistance needed for each resident to attaining or maintaining his or her highest practicable quality of life for 6 of 14 residents care plans reviewed. (Residents 6, 11, 21, 47, 55, 26, and 61)
  2. E
    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, pattern · Corrected (the home has a date of correction) March 25, 2025
    Inspectors wroteBased on record reviews, observations and interviews the facility failed to establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation by failing to ensure that two people who are authorized to administer medications signed the Shift Count page indicating that they counted all controlled substances at the change of shift for multiple shifts, on 2 of 2 units reviewed.
  3. 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) March 25, 2025
    Inspectors wroteBased on observation, interviews, and the Centers for Disease Control (CDC) guidance, the facility failed to ensure vaccines were stored in a refrigerator without a freezer compartment for 1 of 3 medication storage refrigerators.
  4. B
    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 minimal harm, pattern · Corrected (the home has a date of correction) March 25, 2025
    Inspectors wroteBased on observations and interviews, the facility failed to maintain a clean, comfortable and homelike environment on 2 of 2 units.
October 1, 2024Complaint inspection · 3 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) October 18, 2024
    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 5 residents records reviewed during complaint investigations (Resident 2).
  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) October 18, 2024
    Inspectors wroteBased on record reviews, interviews, and facility policy, the facility failed to implement interventions outlined in resident's care plan in the area of Activities of Daily Living (ADL) for 1 of 5 residents reviewed during complaint investigations. (Resident 2).
  3. 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) October 18, 2024
    Inspectors wroteBased on observations, interviews, and policy review, the facility failed to provide a sanitary environment to help prevent the development and transmission of disease and infection on 1 of 2 rooms observed (room [ROOM NUMBER]).
November 15, 2023Standard inspection, Complaint inspection · 2 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) December 1, 2023
    Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to ensure proper medication and biological storage temperatures for 2 of 3 medication refrigerators in 1 of 2 medication storage rooms.
  2. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · 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) December 1, 2023
    Inspectors wroteBased on observations and interviews, the facility failed to adequately maintain maintenance services necessary to maintain in good repair and sanitary condition of arm rests of resident's wheelchair, ceiling tiles in hallways and common areas, and thresh-hold of elevator entrance.
March 2, 2022Standard inspection · 3 citations
  1. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2022
    Inspectors wroteBased on observations and interview, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in good repair and in a sanitary condition, on 2 of 2 floors (First and Second), and hallways, for 1 of 1 environmental tour.
  2. B
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    F622 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) April 12, 2022
    Inspectors wroteBased on record review and interview, the facility lacked evidence of a written transfer notice indicating rationale for a facility-initiated transfer for 3 of 3 residents reviewed for transfer (#7, #8 and #51).
  3. 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) April 12, 2022
    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 3 of 3 sampled residents who had been transferred to the hospital (#7, #8 and #51).

Fire safety inspections

25 fire safety citations on file: 2 on February 26, 2025, 11 on February 12, 2025, 9 on November 15, 2023, 3 on March 2, 2022.

Every fire safety citation25 citations
  1. D
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · February 26, 2025 · Corrected (the home has a date of correction)
  2. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · February 26, 2025 · Corrected (the home has a date of correction)
  3. F
    Have simulated fire drills held at unexpected times.
    K 712 · February 12, 2025 · Corrected (the home has a date of correction)
  4. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 12, 2025 · Corrected (the home has a date of correction)
  5. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · February 12, 2025 · Corrected (the home has a date of correction)
  6. 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 · February 12, 2025 · Corrected (the home has a date of correction)
  7. D
    Provide properly protected cooking facilities.
    K 324 · February 12, 2025 · Corrected (the home has a date of correction)
  8. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 12, 2025 · Corrected (the home has a date of correction)
  9. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · February 12, 2025 · Corrected (the home has a date of correction)
  10. D
    Install corridor and hallway doors that block smoke.
    K 363 · February 12, 2025 · Corrected (the home has a date of correction)
  11. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · February 12, 2025 · Corrected (the home has a date of correction)
  12. D
    Ensure proper usage of power strips and extension cords.
    K 920 · February 12, 2025 · Corrected (the home has a date of correction)
  13. D
    Have proper medical gas storage and administration areas.
    K 923 · February 12, 2025 · Corrected (the home has a date of correction)
  14. F
    Construct fire resistant interior walls.
    K 331 · November 15, 2023 · Corrected (the home has a date of correction)
  15. F
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · November 15, 2023 · Corrected (the home has a date of correction)
  16. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · November 15, 2023 · Corrected (the home has a date of correction)
  17. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · November 15, 2023 · Corrected (the home has a date of correction)
  18. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · November 15, 2023 · Corrected (the home has a date of correction)
  19. D
    Install an approved automatic sprinkler system.
    K 351 · November 15, 2023 · Corrected (the home has a date of correction)
  20. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 15, 2023 · Corrected (the home has a date of correction)
  21. D
    Install corridor and hallway doors that block smoke.
    K 363 · November 15, 2023 · Corrected (the home has a date of correction)
  22. D
    Have restrictions on the use of flammable curtains.
    K 751 · November 15, 2023 · Corrected (the home has a date of correction)
  23. F
    Install corridor and hallway doors that block smoke.
    K 363 · March 2, 2022 · Corrected (the home has a date of correction)
  24. 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 · March 2, 2022 · Corrected (the home has a date of correction)
  25. D
    Provide properly protected cooking facilities.
    K 324 · March 2, 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)3.984.343.86
Registered nurses0.541.050.69
All nursing staff on weekends3.753.923.42
Nurse aides2.62
Licensed practical nurses0.82
Nursing staff turnover (share who left in a year)41.9%46.7%45.8%
Registered nurse turnover50.0%40.2%42.9%
Administrators who left0

