Cycle 1
Health 2025-06-25 · Fire 2025-06-25
8 health deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Portland, ME
Cedars Nursing Care Center
5-star overall rating with 4-star inspections with 8 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
630 Ocean Avenue, Portland, ME
(207) 772-5456
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
102
Certified beds
Average residents
78
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.33
Registered nurse staffing · state 1.03 · national 0.68
LPN hours / resident day
0.30
Licensed practical nurse staffing · state 0.47 · national 0.87
Aide hours / resident day
2.98
Nurse aide staffing · state 2.86 · national 2.35
Total nurse hours
4.61
All reported nurse hours · state 4.35 · national 3.89
Licensed hours
1.63
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
4.39
Weekend nurse staffing · state 3.91 · national 3.43
Weekend RN hours
1.18
Weekend registered nurse coverage · state 0.73 · national 0.47
Physical therapist
0.26
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
1.37
CMS adjusted RN staffing hours
Adjusted total hours
4.73
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
45%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
877
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
62.57
Composite VBP score used to determine payment impact.
Payment multiplier
1.0175
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.61
Baseline 16.58% · Performance 17.90% · Measure score 7.61 · Achievement 7.61 · Improvement 0
Healthcare-associated infections
7.19
Baseline 5.40% · Performance 5.68% · Measure score 7.19 · Achievement 7.19 · Improvement 0
Total nurse turnover
4.16
Performance 46.67% · Measure score 4.16 · Achievement 4.16 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
6.06
Baseline 4.59 hours · Performance 4.80 hours · Measure score 6.06 · Achievement 6.06 · Improvement 1.24
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 7.95% |
10.72%
2.8 pts better
|
No Different than the National Rate · Eligible stays 282 · Observed rate 4.26% · Lower 95% interval 5.24% |
| Discharge to community | 73.64% |
50.57%
23.1 pts better
|
Better than the National Rate · Eligible stays 289 · Observed rate 72.32% · Lower 95% interval 68.95% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.84% |
95.27%
1.6 pts better
|
Numerator 184 · Denominator 190 |
| Falls with major injury | 0.53% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 190 |
| Discharge self-care score | 60.25% |
53.69%
6.6 pts better
|
Numerator 97 · Denominator 161 |
| Discharge mobility score | 62.73% |
50.94%
11.8 pts better
|
Numerator 101 · Denominator 161 |
| Pressure ulcers or injuries, new or worsened | 5.79% |
2.29%
3.5 pts worse
|
Numerator 11 · Denominator 190 · Adjusted rate 6.32% |
| Healthcare-associated infections requiring hospitalization | 5.68% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 170 · Observed rate 2.94% · Lower 95% interval 3.5% |
| Staff COVID-19 vaccination coverage | 19.13% |
8.2%
10.9 pts better
|
Numerator 35 · Denominator 183 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 205 · Denominator 205 |
| Discharge function score | 69.57% |
56.45%
13.1 pts better
|
Numerator 112 · Denominator 161 |
| Transfer of health information to provider | 90.32% |
95.95%
5.6 pts worse
|
Numerator 56 · Denominator 62 |
| Transfer of health information to patient | 90.29% |
96.28%
6 pts worse
|
Numerator 93 · Denominator 103 |
| Resident COVID-19 vaccinations up to date | 22.73% |
25.2%
2.5 pts worse
|
Numerator 20 · Denominator 88 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.5 |
1.4
0.9 pts better
|
1.9
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
2.1
1.2 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.6 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 76.7% |
90.7%
14 pts worse
|
93.4%
16.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 73.3% · Q2 77.6% · Q3 78.7% · Q4 77.1% · 4Q avg 76.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.2% |
95.5%
1.3 pts worse
|
95.5%
1.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% |
4.3%
0.1 pts better
|
3.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 8.2% · Q3 4.3% · Q4 0.0% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.6% |
10.7%
5.1 pts better
|
11.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 10.4% · Q3 2.3% · Q4 4.4% · 4Q avg 5.6% |
| Percentage of long-stay residents who lose too much weight | 4.9% |
5.5%
0.6 pts better
|
5.4%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 7.3% · Q3 5.0% · Q4 0.0% · 4Q avg 4.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.8% |
17.0%
4.8 pts worse
|
19.6%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 23.8% · Q3 19.5% · Q4 20.9% · 4Q avg 21.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.6% |
21.0%
3.4 pts better
|
16.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 17.1% · Q3 14.3% · Q4 18.9% · 4Q avg 17.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 30.9% |
29.6%
1.3 pts worse
|
16.3%
14.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 30.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.2% |
25.7%
1.5 pts better
|
14.9%
9.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 41.0% · Q3 10.0% · Q4 22.0% · 4Q avg 24.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.3%
0.8 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.7% |
2.7%
About the same
|
1.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 4.3% · Q4 4.3% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 36.8% |
29.8%
7 pts worse
|
19.8%
17 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.9% · Q2 39.9% · Q3 42.4% · Q4 32.4% · 4Q avg 36.8% |
| Percentage of long-stay residents with pressure ulcers | 5.8% |
4.4%
1.4 pts worse
|
5.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 7.1% · Q3 6.9% · Q4 5.6% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 28.3% |
71.2%
42.9 pts worse
|
81.7%
53.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 45.9% · Q2 27.5% · Q3 19.5% · Q4 20.3% · 4Q avg 28.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.5% |
15.6%
8.1 pts better
|
12.0%
4.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.5% · Observed 6.5% · Expected 9.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.4%
0.4 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 71.1% |
74.5%
3.4 pts worse
|
79.7%
