16 health deficiencies
Top issue: Resident Rights (4 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Skowhegan, ME
2-star overall rating with 2-star inspections with $8,018 in total fines with 16 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
59 West Front Street, Skowhegan, ME
(207) 474-9300
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
46
Certified beds
Average residents
38
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
First Atlantic Healthcare
Operator or chain grouping
Approved since
1994-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.46
Registered nurse staffing
LPN hours / resident day
0.60
Licensed practical nurse staffing
Aide hours / resident day
2.92
Nurse aide staffing
Weekend hours
3.56
Weekend nurse staffing
RN turnover
60%
Annual RN turnover
Total nurse turnover
53%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.6 |
1.4
0.8 pts better
|
1.9
1.3 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.4 |
2.1
2.3 pts worse
|
1.8
2.6 pts worse
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 85.8% |
90.7%
4.9 pts worse
|
93.4%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.4% |
95.5%
1.9 pts better
|
95.5%
1.9 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
4.3%
4.3 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
10.7%
10.7 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 11.1% |
5.5%
5.6 pts worse
|
5.4%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.5% |
17.0%
7.5 pts better
|
19.6%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 40.3% |
21.0%
19.3 pts worse
|
16.7%
23.6 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 | 15.7% |
29.6%
13.9 pts better
|
16.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.4% |
25.7%
0.7 pts worse
|
14.9%
11.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.3%
0.4 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
2.7%
1.1 pts better
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 35.4% |
29.8%
5.6 pts worse
|
19.8%
15.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 3.5% |
4.4%
0.9 pts better
|
5.1%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 68.3% |
71.2%
2.9 pts worse
|
81.7%
13.4 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.4%
1.4 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.2% |
74.5%
14.7 pts better
|
79.7%
9.5 pts better
|
Short Stay · 2024Q3-2025Q2 |
Survey summary
Top issue: Resident Rights (4 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Resident Rights (5 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-07-31
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-08-08
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-07-31
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-08-07
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-08-05
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 2024-10-17
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-10-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-10-17
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-10-17
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-10-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-17
Fire Safety
Meet other general requirements.
Corrected 2023-04-18
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-18
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-04-18
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-04-18
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 2023-04-18
Inspection history
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-10-21
Health
Keep all essential equipment working safely.
Corrected 2025-08-27
Health
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2025-08-27
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 2025-08-27
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-27
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 2025-08-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-27
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-08-27
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2025-08-27
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-08-27
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 2025-08-27
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 2025-08-27
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-08-27
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-27
Health
Dispose of garbage and refuse properly.
Corrected 2025-08-27
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-08-27
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-10-12
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-10-12
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-12
Health
Implement a program that monitors antibiotic use.
Corrected 2024-10-12
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-10-12
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.
Not marked corrected
Health
Respond appropriately to all alleged violations.
Corrected 2024-10-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-12
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 2024-10-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-12
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-10-12
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-12
Health
Post nurse staffing information every day.
Corrected 2024-10-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-12
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2023-04-30
Health
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2023-04-30
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-04-30
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 2023-04-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-04-30
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-04-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-30
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-30
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-04-30
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-04-30
Health
Respond appropriately to all alleged violations.
Corrected 2023-04-30
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-04-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-30
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-04-30
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 2023-04-30
Health
Dispose of garbage and refuse properly.
Corrected 2023-04-30
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2023-04-30
Health
Post nurse staffing information every day.
Corrected 2023-04-30
Penalties and ownership
Fine · fine $8,018
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Nearby options
Skowhegan, ME
2-star overall rating with 2-star inspections with 15 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
Madison, ME
2-star overall rating with 2-star inspections with 13 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
Waterville, ME
1-star overall rating with 1-star inspections with Special Focus status with $83,038 in total fines with 15 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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