CMS expects 3.51 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 4.07 on weekdays and 3.75 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.18 in April to June 2025 to 3.98 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.980.544.073.75 0.0%0 of 9064
Oct to Dec 20253.830.563.983.47 0.0%1 of 9267
Jul to Sep 20253.960.744.083.65 0.0%0 of 9268
Apr to Jun 20254.180.704.343.78 0.0%0 of 9169
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.

Work here? Share your pay anonymously

For Pinnacle Health & Rehab at Sanford. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
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
24.524.413.9
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
2.42.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.24.13.2
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
22.925.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.84.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.020.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
26.220.823.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
21.616.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.41.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.12.01.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Pinnacle Health & Rehab at Sanford's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (42.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

42.3% this home

No different from the national rate

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. 75 eligible stays.

Potentially preventable readmissions

11.6% 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. 78 eligible stays.

Infections that led to a hospital stay

6.8% this home

No different from the national rate

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. 43 eligible stays.

Self-care and mobility at discharge

50.0% this home

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. 38 residents counted.

Falls with major injury

0.0% this home

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. 45 residents counted.

New or worsened pressure ulcers

0.0% this home

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. 45 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. 15 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: PINNACLE GROUP OF HUDSON VALLEY II LLC.

NameRoleTypeShareSince
Nachfolger, Israel5% or greater direct ownership interestIndividual99%01/14/2019
Nachfolger, MiriamDirect ownership interestIndividual01/14/2019
Ambler-Cote, AnneOperational/managerial controlIndividual02/01/2020
Berman, AriOperational/managerial controlIndividual12/01/2022
Nachfolger, IsraelOperational/managerial controlIndividual02/01/2020
Nachfolger, MiriamGeneral partnership interestIndividual01/14/2019
Nachfolger, IsraelTrustee of the SNFIndividual01/14/2019
Nachfolger, MiriamTrustee of the SNFIndividual01/14/2019
Main St. RealtyAdp of the SNFOrganization02/01/2020
Ambler-Cote, AnneAdp of the SNFIndividual03/23/2025
Berman, AriAdp of the SNFIndividual03/23/2025
Nachfolger, IsraelAdp of the SNFIndividual02/01/2020
Nachfolger, MiriamAdp of the SNFIndividual03/23/2025

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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on February 12, 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 3 problems in this area, most recently on February 12, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on February 12, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on October 1, 2024: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.75 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

These are the official offices in Maine. NursingHomeClear cannot take or act on complaints.

Common questions

What is Pinnacle Health & Rehab at Sanford's Medicare star rating?
CMS rates Pinnacle Health & Rehab at Sanford 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Pinnacle Health & Rehab at Sanford get at its last inspection?
4 health deficiencies at the standard inspection on February 12, 2025. The Maine average is 10.8.
Has Pinnacle Health & Rehab at Sanford been fined?
CMS lists no fines in the last three years.
Does Pinnacle Health & Rehab at Sanford 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 Pinnacle Health & Rehab at Sanford?
CMS lists 13 owners and managers. Legal business name: PINNACLE GROUP OF HUDSON VALLEY II LLC.

Sources

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