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Home / Maine / Farmington

Sandy River Center

119 Livermore Falls Road, Farmington, ME 04938 · Franklin County · (207) 778-6591

82 certified beds, about 77 residents a day · For profit - Corporation · Medicare and Medicaid since 1991

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 205069 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 18, 2025, inspectors cited 7 health deficiencies (the Maine average is 10.8, the national average 9.2).

Of 45 health citations since October 2022, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $14,069 in the last three years; the largest was $14,069, and the latest is dated July 30, 2025.

Nurses and nurse aides worked 3.44 hours per resident per day, against 4.34 across Maine and 3.86 nationally. Registered nurses accounted for 0.88 of those hours.

46.1% 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 45 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
15D
24E
1F
Potential for minimal harm
0A
4B
0C
November 25, 2025Complaint inspection · 2 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) January 5, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice by failing to follow a physician's orders for daily weights for 1 of 3 residents reviewed during a complaint investigation (Resident #1).
  2. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 5, 2026
    Inspectors wroteBased on record review, interviews, and facility policy, the facility failed to maintain adequate pharmaceutical services to ensure the receipt and administration of physician ordered medication was available to meet the needs of 1 of 3 residents requiring anti-seizure medication reviewed during a complaint investigation (Resident #1).
September 18, 2025Standard inspection, Complaint inspection · 7 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) October 20, 2025
    Inspectors wroteBased on observations and interviews, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in a sanitary, orderly, and comfortable environment on 6 of 6 Units (Mt. [NAME], Mt. Blue, Sugarloaf, Porter, Rangeley and [NAME]), the laundry room and a common area for 3 of 4 days of survey.(9/15/25, 9/16/25 and 9/18/25).
  2. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 20, 2025
    Inspectors wroteBased on record reviews and interviews, the facility failed to ensure that care plans were updated to reflect the residents current needs for 2 of 39 resident care plans reviewed (Resident #44 [R44] and R11).
  3. 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) October 20, 2025
    Inspectors wroteBased on observations, interviews, and review of the facility's Warewashing policy/procedure and the facility's Food Storage policy/procedure, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for a food disposal, a mouse trap, the floor, the stove hood, house flies, ceiling air vents, ceiling tiles and the ceiling metal grid; failed to ensure foods were dated, labeled and/or secured in a walk-in refrigerators and a walk-in freezer; and failed to ensure that the dish machine was monitored for proper wash and rinse temperatures to ensure clean and sanitized utensils and dishes, for 2 of 4 days of survey (9/15/25 and 9/17/25). In addition, the facility failed to ensure that expired food was removed and food dishes were covered in unit refrigerators, for 1 of 4 days of survey (9/15/25).
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 20, 2025
    Inspectors wroteBased on observation, interview, 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 1 of 4 days of survey (9/15/25).
  5. 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) October 20, 2025
    Inspectors wroteBased on observation, record reviews, and interview, the facility failed to follow a physician order for the use of continuous oxygen for 1 of 2 residents (Resident #30 [R30]) reviewed for oxygen use.
  6. 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) October 20, 2025
    Inspectors wroteBased on performance evaluation reviews and interview, the facility failed to complete 2 annual performance evaluations that were due to be completed at least every 12 months, for 1 of 3 sampled employees employed greater than 1 year (Certified Nursing Assistant #1 [CNA1]).
  7. 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) October 20, 2025
    Inspectors wroteBased on observations and interviews, the facility failed to post the nurse staffing information in an area visible to residents for 3 of 4 days of survey (9/15, 9/16, and 9/17/25).
July 30, 2025Complaint inspection · 1 citation
  1. J
