Saco, ME

Seal Rock Healthcare

1-star overall rating with 1-star inspections with Special Focus status with $75,433 in total fines with 16 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

88 Harbor Drive, Saco, ME

(207) 283-3646

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

105

Certified beds

Average residents

86

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

First Atlantic Healthcare

Operator or chain grouping

Approved since

1993-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.71

Registered nurse staffing

LPN hours / resident day

0.73

Licensed practical nurse staffing

Aide hours / resident day

2.80

Nurse aide staffing

Weekend hours

3.94

Weekend nurse staffing

RN turnover

56%

Annual RN turnover

Total nurse turnover

63%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.5
1.4
0.1 pts worse
1.9
0.4 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.4
2.1
0.3 pts worse
1.8
0.6 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 78.0%
90.7%
12.7 pts worse
93.4%
15.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.6%
95.5%
3.1 pts better
95.5%
3.1 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 6.7%
4.3%
2.4 pts worse
3.3%
3.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 4.8%
10.7%
5.9 pts better
11.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.6%
17.0%
2.6 pts worse
19.6%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 25.1%
21.0%
4.1 pts worse
16.7%
8.4 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 42.0%
29.6%
12.4 pts worse
16.3%
25.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 34.4%
25.7%
8.7 pts worse
14.9%
19.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.7%
1.3%
0.6 pts better
1.0%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.1%
2.7%
1.6 pts better
1.7%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 28.2%
29.8%
1.6 pts better
19.8%
8.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.7%
4.4%
1.3 pts worse
5.1%
0.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 59.7%
71.2%
11.5 pts worse
81.7%
22 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 20.3%
15.6%
4.7 pts worse
12.0%
8.3 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.4%
1.4%
1 pts better
1.6%
1.2 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 43.4%
74.5%
31.1 pts worse
79.7%
36.3 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 29.8%
20.5%
9.3 pts worse
23.9%
5.9 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2022-07-27 · Fire 2022-07-27

16 health deficiencies

Top issue: Resident Rights (4 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2019-11-07 · Fire 2019-11-07

4 health deficiencies

Top issue: Resident Rights (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2018-12-20 · Fire 2018-12-20

8 health deficiencies

Top issue: Resident Rights (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2022-07-27

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 2022-08-10

D · Potential for more than minimal harm 2022-07-27

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-08-10

C · Minimal harm 2022-07-27

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2022-08-10

D · Potential for more than minimal harm 2018-12-20

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 2019-01-25

C · Minimal harm 2018-12-20

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2019-01-25

C · Minimal harm 2018-12-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-01-25

Inspection history

Recent health citations

K · Immediate jeopardy 2025-04-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-24

E · Potential for more than minimal harm 2025-04-02

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-04-24

E · Potential for more than minimal harm 2025-04-02

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-04-24

D · Potential for more than minimal harm 2025-04-02

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-04-24

D · Potential for more than minimal harm 2025-04-02

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-04-24

D · Potential for more than minimal harm 2023-08-08

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-09-04

C · Minimal harm 2023-08-08

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 2023-09-04

E · Potential for more than minimal harm 2023-07-12

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 2023-08-14

D · Potential for more than minimal harm 2023-07-12

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-08-14

E · Potential for more than minimal harm 2022-07-27

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 2022-09-10

E · Potential for more than minimal harm 2022-07-27

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2022-09-10

E · Potential for more than minimal harm 2022-07-27

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-10-13

E · Potential for more than minimal harm 2022-07-27

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 2022-09-10

E · Potential for more than minimal harm 2022-07-27

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2022-10-13

E · Potential for more than minimal harm 2022-07-27

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2022-09-10

D · Potential for more than minimal harm 2022-07-27

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 2022-09-10

D · Potential for more than minimal harm 2022-07-27

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-09-10

B · Minimal harm 2022-07-27

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-09-10

B · Minimal harm 2022-07-27

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2022-09-10

B · Minimal harm 2022-07-27

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2022-09-10

E · Potential for more than minimal harm 2019-11-07

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2019-12-16

D · Potential for more than minimal harm 2019-11-07

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2019-12-16

D · Potential for more than minimal harm 2019-11-07

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2019-12-16

D · Potential for more than minimal harm 2019-11-07

F675 · Quality of Life and Care Deficiencies

Health

Honor each resident's preferences, choices, values and beliefs.

Corrected 2019-12-16

E · Potential for more than minimal harm 2018-12-20

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 2019-02-20

E · Potential for more than minimal harm 2018-12-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-02-20

D · Potential for more than minimal harm 2018-12-20

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 2019-02-20

B · Minimal harm 2018-12-20

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2019-02-20

Penalties and ownership

What sits behind the stars

$75,433 2025-04-02

Fine

Fine · fine $75,433

Fine

Ownership

Coffin, Craig

5% Or Greater Indirect Ownership Interest · Individual

67% 11 facilities 2019-06-29
Faraday Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

67% 1 facilities 2019-06-29
Bowden, Kenneth

5% Or Greater Indirect Ownership Interest · Individual

33% 11 facilities 2019-06-29
Kwb Holdings, LLC

5% Or Greater Direct Ownership Interest · Organization

33% 2 facilities 2019-06-29
Bowden, Kenneth

Corporate Director · Individual

0% 11 facilities 2003-10-31
Bowden, Kenneth

Corporate Officer · Individual

0% 11 facilities 2003-10-31
Bowden, Kenneth

W-2 Managing Employee · Individual

0% 11 facilities 2003-10-31
Coffin, Craig

Corporate Director · Individual

0% 11 facilities 2003-10-31
Coffin, Craig

Corporate Officer · Individual

0% 11 facilities 2003-10-31
First Atlantic Healthcare

Operational/Managerial Control · Organization

0% 8 facilities 2023-04-26

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