F609 in Maine. Pick another state for the same tag.
Against expectation — 2025
Maine cites F609 less often than its own record predicts
Versus expected share0.48×
0.48 times the national share — cited less often here than elsewhere.
Share of Maine citations1.17%
Of every deficiency written in Maine in 2025, this is the portion that was F609.
Maine1.17%
National2.45%
Share of all citations that were F609.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maine surveyors wrote
F609 findings written in Maine, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
L · Immediate jeopardy, widespreadSeptember 17, 2024
Based on interviews, facility policy review, and record review, the facility failed to develop and/or implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime in accordance with section 1150B of the Social Security Act, resulting in failure to protect the resident from further potential harm from the perpetrator. In addition, the facility failed to report to law enforcement or the State Survey Agency (SA) an incident of possible abuse including the violation of a resident's right to be free from a physical restraint in accordance with S483.12, which kept the resident from ambulating from a wheelchair [Resident #99 (R99)]. …
D · No harm, potential for more than minimal, isolatedJuly 22, 2026
Based on record review and interviews, the facility failed to report an injury of unknown origin for a fracture identified on 5/15/26 to Licensing and Certification or Adult Protective for 1 of 1 resident reviewed for fractures. (Resident #1 [R1]).Finding: On 7/22/26, a review of R1's clinical record was completed. Documentation in a nurse note, dated 4/25/26, of a statement made by Certified Nurse Assistant #1 (C.N.A.1), indicated that while C.N.A.1 was changing R1's bed sheets, R1 rolled out of bed onto the floor. Documentation made by the Emergency Department (ED), dated 4/25/26 indicated the resident was there due to a fall out of bed. During this visit, an x-ray showed no injury to the left shoulder. …
B · No harm, potential for minimal, patternFebruary 18, 2020
Based on record review and interviews the facility failed to report an incidents of potential neglect (elopement) to the Division of Licensing and Certification (State Survey Agency) and Adult Protective Services within 24 hours for 1 of 3 sampled residents with elopement risk potential. (Resident #1)
Finding:
Review of Resident #1's record reveals two incidents in which Resident #1 was found outside of the facility without the knowledge/supervision of facility staff, on 12/25/19 and again on 2/1/20. A review of Resident #1's Minimum Data Set, Version 3.0 assessment dated [DATE] under cognitive patterns indicates a moderate impairment. …
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