Cycle 1
Health 2025-06-13 · Fire 2025-06-13
4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
20 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Biddeford, ME
St Andre Health Care Facility
5-star overall rating with 5-star inspections with 4 recent health deficiencies with 20 fire-safety deficiencies in the latest cycle
407 Pool St, Biddeford, ME
(207) 282-5171
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
96
Certified beds
Average residents
80
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Covenant Health
Operator or chain grouping
Approved since
1993-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 facilities
Chain averages 3 overall / 3 health / 5 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
1.21
Registered nurse staffing · state 1.03 · national 0.68
LPN hours / resident day
0.28
Licensed practical nurse staffing · state 0.47 · national 0.87
Aide hours / resident day
2.67
Nurse aide staffing · state 2.86 · national 2.35
Total nurse hours
4.17
All reported nurse hours · state 4.35 · national 3.89
Licensed hours
1.49
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.76
Weekend nurse staffing · state 3.91 · national 3.43
Weekend RN hours
1.06
Weekend registered nurse coverage · state 0.73 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
1.38
CMS adjusted RN staffing hours
Adjusted total hours
4.72
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
21%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,043
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.18
Composite VBP score used to determine payment impact.
Payment multiplier
0.9882
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.51
Baseline 24.27% · Performance 22.09% · Measure score 2.51 · Achievement 0 · Improvement 2.51
Healthcare-associated infections
0
Baseline 7.12% · Performance 7.70% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.74
Baseline 42.00% · Performance 40.22% · Measure score 5.74 · Achievement 5.74 · Improvement 0.54
Adjusted total nurse staffing
5.42
Baseline 4.37 hours · Performance 4.62 hours · Measure score 5.42 · Achievement 5.42 · Improvement 1.27
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.07% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 163 · Observed rate 6.75% · Lower 95% interval 6.01% |
| Discharge to community | 50.7% |
50.57%
0.1 pts better
|
No Different than the National Rate · Eligible stays 167 · Observed rate 45.51% · Lower 95% interval 43.13% |
| Medicare spending per beneficiary | 0.78 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.55% |
95.27%
3.3 pts better
|
Numerator 68 · Denominator 69 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 69 |
| Discharge self-care score | 38.6% |
53.69%
15.1 pts worse
|
Numerator 22 · Denominator 57 |
| Discharge mobility score | 40.35% |
50.94%
10.6 pts worse
|
Numerator 23 · Denominator 57 |
| Pressure ulcers or injuries, new or worsened | 2.9% |
2.29%
0.6 pts worse
|
Numerator 2 · Denominator 69 · Adjusted rate 2.76% |
| Healthcare-associated infections requiring hospitalization | 7.7% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 86 · Observed rate 8.14% · Lower 95% interval 5.05% |
| Staff COVID-19 vaccination coverage | 15.33% |
8.2%
7.1 pts better
|
Numerator 21 · Denominator 137 |
| Staff flu vaccination coverage | 98.14% |
42%
56.1 pts better
|
Numerator 158 · Denominator 161 |
| Discharge function score | 45.61% |
56.45%
10.8 pts worse
|
Numerator 26 · Denominator 57 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 42 · Denominator 42 |
| Resident COVID-19 vaccinations up to date | 45% |
25.2%
19.8 pts better
|
Numerator 18 · Denominator 40 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.4
0.3 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
2.1
0.8 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.4% |
90.7%
7.7 pts better
|
93.4%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 96.7% · Q4 96.8% · 4Q avg 98.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.3% |
95.5%
2.2 pts worse
|
95.5%
2.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% |
4.3%
2.3 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 3.1% · Q3 1.6% · Q4 1.6% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.3% |
10.7%
7.4 pts better
|
11.4%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 7.8% · Q4 4.0% · 4Q avg 3.3% |
| Percentage of long-stay residents who lose too much weight | 6.4% |
5.5%
0.9 pts worse
|
5.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 11.3% · Q3 7.7% · Q4 6.0% · 4Q avg 6.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.2% |
17.0%
9.8 pts better
|
19.6%
12.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 9.1% · Q3 5.8% · Q4 6.0% · 4Q avg 7.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.7% |
21.0%
4.3 pts better
|
16.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 16.7% · Q3 14.6% · Q4 20.0% · 4Q avg 16.7% · 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 | 39.1% |
29.6%
9.5 pts worse
|
16.3%
22.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.7% · Q2 40.7% · Q3 32.0% · Q4 49.6% · 4Q avg 39.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.8% |
25.7%
1.9 pts better
|
14.9%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 20.8% · Q3 35.3% · Q4 24.5% · 4Q avg 23.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.3%
1.3 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
2.7%
1.5 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 1.6% · Q4 1.6% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.8% |
29.8%
4 pts worse
|
19.8%
14 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 35.6% · Q3 35.1% · Q4 35.2% · 4Q avg 33.8% |
| Percentage of long-stay residents with pressure ulcers | 2.9% |
4.4%
1.5 pts better
|
5.1%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.4% · Q3 4.8% · Q4 3.3% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.9% |
