Federal inspection record · CMS data as of October 1, 2026
St Andre Health Care Facility
407 Pool St, Biddeford, ME · (207) 282-5171
- CMS high-performer trophy
- Certified beds
- 96
- Residents per day
- 79
- Ownership
- Non-Profit
- Chain
- Covenant Health
- 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 (already 5)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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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
St Andre Health Care Facility carries 24 inspection points. That is fewer than 88% 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
11 health citations on record since 2019. 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
Nutrition and Dietary3E
- E
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.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights3D
- 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
Allow residents to self-administer drugs if determined clinically appropriate.
- 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.
Resident Assessment and Care Planning3D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care2E
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspection history
2025-06-13
4 health deficiencies · 20 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2022-07-13
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2019-11-21
1 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 7 min of nursing staff time a day, 1 h 9 min of it from a registered nurse.
This home
4 h 7 min
Maine average
4 h 23 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 34% of nursing staff and 9% 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 days0.5 pts worse | 1.8 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 1.0 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.7 pts better | 94.8% | 93.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccineAbout the same | 95.9% | 95.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts better | 1.5% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 9.4% | 11.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts better | 4.7% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.9 pts better | 4.7% | 17.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.9 pts better | 14.6% | 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 worsened14.1 pts worse | 38.0% | 23.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.4 pts worse | 31.7% | 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 infection1.4 pts better | 0.7% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.1 pts worse | 36.3% | 28.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts worse | 5.2% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts worse | 71.2% | 72.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.8 pts better | 10.6% | 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 vaccine14.9 pts worse | 62.3% | 77.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.3 pts worse | 22.9% | 20.6% | 23.4% |
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Who owns and runs it
10 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 |
|---|---|---|---|
| Alaimo, Stephen | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Alaimo, Stephen | Corporate Officer · Individual | 0% | 1 facilities |
| Castillo, Nicole | W-2 Managing Employee · Individual | 0% | 7 facilities |
| Castillo, Nicole | Corporate Officer · Individual | 0% | 7 facilities |
| Castillo, Nicole | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Hogan, Michael | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Hogan, Michael | Corporate Officer · Individual | 0% | 1 facilities |
| Hogan, Michael | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Thieme, Victoria | Corporate Director · Individual | 0% | 1 facilities |
| Valenza, Joseph | Corporate Director · Individual | 0% | 1 facilities |
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Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness6D
- D
Address subsistence needs for staff and patients.
- D
Establish procedures for tracking staff and patients during an emergency.
- D
Create arrangements with other facilities to receive patients.
- D
Conduct testing and exercise requirements.
- D
Develop and maintain an Emergency Preparedness Program (EP).
- D
Conduct risk assessment and an All-Hazards approach.
Gas, Vacuum, and Electrical Systems5D
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Egress4E
- E
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
Have exits that are accessible at all times.
- D
Have properly located and lighted "Exit" signs.
Smoke4D
- D
Provide properly protected cooking facilities.
- D
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- D
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous4F
- D
Have simulated fire drills held at unexpected times.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have simulated fire drills held at unexpected times.
Services1D
- D
Install properly constructed and protected linen or trash chutes.
Construction1F
- F
Install a two-hour-resistant firewall separation.
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Other homes nearby
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Seal Rock Healthcare
Saco, ME · First Atlantic Healthcare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 4 h 16 min
- Fines
- $75,433
-
Southridge Rehab & Living Ctr
Biddeford, ME · North Country Associates
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 40 min
- Fines
- $23,179
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Pine Point Center
Scarborough, ME · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h
- Fines
- $0