St. Andre Health Care Facility
407 Pool St., Biddeford, ME 04005 · York County · (207) 282-5171
96 certified beds, about 80 residents a day · Non 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
5 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 205108 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 13, 2025, inspectors cited 4 health deficiencies (the Maine average is 10.8, the national average 9.2).
None of its 11 health citations since November 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.24 hours per resident per day, against 4.34 across Maine and 3.86 nationally. Registered nurses accounted for 1.14 of those hours.
33.7% of nursing staff left within the year CMS measured (Maine average 46.7%).
CMS links it to Covenant Health, an affiliated group of 8 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.
111/19
607/22
406/25
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
2E
0F
Potential for minimal harm
0A
0B
0C
June 13, 2025Standard inspection · 4 citations
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wrote2. On 06/09/25 at 12:20 p.m., observed an oxygen concentrator at the bed side of Resident #10. The tubing was still attached to the machine. Resident #10 stated that [he/she] no longer uses O2 but machine is at [his/her] bedside. Resident #10 stated that they have not used O2 for a month. On 6/10/25 at 1:10 p.m. the surveyor confirmed in an interview with the Unit Manager that Resident #10 no longer uses the O2, and she will remove the concentrator. Based on observations, record reviews, interviews, the facility failed to maintain a sanitary environment to help prevent the development and transmission of disease and infection related to respiratory care for 2 of 3 residents reviewed for respiratory care. ( #10, #13 and #23)
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and interviews, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for the ceiling tile and support structure, and the large floor mixer, 3 of 3 days of survey. Additionally, the reach-in refrigerator was found to have a bag of cookie dough that was undated and unlabeled.
- 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.
Inspectors wroteBased on observations and interviews, the facility failed to maintain a safe, clean, comfortable and homelike environment on 3 of 3 units.
- D Dispose of garbage and refuse properly.
Inspectors wroteBased on observations and interviews, the facility failed to ensure that garbage and refuse were disposed of in a manner to prevent pest infestation for 1 of 3 survey days. (6/11/25).
July 13, 2022Standard inspection · 6 citations
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on medical record review, review of facility policy, observation, and interviews, the facility failed to ensure a resident was clinically appropriate to self administer an inhaler on 3 of 3 survey days. (R65).
- 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.
Inspectors wroteBased on observations, record reviews and interviews, the facility failed to maintain a safe, clean, comfortable, and homelike environment on 3 of 3 resident units and in the facility's laundry room.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on interviews, record review, and facility policy, 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 care for 1 of 2 Residents (R) reviewed for new admissions (R72).
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review and policy review the facility failed to update/implement a care plan in the area of respiratory for 1 of 23 residents (R) reviewed for comprehensive care plans. (R65).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, the facility failed to follow their Elopement/Missing Resident policy and procedure for 1 of 1 sampled resident's. (#1)
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews and policy review the facility failed to ensure foods were dated and labeled in, the reach in freezer, dry storage room and walk in freezer. In addition, the facility failed to discard outdated and obvious freezer burned food on 1 of 3 survey days.
November 21, 2019Standard inspection · 1 citation
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure a care plan was updated to reflect the resident's current needs in the area of infection control for 1 of 18 sampled residents (#42).
Fire safety inspections
25 fire safety citations on file: 20 on June 13, 2025, 4 on July 13, 2022, 1 on November 21, 2019.
Every fire safety citation25 citations
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Develop and maintain an Emergency Preparedness Program (EP).
- D Conduct risk assessment and an All-Hazards approach.
- D Address subsistence needs for staff and patients.
- D Establish procedures for tracking staff and patients during an emergency.
- D Create arrangements with other facilities to receive patients.
- D Conduct testing and exercise requirements.
- 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.
- D Have exits that are accessible at all times.
- D Have properly located and lighted "Exit" signs.
- D Provide properly protected cooking facilities.
- D Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- D Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Install properly constructed and protected linen or trash chutes.
- D Have simulated fire drills held at unexpected times.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure proper usage of power strips and extension cords.
- F Install a two-hour-resistant firewall separation.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Have simulated fire drills held at unexpected times.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Have a battery powered remote alarm panel in a location accessible by operating personnel.
