Kennebunk, ME

Kennebunk Center For Health & Rehabilitation, LLC

3-star overall rating with 3-star inspections with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

158 Ross Rd, Kennebunk, ME

(207) 985-7141

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

National Health Care Associates

Operator or chain grouping

Approved since

1993-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

43 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

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

0.77

Licensed practical nurse staffing · state 0.47 · national 0.87

Aide hours / resident day

2.39

Nurse aide staffing · state 2.86 · national 2.35

Total nurse hours

4.07

All reported nurse hours · state 4.35 · national 3.89

Licensed hours

1.68

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

3.64

Weekend nurse staffing · state 3.91 · national 3.43

Weekend RN hours

0.20

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

0.79

CMS adjusted RN staffing hours

Adjusted total hours

3.55

CMS adjusted total nurse staffing hours

Case-mix index

1.57

Higher values indicate more complex resident acuity

RN turnover

68%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

55%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,847

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

Composite VBP score used to determine payment impact.

Payment multiplier

0.9814

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 21.75% · Performance 23.34% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 4.90% · Performance 8.85% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

4.76

Baseline 69.62% · Performance 46.07% · Measure score 4.76 · Achievement 4.31 · Improvement 4.76

Adjusted total nurse staffing

1.24

Baseline 3.41 hours · Performance 3.43 hours · Measure score 1.24 · Achievement 1.24 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.7%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 180 · Observed rate 7.78% · Lower 95% interval 6.99%
Discharge to community	52.76%	50.57% 2.2 pts better	No Different than the National Rate · Eligible stays 180 · Observed rate 48.89% · Lower 95% interval 43.85%
Medicare spending per beneficiary	0.96	1.02 0.1 pts better
Drug regimen review with follow-up	97.9%	95.27% 2.6 pts better	Numerator 140 · Denominator 143
Falls with major injury	0.7%	0.77% 0.1 pts better	Numerator 1 · Denominator 143
Discharge self-care score	59.7%	53.69% 6 pts better	Numerator 40 · Denominator 67
Discharge mobility score	76.12%	50.94% 25.2 pts better	Numerator 51 · Denominator 67
Pressure ulcers or injuries, new or worsened	4.9%	2.29% 2.6 pts worse	Numerator 7 · Denominator 143 · Adjusted rate 6.33%
Healthcare-associated infections requiring hospitalization	8.85%	7.12% 1.7 pts worse	No Different than the National Rate · Eligible stays 115 · Observed rate 10.43% · Lower 95% interval 5.51%
Staff COVID-19 vaccination coverage	8.21%	8.2% About the same	Numerator 11 · Denominator 134
Staff flu vaccination coverage	99.28%	42% 57.3 pts better	Numerator 138 · Denominator 139
Discharge function score	71.64%	56.45% 15.2 pts better	Numerator 48 · Denominator 67
Transfer of health information to provider	99.09%	95.95% 3.1 pts better	Numerator 109 · Denominator 110
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	46.43%	25.2% 21.2 pts better	Numerator 39 · Denominator 84

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.1	1.4 0.7 pts worse	1.9 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.7 · Expected 2.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.4	2.1 0.3 pts worse	1.8 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.7 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	92.4%	90.7% 1.7 pts better	93.4% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 100.0% · Q3 92.2% · Q4 78.4% · 4Q avg 92.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.9%	95.5% 1.4 pts better	95.5% 1.4 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9%
Percentage of long-stay residents experiencing one or more falls with major injury	6.2%	4.3% 1.9 pts worse	3.3% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 5.4% · Q3 7.8% · Q4 5.9% · 4Q avg 6.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	37.9%	10.7% 27.2 pts worse	11.4% 26.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 71.7% · Q2 37.7% · Q3 16.3% · Q4 19.6% · 4Q avg 37.9%
Percentage of long-stay residents who lose too much weight	8.3%	5.5% 2.8 pts worse	5.4% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 7.1% · Q3 17.1% · Q4 3.2% · 4Q avg 8.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.6%	17.0% 6.6 pts worse	19.6% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 22.2% · Q3 26.2% · Q4 16.1% · 4Q avg 23.6%
Percentage of long-stay residents who received an antipsychotic medication	22.4%	21.0% 1.4 pts worse	16.7% 5.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 21.1% · Q3 21.2% · Q4 22.2% · 4Q avg 22.4% · 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	18.1%	29.6% 11.5 pts better	16.3% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 15.6% · Q4 36.0% · 4Q avg 18.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	15.7%	25.7% 10 pts better	14.9% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 13.3% · Q3 20.0% · Q4 22.6% · 4Q avg 15.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	1.3% 0.9 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.9%	2.7% 0.2 pts worse	1.7% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	31.6%	29.8% 1.8 pts worse	19.8% 11.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.7% · Q2 38.3% · Q3 22.5% · Q4 34.3% · 4Q avg 31.6%
Percentage of long-stay residents with pressure ulcers	4.5%	4.4% 0.1 pts worse	5.1% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 6.8% · Q3 0.0% · Q4 1.0% · 4Q avg 4.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	63.8%	71.2% 7.4 pts worse	81.7% 17.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 90.5% · Q2 77.1% · Q3 56.8% · Q4 31.6% · 4Q avg 63.8%
Percentage of short-stay residents who had an outpatient emergency department visit	16.8%	15.6% 1.2 pts worse	12.0% 4.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 16.8% · Observed 15.7% · Expected 10.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.0%	1.4% 0.6 pts worse	1.6% 0.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.0% · Q3 3.0% · Q4 1.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	79.3%	74.5% 4.8 pts better	79.7% 0.4 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 79.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	33.0%	20.5% 12.5 pts worse	23.9% 9.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 33.0% · Observed 27.6% · Expected 19.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-16 · Fire 2025-01-16

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2023-10-19 · Fire 2023-10-19

14 health deficiencies

Top issue: Resident Rights (4 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2021-11-18 · Fire 2021-11-18

8 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-16

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-01-16

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-16

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-02-06

D · Potential for more than minimal harm 2023-10-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-30

D · Potential for more than minimal harm 2023-10-19

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-10-30

C · Minimal harm 2023-10-19

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-10-30

F · Potential for more than minimal harm 2021-11-18

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2021-12-03

F · Potential for more than minimal harm 2021-11-18

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2021-12-03

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-02-25

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-03-18

E · Potential for more than minimal harm 2025-02-25

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 2025-03-18

D · Potential for more than minimal harm 2025-02-25

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 2025-03-18

D · Potential for more than minimal harm 2025-02-25

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 2025-03-18

E · Potential for more than minimal harm 2025-01-16

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 2025-02-20

E · Potential for more than minimal harm 2025-01-16

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-02-20

E · Potential for more than minimal harm 2025-01-16

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-20

E · Potential for more than minimal harm 2025-01-16

F725 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2025-02-20

E · Potential for more than minimal harm 2025-01-16

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 2025-02-20

E · Potential for more than minimal harm 2025-01-16

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2025-02-20

D · Potential for more than minimal harm 2025-01-16

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-02-20

D · Potential for more than minimal harm 2025-01-16

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-20

D · Potential for more than minimal harm 2025-01-16

F761 · Pharmacy Service Deficiencies

Health

Corrected 2025-02-20

B · Minimal harm 2025-01-16

F578 · Resident Rights Deficiencies

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 2025-02-20

D · Potential for more than minimal harm 2024-09-03

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 2024-10-22

D · Potential for more than minimal harm 2024-09-03