8.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 71.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.7% |
20.5%
1.2 pts worse
|
23.9%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 16.8% · Expected 18.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-03 · Fire 2024-04-03
10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-12-01 · Fire 2022-12-01
7 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-06-25
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-07-15
D · Potential for more than minimal harm
2025-06-25
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-08-09
D · Potential for more than minimal harm
2025-06-25
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2025-08-09
D · Potential for more than minimal harm
2025-06-25
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-08-09
D · Potential for more than minimal harm
2025-06-25
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-08-09
D · Potential for more than minimal harm
2025-06-25
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-08-09
D · Potential for more than minimal harm
2025-06-25
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2025-07-03
D · Potential for more than minimal harm
2025-06-25
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-06-30
D · Potential for more than minimal harm
2025-06-25
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-08-09
D · Potential for more than minimal harm
2025-06-25
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-08-09
D · Potential for more than minimal harm
2025-06-25
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-27
F · Potential for more than minimal harm
2022-12-01
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-02-21
F · Potential for more than minimal harm
2022-12-01
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-02-21
E · Potential for more than minimal harm
2022-12-01
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2023-02-21
E · Potential for more than minimal harm
2022-12-01
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-02-21
D · Potential for more than minimal harm
2022-12-01
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2023-02-21
D · Potential for more than minimal harm
2022-12-01
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-02-21
D · Potential for more than minimal harm
2022-12-01
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-02-21
D · Potential for more than minimal harm
2022-12-01
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-02-21
D · Potential for more than minimal harm
2022-12-01
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-02-21
D · Potential for more than minimal harm
2022-12-01
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-21
D · Potential for more than minimal harm
2022-12-01
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-02-21
D · Potential for more than minimal harm
2022-12-01
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-02-21
C · Minimal harm
2022-12-01
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-02-21
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-06-25
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2025-08-09
E · Potential for more than minimal harm
2025-06-25
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-08-09
E · Potential for more than minimal harm
2025-06-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-09
E · Potential for more than minimal harm
2025-06-25
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-08-09
D · Potential for more than minimal harm
2025-06-25
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-08-09
D · Potential for more than minimal harm
2025-06-25
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-08-09
D · Potential for more than minimal harm
2025-06-25
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-08-09
D · Potential for more than minimal harm
2025-06-25
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-09
E · Potential for more than minimal harm
2024-04-03
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2024-05-10
E · Potential for more than minimal harm
2024-04-03
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-05-10
E · Potential for more than minimal harm
2024-04-03
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-10
E · Potential for more than minimal harm
2024-04-03
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-05-10
E · Potential for more than minimal harm
2024-04-03
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-04-03
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-04-03
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-04-03
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-04-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-04-03
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-02-20
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-29
D · Potential for more than minimal harm
2023-08-22
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-09-22
D · Potential for more than minimal harm
2023-08-22
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-09-22
F · Potential for more than minimal harm
2022-12-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-26
E · Potential for more than minimal harm
2022-12-01
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-26
D · Potential for more than minimal harm
2022-12-01
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-01-26
D · Potential for more than minimal harm
2022-12-01
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-01-26
Penalties and ownership
What sits behind the stars
Ownership
Jha Services, Inc.
5% Or Greater Direct Ownership Interest · Organization
Callnan, Kathryn
Corporate Officer · Individual
Callnan, Kathryn
W-2 Managing Employee · Individual
Palange-Hunt, Angela
W-2 Managing Employee · Individual
Watson, John
Corporate Officer · Individual
Watson, John
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Seaside Nursing And Retirement Home
Portland, ME
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Fallbrook Commons
Portland, ME
2-star overall rating with 2-star inspections with 19 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
#3
Barron Center
Portland, ME
4-star overall rating with 4-star inspections with $8,278 in total fines with 10 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
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