Cycle 1
Health 2024-10-23 · Fire 2024-10-23
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Damariscotta, ME
Cove's Edge Inc
5-star overall rating with 5-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
26 Schooner Street, Damariscotta, ME
(207) 563-4608
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
76
Certified beds
Average residents
41
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1991-06-29
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
1.15
Registered nurse staffing · state 1.03 · national 0.68
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
3.51
Nurse aide staffing · state 2.86 · national 2.35
Total nurse hours
4.65
All reported nurse hours · state 4.35 · national 3.89
Licensed hours
1.15
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
4.22
Weekend nurse staffing · state 3.91 · national 3.43
Weekend RN hours
1.10
Weekend registered nurse coverage · state 0.73 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
1.34
CMS adjusted RN staffing hours
Adjusted total hours
5.46
CMS adjusted total nurse staffing hours
Case-mix index
1.17
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
497
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
68.79
Composite VBP score used to determine payment impact.
Payment multiplier
1.0217
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.14
Baseline 19.01% · Performance 19.05% · Measure score 5.14 · Achievement 5.14 · Improvement 0
Healthcare-associated infections
5.5
Baseline 5.77% · Performance 6.19% · Measure score 5.5 · Achievement 5.5 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
10
Baseline 4.98 hours · Performance 6.06 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.53% |
10.72%
2.2 pts better
|
No Different than the National Rate · Eligible stays 72 · Observed rate 0% · Lower 95% interval 6.01% |
| Discharge to community | 55.72% |
50.57%
5.1 pts better
|
No Different than the National Rate · Eligible stays 61 · Observed rate 57.38% · Lower 95% interval 46.16% |
| Medicare spending per beneficiary | 0.66 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 83.33% |
95.27%
11.9 pts worse
|
Numerator 40 · Denominator 48 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 48 |
| Discharge self-care score | 60% |
53.69%
6.3 pts better
|
Numerator 21 · Denominator 35 |
| Discharge mobility score | 37.14% |
50.94%
13.8 pts worse
|
Numerator 13 · Denominator 35 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 48 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.19% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 37 · Observed rate 0% · Lower 95% interval 2.96% |
| Staff COVID-19 vaccination coverage | 2.91% |
8.2%
5.3 pts worse
|
Numerator 3 · Denominator 103 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 128 · Denominator 128 |
| Discharge function score | 48.57% |
56.45%
7.9 pts worse
|
Numerator 17 · Denominator 35 |
| Transfer of health information to provider | 85% |
95.95%
11 pts worse
|
Numerator 17 · Denominator 20 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 58.33% |
25.2%
33.1 pts better
|
Numerator 14 · Denominator 24 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.4
0.3 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.8 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.8 |
2.1
0.7 pts worse
|
1.8
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.2 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
90.7%
8 pts better
|
93.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 94.7% · Q3 100.0% · Q4 100.0% · 4Q avg 98.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.5%
4.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.7% |
4.3%
3.6 pts better
|
3.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.9% |
10.7%
6.8 pts better
|
11.4%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.0% · Q3 5.7% · Q4 3.3% · 4Q avg 3.9% |
| Percentage of long-stay residents who lose too much weight | 5.2% |
5.5%
0.3 pts better
|
5.4%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 11.1% · Q3 6.5% · Q4 0.0% · 4Q avg 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.6% |
17.0%
7.4 pts better
|
19.6%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 11.1% · Q3 9.7% · Q4 7.4% · 4Q avg 9.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.5% |
21.0%
5.5 pts better
|
16.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 17.4% · Q3 16.0% · Q4 13.0% · 4Q avg 15.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.7% |
0.0%
0.7 pts worse
|
0.1%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% |
| Percentage of long-stay residents whose ability to walk independently worsened | 24.3% |
29.6%
5.3 pts better
|
16.3%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 29.2% |
25.7%
3.5 pts worse
|
14.9%
14.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 29.6% · Q3 41.9% · Q4 23.1% · 4Q avg 29.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.1% |
1.3%
3.8 pts worse
|
1.0%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 3.1% · Q3 5.6% · Q4 6.0% · 4Q avg 5.1% · 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 | 32.7% |
29.8%
2.9 pts worse
|
19.8%
12.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 42.9% · Q3 39.2% · Q4 33.9% · 4Q avg 32.7% |
| Percentage of long-stay residents with pressure ulcers | 2.7% |
4.4%
1.7 pts better
|