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on the facility reported incident, record reviews and interviews, the facility failed to provide the appropriate textured meal to Resident #1 who was identified with swallowing issues and required a dysphagia advanced texture for all meals. This failure to provide the correct texture at the supper meal on 7/24/25 resulted in the resident choking, needing transfer to the hospital and subsequently passing away for 1 of 12 residents reviewed that were requiring dysphagia advanced texture meals. This failure determined an immediate jeopardy situation existed. Immediate jeopardy is defined as a situation in which a recipient of care has suffered or is likely to suffer serious injury, harm, impairment, or death as a result of a provider's noncompliance with one or more health and safety requirements. [...]
August 8, 2024Standard inspection, Complaint inspection · 16 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 · Corrected (the home has a date of correction) September 9, 2024
    Inspectors wroteBased on record review 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. This has the potential to affect all residents needing assistance with Activities of Daily Living (ADLs).
  2. E
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 9, 2024
    Inspectors wroteBased on record review and interviews the facility failed to provide residents/representatives written information concerning the right to accept or refuse medical or surgical treatment and/or formulate an advance directive for 7 of 15 residents reviewed for advanced directives (Resident's #7, #33, #51, 65, #16, #34, #69).
  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) September 9, 2024
    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 interior for the 6 of 6 units (Mt. [NAME], Mt. Blue, Sugarloaf, [NAME], Rangeley and Porter), the upper level common area, the lower level common area, a patio and the laundry for 1 of 1 facility tours (8/8/24).
  4. E
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 9, 2024
    Inspectors wroteBased on record reviews and interview, the facility failed to ensure that 3 of 3 residents reviewed with a specialized mental health diagnosis, whose stay went beyond the expected 30 days, had been referred to the appropriate state-designated authority for Pre-admission Screening & Resident Review Level II (PASRR) evaluation and determination (Residents #48, #66 and #68).
  5. 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) September 9, 2024
    Inspectors wrote2. Resident #69 was admitted on [DATE] with a diagnosis of COPD and Congestive Heart Failure (CHF). A review of Resident #69's July 2024 Medication Administration Records (MAR) indicates that the resident received Oxygen at 2 liters per nasal cannula continuously from 5/1/24 - 7/29/24. A review of Resident #69's care plan did not include a focus, goals or interventions in the area of oxygen therapy. On 8/7/24 at 1:46 p.m., a surveyor confirmed the above finding during an interview with the Market Clinical Advisor. Based on record reviews and interviews the facility failed to update and/or implement goals and interventions for 2 of 23 care plans reviewed for respiratory care, and 1 of 1 careplans reviewed for Post-Traumatic Stress Disorder (PTSD). (Resident's #28, #69, #26).
  6. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 9, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to ensure residents' care plans were reviewed and revised by the interdisciplinary team (IDT) within 7 days after each comprehensive assessment for 4 of 4 residents reviewed for IDT meetings (Resident's #7, #32, #33 and #65). In addition, the facility failed to ensure a a resident's care plan was revised to address nutrition and weight loss (#42).
  7. 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) September 9, 2024
    Inspectors wroteBased on observations, record reviews and interviews, the facility failed provide respiratory care consistent with professional standards of practice by failing to ensure that respiratory equipment was replaced for 1 of 1 resident (Resident #28) and failed to change oxygen tubing for 1 of 2 residents reviewed (Resident #69).
  8. 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) September 9, 2024
    Inspectors wroteBased on observations and interviews, the facility failed to ensure that medications were stored properly by having an unlocked, unattended medication cart allowing residents and unauthorized persons access to medications, on 1 of 4 days of survey. In addition, the facility failed to ensure expired medications were removed from the supply available for use in 1 of 2 medication storage rooms and 1 of 3 medication carts reviewed.
  9. E
    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, pattern · Corrected (the home has a date of correction) September 9, 2024
    Inspectors wroteBased on observations and interviews, the facility failed to offer nourishing snacks to residents who want to eat at non-traditional times or outside of scheduled meal service times on 6 of 6 units (Mt. [NAME], Mt. Blue, Sugarloaf, [NAME], Rangeley and Porter), for 2 of 4 days of survey.
  10. 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) September 9, 2024
