Federal inspection record · CMS data as of October 1, 2026
Pinnacle Health & Rehab Canton
26 Pleasant St, Canton, ME · (207) 597-2510
- Certified beds
- 47
- Residents per day
- 38
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 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.
-
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.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Maine homes
Pinnacle Health & Rehab Canton carries 115.5 inspection points. That is fewer than 19% 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
31 health citations on record since 2023. 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
Quality of Life and Care7E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care or services that was trauma informed and/or culturally competent.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights6E
- E
Keep residents' personal and medical records private and confidential.
- 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
Reasonably accommodate the needs and preferences of each resident.
- 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.
- 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 Planning6E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary4E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service2E
- E
Ensure each resident’s drug regimen must be free from unnecessary 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.
Administration2E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Respond appropriately to all alleged violations.
Environmental1D
- D
Keep all essential equipment working safely.
Inspection history
2025-11-19
12 health deficiencies · 11 fire-safety deficiencies
Top issue: Administration (2 deficiencies)
2024-07-31
13 health deficiencies · 17 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2023-05-10
6 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 54 min of nursing staff time a day, 1 h 3 min of it from a registered nurse.
This home
3 h 54 min
Maine average
4 h 23 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 13% 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 days0.6 pts worse | 1.9 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts worse | 3.0 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.4 pts better | 96.5% | 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 injury2.9 pts worse | 6.9% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.3 pts better | 10.4% | 11.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight2 pts better | 3.1% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.7 pts worse | 22.3% | 17.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.4 pts worse | 32.9% | 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 worsened13.8 pts worse | 37.7% | 23.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.2 pts worse | 25.5% | 24.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse | 1.3% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.2 pts worse | 34.4% | 28.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.5 pts worse | 6.9% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.1 pts worse | 58.6% | 72.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts worse | 2.6% | 1.5% | 1.5% |
·
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 |
| Huhn, Kenneth | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Huhn, Kenneth | Adp Of The SNF · Individual | 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 |
| Pleasant St Realty | Adp Of The SNF · Organization | 0% | 1 facilities |
| Sivakumar, Siva | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Sivakumar, Siva | Adp Of The SNF · Individual | 0% | 2 facilities |
·
Fire safety
39 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke15F
- F
Inspect, test, and maintain automatic sprinkler systems.
- 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.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- D
Construct fire resistant interior walls.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- C
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- C
Install an approved automatic sprinkler system.
- C
Inspect, test, and maintain automatic sprinkler systems.
Egress6F
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have properly located and lighted "Exit" signs.
- F
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 corridors or aisles that are unobstructed and are at least 8 feet in width.
- C
Have properly located and lighted "Exit" signs.
Miscellaneous6F
- D
Have simulated fire drills held at unexpected times.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have restrictions on the use of highly flammable decorations.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems6F
- D
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- D
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Emergency Preparedness4F
- F
Establish roles under a Waiver declared by secretary.
- F
Establish policies and procedures for volunteers.
- F
Develop a communication plan.
- F
Conduct risk assessment and an All-Hazards approach.
Services1D
- D
Meet other general requirements that are deficient.
Construction1F
- F
Install noncombustible or limited-combustible interior walls.
·
Other homes nearby
-
Rumford Community Home
Rumford, ME
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 34 min
- Fines
- $0
-
Sandy River Center
Farmington, ME · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 31 min
- Fines
- $14,069
-
Maine Veterans Home - So Paris
South Paris, ME · Maine Veterans' Home
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 21 min
- Fines
- $0