Federal inspection record · CMS data as of October 1, 2026
Dexter Health Care
64 Park Street, Dexter, ME · (207) 924-5516
- Certified beds
- 53
- Residents per day
- 45
- Ownership
- For-Profit
- Chain
- First Atlantic Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1993
1
How this home got 3 stars
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Maine.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Maine homes
Dexter Health Care carries 60 inspection points. That is fewer than 60% of Maine's 77 rated homes.
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
39 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (2)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Quality of Life and Care7E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning6D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service5E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- D
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
Resident Rights5D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- B
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration3E
- 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.
- E
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Nursing and Physician Services2D
- D
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- 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.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-09-10
9 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2024-10-31
19 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
2023-11-08
11 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 11 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
4 h 11 min
Maine average
4 h 23 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 64% of nursing staff and 89% of registered nurses left in the past year.
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
$10,033 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-31 | Fine | $10,033 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 1.2 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts worse | 2.9 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts worse | 89.5% | 93.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.4 pts worse | 93.5% | 95.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.4 pts better | 0.6% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms11.7 pts better | 0.0% | 11.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts better | 3.6% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.3 pts better | 9.3% | 17.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.7 pts worse | 23.2% | 19.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8 pts worse | 31.9% | 23.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts better | 23.4% | 24.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.8% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 1.2% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.5 pts better | 22.7% | 28.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts better | 3.8% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.7 pts worse | 70.0% | 72.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.4 pts better | 7.0% | 15.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better | 1.3% | 1.5% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 81.4% | 77.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.2 pts worse | 25.8% | 20.6% | 23.4% |
·
Who owns and runs it
22 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bowden, Kenneth | Indirect Ownership Interest · Individual | 0% | 11 facilities |
| Bowden, Kenneth | Trustee Of The SNF · Individual | 0% | 11 facilities |
| Bowden, Kenneth | Adp Of The SNF · Individual | 0% | 11 facilities |
| Coffin, Craig | Indirect Ownership Interest · Individual | 0% | 11 facilities |
| Coffin, Craig | Trustee Of The SNF · Individual | 0% | 11 facilities |
| Coffin, Craig | Adp Of The SNF · Individual | 0% | 11 facilities |
| Eastern Maine Medical Center | Adp Of The SNF · Organization | 0% | 5 facilities |
| First Atlantic Corporation | Operational/Managerial Control · Organization | 0% | 6 facilities |
| First Atlantic Corporation | Adp Of The SNF · Organization | 0% | 6 facilities |
| First Atlantic Healthcare Inc | Adp Of The SNF · Organization | 0% | 12 facilities |
| Fridman, Fred | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Fridman, Fred | Adp Of The SNF · Individual | 0% | 5 facilities |
| Jost, Tammy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Jost, Tammy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Maine Medical Consultants Pc | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Maine Medical Consultants Pc | Adp Of The SNF · Organization | 0% | 5 facilities |
| Otis-Higgins, Andrea | Corporate Officer · Individual | 0% | 12 facilities |
| Otis-Higgins, Andrea | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Otis-Higgins, Andrea | Adp Of The SNF · Individual | 0% | 12 facilities |
| Pelkey, Wanda | Corporate Officer · Individual | 0% | 12 facilities |
| Pelkey, Wanda | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Pelkey, Wanda | Adp Of The SNF · Individual | 0% | 12 facilities |
·
Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress2D
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper medical gas storage and administration areas.
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Other homes nearby
-
Hibbard Skilled Nursing & Rehabilitation Center
Dover Foxcroft, ME · First Atlantic Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 22 min
- Fines
- $20,910
-
Sanfield Rehab & Living Center
Hartland, ME · North Country Associates
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 59 min
- Fines
- $0
-
Cedar Ridge Center
Skowhegan, ME · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 35 min
- Fines
- $0