Cycle 1
Health 2025-04-24 · Fire 2025-04-24
6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Norway, ME
Norway Center For Health & Rehabilitation, LLC
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
29 Marion Ave, Norway, ME
(207) 743-7075
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
42
Certified beds
Average residents
38
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
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
1.29
Registered nurse staffing · state 1.03 · national 0.68
LPN hours / resident day
0.34
Licensed practical nurse staffing · state 0.47 · national 0.87
Aide hours / resident day
2.44
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
1.63
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.61
Weekend nurse staffing · state 3.91 · national 3.43
Weekend RN hours
1.03
Weekend registered nurse coverage · state 0.73 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
1.14
CMS adjusted RN staffing hours
Adjusted total hours
3.62
CMS adjusted total nurse staffing hours
Case-mix index
1.54
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,028
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.64
Composite VBP score used to determine payment impact.
Payment multiplier
0.9945
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.52
Baseline 18.63% · Performance 19.34% · Measure score 4.52 · Achievement 4.52 · Improvement 0
Healthcare-associated infections
0.94
Baseline 6.44% · Performance 7.56% · Measure score 0.94 · Achievement 0.94 · Improvement 0
Total nurse turnover
8.91
Baseline 20.93% · Performance 27.27% · Measure score 8.91 · Achievement 8.91 · Improvement 0
Adjusted total nurse staffing
2.29
Baseline 3.56 hours · Performance 3.73 hours · Measure score 2.29 · Achievement 2.29 · Improvement 0.27
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.24% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 94 · Observed rate 7.45% · Lower 95% interval 6.41% |
| Discharge to community | 52.46% |
50.57%
1.9 pts better
|
No Different than the National Rate · Eligible stays 99 · Observed rate 50.51% · Lower 95% interval 42.87% |
| Medicare spending per beneficiary | 1.2 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 95.71% |
95.27%
0.4 pts better
|
Numerator 67 · Denominator 70 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 70 |
| Discharge self-care score | 59.62% |
53.69%
5.9 pts better
|
Numerator 31 · Denominator 52 |
| Discharge mobility score | 59.62% |
50.94%
8.7 pts better
|
Numerator 31 · Denominator 52 |
| Pressure ulcers or injuries, new or worsened | 2.86% |
2.29%
0.6 pts worse
|
Numerator 2 · Denominator 70 · Adjusted rate 3.13% |
| Healthcare-associated infections requiring hospitalization | 7.56% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 67 · Observed rate 7.46% · Lower 95% interval 4.26% |
| Staff COVID-19 vaccination coverage | 11.84% |
8.2%
3.6 pts better
|
Numerator 9 · Denominator 76 |
| Staff flu vaccination coverage | 93.81% |
42%
51.8 pts better
|
Numerator 91 · Denominator 97 |
| Discharge function score | 61.54% |
56.45%
5.1 pts better
|
Numerator 32 · Denominator 52 |
| Transfer of health information to provider | 76.6% |
95.95%
19.4 pts worse
|
Numerator 36 · Denominator 47 |
| 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 | 40% |
25.2%
14.8 pts better
|
Numerator 14 · Denominator 35 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 | 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 | 9.0% |
4.3%
4.7 pts worse
|
3.3%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 11.5% · Q3 12.0% · Q4 3.7% · 4Q avg 9.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.3% |
10.7%
2.4 pts better
|
11.4%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 4.0% · Q3 4.2% · Q4 18.5% · 4Q avg 8.3% |
| Percentage of long-stay residents who lose too much weight | 4.4% |
5.5%
1.1 pts better
|
5.4%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 5.0% · 4Q avg 4.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.4% |
17.0%
11.6 pts better
|
19.6%
14.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 4.8% · 4Q avg 5.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.7% |
21.0%
3.3 pts better
|
16.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.7% · 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 | 15.7% |
29.6%
13.9 pts better
|
16.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.2% |
25.7%
17.5 pts better
|
14.9%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 4.8% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.3%
1.3 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
2.7%
2.7 pts better
|
1.7%
1.7 pts better
|
Long 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 long-stay residents with new or worsened bowel or bladder incontinence | 34.7% |
29.8%
4.9 pts worse
|
19.8%
14.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.8% · Q2 39.7% · Q3 37.4% · Q4 25.0% · 4Q avg 34.7% |
| Percentage of long-stay residents with pressure ulcers | 2.2% |
4.4%
2.2 pts better
|
5.1%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.9% · Q3 2.3% · Q4 1.5% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.8% |
71.2%
25.6 pts better
|
81.7%
15.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 95.7% · Q3 94.2% · Q4 98.8% · 4Q avg 96.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.3% |
15.6%
2.7 pts worse
|
12.0%
6.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.3% · Observed 16.7% · Expected 10.2% · 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 | 97.0% |
74.5%
22.5 pts better
|
79.7%
17.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.3% |
20.5%
7.2 pts better
|
23.9%
10.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 13.3% · Observed 10.6% · Expected 19.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-02-15 · Fire 2023-02-15
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2021-06-10 · Fire 2021-06-10
3 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-04-24
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-05-30
D · Potential for more than minimal harm
2025-04-24
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-05-30
D · Potential for more than minimal harm
2025-04-24
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-24
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-05-16
D · Potential for more than minimal harm
2023-02-15
K361 · Smoke Deficiencies
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2023-03-01
C · Minimal harm
2023-02-15
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-03-01
E · Potential for more than minimal harm
2021-06-10
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-07-02
D · Potential for more than minimal harm
2021-06-10
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 2021-07-02
D · Potential for more than minimal harm
2021-06-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-07-02
D · Potential for more than minimal harm
2021-06-10
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-07-02
D · Potential for more than minimal harm
2021-06-10
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-07-02
D · Potential for more than minimal harm
2021-06-10
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2021-07-02
D · Potential for more than minimal harm
2021-06-10
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2021-07-02
D · Potential for more than minimal harm
2021-06-10
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2021-07-02
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-04-24
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 2025-06-02
E · Potential for more than minimal harm
2025-04-24
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 2025-06-02
E · Potential for more than minimal harm
2025-04-24
F940 · Administration Deficiencies
Health
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2025-06-02
D · Potential for more than minimal harm
2025-04-24
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 2025-06-02
D · Potential for more than minimal harm
2025-04-24
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-02
D · Potential for more than minimal harm
2025-04-24
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-06-02
D · Potential for more than minimal harm
2023-02-15
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-13
E · Potential for more than minimal harm
2021-06-10
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 2021-07-09
E · Potential for more than minimal harm
2021-06-10
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 2021-07-09
E · Potential for more than minimal harm
2021-06-10
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2021-07-09
Penalties and ownership
What sits behind the stars
Ownership
Bokow, Barry
Operational/Managerial Control · Individual
Gilmartin, Thomas
Operational/Managerial Control · Individual
Ostreicher, Marvin
Corporate Director · Individual
Roseberry, Nathan
Operational/Managerial Control · Individual
Ventura, Jose
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Market Square Health Care Center, LLC
South Paris, ME
2-star overall rating with 2-star inspections with 13 recent health deficiencies with 20 fire-safety deficiencies in the latest cycle
#2
Maine Veterans Home - So Paris
South Paris, ME
5-star overall rating with 5-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Clover Health Care
Auburn, ME
1-star overall rating with 1-star inspections with Special Focus status with $15,317 in total fines with 25 recent health deficiencies with 30 fire-safety deficiencies in the latest cycle
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