    Inspectors wroteBased on observations, interviews, the facility's Refrigerated/Frozen Storage policy revision date 6/15/18, the facility's Environment: policy HCSG 028 revised 9/2017, the facility's Warewashing policy HCSG 022 revised 2/2023, the facility's Food Storage: Cold Storage revised 2/2023, the facility's Food Storage: Dry Goods revised 9/2017, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for ceiling vents, ceiling tiles, ceiling lights, he hood system, the food slicer, the food mixer, and cement blocks. Additionally, the facility failed to ensure that foods in the dry storage room, the reach-in refrigerator and the walk-in refrigerator were labeled and/or dated. Further, the facility failed to ensure refrigerator temperatures were monitored for an area refrigerator.
  11. E
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 9, 2024
    Inspectors wroteBased on observation and interview, the facility failed to maintain a garbage storage area in a sanitary condition to prevent the harborage and feeding of pests for 2 trash collection container for 4 of 4 days of survey. (8/5/24, 8/6/24, 8/7/24 and 8/8/24)
  12. 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 · Corrected (the home has a date of correction) September 9, 2024
    Inspectors wroteBased on record reviews and interview, the facility failed to ensure that clinical records were complete and contained accurate information for 1 of 1 residents reviewed for activities of daily living (#183), and 1 of 2 residents reviewed for oxygen use (#69).
  13. E
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 9, 2024
    Inspectors wroteBased on review of the quarterly Quality Assurance Performance Improvement/Quality Assurance Assessment (QAPI/QAA) Committee meeting attendance sheets and interview, the facility failed to ensure that the Infection Preventionist attended 4 of 4 quarterly meetings.
  14. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 9, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure that the resident's environment was free of accident hazards relating to a desk wall laminate covering for 1 of 3 days of survey. (8/5/24)
  15. 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) September 9, 2024
    Inspectors wroteBased on record review and interviews, the facility failed to provide documentation of monitoring of psychotropic medication side effects for 1 of 5 residents reviewed for unnecessary drug use (#7).
  16. 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) September 9, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure appropriate infection control procedures were followed related to hand sanitizing during the medication pass task for 1 of 2 medication passes observed.
April 29, 2024Complaint inspection · 2 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) June 7, 2024
    Inspectors wroteBased on observations and interview, the facility failed to adequately maintain housekeeping and maintenance services necessary to maintain in good repair and sanitary condition unit refrigerators, kitchenette cabinet doors, dining tables, microwave ovens on 7 of 7 kitchenettes. (Mount Blue, Sugarloaf, Mount [NAME], Rangely Lake, [NAME] & [NAME], First floor recreation)
  2. 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) June 7, 2024
    Inspectors wroteBased on observations and interviews, the facility failed to properly store, label and date food in the walk-in refrigerator and unit refrigerators for 6 units, first floor recreation area and kitchen 1 of 1 days of survey (4/29/24).
October 3, 2023Complaint 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) November 15, 2023
    Inspectors wroteBased on record reviews and interviews, the facility failed to ensure that clinical records were complete and contained accurate information for 2 of 3 residents reviewed for pressure ulcer care (#1, #2).
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) November 15, 2023
    Inspectors wroteBased on interviews and record review, the facility failed to provide a resident with care and services (incontinence care/mobility assistance) to promote physical, mental health, and well-being in a timely manner for 1 of 3 residents sampled (Resident #2).
  3. 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) November 15, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure that physician's orders were followed for 1 of 2 residents reviewed for pressure ulcer care ( Resident #1).
September 12, 2023Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) October 6, 2023
    Inspectors wroteBased on record reviews and interviews, the facility failed to complete a medication reconciliation to ensure that correct physician orders were implemented for 1 of 2 sampled residents (Resident #1) admitted from an acute care hospital.
October 28, 2022Standard inspection · 13 citations
  1. 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) December 6, 2022
