Federal inspection record · CMS data as of October 1, 2026
Pinnacle Health & Rehab At Sanford
1142 Main St, Sanford, ME · (207) 324-2273
- Certified beds
- 86
- Residents per day
- 65
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1993
1
How this home got 5 stars
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.
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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
★★★★★no change
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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Maine homes
Pinnacle Health & Rehab At Sanford carries 22 inspection points. That is fewer than 92% 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
12 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 Rights5D
- B
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 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- B
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- 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.
Resident Assessment and Care Planning3E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service3E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-02-12
4 health deficiencies · 11 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-11-15
5 health deficiencies · 11 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2022-03-02
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 41 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
3 h 41 min
Maine average
4 h 23 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 50% 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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 1.3 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better | 0.8 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.9 pts better | 100.0% | 93.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.1 pts better | 100.0% | 95.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts better | 2.8% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.3 pts better | 6.4% | 11.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts better | 4.9% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.6 pts better | 12.0% | 17.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.9 pts better | 12.6% | 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 worsened7.9 pts better | 16.0% | 23.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts better | 22.6% | 24.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts better | 1.6% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.7 pts better | 18.5% | 28.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts better | 2.6% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.9 pts better | 93.6% | 72.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.6 pts worse | 23.0% | 15.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts better | 0.0% | 1.5% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.5 pts better | 95.7% | 77.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admissionAbout the same | 20.6% | 20.6% | 23.4% |
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Who owns and runs it
13 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 |
|---|---|---|---|
| Nachfolger, Israel | 5% Or Greater Direct Ownership Interest · Individual | 99% | 7 facilities |
| Ambler-Cote, Anne | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ambler-Cote, Anne | Adp Of The SNF · Individual | 0% | 1 facilities |
| Berman, Ari | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Berman, Ari | Adp Of The SNF · Individual | 0% | 4 facilities |
| Main St Realty | Adp Of The SNF · Organization | 0% | 1 facilities |
| Nachfolger, Israel | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Nachfolger, Israel | Trustee Of The SNF · Individual | 0% | 7 facilities |
| Nachfolger, Israel | Adp Of The SNF · Individual | 0% | 7 facilities |
| Nachfolger, Miriam | Direct Ownership Interest · Individual | 0% | 4 facilities |
| Nachfolger, Miriam | General Partnership Interest · Individual | 0% | 4 facilities |
| Nachfolger, Miriam | Trustee Of The SNF · Individual | 0% | 4 facilities |
| Nachfolger, Miriam | Adp Of The SNF · Individual | 0% | 4 facilities |
·
Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke12F
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
- F
Construct fire resistant interior walls.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- F
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
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems7F
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
- F
Meet requirements for the installation and maintenance of electrical systems.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have restrictions on the use of flammable curtains.
Egress3D
- 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
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
-
Summer Commons
Sanford, ME
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 56 min
- Fines
- $0
-
Pinnacle Health & Rehab At N Berwick
North Berwick, ME
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- —
- Fines
- $0
-
Kennebunk Center For Health & Rehabilitation, LLC
Kennebunk, ME · National Health Care Associates
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 5 min
- Fines
- $0