Federal inspection record · CMS data as of October 1, 2026
Maplecrest Rehab & Living Center
174 Main St, Madison, ME · (207) 696-8225
- Certified beds
- 58
- Residents per day
- 45
- Ownership
- For-Profit
- Chain
- North Country Associates
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 1993
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Maine.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Maine homes
Maplecrest Rehab & Living Center carries 106 inspection points. That is fewer than 25% of Maine's 77 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Maine: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–24 pts
- 4★ 24–55 pts
- 3★ 55–78 pts
- 2★ 78–115.5 pts
- 1★ over 115.5 pts
Bars show every rated home in Maine by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
41 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights12E
- E
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.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
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.
- E
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.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- B
Ensure residents have reasonable access to and privacy in their use of communication methods.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- B
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.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
Resident Assessment and Care Planning8E
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- B
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care4E
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide activities to meet all resident's needs.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service4E
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
- E
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.
Nutrition and Dietary4E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2E
- D
Respond appropriately to all alleged violations.
- E
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Administration2D
- D
Have a plan that describes the process for conducting QAPI and QAA activities.
- B
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Nursing and Physician Services2E
- E
Observe each nurse aide's job performance and give regular training.
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspection history
2025-07-09
13 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-04-19
20 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (9 deficiencies)
2022-10-19
8 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 17 min of nursing staff time a day, 43 min of it from a registered nurse.
This home
4 h 17 min
Maine average
4 h 23 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 53% of nursing staff and 64% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine41.6 pts worse | 51.5% | 93.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better | 97.7% | 95.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts worse | 5.3% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms11.3 pts worse | 23.0% | 11.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts worse | 5.6% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medicationAbout the same | 17.6% | 17.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.3 pts worse | 23.8% | 19.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.4 pts worse | 27.3% | 23.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.1 pts worse | 28.4% | 24.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.9% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts better | 0.6% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.9 pts better | 27.3% | 28.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts worse | 4.6% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine52 pts worse | 20.7% | 72.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts better | 0.0% | 1.5% | 1.5% |
·
Who owns and runs it
7 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Orestis, John | 5% Or Greater Direct Ownership Interest · Individual | 100% | 11 facilities |
| Bento, Randi | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Cyr, Glen | W-2 Managing Employee · Individual | 0% | 11 facilities |
| Cyr, Glen | Corporate Director · Individual | 0% | 11 facilities |
| Orestis, John | Corporate Officer · Individual | 0% | 11 facilities |
| Richards, Mary | W-2 Managing Employee · Individual | 0% | 6 facilities |
| Richards, Mary | Corporate Officer · Individual | 0% | 6 facilities |
·
Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress7F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- D
Have properly located and lighted "Exit" signs.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
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.
- D
Have properly located and lighted "Exit" signs.
- D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Smoke6E
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems3E
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Emergency Preparedness1D
- D
Establish emergency prep training and testing.
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Other homes nearby
-
Woodlawn Rehabilitation & Nursing Center
Skowhegan, ME · First Atlantic Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 32 min
- Fines
- $22,398
-
Cedar Ridge Center
Skowhegan, ME · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 35 min
- Fines
- $0
-
Orchard Park Rehab & Living Center
Farmington, ME · North Country Associates
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 59 min
- Fines
- $0