    Inspectors wroteBased on interviews and observations, the facility failed to ensure that call lights were within reach for residents that are capable of using a call bell for 2 of 5 days of survey (10/24/22, 10/25/22).
  2. E
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 6, 2022
    Inspectors wroteBased on record review and interview, the facility was unable to provide evidence that a Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) Form 10055, which included appeal rights and liability of payment was provided at least two days prior to the resident's last covered day for 2 of 3 residents whose Medicare Part A services were discontinued, and the resident remained in the facility (#41 and #230).
  3. E
    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 more than minimal harm, pattern · Corrected (the home has a date of correction) December 6, 2022
    Inspectors wroteBased on record reviews and interviews, the facility failed to notify the resident and/or the resident's representative in writing of the transfers/discharges to an acute care hospital for 4 of 5 residents sampled for hospitalizations. (Residents #6, #25 #27, and #55)
  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) December 6, 2022
    Inspectors wroteBased on clinical record reviews, review of the electronic Medication Administration Record (MAR) and interviews, the facility failed to administer a physician ordered medication that was available for use for 2 days, for 2 of 31 residents reviewed. (Residents #27 and #173).
  5. E
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 6, 2022
    Inspectors wroteBased on record reviews and interviews, the facility failed to ensure an as needed anti-psychotropic medication met the requirements for continued use beyond 14 days, for 2 of 5 residents reviewed for unnecessary medication use (Resident #6 and #17).
  6. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 6, 2022
    Inspectors wroteBased on observations and interviews, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for the floor, the food disposal control box, ceiling vents, ceiling tiles, a wall mounted fan, a food slicer, ceiling lights, and window air conditioners. Additionally, the facility also failed to ensure dishes were not wet-stacked.
  7. 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 · Corrected (the home has a date of correction) December 6, 2022
    Inspectors wroteBased on observation and interview, the facility failed to maintain the dignity of 1 of 6 residents (Resident#27) reviewed for dignity related to urinary collection bags during 1 of 5 days of survey (10/24/22).
  8. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 6, 2022
    Inspectors wroteBased on interview and record review, the facility's interdisciplinary team (IDT) failed to determine if it was clinically appropriate for a resident to keep a medication at bedside and self-administer the medication for 1 of 31 Residents reviewed. (Resident #172).
  9. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 6, 2022
    Inspectors wroteBased on record review and interview, the facility failed to ensure that 1 of 3 residents with a specialized mental health diagnosis, whose stay went beyond the expected 30 days, had been referred to the appropriate state-designated authority for Pre-admission Screening & Resident Review Level II (PASARR) evaluation and determination (Resident #27).
  10. 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) December 6, 2022
    Inspectors wroteBased on observations, record review, and interviews, the facility failed to change oxygen tubing for 1 of 2 sampled residents reviewed for Respiratory Care (Resident #224).
  11. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 6, 2022
    Inspectors wroteBased on interview and record review, the facility failed to ensure that the Consultant Licensed Pharmacist reported an identified required gradual dose reduction (GDR) for an antipsychotic medication, to the attending physician and Director of Nursing, for 1 of 5 sampled residents reviewed for unnecessary medications (Resident #27). Additionally, the facility failed to ensure that the physician documented a GDR attempt or the reason for a contraindication of a GDR.
  12. 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) December 6, 2022
    Inspectors wroteBased on observation, the facility failed to post the current daily nurse staffing information that includes the facility name, day of the month, a breakdown of the number of registered and licensed nursing staff responsible for direct resident care and indicate which shifts the numbers corresponded to for facility census for 4 of 5 survey days.
  13. B
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) December 6, 2022
    Inspectors wroteBased on an interview and review of the facility's Quality Assurance and Performance Improvement (QAPI), the facility failed to present evidence that the required members attended 2 of 4 quarters provided (January 2022 and April 2022).

