Bath, ME

Winship Green Center For Health & Rehab, LLC

3-star overall rating with 3-star inspections with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

51 Winship St, Bath, ME

(207) 443-9772

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

National Health Care Associates

Operator or chain grouping

Approved since

1993-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

43 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

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

0.49

Registered nurse staffing · state 1.03 · national 0.68

LPN hours / resident day

0.84

Licensed practical nurse staffing · state 0.47 · national 0.87

Aide hours / resident day

2.56

Nurse aide staffing · state 2.86 · national 2.35

Total nurse hours

3.88

All reported nurse hours · state 4.35 · national 3.89

Licensed hours

1.33

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

3.66

Weekend nurse staffing · state 3.91 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.73 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.47

CMS adjusted RN staffing hours

Adjusted total hours

3.70

CMS adjusted total nurse staffing hours

Case-mix index

1.44

Higher values indicate more complex resident acuity

RN turnover

63%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

64%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,537

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

35.86

Composite VBP score used to determine payment impact.

Payment multiplier

0.9894

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.51

Baseline 16.65% · Performance 18.88% · Measure score 5.51 · Achievement 5.51 · Improvement 0

Healthcare-associated infections

7.47

Baseline 6.13% · Performance 5.60% · Measure score 7.47 · Achievement 7.47 · Improvement 4.14

Total nurse turnover

Baseline 29.17% · Performance 64.79% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

1.37

Baseline 3.34 hours · Performance 3.47 hours · Measure score 1.37 · Achievement 1.37 · Improvement 0.01

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	8.89%	10.72% 1.8 pts better	No Different than the National Rate · Eligible stays 114 · Observed rate 5.26% · Lower 95% interval 6.17%
Discharge to community	55.11%	50.57% 4.5 pts better	No Different than the National Rate · Eligible stays 102 · Observed rate 49.02% · Lower 95% interval 44.59%
Medicare spending per beneficiary	0.93	1.02 0.1 pts better
Drug regimen review with follow-up	98.44%	95.27% 3.2 pts better	Numerator 63 · Denominator 64
Falls with major injury	1.56%	0.77% 0.8 pts worse	Numerator 1 · Denominator 64
Discharge self-care score	37.93%	53.69% 15.8 pts worse	Numerator 11 · Denominator 29
Discharge mobility score	44.83%	50.94% 6.1 pts worse	Numerator 13 · Denominator 29
Pressure ulcers or injuries, new or worsened	4.69%	2.29% 2.4 pts worse	Numerator 3 · Denominator 64 · Adjusted rate 5.15%
Healthcare-associated infections requiring hospitalization	5.6%	7.12% 1.5 pts better	No Different than the National Rate · Eligible stays 72 · Observed rate 1.39% · Lower 95% interval 3.06%
Staff COVID-19 vaccination coverage	77.5%	8.2% 69.3 pts better	Numerator 62 · Denominator 80
Staff flu vaccination coverage	88.89%	42% 46.9 pts better	Numerator 56 · Denominator 63
Discharge function score	44.83%	56.45% 11.6 pts worse	Numerator 13 · Denominator 29
Transfer of health information to provider	79.41%	95.95% 16.5 pts worse	Numerator 27 · Denominator 34
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	21.28%	25.2% 3.9 pts worse	Numerator 10 · Denominator 47