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.
| Measure | This home | Maine | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.24 | 4.34 | 3.86 |
| Registered nurses | 1.14 | 1.05 | 0.69 |
| All nursing staff on weekends | 3.81 | 3.92 | 3.42 |
| Nurse aides | 2.73 | ||
| Licensed practical nurses | 0.38 | ||
| Nursing staff turnover (share who left in a year) | 33.7% | 46.7% | 45.8% |
| Registered nurse turnover | 16.0% | 40.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.36 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 4.42 on weekdays and 3.81 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.43 in April to June 2025 to 4.24 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.24 | 1.14 | 4.42 | 3.81 | 7.8% | 0 of 90 | 80 |
| Oct to Dec 2025 | 4.29 | 1.12 | 4.47 | 3.86 | 10.5% | 0 of 92 | 78 |
| Jul to Sep 2025 | 4.16 | 1.21 | 4.32 | 3.76 | 7.8% | 0 of 92 | 80 |
| Apr to Jun 2025 | 4.43 | 1.27 | 4.63 | 3.94 | 5.3% | 0 of 91 | 76 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Maine, Jan to Mar 2026 | 4.35 | 1.06 | 4.52 | 3.95 | 9.2% | 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.
| Measure | This home | Maine | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 29.0 | 24.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 2.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.9 | 4.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.4 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 40.9 | 25.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.1 | 4.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.4 | 20.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.5 | 20.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.9 | 16.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 2.0 | 1.8 |
Owners and operators
Legal business name: ST. ANDRE HEALTH CARE FACILITY. CMS links this home to Covenant Health, a group of 8 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Alaimo, Stephen | W-2 managing employee | Individual | 06/29/2015 | |
| Castillo, Nicole | W-2 managing employee | Individual | 05/18/2018 | |
| Hogan, Michael | W-2 managing employee | Individual | 04/04/2008 | |
| Thieme, Victoria | Corporate director | Individual | 01/01/2016 | |
| Valenza, Joseph | Corporate director | Individual | 01/01/2016 | |
| Alaimo, Stephen | Corporate officer | Individual | 06/29/2015 | |
| Castillo, Nicole | Corporate officer | Individual | 05/18/2018 | |
| Hogan, Michael | Corporate officer | Individual | 04/04/2008 | |
| Castillo, Nicole | Operational/managerial control | Individual | 05/18/2018 | |
| Hogan, Michael | Operational/managerial control | Individual | 04/04/2008 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on June 13, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on June 13, 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."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on July 13, 2022: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on June 13, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.81 hours per resident per day, below the Maine average of 3.92.
Other nursing homes nearby
- Seal Rock Healthcare Saco, 1.4 mi · 2 of 5 stars · 25 citations
- Southridge Rehab & Living Ctr Biddeford, 2.9 mi · 3 of 5 stars · 31 citations
- Pine Point Center Scarborough, 6.7 mi · 2 of 5 stars · 31 citations
- Maine Veterans Home - Scarborough Scarborough, 7.9 mi · 5 of 5 stars · 9 citations
- Kennebunk Center for Health & Rehabilitation, LLC Kennebunk, 8.7 mi · 2 of 5 stars · 36 citations
- Piper Shores Scarborough, 8.7 mi · 5 of 5 stars · 21 citations
- River Ridge Center Kennebunk, 9 mi · 1 of 5 stars · 27 citations
- Pinnacle Health & Rehab at South Portland So Portland, 13.4 mi · 3 of 5 stars · 25 citations
Maine contacts for a concern about a nursing home
These are the official offices in Maine. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Maine DHHS Division of Licensing and Certification, Nursing Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Maine Long-Term Care Ombudsman Program, (800) 499-0229. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Maine DLC Licensed Provider Search, where Maine publishes its own records on licensed homes.
Common questions
- What is St. Andre Health Care Facility's Medicare star rating?
- CMS rates St. Andre Health Care Facility 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did St. Andre Health Care Facility get at its last inspection?
- 4 health deficiencies at the standard inspection on June 13, 2025. The Maine average is 10.8.
- Has St. Andre Health Care Facility been fined?
- CMS lists no fines in the last three years.
- Does St. Andre Health Care Facility 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 St. Andre Health Care Facility?
- CMS lists 10 owners and managers, and links the home to Covenant Health. Legal business name: ST. ANDRE HEALTH CARE FACILITY.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.