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

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

1.32

Registered nurse staffing · state 1.03 · national 0.68

LPN hours / resident day

0.56

Licensed practical nurse staffing · state 0.47 · national 0.87

Aide hours / resident day

3.26

Nurse aide staffing · state 2.86 · national 2.35

Total nurse hours

5.13

All reported nurse hours · state 4.35 · national 3.89

Licensed hours

1.87

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

4.64

Weekend nurse staffing · state 3.91 · national 3.43

Weekend RN hours

0.99

Weekend registered nurse coverage · state 0.73 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

1.43

CMS adjusted RN staffing hours

Adjusted total hours

5.57

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

58%

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

6,186

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

Performance score

33.71

Composite VBP score used to determine payment impact.

Payment multiplier

0.9879

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.81

Baseline 19.24% · Performance 20.59% · Measure score 1.81 · Achievement 1.81 · Improvement 0

Healthcare-associated infections

5.29

Baseline 5.95% · Performance 6.25% · Measure score 5.29 · Achievement 5.29 · Improvement 0

Total nurse turnover

0

Baseline 65.31% · Performance 63.96% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

6.39

Baseline 5.01 hours · Performance 4.90 hours · Measure score 6.39 · Achievement 6.39 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.43%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 83 · Observed rate 8.43% · Lower 95% interval 7.47%
Discharge to community	51.5%	50.57% 0.9 pts better	No Different than the National Rate · Eligible stays 73 · Observed rate 45.21% · Lower 95% interval 41.1%
Medicare spending per beneficiary	0.71	1.02 0.3 pts better
Drug regimen review with follow-up	83.64%	95.27% 11.6 pts worse	Numerator 46 · Denominator 55
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 55
Discharge self-care score	44.12%	53.69% 9.6 pts worse	Numerator 15 · Denominator 34
Discharge mobility score	47.06%	50.94% 3.9 pts worse	Numerator 16 · Denominator 34
Pressure ulcers or injuries, new or worsened	3.64%	2.29% 1.4 pts worse	Numerator 2 · Denominator 55 · Adjusted rate 5.09%
Healthcare-associated infections requiring hospitalization	6.25%	7.12% 0.9 pts better	No Different than the National Rate · Eligible stays 40 · Observed rate 2.5% · Lower 95% interval 3.12%
Staff COVID-19 vaccination coverage	0.65%	8.2% 7.5 pts worse	Numerator 1 · Denominator 155
Staff flu vaccination coverage	98.67%	42% 56.7 pts better	Numerator 148 · Denominator 150
Discharge function score	58.82%	56.45% 2.4 pts better	Numerator 20 · Denominator 34
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 25 · Denominator 25
Resident COVID-19 vaccinations up to date	41.38%	25.2% 16.2 pts better	Numerator 12 · Denominator 29

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 · Adjusted 1.8 · Observed 1.6 · Expected 1.7 · Used in QM five-star
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 · Adjusted 2.3 · Observed 2.1 · Expected 1.5 · Used in QM five-star
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 · Q1 100.0% · Q2 98.2% · Q3 100.0% · Q4 98.2% · 4Q avg 99.1%
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	4.6%	4.3% 0.3 pts worse	3.3% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 3.6% · Q3 4.0% · Q4 8.9% · 4Q avg 4.6% · Used in QM five-star
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 · Q1 11.5% · Q2 7.7% · Q3 6.5% · Q4 10.0% · 4Q avg 9.0%
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 · Q1 5.4% · Q2 5.3% · Q3 2.7% · Q4 5.3% · 4Q avg 4.7%
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 · Q1 14.3% · Q2 12.2% · Q3 17.9% · Q4 18.6% · 4Q avg 15.8%
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 · Q1 25.0% · Q2 21.2% · Q3 21.9% · Q4 26.7% · 4Q avg 23.6% · 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	17.6%	29.6% 12 pts better	16.3% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 17.6% · Used in QM five-star
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 · Q1 15.0% · Q2 24.4% · Q3 38.5% · Q4 21.4% · 4Q avg 24.7% · Used in QM five-star
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 · Q1 3.0% · Q2 1.7% · Q3 0.0% · Q4 1.7% · 4Q avg 1.6% · Used in QM five-star
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 · Q1 1.8% · Q2 1.9% · Q3 8.0% · Q4 3.8% · 4Q avg 3.7% · Used in QM five-star
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 · Q1 15.9% · Q2 18.1% · Q3 20.2% · Q4 15.4% · 4Q avg 17.4%
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 · Q1 10.9% · Q2 7.5% · Q3 8.0% · Q4 12.3% · 4Q avg 9.7% · Used in QM five-star
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 · Q1 82.5% · Q2 90.5% · Q3 96.5% · Q4 94.1% · 4Q avg 91.6%
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 · Adjusted 14.8% · Observed 15.7% · Expected 11.8% · Used in QM five-star
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 · Q1 0.0% · Q2 1.7% · Q3 1.3% · Q4 1.2% · 4Q avg 1.1% · Used in QM five-star
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 · 4Q avg 88.7%
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 · Adjusted 18.2% · Observed 19.6% · Expected 25.6% · Used in QM five-star

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