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.7	1.4 1.3 pts worse	1.9 0.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 3.6 · Expected 2.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.5	2.1 0.4 pts worse	1.8 0.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.8 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.0%	90.7% 8.3 pts better	93.4% 5.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 97.8% · Q4 97.9% · 4Q avg 99.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.5% 4.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.1%	4.3% 1.2 pts better	3.3% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.1% · Q3 4.3% · Q4 2.1% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	23.4%	10.7% 12.7 pts worse	11.4% 12 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 51.4% · Q3 23.3% · Q4 0.0% · 4Q avg 23.4%
Percentage of long-stay residents who lose too much weight	6.9%	5.5% 1.4 pts worse	5.4% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 7.9% · Q3 12.8% · Q4 4.7% · 4Q avg 6.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	41.6%	17.0% 24.6 pts worse	19.6% 22 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.7% · Q2 47.5% · Q3 50.0% · Q4 34.1% · 4Q avg 41.6%
Percentage of long-stay residents who received an antipsychotic medication	25.2%	21.0% 4.2 pts worse	16.7% 8.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 23.8% · Q3 28.6% · Q4 30.0% · 4Q avg 25.2% · 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	27.4%	29.6% 2.2 pts better	16.3% 11.1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 27.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.5%	25.7% 12.2 pts better	14.9% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 18.4% · Q3 13.5% · Q4 7.1% · 4Q avg 13.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	1.3% 0.8 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.1%	2.7% 0.6 pts better	1.7% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 6.4% · Q3 0.0% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.9%	29.8% 5.9 pts better	19.8% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.2% · Q2 21.5% · Q3 20.1% · Q4 18.2% · 4Q avg 23.9%
Percentage of long-stay residents with pressure ulcers	6.0%	4.4% 1.6 pts worse	5.1% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 8.9% · Q3 9.1% · Q4 3.0% · 4Q avg 6.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.5%	71.2% 25.3 pts better	81.7% 14.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 99.3% · Q3 95.1% · Q4 92.5% · 4Q avg 96.5%
Percentage of short-stay residents who had an outpatient emergency department visit	16.0%	15.6% 0.4 pts worse	12.0% 4 pts worse	Short Stay · 20240701-20250630 · Adjusted 16.0% · Observed 14.9% · Expected 10.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.6%	1.4% 0.2 pts worse	1.6% About the same	Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.4% · Q3 0.0% · Q4 2.5% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.0%	74.5% 20.5 pts better	79.7% 15.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	22.8%	20.5% 2.3 pts worse	23.9% 1.1 pts better	Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 19.5% · Expected 20.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-07-11 · Fire 2024-07-11

13 health deficiencies

Top issue: Resident Rights (4 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-04-05 · Fire 2023-04-05

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

6 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2021-06-03 · Fire 2021-06-03

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-07-11

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-07-16

D · Potential for more than minimal harm 2023-04-05

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-04-05

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-04-05

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-04-05

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-04-05

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-04-05

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-04-18

D · Potential for more than minimal harm 2021-06-03

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2021-06-29

D · Potential for more than minimal harm 2021-06-03

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 2021-06-29

D · Potential for more than minimal harm 2021-06-03

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-06-29

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-01-13

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2025-02-05

E · Potential for more than minimal harm 2024-07-11

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2024-08-15

E · Potential for more than minimal harm 2024-07-11

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-08-15

E · Potential for more than minimal harm 2024-07-11

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 2024-08-15

E · Potential for more than minimal harm 2024-07-11

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 2024-08-15

E · Potential for more than minimal harm 2024-07-11

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 2024-08-15

D · Potential for more than minimal harm 2024-07-11

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-08-15

D · Potential for more than minimal harm 2024-07-11

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 2024-08-15

D · Potential for more than minimal harm 2024-07-11

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-08-15

D · Potential for more than minimal harm 2024-07-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-08-15

D · Potential for more than minimal harm 2024-07-11

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-08-15

D · Potential for more than minimal harm 2024-07-11

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 2024-08-15

D · Potential for more than minimal harm 2024-07-11

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 2024-08-15

D · Potential for more than minimal harm 2024-07-11

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 2024-08-15

D · Potential for more than minimal harm 2024-01-17

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2024-02-06

E · Potential for more than minimal harm 2023-04-05

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-05-05

E · Potential for more than minimal harm 2023-04-05

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 2023-05-05

D · Potential for more than minimal harm 2023-04-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-05

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-05

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-05

B · Minimal harm 2023-04-05

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 2023-05-05

E · Potential for more than minimal harm 2021-06-03

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 2021-07-12

E · Potential for more than minimal harm 2021-06-03

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 2021-07-12

E · Potential for more than minimal harm 2021-06-03

F761 · Pharmacy Service Deficiencies

Health

Corrected 2021-07-12

E · Potential for more than minimal harm 2021-06-03

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 2021-07-12

E · Potential for more than minimal harm 2021-06-03

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 2021-07-12

Penalties and ownership