Cycle 1
Health 2024-08-28 · Fire 2024-08-28
11 health deficiencies
Top issue: Resident Rights (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Brunswick, ME
Horizons Living And Rehab Center
4-star overall rating with 3-star inspections with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
29 Maurice Drive, Brunswick, ME
(207) 725-7495
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
65
Certified beds
Average residents
59
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1993-01-01
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
0.91
Registered nurse staffing · state 1.03 · national 0.68
LPN hours / resident day
1.03
Licensed practical nurse staffing · state 0.47 · national 0.87
Aide hours / resident day
2.72
Nurse aide staffing · state 2.86 · national 2.35
Total nurse hours
4.66
All reported nurse hours · state 4.35 · national 3.89
Licensed hours
1.94
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.78
Weekend nurse staffing · state 3.91 · national 3.43
Weekend RN hours
0.43
Weekend registered nurse coverage · state 0.73 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.95
CMS adjusted RN staffing hours
Adjusted total hours
4.86
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
17%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
27%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,605
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
43.56
Composite VBP score used to determine payment impact.
Payment multiplier
0.9966
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.18
Baseline 20.63% · Performance 20.42% · Measure score 2.18 · Achievement 2.18 · Improvement 0.06
Healthcare-associated infections
0
Baseline 5.57% · Performance 7.90% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
9.12
Baseline 34.21% · Performance 26.39% · Measure score 9.12 · Achievement 9.12 · Improvement 7.86
Adjusted total nurse staffing
6.12
Baseline 4.86 hours · Performance 4.82 hours · Measure score 6.12 · Achievement 6.12 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.45% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 77 · Observed rate 11.69% · Lower 95% interval 7.67% |
| Discharge to community | 47.83% |
50.57%
2.7 pts worse
|
No Different than the National Rate · Eligible stays 75 · Observed rate 42.67% · Lower 95% interval 38.81% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 89.47% |
95.27%
5.8 pts worse
|
Numerator 34 · Denominator 38 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 38 |
| Discharge self-care score | 51.61% |
53.69%
2.1 pts worse
|
Numerator 16 · Denominator 31 |
| Discharge mobility score | 54.84% |
50.94%
3.9 pts better
|
Numerator 17 · Denominator 31 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 38 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.9% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 45 · Observed rate 8.89% · Lower 95% interval 4.22% |
| Staff COVID-19 vaccination coverage | 2.42% |
8.2%
5.8 pts worse
|
Numerator 3 · Denominator 124 |
| Staff flu vaccination coverage | 95.8% |
42%
53.8 pts better
|
Numerator 114 · Denominator 119 |
| Discharge function score | 58.06% |
56.45%
1.6 pts better
|
Numerator 18 · Denominator 31 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 20 · Denominator 20 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
1.4
1.1 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.5 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
2.1
0.3 pts better
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.7 · Expected 1.6 · 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 | 96.4% |
95.5%
0.9 pts better
|
95.5%
0.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.2% |
4.3%
0.9 pts worse
|
3.3%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 8.2% · Q3 3.6% · Q4 4.1% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.0% |
10.7%
8.7 pts better
|
11.4%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 2.0% · Q4 2.1% · 4Q avg 2.0% |
| Percentage of long-stay residents who lose too much weight | 14.0% |
5.5%
8.5 pts worse
|
5.4%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 19.5% · Q3 18.4% · Q4 13.5% · 4Q avg 14.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.1% |
17.0%
10.9 pts better
|
19.6%
13.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 2.4% · Q3 7.9% · Q4 8.1% · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.0% |
21.0%
12 pts better
|
16.7%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 5.9% · Q3 6.5% · Q4 13.3% · 4Q avg 9.0% · 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 | 44.5% |
29.6%
14.9 pts worse
|
16.3%
28.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 44.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 35.9% |
25.7%
10.2 pts worse
|
14.9%
21 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.1% · Q2 28.1% · Q3 41.9% · Q4 30.0% · 4Q avg 35.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.8% |
1.3%
3.5 pts worse
|
1.0%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.6% · Q3 7.9% · Q4 8.2% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.4% |
2.7%
0.3 pts better
|
1.7%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 0.0% · Q3 0.0% · Q4 4.1% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.7% |
29.8%
2.9 pts worse
|
19.8%
12.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.1% · Q2 38.3% · Q3 25.8% · Q4 31.2% · 4Q avg 32.7% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
4.4%
0.8 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.6% · Q3 4.4% · Q4 1.6% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.9% |
71.2%
21.7 pts better
|
81.7%
11.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 84.8% · Q2 93.3% · Q3 95.2% · Q4 95.9% · 4Q avg 92.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 21.1% |
15.6%
5.5 pts worse
|
12.0%
9.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 21.1% · Observed 17.6% · Expected 9.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.4%
1.4 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.8% |
74.5%
3.3 pts better
|
79.7%
1.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 7.6% |
20.5%
12.9 pts better
|
23.9%
16.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.6% · Observed 5.9% · Expected 18.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-05-11 · Fire 2022-05-11
6 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2019-10-24 · Fire 2019-10-24
3 health deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
1 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-08-28
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-05
D · Potential for more than minimal harm
2024-08-28
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-05
D · Potential for more than minimal harm
2022-05-11
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-05-13
D · Potential for more than minimal harm
2019-10-24
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2019-12-02
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-08-28
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 2024-10-12
E · Potential for more than minimal harm
2024-08-28
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 2024-10-12
E · Potential for more than minimal harm
2024-08-28
F678 · Quality of Life and Care Deficiencies
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-10-12
E · Potential for more than minimal harm
2024-08-28
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-10-12
E · Potential for more than minimal harm
2024-08-28
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-10-12
E · Potential for more than minimal harm
2024-08-28
F940 · Administration Deficiencies
Health
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2024-10-12
E · Potential for more than minimal harm
2024-08-28
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 2024-10-12
D · Potential for more than minimal harm
2024-08-28
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-10-12
D · Potential for more than minimal harm
2024-08-28
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-12
D · Potential for more than minimal harm
2024-08-28
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 2024-10-12
C · Minimal harm
2024-08-28
F585 · Resident Rights Deficiencies
Health
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.
Corrected 2024-10-12
E · Potential for more than minimal harm
2022-05-11
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 2022-07-06
D · Potential for more than minimal harm
2022-05-11
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 2022-07-06
D · Potential for more than minimal harm
2022-05-11
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 2022-07-06
D · Potential for more than minimal harm
2022-05-11
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-07-06
B · Minimal harm
2022-05-11
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-07-06
B · Minimal harm
2022-05-11
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2022-07-06
D · Potential for more than minimal harm
2019-10-24
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2019-11-26
B · Minimal harm
2019-10-24
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2019-11-26
B · Minimal harm
2019-10-24
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 2019-11-26
Penalties and ownership
What sits behind the stars
Ownership
Rousseau, Mitchell
5% Or Greater Direct Ownership Interest · Individual
Berman, Kirsten
Operational/Managerial Control · Individual
Davison, Lesley
Operational/Managerial Control · Individual
Davison, Peter
Operational/Managerial Control · Individual
Rousseau, Mitchell
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Mid Coast Senior Health Center
Brunswick, ME
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Winship Green Center For Health & Rehab, LLC
Bath, ME
3-star overall rating with 3-star inspections with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Hawthorne House
Freeport, ME
3-star overall rating with 3-star inspections with 13 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Jump out