Yarmouth, ME

Coastal Manor

4-star overall rating with 3-star inspections with 6 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle

20 West Main Street, Yarmouth, ME

(207) 846-2250

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1994-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

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

0.88

Registered nurse staffing · state 1.03 · national 0.68

LPN hours / resident day

0.26

Licensed practical nurse staffing · state 0.47 · national 0.87

Aide hours / resident day

3.07

Nurse aide staffing · state 2.86 · national 2.35

Total nurse hours

4.22

All reported nurse hours · state 4.35 · national 3.89

Licensed hours

1.14

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

3.73

Weekend nurse staffing · state 3.91 · national 3.43

Weekend RN hours

0.60

Weekend registered nurse coverage · state 0.73 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.87

CMS adjusted RN staffing hours

Adjusted total hours

4.16

CMS adjusted total nurse staffing hours

Case-mix index

1.38

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

33%

Annual nurse turnover · state 49% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 1 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 1 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 6 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 1 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 64
Staff flu vaccination coverage	95.65%	42% 53.7 pts better	Numerator 66 · Denominator 69
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.

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 0.3 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.7	2.1 1.4 pts better	1.8 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.5 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	85.9%	90.7% 4.8 pts worse	93.4% 7.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 90.6% · Q2 81.1% · Q3 81.8% · Q4 90.9% · 4Q avg 85.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	87.2%	95.5% 8.3 pts worse	95.5% 8.3 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 87.2%
Percentage of long-stay residents experiencing one or more falls with major injury	4.4%	4.3% 0.1 pts worse	3.3% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 0.0% · Q3 3.0% · Q4 6.1% · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	10.7% 10.7 pts better	11.4% 11.4 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 who lose too much weight	1.2%	5.5% 4.3 pts better	5.4% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.8%	17.0% 3.2 pts better	19.6% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 18.2% · Q3 13.6% · Q4 14.3% · 4Q avg 13.8%
Percentage of long-stay residents who received an antipsychotic medication	26.0%	21.0% 5 pts worse	16.7% 9.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q3 30.0% · 4Q avg 26.0% · 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	15.4%	29.6% 14.2 pts better	16.3% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 15.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.0%	25.7% 14.7 pts better	14.9% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 11.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.3% 1.3 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	2.7% 2.7 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	13.9%	29.8% 15.9 pts better	19.8% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 20.7% · Q3 13.0% · Q4 3.6% · 4Q avg 13.9%
Percentage of long-stay residents with pressure ulcers	6.9%	4.4% 2.5 pts worse	5.1% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 7.6% · Q3 4.5% · Q4 4.3% · 4Q avg 6.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	40.6%	71.2% 30.6 pts worse	81.7% 41.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q4 38.5% · 4Q avg 40.6%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-14 · Fire 2024-08-14

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2022-09-21 · Fire 2022-09-21

18 health deficiencies

Top issue: Administration (4 deficiencies)

7 fire-safety deficiencies

Top issue: Emergency Preparedness (5 deficiencies)

Cycle 3 Health 2020-02-06 · Fire 2020-02-06

8 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

9 fire-safety deficiencies

Top issue: Miscellaneous (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-14

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-09-13

F · Potential for more than minimal harm 2024-08-14

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-09-17

F · Potential for more than minimal harm 2024-08-14

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2024-08-28

F · Potential for more than minimal harm 2024-08-14

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-09-25

D · Potential for more than minimal harm 2024-08-14

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-08-14

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-08-14

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-08-20

D · Potential for more than minimal harm 2024-08-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-04

D · Potential for more than minimal harm 2024-08-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-08-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-08-23

D · Potential for more than minimal harm 2024-08-14

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-08-14

D · Potential for more than minimal harm 2024-08-14

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-09-22

E · Potential for more than minimal harm 2023-11-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-01-02

E · Potential for more than minimal harm 2023-11-14

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-01-02

D · Potential for more than minimal harm 2023-11-14

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2024-01-02

D · Potential for more than minimal harm 2023-11-14

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-01-02

D · Potential for more than minimal harm 2023-11-14

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-01-02

D · Potential for more than minimal harm 2023-11-14

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2024-01-02

D · Potential for more than minimal harm 2023-11-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-01-02

F · Potential for more than minimal harm 2022-09-21

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2022-11-08

D · Potential for more than minimal harm 2022-09-21

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2022-11-08

D · Potential for more than minimal harm 2022-09-21

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2022-11-08

D · Potential for more than minimal harm 2022-09-21

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2022-11-08

D · Potential for more than minimal harm 2022-09-21

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2022-11-08

D · Potential for more than minimal harm 2022-09-21

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-11-08

D · Potential for more than minimal harm 2022-09-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-08

C · Minimal harm 2020-02-06

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2020-02-10

C · Minimal harm 2020-02-06

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2020-03-10

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-12-10

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-01-03

F · Potential for more than minimal harm 2024-08-14

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-09-28

E · Potential for more than minimal harm 2024-08-14

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 2024-09-28

D · Potential for more than minimal harm 2024-08-14

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-09-28

D · Potential for more than minimal harm 2024-08-14

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 2024-09-28

D · Potential for more than minimal harm 2024-08-14

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-09-28

D · Potential for more than minimal harm 2024-08-14

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-09-28

E · Potential for more than minimal harm 2024-06-03

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-07-15

E · Potential for more than minimal harm 2024-06-03

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-07-15

D · Potential for more than minimal harm 2024-04-10

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2024-06-03

D · Potential for more than minimal harm 2024-04-10

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2024-06-03

E · Potential for more than minimal harm 2023-03-27

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-05-11

E · Potential for more than minimal harm 2023-03-27

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 2023-05-11

D · Potential for more than minimal harm 2023-03-27

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-05-11

D · Potential for more than minimal harm 2023-03-27

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2023-05-11

D · Potential for more than minimal harm 2023-03-27

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-05-11

C · Minimal harm 2023-03-27

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2023-05-11

E · Potential for more than minimal harm 2022-09-21

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 2022-11-05

E · Potential for more than minimal harm 2022-09-21

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 2022-11-05

E · Potential for more than minimal harm 2022-09-21

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-11-05

E · Potential for more than minimal harm 2022-09-21

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 2022-11-05

E · Potential for more than minimal harm 2022-09-21

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-11-05

E · Potential for more than minimal harm 2022-09-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-11-05

E · Potential for more than minimal harm 2022-09-21

F888 · Infection Control Deficiencies

Health

Ensure staff are vaccinated for COVID-19

Corrected 2022-11-05

D · Potential for more than minimal harm 2022-09-21

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2022-11-05

D · Potential for more than minimal harm 2022-09-21

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 2022-11-05

C · Minimal harm 2022-09-21

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2022-11-05

B · Minimal harm 2022-09-21

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2022-11-05

B · Minimal harm 2022-09-21

F838 · Administration Deficiencies

Health

Corrected 2022-11-05

B · Minimal harm 2022-09-21

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2022-11-05

D · Potential for more than minimal harm 2020-02-06

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2020-03-01

D · Potential for more than minimal harm 2020-02-06

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 2020-02-06

Penalties and ownership