Fire safety inspections

20 fire safety citations on file: 6 on September 18, 2025, 9 on August 8, 2024, 5 on October 28, 2022.

Every fire safety citation20 citations
  1. F
    Address subsistence needs for staff and patients.
    E 15 · September 18, 2025 · Corrected (the home has a date of correction)
  2. F
    Conduct testing and exercise requirements.
    E 39 · September 18, 2025 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 18, 2025 · Corrected (the home has a date of correction)
  4. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · September 18, 2025 · Corrected (the home has a date of correction)
  5. D
    Have exits that are accessible at all times.
    K 271 · September 18, 2025 · Corrected (the home has a date of correction)
  6. D
    Have proper medical gas storage and administration areas.
    K 923 · September 18, 2025 · Corrected (the home has a date of correction)
  7. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · August 8, 2024 · Corrected (the home has a date of correction)
  8. 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 · August 8, 2024 · Corrected (the home has a date of correction)
  9. 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 · August 8, 2024 · Corrected (the home has a date of correction)
  10. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 8, 2024 · Corrected (the home has a date of correction)
  11. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · August 8, 2024 · Corrected (the home has a date of correction)
  12. D
    Install corridor and hallway doors that block smoke.
    K 363 · August 8, 2024 · Corrected (the home has a date of correction)
  13. D
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · August 8, 2024 · Corrected (the home has a date of correction)
  14. D
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · August 8, 2024 · Corrected (the home has a date of correction)
  15. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 8, 2024 · Corrected (the home has a date of correction)
  16. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 28, 2022 · Corrected (the home has a date of correction)
  17. 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 28, 2022 · Corrected (the home has a date of correction)
  18. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 28, 2022 · Corrected (the home has a date of correction)
  19. D
    Have proper medical gas storage and administration areas.
    K 923 · October 28, 2022 · Corrected (the home has a date of correction)
  20. C
    Address subsistence needs for staff and patients.
    E 15 · October 28, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
July 30, 2025Fine $14,069

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)3.444.343.86
Registered nurses0.881.050.69
All nursing staff on weekends3.253.923.42
Nurse aides2.11
Licensed practical nurses0.45
Nursing staff turnover (share who left in a year)46.1%46.7%45.8%
Registered nurse turnover37.5%40.2%42.9%
Administrators who left0

CMS expects 3.63 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 3.51 on weekdays and 3.25 on weekends, 7% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.39 in April to June 2025 to 3.44 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.440.883.513.25 7.3%0 of 9077
Oct to Dec 20253.480.803.563.27 12.8%0 of 9273
Jul to Sep 20253.260.803.362.99 6.1%0 of 9275
Apr to Jun 20253.390.943.503.14 10.4%0 of 9171
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 Sandy River Center. 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
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Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

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

How staff pay reports work · CNA pay by state

Quality measures

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

MeasureThis homeMaineUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
14.624.413.9
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
0.02.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.44.13.2
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
25.425.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.84.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.920.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
32.320.823.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
22.016.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.91.41.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.52.01.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Sandy River Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (61.6% 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

61.6% this home

Better than 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. 128 eligible stays.

Potentially preventable readmissions

9.2% 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. 142 eligible stays.

Infections that led to a hospital stay

6.3% 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. 79 eligible stays.

Self-care and mobility at discharge

44.4% 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. 45 residents counted.

Falls with major injury

1.1% 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. 92 residents counted.

New or worsened pressure ulcers

3.2% 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. 92 residents counted.

Medication list given at discharge

50.0% this home

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. 36 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: FARMINGTON 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 interestOrganization04/01/2011
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 interestOrganization04/01/2011
Genesis Holdings LLC5% or greater indirect ownership interestOrganization02/02/2015
Ghc Holdings LLC5% or greater indirect ownership interestOrganization08/01/2008
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
Morris, DianeOperational/managerial controlIndividual12/23/2023
Osella, AveryOperational/managerial controlIndividual03/01/2024
Shaw, JoanneOperational/managerial controlIndividual03/01/2024
Morris, DianeAdp of the SNFIndividual12/27/2023
Osella, AveryAdp of the SNFIndividual06/01/2024
Shaw, JoanneAdp of the SNFIndividual06/01/2024

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 November 25, 2025: "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 September 18, 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."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on September 18, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on September 18, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with 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 3.25 hours per resident per day, below the Maine average of 3.92.

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Common questions

What is Sandy River Center's Medicare star rating?
CMS rates Sandy River Center 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Sandy River Center get at its last inspection?
7 health deficiencies at the standard inspection on September 18, 2025. The Maine average is 10.8.
Has Sandy River Center been fined?
Yes. CMS lists 1 fine totaling $14,069 in the last three years.
Does Sandy River 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 Sandy River Center?
CMS lists 19 owners and managers, and links the home to Genesis Healthcare. Legal business name: FARMINGTON OPERATIONS LLC.

Sources

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