5.1%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 5.9% · Q4 2.9% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.5% |
71.2%
15.3 pts better
|
81.7%
4.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 86.4% · Q2 85.7% · Q3 84.9% · Q4 88.9% · 4Q avg 86.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 25.0% |
15.6%
9.4 pts worse
|
12.0%
13 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.0% · Observed 21.3% · Expected 9.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.2% |
1.4%
1.8 pts worse
|
1.6%
1.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 7.1% · Q4 3.7% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.0% |
74.5%
18.5 pts better
|
79.7%
13.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.8% |
20.5%
9.3 pts worse
|
23.9%
5.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.8% · Observed 21.3% · Expected 17.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-09 · Fire 2023-08-09
2 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2021-09-01 · Fire 2021-09-01
6 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-10-23
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 2024-11-05
D · Potential for more than minimal harm
2024-10-23
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-11-05
C · Minimal harm
2024-10-23
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-11-05
D · Potential for more than minimal harm
2023-08-09
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-08-21
C · Minimal harm
2021-09-01
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2021-09-16
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-10-23
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 2024-12-30
E · Potential for more than minimal harm
2024-10-23
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 2024-12-30
D · Potential for more than minimal harm
2024-10-23
F825 · Quality of Life and Care Deficiencies
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2024-12-30
B · Minimal harm
2024-10-23
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 2024-12-30
E · Potential for more than minimal harm
2023-08-09
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 2023-08-30
B · Minimal harm
2023-08-09
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2023-08-30
E · Potential for more than minimal harm
2021-09-01
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 2021-10-28
D · Potential for more than minimal harm
2021-09-01
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 2021-10-28
D · Potential for more than minimal harm
2021-09-01
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 2021-10-28
D · Potential for more than minimal harm
2021-09-01
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 2021-10-28
D · Potential for more than minimal harm
2021-09-01
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 2021-10-28
D · Potential for more than minimal harm
2021-09-01
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 2021-10-28
Penalties and ownership
What sits behind the stars
Ownership
Mainehealth
5% Or Greater Direct Ownership Interest · Organization
Mainehealth Services
5% Or Greater Indirect Ownership Interest · Organization
Alamo, Aquilino
Corporate Director · Individual
Betts, Brooks
Operational/Managerial Control · Individual
Crafts, Lydia
Corporate Director · Individual
Dobbelsteyn, Cheryl
Operational/Managerial Control · Individual
Elkins, Kelly
Corporate Officer · Individual
Fossel, Leslie
Corporate Director · Individual
Fox, Timothy
Corporate Officer · Individual
Fulmer, Jack
Corporate Director · Individual
Fulmer, Jack
Corporate Officer · Individual
Garren, Bruce
Corporate Director · Individual
Garren, Bruce
Corporate Officer · Individual
Hamblett, Meagan
Corporate Director · Individual
Hasan, Omar
Corporate Officer · Individual
Hasan, Samira
Corporate Director · Individual
Hunold, Robert
Operational/Managerial Control · Individual
Mack, Russell
Corporate Director · Individual
Mainehealth
Operational/Managerial Control · Organization
Moore, Douglas
Corporate Director · Individual
Mueller, Andrew
Corporate Officer · Individual
Nesbit, Marva
Corporate Officer · Individual
O'donnell, Sean
Corporate Officer · Individual
Patstone, Andrea
Operational/Managerial Control · Individual
Pinkham, Jessica
Corporate Director · Individual
Printy, Wayne
Corporate Officer · Individual
Rose, Katharine
Operational/Managerial Control · Individual
Russ, Andrew
Corporate Director · Individual
Sell, Louis
Corporate Director · Individual
Shanklin, Heather
Corporate Officer · Individual
Soucy, Denise
Corporate Director · Individual
Stover, Holly
Corporate Director · Individual
Tutt, Dawn
Operational/Managerial Control · Individual
Wade, Cynthia
Corporate Officer · Individual
Wood, Peter
Corporate Director · Individual
Wood, Peter
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Gregory Wing Of St Andrews Village
Boothbay Harbor, ME
2-star overall rating with 3-star inspections with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Winship Green Center For Health & Rehab, LLC
Bath, ME
3-star overall rating with 3-star inspections with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Breakwater Commons
Rockland, ME
1-star overall rating with 1-star inspections with $11,998 in total fines with 21 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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