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)
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
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
Chain footprint
10 facilities
Chain averages 3 overall / 3 health / 4 staffing / 3 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
0.71
Registered nurse staffing · state 1.03 · national 0.68
LPN hours / resident day
0.73
Licensed practical nurse staffing · state 0.47 · national 0.87
Aide hours / resident day
2.80
Nurse aide staffing · state 2.86 · national 2.35
Total nurse hours
4.25
All reported nurse hours · state 4.35 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.94
Weekend nurse staffing · state 3.91 · national 3.43
Weekend RN hours
0.63
Weekend registered nurse coverage · state 0.73 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.74
CMS adjusted RN staffing hours
Adjusted total hours
4.44
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
63%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,215
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.47
Composite VBP score used to determine payment impact.
Payment multiplier
0.9846
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.59% · Performance 21.28% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
5.15
Baseline 6.27% · Performance 6.30% · Measure score 5.15 · Achievement 5.15 · Improvement 0
Total nurse turnover
0
Baseline 76.36% · Performance 73.98% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
5.84
Baseline 5.47 hours · Performance 4.74 hours · Measure score 5.84 · Achievement 5.84 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.84% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 168 · Observed rate 11.9% · Lower 95% interval 8.34% |
| Discharge to community | 68.04% |
50.57%
17.5 pts better
|
Better than the National Rate · Eligible stays 157 · Observed rate 65.61% · Lower 95% interval 61.36% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 93.53% |
95.27%
1.7 pts worse
|
Numerator 159 · Denominator 170 |
| Falls with major injury | 0.59% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 170 |
| Discharge self-care score | 47.24% |
53.69%
6.4 pts worse
|
Numerator 60 · Denominator 127 |
| Discharge mobility score | 53.54% |
50.94%
2.6 pts better
|
Numerator 68 · Denominator 127 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 170 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.3% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 126 · Observed rate 3.97% · Lower 95% interval 4.02% |
| Staff COVID-19 vaccination coverage | 0.69% |
8.2%
7.5 pts worse
|
Numerator 1 · Denominator 145 |
| Staff flu vaccination coverage | 99.46% |
42%
57.5 pts better
|
Numerator 183 · Denominator 184 |
| Discharge function score | 61.42% |
56.45%
5 pts better
|
Numerator 78 · Denominator 127 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 32 · Denominator 32 |
| Transfer of health information to patient | 99.12% |
96.28%
2.8 pts better
|
Numerator 113 · Denominator 114 |
| Resident COVID-19 vaccinations up to date | 16.09% |
25.2%
9.1 pts worse
|
Numerator 14 · Denominator 87 |
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 · Adjusted 1.5 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| 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 · Adjusted 2.4 · Observed 2.0 · Expected 1.4 · Used in QM five-star |
| 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 · Q1 59.7% · Q2 66.7% · Q3 85.3% · Q4 100.0% · 4Q avg 78.0% |
| 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 · 4Q avg 98.6% |
| 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 · Q1 6.0% · Q2 7.6% · Q3 7.4% · Q4 6.0% · 4Q avg 6.7% · Used in QM five-star |
| 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 · Q1 6.2% · Q2 4.8% · Q3 3.1% · Q4 5.3% · 4Q avg 4.8% |
| 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 · Q1 0.0% · Q2 3.5% · Q3 7.0% · Q4 7.1% · 4Q avg 4.4% |
| 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 · Q1 21.4% · Q2 19.0% · Q3 18.6% · Q4 19.3% · 4Q avg 19.6% |
| 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 · Q1 25.0% · Q2 23.4% · Q3 23.4% · Q4 28.9% · 4Q avg 25.1% · 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 | 42.0% |
29.6%
12.4 pts worse
|
16.3%
25.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.2% · Q3 39.9% · Q4 43.8% · 4Q avg 42.0% · Used in QM five-star |
| 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 · Q1 26.4% · Q2 35.2% · Q3 39.3% · Q4 36.4% · 4Q avg 34.4% · Used in QM five-star |
| 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 · Q1 1.8% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.7% · Used in QM five-star |
| 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 · Q1 3.0% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| 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 · Q1 26.9% · Q2 24.0% · Q3 21.0% · Q4 41.3% · 4Q avg 28.2% |
| 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 · Q1 4.4% · Q2 6.5% · Q3 2.5% · Q4 9.3% · 4Q avg 5.7% · Used in QM five-star |
| 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 · Q1 49.1% · Q2 48.6% · Q3 65.2% · Q4 76.2% · 4Q avg 59.7% |
| 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 · Adjusted 20.3% · Observed 16.8% · Expected 9.2% · Used in QM five-star |
| 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 · Q1 0.8% · Q2 0.0% · Q3 0.8% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| 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 · 4Q avg 43.4% |
| 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 · Adjusted 29.8% · Observed 22.6% · Expected 18.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
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
Faraday Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Bowden, Kenneth
5% Or Greater Indirect Ownership Interest · Individual
Kwb Holdings, LLC
5% Or Greater Direct Ownership Interest · Organization
Bowden, Kenneth
Corporate Director · Individual
Bowden, Kenneth
Corporate Officer · Individual
Bowden, Kenneth
W-2 Managing Employee · Individual
Coffin, Craig
Corporate Director · Individual
Coffin, Craig
Corporate Officer · Individual
First Atlantic Healthcare
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
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St Andre Health Care Facility
Biddeford, ME
5-star overall rating with 5-star inspections with 4 recent health deficiencies with 20 fire-safety deficiencies in the latest cycle
#2
Southridge Rehab & Living Ctr
Biddeford, ME
1-star overall rating with 1-star inspections with $23,179 in total fines with 12 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Pine Point Center
Scarborough, ME
3-star overall rating with 3-star inspections with 12 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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