Howland, ME

Cummings Health Care Facility

3-star overall rating with 3-star inspections with $8,824 in total fines with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

5 Crocker Street, Howland, ME

(207) 732-4121

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

34

Certified beds

Average residents

30

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

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

1.03

Registered nurse staffing · state 1.03 · national 0.68

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

2.83

Nurse aide staffing · state 2.86 · national 2.35

Total nurse hours

3.85

All reported nurse hours · state 4.35 · national 3.89

Licensed hours

1.03

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

3.53

Weekend nurse staffing · state 3.91 · national 3.43

Weekend RN hours

0.87

Weekend registered nurse coverage · state 0.73 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.94

CMS adjusted RN staffing hours

Adjusted total hours

3.53

CMS adjusted total nurse staffing hours

Case-mix index

1.49

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 3 · 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 2 · 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 Not Available · No data were submitted for this measure.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Staff COVID-19 vaccination coverage 2%
8.2%
6.2 pts worse
Numerator 1 · Denominator 50
Staff flu vaccination coverage 89.06%
42%
47.1 pts better
Numerator 57 · Denominator 64
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.3
1.4
1.1 pts better
1.9
1.6 pts better
Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.2 · Expected 1.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.5
2.1
0.4 pts worse
1.8
0.7 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 1.8 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
90.7%
9.3 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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 3.2%
4.3%
1.1 pts better
3.3%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.1% · Q3 3.1% · Q4 3.3% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 31.5%
10.7%
20.8 pts worse
11.4%
20.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 22.6% · Q3 43.8% · Q4 50.0% · 4Q avg 31.5%
Percentage of long-stay residents who lose too much weight 10.3%
5.5%
4.8 pts worse
5.4%
4.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 3.7% · Q3 0.0% · Q4 16.0% · 4Q avg 10.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.2%
17.0%
5.8 pts better
19.6%
8.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 14.8% · Q3 11.1% · Q4 8.0% · 4Q avg 11.2%
Percentage of long-stay residents who received an antipsychotic medication 18.3%
21.0%
2.7 pts better
16.7%
1.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 9.1% · Q3 20.8% · Q4 17.4% · 4Q avg 18.3% · 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 36.3%
29.6%
6.7 pts worse
16.3%
20 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 36.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 37.6%
25.7%
11.9 pts worse
14.9%
22.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 40.7% · Q2 48.1% · Q3 34.6% · Q4 23.8% · 4Q avg 37.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.4%
1.3%
1.1 pts worse
1.0%
1.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.8% · Q3 1.9% · Q4 2.1% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 6.3%
2.7%
3.6 pts worse
1.7%
4.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 6.2% · Q3 3.1% · Q4 3.3% · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 38.2%
29.8%
8.4 pts worse
19.8%
18.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 34.5% · Q3 39.3% · Q4 51.4% · 4Q avg 38.2%
Percentage of long-stay residents with pressure ulcers 3.7%
4.4%
0.7 pts better
5.1%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 7.2% · Q3 2.3% · Q4 2.2% · 4Q avg 3.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 75.0%
71.2%
3.8 pts better
81.7%
6.7 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 75.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-11 · Fire 2025-06-11

8 health deficiencies

Top issue: Resident Rights (3 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 2 Health 2024-07-17 · Fire 2024-07-17

14 health deficiencies

Top issue: Infection Control (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-05-11 · Fire 2023-05-11

7 health deficiencies

Top issue: Resident Rights (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-06-11

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2025-07-28

D · Potential for more than minimal harm 2025-06-11

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-07-28

D · Potential for more than minimal harm 2025-06-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-07-28

D · Potential for more than minimal harm 2025-06-11

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-07-28

F · Potential for more than minimal harm 2023-05-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-23

D · Potential for more than minimal harm 2023-05-11

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-05-23

D · Potential for more than minimal harm 2023-05-11

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-05-23

D · Potential for more than minimal harm 2023-05-11

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2023-05-23

D · Potential for more than minimal harm 2023-05-11

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-05-23

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-06-11

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2025-07-19

F · Potential for more than minimal harm 2025-06-11

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-11

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 2025-07-25

D · Potential for more than minimal harm 2025-06-11

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-11

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 2025-06-16

D · Potential for more than minimal harm 2025-06-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-11

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-11

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2025-06-13

E · Potential for more than minimal harm 2024-07-17

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 2024-08-01

E · Potential for more than minimal harm 2024-07-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-01

E · Potential for more than minimal harm 2024-07-17

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-08-21

E · Potential for more than minimal harm 2024-07-17

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 2024-07-29

D · Potential for more than minimal harm 2024-07-17

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-07-17

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-07

D · Potential for more than minimal harm 2024-07-17

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-17

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-17

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-07-17

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2024-08-21

B · Minimal harm 2024-07-17

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2024-07-26

B · Minimal harm 2024-07-17

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2024-08-01

B · Minimal harm 2024-07-17

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-08-01

G · Actual harm 2024-03-05

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 2023-12-12

E · Potential for more than minimal harm 2023-05-11

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2023-06-21

E · Potential for more than minimal harm 2023-05-11

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 2023-06-21

E · Potential for more than minimal harm 2023-05-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-05-11

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 2023-07-03

D · Potential for more than minimal harm 2023-05-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-05-11

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 2023-07-03

B · Minimal harm 2023-05-11

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-06-21

Penalties and ownership

What sits behind the stars

$8,824 2024-03-05

Fine

Fine · fine $8,824

Fine

Ownership

Goslin, Addison

Operational/Managerial Control · Individual

0% 1 facilities 2021-11-07
Goslin, Addison

Corporate Officer · Individual

0% 1 facilities 2016-12-27
Goslin, Addison

W-2 Managing Employee · Individual

0% 1 facilities 2016-12-27
Goslin, David

5% Or Greater Direct Ownership Interest · Individual

0% 1 facilities 2013-11-01
Goslin, David

Corporate Officer · Individual

0% 1 facilities 2008-02-05
Goslin, David

W-2 Managing Employee · Individual

0% 1 facilities 2008-02-05
Goslin, David

5% Or Greater Mortgage Interest · Individual

0% 1 facilities 2013-11-01
Goslin, Melinda

5% Or Greater Direct Ownership Interest · Individual

0% 1 facilities 2013-11-01
Goslin, Melinda

Corporate Officer · Individual

0% 1 facilities 2008-02-05
Goslin, Melinda

W-2 Managing Employee · Individual

0% 1 facilities 2008-02-05
Goslin, Melinda

5% Or Greater Mortgage Interest · Individual

0% 1 facilities 2013-11-01

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