Augusta, ME

Mainegeneral Rehab & Long Term Care - Gray Birch

4-star overall rating with 4-star inspections with $9,770 in total fines with 11 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

37 Gray Birch Drive, Augusta, ME

(207) 621-7100

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 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

77

Certified beds

Average residents

68

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1983-08-25

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.32

Registered nurse staffing

LPN hours / resident day

0.56

Licensed practical nurse staffing

Aide hours / resident day

3.26

Nurse aide staffing

Weekend hours

4.64

Weekend nurse staffing

RN turnover

58%

Annual RN turnover

Total nurse turnover

55%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.8
1.4
0.4 pts worse
1.9
0.1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.3
2.1
0.2 pts worse
1.8
0.5 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
90.7%
8.4 pts better
93.4%
5.7 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury 4.6%
4.3%
0.3 pts worse
3.3%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 9.0%
10.7%
1.7 pts better
11.4%
2.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.7%
5.5%
0.8 pts better
5.4%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.8%
17.0%
1.2 pts better
19.6%
3.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 23.6%
21.0%
2.6 pts worse
16.7%
6.9 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 17.6%
29.6%
12 pts better
16.3%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 24.7%
25.7%
1 pts better
14.9%
9.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.6%
1.3%
0.3 pts worse
1.0%
0.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.7%
2.7%
1 pts worse
1.7%
2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.4%
29.8%
12.4 pts better
19.8%
2.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 9.7%
4.4%
5.3 pts worse
5.1%
4.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.6%
71.2%
20.4 pts better
81.7%
9.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 14.8%
15.6%
0.8 pts better
12.0%
2.8 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.1%
1.4%
0.3 pts better
1.6%
0.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88.7%
74.5%
14.2 pts better
79.7%
9 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.2%
20.5%
2.3 pts better
23.9%
5.7 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-07 · Fire 2024-08-07

11 health deficiencies

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

3 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2023-05-24 · Fire 2023-05-24

9 health deficiencies

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

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2021-10-06 · Fire 2021-10-06

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-08-07

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-08-15

D · Potential for more than minimal harm 2024-08-07

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 2024-08-15

D · Potential for more than minimal harm 2024-08-07

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 2024-08-15

D · Potential for more than minimal harm 2023-05-24

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-06-02

D · Potential for more than minimal harm 2023-05-24

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-06-02

D · Potential for more than minimal harm 2021-10-06

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 2021-11-02

D · Potential for more than minimal harm 2021-10-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2021-11-02

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-08-07

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-09-13

E · Potential for more than minimal harm 2024-08-07

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 2024-09-13

E · Potential for more than minimal harm 2024-08-07

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-13

E · Potential for more than minimal harm 2024-08-07

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-07

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-07

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-07

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-07

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 2024-09-13

D · Potential for more than minimal harm 2024-08-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-07

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-09-13

B · Minimal harm 2024-08-07

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-05-22

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-07-01

D · Potential for more than minimal harm 2024-05-22

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 2024-07-01

G · Actual harm 2023-05-24

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 2023-07-08

E · Potential for more than minimal harm 2023-05-24

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 2023-07-08

E · Potential for more than minimal harm 2023-05-24

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 2023-07-08

E · Potential for more than minimal harm 2023-05-24

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 2023-07-08

D · Potential for more than minimal harm 2023-05-24

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 2023-07-08

D · Potential for more than minimal harm 2023-05-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-08

D · Potential for more than minimal harm 2023-05-24

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-07-08

Penalties and ownership

What sits behind the stars

$9,770 2023-05-24

Fine

Fine · fine $9,770

Fine

Ownership

Mainegeneral Health

5% Or Greater Direct Ownership Interest · Organization

100% 2 facilities 1997-07-01
Alexander, Marci

Operational/Managerial Control · Individual

0% 2 facilities 2007-12-10
Alexander, Marci

Corporate Director · Individual

0% 2 facilities 2007-12-10
Brann, Terrence

Operational/Managerial Control · Individual

0% 2 facilities 2015-04-01
Brann, Terrence

Corporate Director · Individual

0% 2 facilities 2025-04-01
Brann, Terrence

Corporate Officer · Individual

0% 2 facilities 2015-04-01
Bullock, Scott

Corporate Director · Individual

0% 2 facilities 2024-03-07
Diefenderfer, John

Corporate Director · Individual

0% 2 facilities 2024-01-01
Heersink, Deirdre

Operational/Managerial Control · Individual

0% 3 facilities 2010-07-01
Heersink, Deirdre

Corporate Director · Individual

0% 3 facilities 2024-04-03
Howell, Nathan

Operational/Managerial Control · Individual

0% 2 facilities 2023-07-01
Howell, Nathan

Corporate Director · Individual

0% 2 facilities 2023-07-01
Howell, Nathan

Corporate Officer · Individual

0% 2 facilities 2023-07-01
Labbe Trufant, Nicole

Corporate Director · Individual

0% 2 facilities 2024-01-01
Martin, Melissa

Operational/Managerial Control · Individual

0% 9 facilities 2023-04-01
Peachey, Gary

Corporate Director · Individual

0% 2 facilities 2016-09-30
Pelletier, Michele

Corporate Director · Individual

0% 2 facilities 2023-01-09
Pizzo, Gregory

Operational/Managerial Control · Individual

0% 2 facilities 1989-10-01
Pizzo, Gregory

Corporate Director · Individual

0% 2 facilities 1989-10-01
Purington, Joseph

Corporate Director · Individual

0% 2 facilities 2023-07-01
Rico, Amy

Corporate Director · Individual

0% 2 facilities 2022-01-01
Riggs, Jennifer

Corporate Officer · Individual

0% 2 facilities 2014-10-01
Riley, Dorcas

Corporate Director · Individual

0% 2 facilities 2025-04-01
Rodrigue, Tarsha

Operational/Managerial Control · Individual

0% 2 facilities 2020-12-01
Scott, Duane

Corporate Director · Individual

0% 2 facilities 2007-12-10
Small, Scott

Corporate Director · Individual

0% 2 facilities 2016-09-30
Tardiff, Matthew

Corporate Director · Individual

0% 2 facilities 2016-09-30
Yeager, Courtney

Corporate Director · Individual

0% 2 facilities 2025-01-01

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