Eastport, ME

Eastport Memorial Nursing Home

2-star overall rating with 2-star inspections with 15 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle

23 Boynton Street, Eastport, ME

(207) 853-2531

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 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

26

Certified beds

Average residents

26

Average occupied residents

Ownership

Non-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

0.75

Registered nurse staffing · state 1.03 · national 0.68

LPN hours / resident day

0.30

Licensed practical nurse staffing · state 0.47 · national 0.87

Aide hours / resident day

3.06

Nurse aide staffing · state 2.86 · national 2.35

Total nurse hours

4.12

All reported nurse hours · state 4.35 · national 3.89

Licensed hours

1.05

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

3.89

Weekend nurse staffing · state 3.91 · national 3.43

Weekend RN hours

0.81

Weekend registered nurse coverage · state 0.73 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.76

CMS adjusted RN staffing hours

Adjusted total hours

4.20

CMS adjusted total nurse staffing hours

Case-mix index

1.34

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

19%

Annual nurse turnover · state 49% · national 46%

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Discharge to community Not Available
50.57%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary Not Available
1.02
No data were submitted for this measure.
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 25%
8.2%
16.8 pts better
Numerator 19 · Denominator 76
Staff flu vaccination coverage 100%
42%
58 pts better
Numerator 70 · Denominator 70
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 2.0
1.4
0.6 pts worse
1.9
0.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.5 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 4.2
2.1
2.1 pts worse
1.8
2.4 pts worse
Long Stay · 20240701-20250630 · Adjusted 4.2 · Observed 4.1 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.0%
90.7%
8.3 pts better
93.4%
5.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 96.2% · 4Q avg 99.0%
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 0.0%
4.3%
4.3 pts better
3.3%
3.3 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 who have depressive symptoms 13.8%
10.7%
3.1 pts worse
11.4%
2.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 25.0% · Q3 8.3% · Q4 8.7% · 4Q avg 13.8%
Percentage of long-stay residents who lose too much weight 4.2%
5.5%
1.3 pts better
5.4%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 13.6% · Q3 0.0% · Q4 4.2% · 4Q avg 4.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.7%
17.0%
2.3 pts better
19.6%
4.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 18.2% · Q3 12.5% · Q4 12.5% · 4Q avg 14.7%
Percentage of long-stay residents who received an antipsychotic medication 28.4%
21.0%
7.4 pts worse
16.7%
11.7 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 28.4% · 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 19.9%
29.6%
9.7 pts better
16.3%
3.6 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 19.0%
25.7%
6.7 pts better
14.9%
4.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 34.8% · Q3 4.8% · Q4 14.3% · 4Q avg 19.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.0%
1.3%
0.3 pts better
1.0%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 4.0%
2.7%
1.3 pts worse
1.7%
2.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 8.7% · Q3 0.0% · Q4 0.0% · 4Q avg 4.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 14.7%
29.8%
15.1 pts better
19.8%
5.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 14.7% · Q3 9.7% · Q4 17.2% · 4Q avg 14.7%
Percentage of long-stay residents with pressure ulcers 1.6%
4.4%
2.8 pts better
5.1%
3.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 3.3% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-29 · Fire 2025-01-29

15 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

13 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2024-01-11 · Fire 2024-01-11

22 health deficiencies

Top issue: Resident Assessment and Care Planning (7 deficiencies)

7 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 3 Health 2022-09-13 · Fire 2022-09-13

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-29

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-03-15

F · Potential for more than minimal harm 2025-01-29

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-03-10

F · Potential for more than minimal harm 2025-01-29

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-02-17

F · Potential for more than minimal harm 2025-01-29

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 2025-03-05

F · Potential for more than minimal harm 2025-01-29

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2025-02-13

F · Potential for more than minimal harm 2025-01-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-02-20

F · Potential for more than minimal harm 2025-01-29

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-02-20

D · Potential for more than minimal harm 2025-01-29

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 2025-03-10

D · Potential for more than minimal harm 2025-01-29

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-02-25

D · Potential for more than minimal harm 2025-01-29

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-29

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-03-10

D · Potential for more than minimal harm 2025-01-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-11

D · Potential for more than minimal harm 2025-01-29

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-01-28

D · Potential for more than minimal harm 2024-01-11

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2024-01-22

D · Potential for more than minimal harm 2024-01-11

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 2024-01-22

D · Potential for more than minimal harm 2024-01-11

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-01-22

D · Potential for more than minimal harm 2024-01-11

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-01-22

D · Potential for more than minimal harm 2024-01-11

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-01-22

D · Potential for more than minimal harm 2024-01-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-22

D · Potential for more than minimal harm 2024-01-11

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-01-22

D · Potential for more than minimal harm 2022-09-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-09-20

C · Minimal harm 2022-09-13

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 2022-09-13

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-27

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.

