Bangor Nursing & Rehabilitation Center
CCN: 205020 · BANGOR, ME 04401 · Penobscot County
Overview
- Address
- 103 TEXAS AVE, BANGOR, ME 04401
- Phone
- 2079474557
- Certified beds
- 60
- Avg daily residents
- 52 (86% of beds filled)
- Ownership
- Non-profit (church-affiliated)
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1967-03-09
- Setting
- Urban
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.00 | 3.89 | 3.96 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.07 | 0.68 | 1.06 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.53 | 0.86 | 0.52 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.40 | 2.35 | 2.38 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.59 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.07 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-12-19 | 19 | 16 | 7 | 124 | 1 | 124 |
| Cycle 2/3 (prior) | 2023-10-26 | 30 | 16 | 15 | 168 | 1 | 168 |
Deficiencies (55)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2026-01-08 | 2026-02-20 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-01-08 | 2026-02-20 |
| 0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-01-08 | 2026-02-20 |
| 0578 | 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. | E | 2024-12-19 | 2025-01-30 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-12-19 | 2025-01-30 |
| 0584 | 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. | E | 2024-12-19 | 2025-01-30 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | 2024-12-19 | 2025-01-30 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-12-19 | 2025-01-30 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-12-19 | 2025-01-30 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-12-19 | 2025-01-30 |
| 0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-12-19 | 2025-01-30 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-12-19 | 2025-01-30 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2024-12-19 | 2025-01-30 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-12-19 | 2025-01-30 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-12-19 | 2025-01-30 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-12-19 | 2025-01-30 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-12-19 | 2025-01-30 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-12-19 | 2025-01-30 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-12-19 | 2025-01-30 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-10-22 | 2024-12-05 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-10-22 | 2024-12-05 |
| 0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-10-22 | 2024-12-05 |
| 0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | 2024-10-22 | 2024-12-05 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-06-12 | 2024-07-12 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-06-12 | 2024-07-12 |
| 0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2024-06-12 | 2024-07-12 |
| 0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-10-26 | 2023-12-05 |
| 0583 | Keep residents' personal and medical records private and confidential. | E | 2023-10-26 | 2023-12-05 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-10-26 | 2023-12-05 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-10-26 | 2023-12-05 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-10-26 | 2023-12-05 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-10-26 | 2023-12-05 |
| 0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | 2023-10-26 | 2023-12-05 |
| 0730 | Observe each nurse aide's job performance and give regular training. | B | 2023-10-26 | 2023-12-05 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-10-26 | 2023-12-05 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2023-10-26 | 2023-12-05 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-10-26 | 2023-12-05 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-10-26 | 2023-12-05 |
| 0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2023-10-26 | 2023-12-05 |
| 0880 | Provide and implement an infection prevention and control program. | B | 2023-10-26 | 2023-12-05 |
| 0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | 2023-10-26 | 2023-12-05 |
| 0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2023-10-26 | 2023-12-05 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-10-11 | 2023-11-15 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-03-29 | 2023-05-05 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-03-29 | 2023-05-05 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-03-29 | 2023-05-05 |
| 0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2023-03-29 | 2023-05-05 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2023-03-29 | 2023-05-05 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-03-21 | 2023-05-05 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-03-21 | 2023-05-05 |
Showing 50 most recent of 55. See the All Data CSV for the full list.
Penalties (1)
| Date | Type | Fine amount |
|---|---|---|
| 2024-12-19 | Fine | $12,831 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: COVENANT HEALTH
- Chain ID
167- Facilities in chain
- 11
- Legal business name
- BANGOR NURSING & REHABILITATION CENTER
Owner / manager individuals (21)
| Name | Role | Association |
|---|---|---|
| BENNETT, PHILLIP | OPERATIONAL/MANAGERIAL CONTROL | since 05/07/2007 |
| DONAHUE, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | since 05/15/2013 |
| BENNETT, PHILLIP | CORPORATE DIRECTOR | since 05/07/2007 |
| BLACK, EARL | CORPORATE DIRECTOR | since 01/01/2015 |
| BURLOCK, HELEN | CORPORATE DIRECTOR | since 01/01/2013 |
| CYR, DEBORAH | CORPORATE DIRECTOR | since 01/01/2013 |
| DUBOIS, MIA | CORPORATE DIRECTOR | since 01/01/2016 |
| FARNHAM, NICHI | CORPORATE DIRECTOR | since 01/01/2013 |
| LAVIGNE, LAURENT | CORPORATE DIRECTOR | since 01/01/2013 |
| LIPPITT, DANA | CORPORATE DIRECTOR | since 01/01/2015 |
| MARBLE, DENNIS | CORPORATE DIRECTOR | since 01/01/2016 |
| MARTIN, GARRETT | CORPORATE DIRECTOR | since 01/01/2013 |
| MILLER, JOHN | CORPORATE DIRECTOR | since 01/01/2015 |
| MUTH, JOHN | CORPORATE DIRECTOR | since 01/01/2015 |
| NOYES, TRAVIS | CORPORATE DIRECTOR | since 01/01/2015 |
| PAYNE, CLARE | CORPORATE DIRECTOR | since 01/01/2013 |
| POTTLE, JONATHAN | CORPORATE DIRECTOR | since 01/01/2013 |
| RICH, STEPHEN | CORPORATE DIRECTOR | since 01/01/2013 |
| DONAHUE, BRIAN | CORPORATE OFFICER | since 05/16/2013 |
| BENNETT, PHILLIP | W-2 MANAGING EMPLOYEE | since 05/07/2007 |
| DONAHUE, BRIAN | W-2 MANAGING EMPLOYEE | since 05/15/2013 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $40 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.41 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 67.3% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 9.6% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-1,183,864 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $3,968,469 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 88.8% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -31.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $2,015,419 | metrics.total_assets |
| Cost Report | Total Costs ($) | $391,365 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-779,704 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $2,795,123 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -29.4% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.52105 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.38236 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.05858 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.96199 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.78409 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 51.8 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.86413 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.34852 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.68113 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.89378 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.43196 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 3.1 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.4 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 2.6 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 4.5 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 167 | Chain ID |
| Provider Information | Chain Name | COVENANT HEALTH | Chain Name |
| Provider Information | City/Town | BANGOR | City/Town |
| Provider Information | CMS Certification Number (CCN) | 205020 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Penobscot | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1967-03-09 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 44.8058 | Latitude |
| Provider Information | Legal Business Name | BANGOR NURSING & REHABILITATION CENTER | Legal Business Name |
| Provider Information | Location | 103 TEXAS AVE,BANGOR,ME,04401 | Location |
| Provider Information | Long-Stay QM Rating | 1 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -68.802 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 60 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 5 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 11 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.37939 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.00127 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 1 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Church related | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 103 TEXAS AVE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Bangor Nursing & Rehabilitation Center | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 090 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 2 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 124 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 7 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 16 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-12-19 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 124 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 19 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 16 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-10-26 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 168 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 15 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 168 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 30 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.67809 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 75.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.59307 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.52548 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.40263 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.07272 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.06759 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.99570 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | ME | State |
| Provider Information | Telephone Number | 2079474557 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 12831.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.81629 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 75.3 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 135.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 04401 | ZIP Code |