Federal inspection record · CMS data as of October 1, 2026

Cummings Health Care Facility

5 Crocker Street, Howland, ME · (207) 732-4121

CMS overall rating

1 of 5

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Certified beds
34
Residents per day
29
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 1, 1994

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Maine.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Maine homes

Cummings Health Care Facility carries 136 inspection points. That is fewer than 12% of Maine's 77 rated homes.

5★4★3★2★1★+2 homes above 184.805102550100inspection points → fewer is better on the leftThis home · 136 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Maine: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–24 pts
  • 4★ 24–55 pts
  • 3★ 55–78 pts
  • 2★ 78–115.5 pts
  • 1★ over 115.5 pts

Bars show every rated home in Maine by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

36 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 18 4 pts
E 10 8 pts
F 4 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 3 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 5, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected December 12, 2023

Everything else, by area of care

Resident Rights7E
  1. E

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

    July 1, 2026 · Standard · F552 · Corrected August 14, 2026

  2. E

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    July 1, 2026 · Standard · F585 · Corrected August 14, 2026

  3. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    June 11, 2025 · Standard · F550 · Corrected July 25, 2025

  4. D

    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.

    June 11, 2025 · Standard · F578 · Corrected July 25, 2025

  5. D

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

    June 11, 2025 · Standard · F580 · Corrected June 16, 2025

  6. B

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

    July 17, 2024 · Standard · F568 · Corrected July 26, 2024

  7. B

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

    July 17, 2024 · Standard · F577 · Corrected August 1, 2024

Infection Control6E
  1. E

    Provide and implement an infection prevention and control program.

    July 1, 2026 · Standard · F880 · Corrected August 20, 2026

  2. D

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

    July 1, 2026 · Standard · F883 · Corrected August 20, 2026

  3. D

    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.

    July 1, 2026 · Standard · F887 · Corrected August 20, 2026

  4. E

    Provide and implement an infection prevention and control program.

    July 17, 2024 · Standard · F880 · Corrected August 1, 2024

  5. E

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

    July 17, 2024 · Standard · F883 · Corrected August 21, 2024

  6. D

    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.

    July 17, 2024 · Standard · F887 · Corrected August 21, 2024

Nursing and Physician Services5F
  1. F

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    July 1, 2026 · Standard · F725 · Corrected August 20, 2026

  2. D

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

    June 11, 2025 · Standard · F711 · Corrected July 25, 2025

  3. E

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    July 17, 2024 · Standard · F947 · Corrected July 29, 2024

  4. D

    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.

    July 17, 2024 · Standard · F727 · Corrected August 21, 2024

  5. D

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

    July 17, 2024 · Standard · F730 · Corrected August 2, 2024

Resident Assessment and Care Planning5D
  1. D

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    July 1, 2026 · Standard · F635 · Corrected August 20, 2026

  2. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    July 1, 2026 · Standard · F644 · Corrected August 20, 2026

  3. D

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

    July 1, 2026 · Standard · F842 · Corrected August 20, 2026

  4. D

    Assess the resident when there is a significant change in condition

    July 17, 2024 · Standard · F637 · Corrected August 1, 2024

  5. B

    Ensure each resident receives an accurate assessment.

    July 17, 2024 · Standard · F641 · Corrected August 1, 2024

Quality of Life and Care4E
  1. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 18, 2026 · Complaint · F689 · Corrected August 19, 2026

  2. E

    Provide or get specialized rehabilitative services as required for a resident.

    July 14, 2026 · Complaint · F825 · Corrected August 20, 2026

  3. D

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

    June 11, 2025 · Standard · F684 · Corrected July 25, 2025

  4. D

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

    July 17, 2024 · Standard · F684 · Corrected August 7, 2024

Nutrition and Dietary4F
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    July 1, 2026 · Standard · F812 · Corrected September 21, 2026

  2. F

    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.

    June 11, 2025 · Standard · F801 · Corrected July 19, 2025

  3. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    July 17, 2024 · Standard · F812 · Corrected August 1, 2024

  4. D

    Dispose of garbage and refuse properly.

    July 17, 2024 · Standard · F814 · Corrected August 1, 2024

Administration2F
  1. F

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

    June 11, 2025 · Standard · F851 · Corrected July 25, 2025

  2. D

    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.

    June 11, 2025 · Standard · F849 · Corrected June 13, 2025

Environmental1F
  1. F

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    July 1, 2026 · Standard · F909 · Corrected September 21, 2026

Pharmacy Service1D
  1. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    July 1, 2026 · Standard · F756 · Corrected August 20, 2026

Inspection history

  1. 2026-07-01

    14 health deficiencies · 1 fire-safety deficiencies

    Top issue: Infection Control (3 deficiencies)

  2. 2025-06-11

    8 health deficiencies · 4 fire-safety deficiencies

    Top issue: Resident Rights (3 deficiencies)

  3. 2024-07-17

    14 health deficiencies · 0 fire-safety deficiencies

    Top issue: Infection Control (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 33 min of nursing staff time a day, 54 min of it from a registered nurse.

This home

4 h 33 min

Maine average

4 h 23 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$8,824 in federal fines on record over the past three years.

DatePenaltyAmount
2024-03-05Fine$8,824

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.8 pts better0.51.31.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better0.61.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts better97.4%93.1%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.1 pts better100.0%95.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts better2.6%4.0%3.2%
Percentage of long-stay residents who have depressive symptoms40.9 pts worse52.6%11.7%13.5%
Percentage of long-stay residents who lose too much weight3.6 pts worse8.7%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.6 pts better12.0%17.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.3 pts worse19.8%19.5%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.6 pts worse24.5%23.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.4 pts worse24.7%24.3%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.2 pts worse2.1%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection0.4 pts better1.7%2.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence18.8 pts worse47.0%28.2%18.3%
Percentage of long-stay residents with pressure ulcers0.6 pts better3.8%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine28.1 pts worse44.6%72.7%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication5.6 pts worse7.1%1.5%1.5%

·

Who owns and runs it

11 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Goslin, AddisonW-2 Managing Employee · Individual0%1 facilities
Goslin, AddisonCorporate Officer · Individual0%1 facilities
Goslin, AddisonOperational/Managerial Control · Individual0%1 facilities
Goslin, David5% Or Greater Direct Ownership Interest · Individual0%1 facilities
Goslin, David5% Or Greater Mortgage Interest · Individual0%1 facilities
Goslin, DavidW-2 Managing Employee · Individual0%1 facilities
Goslin, DavidCorporate Officer · Individual0%1 facilities
Goslin, Melinda5% Or Greater Direct Ownership Interest · Individual0%1 facilities
Goslin, Melinda5% Or Greater Mortgage Interest · Individual0%1 facilities
Goslin, MelindaW-2 Managing Employee · Individual0%1 facilities
Goslin, MelindaCorporate Officer · Individual0%1 facilities

·

Fire safety

5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems4E
  1. E

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

    July 1, 2026 · K914 · Corrected July 1, 2026

  2. D

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

    June 11, 2025 · K914 · Corrected July 28, 2025

  3. D

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

    June 11, 2025 · K918 · Corrected July 28, 2025

  4. D

    Have proper medical gas storage and administration areas.

    June 11, 2025 · K923 · Corrected July 28, 2025

Emergency Preparedness1D
  1. D

    Address subsistence needs for staff and patients.

    June 11, 2025 · E15 · Corrected July 28, 2025

·

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