Not marked corrected

D · Potential for more than minimal harm 2026-01-27

F909 · Environmental Deficiencies

Health

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.

Not marked corrected

D · Potential for more than minimal harm 2025-07-01

F551 · Resident Rights Deficiencies

Health

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2025-08-07

E · Potential for more than minimal harm 2025-06-23

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 2025-07-25

E · Potential for more than minimal harm 2025-06-23

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 2025-07-25

E · Potential for more than minimal harm 2025-01-29

F680 · Quality of Life and Care Deficiencies

Health

Ensure the activities program is directed by a qualified professional.

Corrected 2025-03-05

E · Potential for more than minimal harm 2025-01-29

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-01-29

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2025-03-05

D · Potential for more than minimal harm 2025-01-29

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2025-03-14

D · Potential for more than minimal harm 2025-01-29

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 2025-03-05

D · Potential for more than minimal harm 2025-01-29

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-25

D · Potential for more than minimal harm 2025-01-29

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 2025-03-05

D · Potential for more than minimal harm 2025-01-29

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-04-04

D · Potential for more than minimal harm 2025-01-29

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 2025-04-04

D · Potential for more than minimal harm 2025-01-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-12

D · Potential for more than minimal harm 2024-10-07

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2024-11-20

E · Potential for more than minimal harm 2024-01-11

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-02-25

E · Potential for more than minimal harm 2024-01-11

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 2024-02-25

E · Potential for more than minimal harm 2024-01-11

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-02-25

E · Potential for more than minimal harm 2024-01-11

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 2024-01-31

E · Potential for more than minimal harm 2024-01-11

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-02-25

E · Potential for more than minimal harm 2024-01-11

F710 · Nursing and Physician Services Deficiencies

Health

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Corrected 2024-02-25

D · Potential for more than minimal harm 2024-01-11

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 2024-02-25

D · Potential for more than minimal harm 2024-01-11

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 2024-01-31

D · Potential for more than minimal harm 2024-01-11

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-02-25

D · Potential for more than minimal harm 2024-01-11

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-02-02

D · Potential for more than minimal harm 2024-01-11

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-01-31

D · Potential for more than minimal harm 2024-01-11

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2024-01-31

D · Potential for more than minimal harm 2024-01-11

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-02-06

D · Potential for more than minimal harm 2024-01-11

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-02-25

D · Potential for more than minimal harm 2024-01-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-25

D · Potential for more than minimal harm 2024-01-11

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-02-06

D · Potential for more than minimal harm 2024-01-11

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-02-25

D · Potential for more than minimal harm 2024-01-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-02-25

D · Potential for more than minimal harm 2024-01-11

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-02-25

B · Minimal harm 2024-01-11

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-02-06

B · Minimal harm 2024-01-11

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-02-06

D · Potential for more than minimal harm 2022-09-13

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2022-10-28

D · Potential for more than minimal harm 2022-09-13

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-10-28

D · Potential for more than minimal harm 2022-09-13

F756 · Pharmacy Service Deficiencies

Health

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

Corrected 2022-10-28

B · Minimal harm 2022-09-13

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2022-10-28

B · Minimal harm 2022-09-13

F730 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2022-10-28

Penalties and ownership

What sits behind the stars

Ownership

Brown, Christopher

Operational/Managerial Control · Individual

0% 3 facilities 1997-06-17
Deschene, Camela

Operational/Managerial Control · Individual

0% 1 facilities 2010-01-19
Dougherty, Rhoda

Operational/Managerial Control · Individual

0% 1 facilities 2013-07-16
Fournier, Edward

Operational/Managerial Control · Individual

0% 1 facilities 2013-07-16
Holmes, Marie

Operational/Managerial Control · Individual

0% 1 facilities 2014-06-17
Jones, Gwen

Operational/Managerial Control · Individual

0% 1 facilities 2004-06-20
Kowal, Ella

Operational/Managerial Control · Individual

0% 1 facilities 2014-06-17
Lewis, Robert

Operational/Managerial Control · Individual

0% 1 facilities 2013-10-15
Mattheson, Sandra

W-2 Managing Employee · Individual

0% 1 facilities 2011-11-08
Mcknight, Pearl

Operational/Managerial Control · Individual

0% 1 facilities 2015-02-17
Wood, John

W-2 Managing Employee · Individual

0% 1 facilities 2012-03-01

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