71.2%
8.7 pts better
|
81.7%
1.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 89.1% · Q2 85.6% · Q3 76.3% · Q4 69.3% · 4Q avg 79.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.1% |
15.6%
0.5 pts better
|
12.0%
3.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.1% · Observed 14.3% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.4%
0.2 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.8% · Q3 1.7% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.0% |
74.5%
13.5 pts better
|
79.7%
8.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.0% |
20.5%
10.5 pts worse
|
23.9%
7.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.0% · Observed 29.9% · Expected 23.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-07-13 · Fire 2022-07-13
6 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Cycle 3
Health 2019-11-21 · Fire 2019-11-21
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-06-13
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-07-28
D · Potential for more than minimal harm
2025-06-13
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-07-28
D · Potential for more than minimal harm
2025-06-13
E18 · Emergency Preparedness Deficiencies
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2025-06-25
D · Potential for more than minimal harm
2025-06-13
E25 · Emergency Preparedness Deficiencies
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2025-07-28
D · Potential for more than minimal harm
2025-06-13
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-07-28
D · Potential for more than minimal harm
2025-06-13
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-07-28
D · Potential for more than minimal harm
2025-06-13
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-07-28
D · Potential for more than minimal harm
2025-06-13
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2025-06-25
D · Potential for more than minimal harm
2025-06-13
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-07-28
D · Potential for more than minimal harm
2025-06-13
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-07-28
D · Potential for more than minimal harm
2025-06-13
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-07-28
D · Potential for more than minimal harm
2025-06-13
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-06-25
D · Potential for more than minimal harm
2025-06-13
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-06-25
D · Potential for more than minimal harm
2025-06-13
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-07-28
D · Potential for more than minimal harm
2025-06-13
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2025-07-28
D · Potential for more than minimal harm
2025-06-13
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-06-25
D · Potential for more than minimal harm
2025-06-13
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-07-28
D · Potential for more than minimal harm
2025-06-13
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-07-28
D · Potential for more than minimal harm
2025-06-13
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-28
D · Potential for more than minimal harm
2025-06-13
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-07-28
F · Potential for more than minimal harm
2022-07-13
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2022-10-03
F · Potential for more than minimal harm
2022-07-13
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-10-03
D · Potential for more than minimal harm
2022-07-13
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-10-03
D · Potential for more than minimal harm
2022-07-13
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-10-03
D · Potential for more than minimal harm
2019-11-21
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2020-01-03
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-06-13
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-07-25
E · Potential for more than minimal harm
2025-06-13
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 2025-07-25
D · Potential for more than minimal harm
2025-06-13
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 2025-07-25
D · Potential for more than minimal harm
2025-06-13
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2025-07-25
D · Potential for more than minimal harm
2022-07-13
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-08-31
D · Potential for more than minimal harm
2022-07-13
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 2022-08-31
D · Potential for more than minimal harm
2022-07-13
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 2022-08-31
D · Potential for more than minimal harm
2022-07-13
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-08-31
D · Potential for more than minimal harm
2022-07-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-08-31
D · Potential for more than minimal harm
2022-07-13
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 2022-08-31
D · Potential for more than minimal harm
2019-11-21
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-12-30
Penalties and ownership
What sits behind the stars
Ownership
Covenant Health
5% Or Greater Direct Ownership Interest · Organization
Alaimo, Stephen
Corporate Officer · Individual
Alaimo, Stephen
W-2 Managing Employee · Individual
Castillo, Nicole
Operational/Managerial Control · Individual
Castillo, Nicole
Corporate Officer · Individual
Castillo, Nicole
W-2 Managing Employee · Individual
Hogan, Michael
Operational/Managerial Control · Individual
Hogan, Michael
Corporate Officer · Individual
Hogan, Michael
W-2 Managing Employee · Individual
Thieme, Victoria
Corporate Director · Individual
Valenza, Joseph
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Seal Rock Healthcare
Saco, ME
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
#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
Jump out