8 health deficiencies
Top issue: Resident Rights (3 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Howland, ME
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
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
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
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
| 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
| 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
Top issue: Resident Rights (3 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Infection Control (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Rights (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-07-28
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
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-28
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-07-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-23
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-05-23
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-05-23
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2023-05-23
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-05-23
Inspection history
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
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
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-25
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
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
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-25
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
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
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
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-01
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-08-21
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
Health
Assess the resident when there is a significant change in condition
Corrected 2024-08-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-07
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
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-08-02
Health
Dispose of garbage and refuse properly.
Corrected 2024-08-01
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
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-07-26
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-08-01
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-08-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-12
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-06-21
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
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-21
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
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-21
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
Health
Post nurse staffing information every day.
Corrected 2023-06-21
Penalties and ownership
Fine · fine $8,824
Fine
Operational/Managerial Control · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Mortgage Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Mortgage Interest · Individual
Nearby options
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